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Re: @sls » johnLA

Posted by SLS on July 2, 2012, at 13:22:22

In reply to Re: @sls, posted by johnLA on July 2, 2012, at 11:44:00

> my longest term pdoc said bipolar takes '7 years to diagnose.' i've already lost 2 years of my life to depression. don't want to wait anymore...

I'm sure that no one here wants you to wait either. Waiting sucks. The time spent in depression is thievery.

Bipolar disorder has traditionally been thought to begin at an earlier age than unipolar depression - usually in adolescence. (This may be more closely studied for bipolar-I). Of course, some people are going to fall outside the thick part of the bell-shaped curve. There is very little interest in late-life onset bipolar disorder. I really don't know what the most current thought is on this. It is probably true that people with bipolar disorder are resistant to therapy using exclusively antidepressant drugs. However, I have to believe that treatment resistance can be found in unipolar disorder as well. Is there such a thing as bipolar disorder for which depression is the only presenting mood state? I believe that there is. This actually best described me for many years. It was only when I experienced a manic reaction to a combination of TCA and MAOI that a diagnosis of bipolar became obvious.


-----------------------------------------


Gerald Klerman schema:

THE BIPOLAR SPECTRUM

BIPOLAR I: Both mania and major depression

BIPOLAR II: Major depression and hypomania

BIPOLAR III: Cyclothymia. Mild depression and hypomania

BIPOLAR IV: Depression and usually no mania. Mania may be triggered by some antidepressants.

BIPOLAR V: Depression and no mania. Some blood relatives have had mania

BIPOLAR VI: Mania and no depression


-----------------------------------------

At what age did you experience your first prodromal depressive symptoms?

Depressed mood
Melancholic thoughts
Suicidal thoughts
Insomnia
Irritability
Rage
Aggression
Anxiety
Loss of interest
Loss of energy
Social inhibition
Cognitive or memory impairments
Loss of sex drive
Loss of motivation
Dry mouth
Constipation
Blurred Vision

Have you combined Abilify + Lamictal + Wellbutrin yet?


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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URL: http://www.dr-bob.org/babble/20120630/msgs/1020695.html