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Re: Bi-polar II- diagnosis on the rise?

Posted by 16# on July 29, 2001, at 17:28:29

In reply to Re: Bi-polar II- diagnosis on the rise? » shelliR, posted by JahL on July 29, 2001, at 7:15:50

Jahl-- You are killing me softly!

Your symptoms are eerily similar to mine and you express them vividly in this post and in the ones below. I also am recently diagnosed, and have been all messed up by being prefunctorily prescribed SSRIs by previous MDs. I have also had a problem with lamictal being a little too activitating. Just out of curiosity, what has worked for you so far?

Michelle

> Hi Shelli.
>
> I'm one of those newly dx'd BP II folk.
>
> My condition looks like unipolar, is characterised by anxiety & is complemented by chronic derealisation (as opposed to D.D.). So a little like your own. Also, like you, when my condition worsens it is the anxiety component that seems to predominate. I avoid stress like the plague. We do not mix well.
>
> Anxiety vs hypomania? Anxiety wears me down, is unfocussed, & robs me of my volition. AD-induced hypomania, whilst also 'wearing', gave me a terrific sense of purpose; I could work all day w/o stopping (or eating) & only needed a couple of hours sleep. I became sociable, *v* talkative & downright horny! I was in no way irrational. In fact, freed from some of my symptoms, my thinking became more rational & 'human-like'.
>
> I have *plenty* of rage/emptiness but no self-harm, impulsiveness, attn-seeking etc.
>
> A succession of ADs has made my condition (seemingly) irredeemably worse. My new pdoc only prescribes ADs to Bipolar folk settled on a mood-stabilizer.
>
> Anyway, 1 of the most striking features of my BP is the accompanying psychomotor retardation, which makes stringing a sentence together difficult. Hopefully the above has some relevance to yr curiosity...
>
> J.
>
> ====================================
>
> > Actually , I'm really curious about bipolar II. Last spring when I was in the hospital I was very hyper, talkative and sleepless. Not irrational though., although had some pretty serious bouts of sobbing, when I felt frustrated. There was some talk about a bipolar II diagnosis (I have major depression and a dissociative disorder), but the "team" psychologists and psychiatrists felt that my behavior was related to high level anxiety. My anxiety (rather than depression) go up when I have hospitalized recently--I think it is way over-stimulating to me to be around people and crisis all the time.
> >
> > I have also read about bipolar II being related to borderline personality disorder, as a less provocative diagnosis and also more appealing to insurance companies. But when I look at the critiera for borderline, I don't see so much of a cross over. I don't think the rage, emptiness, self-harm (I don't remember the whole list) would have to be present in bi-polar II, just major depression and hypomania.
> >
> > How does one distinquish between hypomania and major anxiety, and the cycling present in PTSD symptoms. And what are the implications of medications--no ADs for bi-polar II, or only certain ADs?
> >
> > Bi-polar II keeps popping up on the board with greater frequency, so that's why I became curious.
> >
> > Any ideas?
> >
> > Shelli


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