Posted by SLS on October 28, 2016, at 7:16:18
In reply to Re: Which my supplements causing agitation/mood swings, posted by Mtom on October 18, 2016, at 15:45:10
> > Has your doctor considered that you might have bipolar disorder? People with bipolar disorder are often very sensitive to antidepressants in the ways you describe. If this is true, you will need to develop a different strategy to treat it, and, for the moment, avoid serotonergic antidepressants and other serotonergic substances (5-HTP and St. John's Wort).
> >
> > Perhaps you should have a series of routine tests performed to check for endocrine or other conditions. I'm thinking that you should check for thyroid and adrenal function.> Thanks Scott. I have been tested for thyroid and adrenal function (morning/late afternoon cortisone or was it cortisol?). I do not believe I am bipolar. I don't get "manic" - no high energy states, no euphoria, no uninhibited behaviour
It sometimes occurs that someone will not display classic mania or hypomania, yet be bipolar. I like Hagop Akiskal's concept of a bipolar spectrum. For me, I never become manic unless it is triggered by antidepressant drugs. In the DSM 5, there is a qualifier that states that bipolar disorder can indeed present this way. Some bipolar diagnostic schemes state that there is a form of bipolar disorder that presents with depression only. This might occur if the diathesis (underlying cause) for the illness is bipolar. Emil Kraeplin's original description of recurrent depression was that it was an expression of manic-depression (not bipolar disorder per se). Okay, having said all of that, it must be understood that mania and hypomania can present as a mixed-state. A mixed state is a presentation of bipolar disorder where there is no euphoria, However, there is agitation, anger, rage attacks, impatience, anhedonia, racing thoughts, high-energy, and other symptoms that are sometimes described as manic-dysphoria or dysphoric mania. A mixed-state is conceptualized as a mixture of both depressive and manic states. My antidepressant-induced manias are not at all euphoric, but more of a dysphoric mania that can develop into psychosis if not treated.
I hope you can figure this thing out.
Good luck. I hope you continue posting your progress.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1092673
URL: http://www.dr-bob.org/babble/alter/20160521/msgs/1092813.html