Non-consensual recommendations for managing bipolar II disorder

Objective: The objective of this study is to report on the degree of consensus in experts' recommendations for managing bipolar II disorder. Methods: Eighteen international clinician researchers with expertise in managing bipolar disorders were provided with 14 questions addressing nuances in managing those with a bipolar II disorder. Results: To all questions, the independently derived recommended strategies demonstrated distinct divergence. Conclusion: The lack of consensus in management recommendations is likely to reflect the disorder being relatively recently formalised, the lack of condition-specific randomised controlled trial data and the nature of psychiatric practice.