Out of curiosity, how do you guys in the psych community feel about GPs managing bipolar disorder? Does ever bipolar patient need a psych referral or can 'simple' type 2 bipolar be managed by a GP in the office like depression? If it does need psych management should a GP give a med to bridge the patient until psych eval or leave it alone? When we do start a med, which one is best to start on? Is Lithium generally a good choice?