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Re: add vs. bipolar-Elizabeth

Posted by JohnX2 on March 10, 2002, at 4:02:31

In reply to Re: add vs. bipolar » Elizabeth, posted by JohnX2 on March 10, 2002, at 2:34:49

Hi Elizabeth,

Sorry I'm ranting (feel like Dennis Miller tonight)...

Here's what's funny, I always get the atypical experience.

My 1st pdoc hated meds (atypical) and was huge into therapy.

So when I was in group therapy he complained sarcastically
"everyone is bipolar these days".
(complaining about his philosophy about bipolar
overdiagnosis).

I felt bad when I left his practice knowing
that people's lifes were in his hands. He wouldn't
even precribe a benzo to a girl who kept complaining
of panic attacks and was becoming agorophobic.

Later found out he was notorious for under dx'ing
bipolar.

I did read your post by Blue Cheer and agree with your
thoughts. I had some other good thoughts (ok,rants) about
good pdocs, mostly my thoughts about getting a good
starting dx and how important it is
to take the right class of medicines and *continually* look
at the trends of medicine responses and to be
flexible on changing the dx/classes of medicines.
Maybe you bumped into those posts and gasped. ;)

Best wishes. Hope you are feeling better.

-John


>
> >I agree with John that doctors may be inclined to misinterpret ADD symptoms (especially in adults) as hypomania.
>
> Hi Elizabeth,
>
> I had the opposite thing happen to me.
>
> My 1st psychiatrist gave me 4 anti depressants.
> 2 of them didn't work. 2 of them made me manic
> and pooped out. One of them made me nearly psychotic(wellbutrin).
> I made it clear to the psychiatrist what happened.
>
> I also described to the physician symptoms similar to ADD.
> Inability to sit still, addiction to caffeine, like to drive
> car fast, like loud music, etc.
>
> He gives me an ADD test:
> -asks me to name months backwards ( which I do).
> -lists some fruits, changes subjects, comes back to the fruits.
> I tell him what fruits he mentions.
>
> He asks me about my schooling. I was an honor roll student
> all my life.
>
> I walk out of his office with Adderall. I do manic
> things on Adderall that ruin my life, I won't list them
> here.
>
> 3 doctors later I am diagnosed with bipolar disorder.
>
> 1 other doctor thinks I should be prescribed Adderall also.
>
> Do you think my case is atypical?
>
> Thanks for your insight.
>
> -John


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poster:JohnX2 thread:97093
URL: http://www.dr-bob.org/babble/20020307/msgs/97293.html