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Bowden - Unipolar with drug-induced mania or BP?

Posted by SLS on March 7, 2003, at 0:47:32

Dear Dr. Bowden,

I have been suffering from an unremitting severe anergic depression for over 25 years (since age 17). However, several antidepressants have induced psychotic manic mixed states that have twice required hospitalization. In addition, for two years I exhibited a remarkable 11-day ultra-rapid cycle that did not deviate by as much as 24 hours: 8 days depression / 3 days euthymia (not hypomanic).

My questions:

1. If the only instances of mania are associated with medication, is this necessarily a presentation of bipolar illness?

2. Is there to be a DSM V classification to describe this?

3. What treatment strategies are best pursued to treat this sort of thing?


Thank you.


- Scott

 

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