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Re: how do you handle stimulant rebound depression

Posted by cybercafe on February 16, 2003, at 16:15:38

In reply to Re: how do you handle stimulant rebound depression » cybercafe, posted by viridis on February 16, 2003, at 4:02:58

> 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.

i suppose anything other than typical melancholic depression could be considered a "mixed state" ... it depends on what book/edition you go by

>
> 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.

depending on your definition of hypomania... you could say i'm not type 1 because

1. i've never been psychotic .. never had hallucinations or strange delusions

or

2. my high moods don't interfere with social functioning... i.e. i'm not violent, don't quit my job and go on spending sprees, etc
(i have never broken the daily routine)

>
> 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.

don't worry about me being offended :) .... though i would appreciate any info regarding ritalin SR vs. Concerta


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