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Re: Bipolar or ADD??? Now what? » MomO3

Posted by JonW on July 9, 2002, at 5:55:53

In reply to Re: Bipolar or ADD??? Now what?, posted by MomO3 on July 3, 2002, at 16:45:50

> Questions: What is the difference between mixed-states and rapid cycling?

Hi Mom,

The symptoms during a mixed state often include agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking.

> What to do about depression at this point? My friend said that mood stabilizer (and is neurontin really a mood stabilizer??) without AD causes depression... I read BP shouldn't take ADs.

Neurontin doesn't appear to be a very effective mood stabilizer, but it works for some. I believe the current thinking is that people with bipolar should avoid ADs altogether. However, sometimes this is unavoidable. If you can take it, it is probably wise to first try treatment without any pro-cycling influences -- just classic, well-established mood stabilizers. Everyone is unique and has a unique brain chemistry which may require a complex med combination that includes an AD. It seems like many folks with bipolar II do, but that's just my impression from reading psycho-babble.

> And what about klonopin? Does it cause depression?

Klonopin can cause depression. Some pdocs believe it makes difficult to treat mood disorders even more challenging to treat.

Hang in there,
Jon


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