Posted by Bob on September 5, 2008, at 16:16:30
In reply to Re: Bipolar Spectrum: Very long but very accurate. » SLS, posted by Bob on September 5, 2008, at 12:56:22
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> > Final Word
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> > In his introductory article, Dr Ghaemi points out that in the bipolar literature, treatment issues receive a lot more attention than diagnostic considerations. Yet, "in the practice of psychopharmacology, treatment decisions are often straightforward once diagnostic judgments are made."
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> Huh? Seems to be that this mood disorder bipolar spectrum issue might be one of the most challenging problems to solve in medecine, if not in the entire panolpy of human experience.
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> Although one has to start somewhere, that article seems to leave more lose ends and open questions then ever. Even if all the myriad diagnoatic, sub-diagnostic, and sub-category/sub-diagnostic criteria are to be worked out at some point, I feel that the treatment options are anything but straightforward in many cases. In fact, it appears that in many cases, there is no idea how to proceed. Heck, we often don't understand what to do for people who are pure severe unipolar, yet completely treatment resistant. They even mention in the article that people who are BPII and/or rapid cycling very often don't improve with the introduction of Lithium or other mood stabilizers.
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I wanted to add that I too appreciate the effort to categorize and define disorders, but sometimes it seems to be like the treatment side of it is so far behind that it seems futile at times. Of course, you have to start somewhere and it does help to know what you're treating.
poster:Bob
thread:850483
URL: http://www.dr-bob.org/babble/20080903/msgs/850525.html