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Re: how do you handle stimulant rebound depression » cybercafe

Posted by viridis on February 16, 2003, at 4:02:58

In reply to Re: how do you handle stimulant rebound depression, posted by cybercafe on February 16, 2003, at 1:52:29

OK, that is different from me -- I've never felt invincible, although I do have periods of higher than normal confidence, and plenty of the racing thoughts, pacing etc. It seems that the key difference (from what you've described) is that when I get a bit manic, it really is a bit manic -- never out of control re: feelings of superiority etc. But I have experienced many episodes of highly agitated depression, which could qualify as dysphoric hypomania.

So, I guess my question is, what makes you BP 2 vs. BP 1? I still wonder whether BP 2 is a useful diagnosis, or just an artificial limitation on the meds you're allowed.

I don't mean this as a challenge to your pdoc or situation -- I'm just skeptical about the utility of the "bipolar spectrum" approach, and whether people who are designated BP 2 share a common disorder, or are just placed in a vague category for lack of a better diagnosis.


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