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Atypical Depression or BiPolar II?

Posted by Erin on June 26, 1999, at 17:02:08

As I have been off Paxil for three weeks now (in preparation for starting an MAOI) I am becoming suspicious that I might have BiPolar II instead of atypical depression (I've read that the two may be related, any comment on that?).

Since I have been off Paxil I have:
-felt more pressure to speak when I didn't want to
-had more problems with insomnia
-not felt well-rested even when I got eight + hours of sleep
-felt more creative
-been more social
-felt more anxious about problems beyond my control (which results in excessive worrying)
-had problems with my short-term memory (although I think this is primarily related to not getting enough sleep)

From what I've read, these are some of the symptoms of hypomania associated with BiPolar II.

So, here's where I get a little confused- don't anti-depressants frequently increase mania in people with bipolar disorder? In other words, why would stopping Paxil increase what might be viewed as hypomanic symptoms?

I have not been able to find a great deal of treatment info on BiPolar II (plenty on BiPolar I though). What is usually used to treat BiPolar II?

Thanks for any input-




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