Posted by AMenz on June 24, 2001, at 15:00:00
In reply to Re: What's worked 4 folks 4 BP II or other maladies? » MM, posted by Mitch on June 23, 2001, at 17:13:23
I have always cycled too frequently to have 4 days of anything, yet have BPII dx. Are severe periods of irritability hypomania? I think they are acompanied by racing thoughts etc but not euphoric at all. Is this really hypomania? Is it a mixed state. And how can I be sure of diagnosis.
This BTW is the diagnosis I've had for over 10 years. I do cycle on AD's and get into mixed states.
Like you anxiety (social not panic) kicks up when on mood stabilizers and very low AD's (so I can keep from cycling). I'm beginning to think that behavioral therapy which seems to work for some anxiety disorders with no BPII comorbidity might be the way to go.
> > Well I'm not sure I've had a hypomanic episode, but if I did, it was because of anti-depressants. How do I know if it was a hypomanic episode, or just antidepressants helping with depression and anxiety?
>
> That's a tough one. So, whatever the *episode* was it occured while on AD's right? I *think* the definition for hypomanic episode is at least four days of elevated mood-racing thoughts, impulsivity or hostility, difficulty sleeping, agitation, etc. But, didn't require hospitalization and you didn't get psychotic.
>
> If I go off of antidepressants entirely my mood cycling settles down and don't have any problem with hypomania. But, I get panic attacks/depression. It is a "sticky" problem.
> I don't know just how to solve the dilemma.
> Mitch
poster:AMenz
thread:67368
URL: http://www.dr-bob.org/babble/20010618/msgs/67682.html