Posted by fires on October 10, 2005, at 21:41:46
In reply to Re: 6:00 PM Mania Prime time » fires, posted by Phillipa on October 10, 2005, at 20:47:46
> Fires, didn't know you could be hypomanic for just a few hours a day. Thought it had to be all day with little sleep and occurr over at least a week. Fondly, Phillipa
The pdoc I consulted gave me an article by Hagop S. Akisal, MD, who reports on the "softer" expressions of BP which aren't in DSM-IV.
Here's a description of my Dx -- not from above mentioned article (my ***):
"BIPOLAR DISORDER NOT OTHERWISE SPECIFIEDBipolar Disorder Not Otherwise Specified is a residual category of illness encompassing mood disorders determined by the clinician to exist in the bipolar realm, but ***not meeting criteria for another bipolar disorder***. Examples of Bipolar Disorder Not Otherwise Specified are ***periods of expanded mood that did not meet the 4-day–duration criterion for hypomania***, recurrent Hypomanic Episodes without episodes of depression, or periods of expanded mood that fulfill these criteria but cannot be independently verified or are not noticeable by others."
I'm very "atypical" in tht I didn't have an episode of hypomania until age 50, and it was triggered by Effexor. I've read that BPs who don't have any hypomania, or mania, until age 50+ are extremely rare.
I also have 2 neuro. conditions which complicate the picture.
poster:fires
thread:565326
URL: http://www.dr-bob.org/babble/20051010/msgs/565464.html