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Management of common comorbidities in bipolar disorder Individuals with BD have higher rates of lifetime medical/psychiatric comorbidities, excess all-cause mortality, and shorter life expectancy.[20,181,182] Common psychiatric comorbidities are anxiety disorders, OCD, SUDs, personality disorders (borderline), and ADHD.[20] Indian national mental health survey data for BD reported tobacco use disorder (33.3%), other SUDs (14.6%), and anxiety disorders (10.4%) to be common comorbidities.[3] Another Indian study found that nearly two-thirds of patients with BD have physical comorbidity, commonly cardiovascular diseases (20%).[183] Table 12 summarizes the cross-cutting issues and considerations in managing comorbid medical or psychiatric conditions in patients with BD
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