Objective. Factors affecting the course of illness, frequency of symptom exacerbation, and symptom severity in a patient suffering from bipolar affective disorder were analyzed in the paper.
Case report. A case is presented of a 53-year-old patient diagnosed with bipolar affective disorder, with depression and hypomania episodes occurring during the past 7 years. He has been provided with psychiatric treatment, with variable success. In the course of his illness numerous environmental, mostly familial factors have been noted that might affect his condition severity.
Commentary. Long-term development of affective bipolar disorder with salient depressive episodes confirms the advisability of prolonged therapy for patients with chronic psychiatric disorders, aimed at an improvement of their mental state and consequently, their life quality.