What is already known about the topic?
Early prodromal symptoms are idiosyncratic to the
patient and consistently develop in the weeks before
manic or depressive relapse.
About four out of five individuals with bipolar disorder
can identify one or more early symptoms preceding full
recurrence.
Recognition and self-management of depressive and
manic prodromes lengthen time to recurrence and
hospitalization, and improve social function and performance
in employment.