Posted by linkadge on May 11, 2007, at 17:15:21
In reply to Re: NIMH on Bipolar Spectrum Disorder--YES » linkadge, posted by MaddieB on May 11, 2007, at 14:33:21
>I do wonder how many 'misdiagnosed' bipolar >cases were created by the cycling that AD can >cause. There is a very nice discourse in a book >by Jim Phelps on this. He's definitely on >the 'spectrum' side but he has been brave enough >to pose this very question.
Well thats the thing. How much bipolar is just an attempt to right the wrong done to individuals who may respond adversely to antidepressants?
Whatever problems antidepressants caused, the best thing to get better for me was simply time off the drugs.
Its like if methamphetamine makes you psychotic, yes antipsychotics might help speed recovery, but the best thing for long term recovery is simply abstainance from meth.
I hated mood stabilizers too. They just brought me down.
Another consideration is this. I read a report that people with elevated cortisol may have more agitation, insomnia, mood swings etc in response to SSRIs (which elevate cortisol). There are a kazillion reasons (other than bipolar) that somebody might have an adverse reaction to an SSRI.
Other considerations are the possability that the underlying dysfunction is not helped by serotonin enhancing drugs / mood stabilizers. Opioid dysfunction, endocannabanoid dysfunction, hormonal dysfunction, dopaminergic dysfunction, HPA axis dysfunction, could all be possable abnormalities that may not respond to (or be exaserbated by) SSRI's.
Linkadge
poster:linkadge
thread:757178
URL: http://www.dr-bob.org/babble/20070509/msgs/757882.html