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Re: MAOIs not good for BPII? » naughtypuppy

Posted by CEK on June 1, 2006, at 16:16:30

In reply to Re: MAOIs not good for BPII? » SLS, posted by naughtypuppy on June 1, 2006, at 11:17:38

> > > Bipolar II, atypical depression and mixed anxiety/depression are probably just different names for the same thing. Diagnosis and labels (and treatments) tend to be very trendy. It just depends who your talking to at the time.
> >
> > I can't be sure of this, but I suspect that the presence of mood-reactivity might differentiate between atypical unipolar depression and bipolar disorder. Someone with bipolar depression would be much less likely to experience a mood elevation as a reaction to positive events.
> >
> >
> > - Scott
> That sounds right, but what I am getting at is doesn't it make more sense to have just a few diagnostic catgories instead of inventing another one just because of one extra symptom. It seems the more catagories that are created the murkier the picture gets. There is so much crossover of symptoms in DSM IV that it just tends to confuse the issue, particularly since some symptoms can be either present or absent and still meet the diagnostic criteria.
>
> That's basically what my pdoc says. I mentioned to him a couple of weeks ago that I had all of the symptoms of borderline personality disorder and he looked like he wanted to slap me. He told me what you just said and told me that we were going to stick with trying to treat me as bipolar 2 with mixed states and major depression. Oh yeah with GAD and obsessional features. He won't try me on any more AD's. He said they weren't good for my bipolar. I've never even tried an MAOI. None of my doctors have ever even mentioned trying one, yet nothing yet has been able to break through this wall of depression. He said all we've got to work with now is the mood stablizers and benzos. I'm on Lamictal and Klonopin now and am going to see how it goes. The only thing I don't understand is that he says that Klonopin is not depressing, yet other pdocs and most of everyone here on babble say it is. I've decided to try to do without it and see if the Lamictal alone helps. I seem to trust y'all's opinions on Klonopin than I do his. And with my depression there is no elevation in mood to possitive life events. It's all gloom and doom even if daisys are sprouting out of everyones butts in my house. There is no break in it.


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