Most research considers bipolar disorder that begins at 50 years old or later to be lobd between 5 and 10 percent of people with bipolar disorder will be at least 50 when they first show symptoms . Performance based quality measures are encouraged as are guideline based treatment models the book concludes with chapters that cover evidence based medicine and legal and ethical issues in bipolar disorder research involving older patients bipolar disorder in later life represents a solid contribution to the knowledge base in geriatric psychiatry it is well indexed and includes numerous illustrative cases. Bipolar disorder in later life is an exceptionally well written and thorough review of this emerging focus of research both clinicians and academicians will find it to be a necessary and useful work in its own right and we hope that it leads to continued advances in the field. Bipolar disorder bd previously known as bipolar affective disorder and manic depression is a chronic affective disorder that affects nearly six million american adultsclassified as a mental disorder by the american psychiatric association apa bd is characterized by extremes of mood
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