Posted by petters on January 31, 2002, at 1:23:53
In reply to Re: Persistent, cycling irritability... » Chris A., posted by Ritch on January 30, 2002, at 0:32:15
> > > Is the presence of bouts of extreme irritability, comorbid with irrational ruminations indicative of depression, or BPD?
> >
> > Perhaps they should put the word "irritability" first in the diagnostic criteria for bipolar in the DSM. It seems few people read the entire sentence. Five out of the five people I know in real life who are diagnosed with bipolar struggle with the irritability. It's a hard one to admit to. For women it tends to be aggravated hormonally. I feared my nephew was going to kill or seriously injure his family prior to being diagnosed bipolar and put on Depakote. He would be irritable and then go into a rage. BTW, for all of us I've referred to, our chief complaint is depression.
> >
> > Mixed,
> >
> > Chris A.
>
> Chris,
>
> You have nailed it quite well! The thing I worry the most about is "Will this new med trial cause me to become so hostile that I will lose my job or worse??" I think my pdoc knows that, and it is making it more difficult to experiment. But.. I have had enough experiences with hostile med reactions to pick up on them real fast and ditch 'em quick.
>
> MitchHi...
Sounds like signs of bipolar disorder. In your case I would start with treat it with moodstabilizer. Topamax or Lamictal, or both. Then wait to see if you still got sympton that support the diagnosis of BPD. If so, try adding ziprasodone ( Geodon ) or Zyprexa an see whats happened.
Bipolar 2 disorder or refractary depression many times need the same medication treatment that is adequate for BPD. ( if not psychosis sympom exist)
Sorry for my sometimes bad spelling. Not from U.S
Sincerely...//Petters
poster:petters
thread:91810
URL: http://www.dr-bob.org/babble/20020124/msgs/92318.html