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Re: Atypical Depression Actually Very Typical » Elizabeth

Posted by SLS on November 10, 2001, at 7:29:03

In reply to Re: Atypical Depression Actually Very Typical » SLS, posted by Elizabeth on November 9, 2001, at 22:10:53

Hi Elizabeth.
I have been vascilating for quite some time regarding the issue of whether drug-induced mania indicates a bipolar diathesis. To answer this, it might be necessary to use a more detailed set of criteria to differentiate bipolar mania from other presentations of psychosis or hyperarousal that might look similar. For instance, it is not uncommon that corticosteroids produce mental aberrations that include psychosis. The word mania is also used. Is this a true mania or a psychosis that includes hyperarousal? I don't know.

I thought that you had experienced multiple instances of mania. That you have not would seem to indicate that it is likely that the altered state that was produced in association with the SS was idiosyncratic of the syndrome and not indicative of a bipolar mania.

The reason I poked you with a stick was to have you look more closely at the possibility that your ailments include a bipolar diathesis, which would indicate a more thorough exploration of using multiple mood-stabilizers and other treatment strategies currently employed for treating bipolar depression. My gut feeling is that you are not bipolar. However, I would not rely on my gut for much more than an occasional indigestion of peanut butter.

Take care.


- Scott

 

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