Posted by SLS on March 25, 2005, at 17:51:09
In reply to Biploar VI (6), posted by katherpoo on March 25, 2005, at 16:53:02
Hi.
It's been a few years since it was outlined to me, but yes, there are multiple subtypes of bipolar disorder to be described in the DSM V. I have bipolar III, in which I am depressed all of the time except for when I have a manic reaction to medication. I had a list of the proposed DSM schedule, but I can't seem to find it. I do recall, however, that one of these included a persistent hypomania. I guess this can include the mixed-states your doctor probably sees in you.
It is important to differentiate bipolar disorder from unipolar depressions and anxiety disorders, including OCD. While giving an antidepressant to a unipolar is indicated, giving one to a bipolar can sometimes make the situation worse. To treat a bipolar as a bipolar would indicate the use of mood stablizers or perhaps drugs like Zyprexa. Many people whom are diagnosed unipolar and for whom antidepressants don't work or work only briefly later demonstrate a bipolar diathesis.
It might take a little bit of time for you to accept that you are bipolar (even if the diagnosis is wrong). The first stage is usually shock. This can be followed by denial, anger, depression, and finally acceptance. It is a process that no one should expect you to accomplish in one day.
Please continue posting.
- Scott
poster:SLS
thread:475528
URL: http://www.dr-bob.org/babble/20050322/msgs/475574.html