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Older adults with bipolar disorder constitute a growing population of people with serious mental illness and considerable need for treatment. In the past few years, we have become increasingly aware that the notion that bipolar disorder in late life "burns out" or resolves over a period of decades is a myth. On the contrary, geriatric bipolar disorder is associated with substantial morbidity and mortality and poor psychosocial outcomes. As the population in general — and in industrialized nations in particular — ages and as our skills for recognizing and treating bipolar disorder increase, the challenge of managing manic–depressive illness in
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