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Re: Bipolar DX based on SSRI hypomania » SLS

Posted by antennastoheaven on June 24, 2013, at 23:01:33

In reply to Bipolar DX based on SSRI hypomania » linkadge » antennastoheaven, posted by SLS on June 24, 2013, at 22:42:27

> "Bipolar IV is identified when antidepressant medication causes a hypomanic or manic phase. The most common class of antidepressants that cause this reaction are SSRI's (selective serotonin reuptake inhibitors).Doctors who suspect bipolar disorder in depressed patients sometimes prescribe SSRI antidepressants to expose manic and hypomanic symptoms. The patient who develops this type of bipolar disorder normally only suffered from depression with no signs of mania before treatment."

And that mania disappears after discontinuing the SSRI. What makes this different than any other form of intoxication?

Reading on, the article describes "Bipolar V", which is supposed to be a diagnosis for those with depressive symptoms who have a family history of bipolar disorder (but do not have any manic/hypomanic/mixed symptoms). This seems extreme to me.

> Check out the classification proposals of Klerman and Akiskal. These ideas are nothing new.

I think this is only a proposal for a reason. Drug intoxication is probably best described as intoxication.

 

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