Posted by Marty on July 25, 2008, at 10:17:12
In reply to Re: CAN SSRI's CAUSE BIPOLAR TO SHOW UP OR JUST SIDE A, posted by linkadge on July 24, 2008, at 21:18:47
In the next DSM (DSM-V coming around 2011) the Bipolar disorder spectrum will be enlarged to include, in part, a type (Bp-4?) which will describe people with bipolar feature that ONLY SWITCH INTO (HYPO)MANIA WHEN GIVEN SOME MEDS.Note that this will NOT include Bipolar patient who CAN switch in mania WITHOUT meds as the majority of Bipolar can switch into mania when on some med and many has their first manic episode after being given an antidepressant to treat their first depression.
It is likely that nobody will receive this Bp4 diagnostic after only 1 or 2 med induced switch into mania has it takes many years to confirm the the sufferer doesn't switch into mania without a change in meds.
My Pdoc, which is the most respected Bipolar disorder specialist in Canada and the president of the psychiatrist association of Quebec, already told me he thought that I was Bp4.
It took me 7 years and 25+ med trial before he dare to tell me about it.
The first time I had a switch into hypomania when after I had a TOXIC psychosis (MDMA/Metamphetamine at a rave party) the general practinioner I saw prescribed me Paxil 40mg for 2 weeks than switched me to 60mg(!) ... 1 month later I had a new job in the 80,000$, a new 45k sport car and a new girlfriend swith I propose to while a short trip to Mexico! ... 1 month before I was crippled into bed suffering from intense depersonalization/derealization and psychosis-grade social phobia which induced me severe panic attack while seeing people ON TV having social relation/situation .... an illegal Drug pushed me into psychosis and depression and a prescription one pushed me into mania .. a more than common story these days... so I guess Bp4 will be a big thing when it become official.
Big kudos for the DSM people for 'having the balls' to include it into the next version as you can bet it's one diagnostic the pharma company will(already) hate big time!
/\/\arty
poster:Marty
thread:841813
URL: http://www.dr-bob.org/babble/20080718/msgs/841957.html