Indian Journal of Psychological Medicine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 41  |  Issue : 1  |  Page : 68--74

Pathways to care for patients with Bipolar-I disorder: An exploratory study from a tertiary care centre of North India


Anamika Sahu, Vaibhav Patil, Sumedha Purkayastha, Raman Deep Pattanayak, Rajesh Sagar 
 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Prof. Rajesh Sagar
Room No. 4089, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi
India

Introduction: Understanding the pathways to psychiatric care is important from a public health perspective. Only a few Indian studies have focused on this, particularly for severe mental disorders. The present study was planned to assess it in patients with Bipolar-I disorder (BD-I). Materials and Methods: Sixty-four patients with DSM 5 diagnosis of BD-I and their caregivers were included. A semi-structured interview proforma was used to gather information. Results: Psychiatrists were the first care provider in 43.8% of the cases, followed by traditional faith healers (32.8%) and general physician/neurologists (17.2%). The median duration of untreated bipolar disorder (DUB) was 21 days (1 day to 152 months). Relatively long DUB (3.5 ± 3.5 years) was found for 17.2% of the sample. The median duration of the first contact with a psychiatrist was 45 days and the interval between the contact with the first care provider and a psychiatrist was 90 days (1 day to 151 months). At the time of first treatment seeking, 64% of patients and caregivers had poor awareness regarding psychiatric treatment. Conclusions: Patients with BD-I seek help from psychiatrists, faith healers or other medical practitioners for multiple reasons. There is a need to sensitise the community and various service providers about early identification and optimum management of BD-I.


How to cite this article:
Sahu A, Patil V, Purkayastha S, Pattanayak RD, Sagar R. Pathways to care for patients with Bipolar-I disorder: An exploratory study from a tertiary care centre of North India.Indian J Psychol Med 2019;41:68-74


How to cite this URL:
Sahu A, Patil V, Purkayastha S, Pattanayak RD, Sagar R. Pathways to care for patients with Bipolar-I disorder: An exploratory study from a tertiary care centre of North India. Indian J Psychol Med [serial online] 2019 [cited 2019 Nov 22 ];41:68-74
Available from: http://www.ijpm.info/article.asp?issn=0253-7176;year=2019;volume=41;issue=1;spage=68;epage=74;aulast=Sahu;type=0