A nationwide study on concordance with multimodal treatment guidelines in bipolar disorder

International Journal of Bipolar Disorders

Table 1 Treatment modalities that are recommended by the Dutch guideline for the treatment of BD in patients with differential clinical profiles

	Clinical profiles
	Currently asymptomatic and no indication for maintenance pharmacotherapy	Currently asymptomatic, with an indication for maintenance pharmacotherapy, and no episode in the previous year	Currently asymptomatic, with an indication for maintenance pharmacotherapy, and an episode in the previous year	Currently symptomatic
Treatment modality^a
Participation of a psychiatrist^b	+	+	+	+
Group psychoeducation	+	+	+	+
Emergency plan	+/−^c	+/−^c	+	+
Maintenance pharmacotherapy	–	+	+	+
Life charting	−	−	+	+
Supportive treatment^d	−	−	+	+
Psychotherapy^e	−	−	−	+

^a“+” indicates the modality is recommended to be part of the treatment in case of that particular clinical profile, and “−” indicates the modality is not recommended to be part of the treatment
^bPatients with BD should have at least one visit/year with a psychiatrist or physician, when health care providers other than a psychiatrist/physician are part of the treatment team
^cFor these patients an emergency plan is recommended as optional
^dAt least three visits with a psychiatrist or mental health nurse in the previous year
^eAny form of psychotherapy in the previous year