Similar associations were identified with duration of untreated bipolar disorder, but these did not reach statistical significance. 54 Regarding systemic factors, receiving care from a psychiatrist increased the likelihood of guideline-recommended pharmacotherapy initiation. 45 , 46 However, receiving care from a psychiatrist was not associated with drug serum level monitoring, side-effect monitoring, metabolic screening or adjunct psychotherapy. 46 Primary care visits related to bipolar disorder were associated with higher likelihood of drug serum level monitoring and metabolic screening.
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Factors influencing delays in the diagnosis and treatment of bipolar disorder in adolescents and young adults: systematic scoping review.
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