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In 2008, a study concluded that the over diagnosis of bipolar disorder is now a greater concern than the under diagnosis. Fewer than half of previously diagnosed bipolar disorder patients retested under the Structured Clinical Interview for DSM-IV (SCID) actually qualified under the psychiatric terms for bipolar disorder diagnosis. The study was conducted by principle investigator, Mark Zimmerman, M.D., with the Rhode Island Hospital and Brown University researchers. Of the 700 patients, 145 reported they had been previously diagnosed as having bipolar disorder; however, fewer than half of the 145 patients (43.4 percent) were diagnosed with bipolar disorder based on the SCID. "Clinicians are inclined to diagnose disorders that they feel more comfortable treating. We hypothesize that the increased availability of medications that have been approved for the treatment of bipolar disorder might be influencing clinicians who are unsure whether or not a patient has bipolar disorder or borderline personality disorder to err on the side of diagnosing the disorder that is medication responsive," said Zimmerman. "This bias is reinforced by the marketing message of pharmaceutical companies to physicians, which has emphasized the literature on the delayed and under recognition of bipolar disorder, and may be sensitizing clinicians to avoid missing the diagnosis of bipolar disorder." A main concern with the over diagnosis of bipolar disorder includes the prescription of mood stabilizers as a treatment option. Naturally, over diagnosing may lead to exposing patients to dangerous and unnecessary medication side effects. Another concern is with the prevalence of children being diagnosed with bipolar disorder. Concurring disorders can often be mistaken for bipolar disorder, including attention deficit disorder and ADHD symptoms that become apparent in childhood. Early drug abuse and addiction can ensue. Patients often become addicted to the unnecessary medication, needing to seek out addiction treatment . By leading healthier lifestyles with exercise routines and good nutrition, people can help improve their lives naturally without opiate and illicit drug use.
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