Posted by OldSchool on March 28, 2002, at 20:39:08
In reply to Re: What causes med poopout the worst, posted by polarbear206 on March 28, 2002, at 17:31:17
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> What causes med poopout? Probably in many people is an underlying bipolar spectrum disorder. I see it all the time. I'm a psychiatric nurse and have seen dramatic results in several individuals who were started on mood stabilizers in addition to their antidepressant medication. There are so many people out there that are walking around with the wrong diagnosis. I suggest you read this book; "Why your depression isn't getting better" This is an excellent book about the epidimic of undiagnosed bipolar disorders. The author is Michael R. Bartos MD. There is a very broad spectrum to bipolar disorders that many people are unaware of.Hmmmmmm that sounds like an interesting book I will have to check out. Im not so sure I agree with the idea that bipolar disorder masquarades as panic attacks or hyperactivity...manic depression is clearly attributed to highs and lows...mood swings are the ultimate hallmark of bipolar disorder. however it looks like an interesting book.
http://www.amazon.com/exec/obidos/ASIN/0595122094/drbobsvirte00-20
Of course, lithium augmentation of an antidepressant is probably the most common augmentation strategy for TRD unipolar major depression. Also, lamictal is increasingly being used. As for me, Ive tried adding depakote, neurontin and lithium to various antidepressants I was on at the time and all they did was flatten me out more, bring me down more and generally make me more depressed. However I agree for some TRD individuals mood stabilisers is a very useful "big gun" strategy.
Im sure the developing high technology of functional neuroimaging will shed much light on the varying "degrees" of bipolarity.
The best "big gun" strategy for TRD is ECT. Hehehe.
poster:OldSchool
thread:100623
URL: http://www.dr-bob.org/babble/20020327/msgs/100819.html