Posted by SLS on November 9, 2001, at 12:56:36
In reply to Re: Refractary bipolar depression To Scott !!!, posted by petters on November 8, 2001, at 13:17:09
Dear Petters,
I wish I had more time to compose a response, but I have to start getting ready for a trip to Washington D.C. I did not put things in a good order. Sorry. I hope it helps.
> I think a am bipolar 2. The diagnosis of bipolar 2 is crucial, we don´t have the diagnosis in my country. What do you think about this sypmtoms...?
Why are you diagnosed as bipolar and not unipolar?
----------------------
The important difference between bipolar I and bipolar II is mania versus hypomania.
"A diagnosis of bipolar I disorder is made when a person has experienced at least one episode of severe mania; a diagnosis of bipolar II disorder is made when a person has experienced at least one hypomanic episode but has not met the criteria for a full manic episode."
See: http://www.nimh.nih.gov/publicat/bipolarresfact.cfm
----------------------
The first question to be asked is about mania:
1. Do you have mania?
2. How would you describe it?
3. Is it severe or psychotic, or only hypomania?
4. Do you experience pure euphoria without irritability, anger, or
dysphoria (mixed-state)?
5. Do you experience and express uncontrollable rage?
5. Do you sleep less than 4 hours and function well during the day?
6. Do you talk too much and too fast?
7. Do you experience periods of intense sexual excitement?----------------------
Diagnostic Descriptions:
Bipolar I:
http://www.mentalhealth.com/dis1/p21-md02.htmlBipolar II:
http://www.mentalhealth.com/dis1/p21-md05.html-----------------------
"
Bipolar Disorder Often Mistaken for Major DepressionDetecting Those with Bipolar II: A Study
Those who ended up with bipolar II (and not unipolar):
Had longer, more frequent depressive episodes, and earlier in life.
Were more likely to be involved in substance abuse.
Tended to also suffer from anxiety disorders such as obsessive-compulsive tendencies, panic attacks, and anxiety-related physical complaints. The presence of three traits predicted who would end up with bipolar II: mood swings, depression nonetheless punctuated by "excitement," and intense daydreaming"
See: http://cbshealthwatch.medscape.com/cx/viewarticle/24_3
----------------------------
Bipolar II depression most often looks like "atypical depression". Your depression resembles atypical depression. Your symptoms are consistent with this.IMPORTANT: I haven't been able to find detailed information describing the differences between bipolar I and bipolar II depression. I read one recent article that reported no differences. However, it is my impression that bipolar I depression might show melancholic and psychotic symptoms more often, and possibly greater severity. I am not sure.
"there was overrepresentation in the BP II (versus unipolar) group of "suicidal thoughts, guilt feelings, depersonalization and derealization, and atypical features such as hypersomnia and weight gain."
See: http://www.mcmanweb.com/article-137.htm
---------------------------------
- Scott
>
> I think a am bipolar 2. The diagnosis of bipolar 2 is crucial, we don´t have the diagnosis in my country. What do you think about this sypmtoms...?
> P.S Without any meds I have all symptoms below. And with meds with not full remission I have most consentration problem, anhedonia and emotionell numbed.
>
> Phobic anxiety, social phobia ( with ssri or Venlafaxine ok with this symptom)
> Interpersonal sensitivity
> OCD
> Nightmare
> Somatization
> Guilt
> Distractibility
> Psychomotor reardation. ( Without serotonerg drug, high state of anxiety, and therfore restless)
> Worsening in the evening ( when serve melancolic,I had tre episod) serve anxiety at morning. But nowedays worsening in the evening, and carbocrawing.
> Self-pity
> Mood lability, and daydreaming.
> Irritability, distratrtibility, sometimes racing thoughts, this despite the presence of hypersomnia.
>
> Any thougts.....
>
> Sincerely
>
> Petters
poster:SLS
thread:83508
URL: http://www.dr-bob.org/babble/20011104/msgs/83672.html