Posted by SLS on September 15, 2010, at 12:42:06
In reply to Re: hrguru - Re: Anti-psychotics not mood stabilizers?, posted by Simon Sobo, M.D. on September 15, 2010, at 11:16:34
Thanks for attending to my comments and providing information.
> Don't know if you read my article. I would appreciate your telling me whether you have.
I did the best I could.
> I did not do a scientific study
That's all I'm saying.
> but rather wrote it when all of a sudden half the patients being discharged from inpatient units were suddenly being discharged with a bipolar diagnosis.
Perhaps a change in the rate of diagnosis of BP reflects greater accuracy in diagnostics. How would we go about testing this hypothesis?
> When I called the doctors about their diagnosis they cited "mood swings" as the reason.
All of them? I find the use of the term "mood swings" as a diagnostic descriptor offered by professionals in the mental health field to be quite disappointing. The only time I heard one of my doctors use the term "mood swing" was in describing the title of Ronald R. Fieve's book "Mood Swing - Fieve". Otherwise, I have never heard any professional use the term in front of me. I guess I have been lucky in this regard.
> I don't get your reasoning regarding Dr. Frances' opinion that there is a pseudoepidemic
Again, you are offering only the opinions of others. Where is the evidence you would present to validate these opinions? What evidence do these people use to substantiate their opinions? To me, it looks like Zimmerman's work offers the kind of methodology that would help resolve these questions. Perhaps you can comment on this.In my opinion, the fad of overdiagnosing bipolar disorder has been in decline over the last 10 years. I can't prove this, though. My opinion is the result of observing the prescribing habits of doctors in a partial hospitalization program. Of course, this is far from being scientific evidence.
- Scott
The measure of achievement lies not in how high the mountain,
but in how hard the climb.The measure of success lies only in how high one feels he must
climb to get there.
poster:SLS
thread:960844
URL: http://www.dr-bob.org/babble/20100908/msgs/962469.html