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Re: Anti-depressant Least Likely to cause cycling

Posted by spike4848 on January 23, 2002, at 12:21:53

In reply to Re: Anti-depressant Least Likely to cause cycling?(BP, posted by OldSchool on January 23, 2002, at 10:49:38

> > I think Dr. Ghaemi says it as well as anyone. Avoid antidepressants; they'll worsen your course. If you're mixed, forget about antidepressants. If you must use them, then discontinue them about two months after an antidepressant effect is achieved.


This is a very appealing theory .... avoid all antidepressants for individuals with bipolar disorder. Unforunately, in clinical practice, many bipolars are extremely depressed and remain depressed for years on mood stablizers alone .... even on triple combo mood stablizers. At that point, do you still recommend avoiding antidepressants? Would you subject the individual to ECT? It is a very tough decision ... I think many clinician are actually prescribing low dose antidepressants.

Spike


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URL: http://www.dr-bob.org/babble/20020116/msgs/91255.html