Posted by SLS on August 17, 2012, at 14:23:49
In reply to Re: RJ + Scott Re: lyrica - how does it work, posted by brynb on August 13, 2012, at 12:02:46
> I always thought that any kind of mania defaults you to the Bipolar spectrum. Or, if it's med-induced, does that technically not "count" as mania??
In the DSM V, the proposed diagnoses for bipolar disorder will include a subtype for which mania occurs only in association with drug exposure.
There has been some debate on Psycho-Babble regarding this issue. I didn't learn that I was bipolar until I experienced my first manic reaction to antidepressants. Previously, I had been chronically and severely depressed for 15 years. Howevever, I was also a "unipolar" ultra-rapid cycler for a few years before I was treated with lithium, after which, the cycle ceased. It was William Z. Potter at the NIH who attached the bipolar diagnosis to my case. It is my belief that I am indeed bipolar because:
1. Depression emerged by age 10.
2. I displayed ultra-rapid cyclicity for three years. My cycle had a period of exactly 11 days - 8 days depression followed by 3 days of euthymia. Mania never emerged during this time. The cycle ceased as a result of my first exposure to lithium, after which the course of illness was that of unremitting chronic depression.
3. I had several severe manic reactions to antidepressant treatment.
4. My symptom cluster resembles a pattern of atypical depression, but without mood reactivity.
5. The presence of psychomotor retardation.
Some see things as they are and ask why.
I dream of things that never were and ask why not.
- George Bernard Shaw