The current study is cross sectional retrospective study, included 100 patients were diagnosed as mood disorder bipolar I (manic episodes) according to DSM5, patients recruited from inpatient psychiatric unit at department of Neurology and Psychiatry, Assiut University hospitals The current work is designed to study the effect of duration of untreated bipolar disorder on clinical outcome ( severity , residual symptoms ,duration of hospital admission) and to study factors affecting duration of untreatment in Upper Egypt.

Mood disorder carries a major burden in our country as it represents 15% of inpatients and 20% of outpatients in mental hospitals in Egypt

The current work is designed to study the effect of duration of untreated bipolar disorder on clinical outcome ( severity , residual symptoms ,duration of hospital admission) and to study factors affecting duration of untreatment in Upper Egypt.

The current study is cross sectional retrospective study, included 100 patients were diagnosed as mood disorder bipolar I (manic episodes) according to DSM5, patients recruited from inpatient psychiatric unit at department of Neurology and Psychiatry, Assiut University hospitals

Inclusion Criteria:

• -Age group between 18 to 45 years old.
• Patients diagnosed as mood disorder bipolar I manic episode according to DSM V(2).
• Clearly consenting to participate in the study.

Exclusion Criteria:

• -Mood disorder due to substance abuse.
• Patients in depressive episodes.
• other mental disorders

100 patients recruited from inpatient psychiatric unit at department of neurology and psychiatry, Assiut University Hospitals

i will share after finishing my research