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Re: Bi-polar II- diagnosis on the rise? » shelliR

Posted by Elizabeth on July 29, 2001, at 15:18:00

In reply to Bi-polar II- diagnosis on the rise? , posted by shelliR on July 28, 2001, at 22:18:46

> when I look at the critiera for borderline, I don't see so much of a cross over. I don't think the rage, emptiness, self-harm (I don't remember the whole list) would have to be present in bi-polar II, just major depression and hypomania.

Not necessarily. It is possible that bipolar women are more likely to have mixed or dysphoric manias or hypomanias, which can present similarly to borderline personality.

> How does one distinquish between hypomania and major anxiety, and the cycling present in PTSD symptoms. And what are the implications of medications--no ADs for bi-polar II, or only certain ADs?

You'd have to be cautious with ADs; tricyclics in particular have the potential to trigger mania or hypomania. That doesn't mean you couldn't use ADs at all, but you might need an anticonvulsant as well.

> Bi-polar II keeps popping up on the board with greater frequency, so that's why I became curious.

It's a bit of a fad diagnosis, IMO.

-elizabeth


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