Posted by polarbear206 on August 30, 2007, at 10:33:34
In reply to Re: Bipolar questions, posted by linkadge on August 30, 2007, at 8:34:06
> But the problem is, that for pure SAD, mood stabilizers rarly work.
Having SAD doesn't mean a mood stabilizer is always indicated. Most don't need one, however it is considered a subtype in the spectrum.
> Drugs like wellbutrin are approved for SAD, but are not approved for bipolar depression.Many bipolars do very well on Wellbutrin. In fact many on babble take them. Just because a drug is not approved for a certain diagnosis doesn't mean it will not benefit others.
> No mood stabilizers are approved for SAD, because its proably impossable to demonstrate effiacy.I did not indicate that mood stabilizer are approved for SAD.
> There is some significant opposition to the arugment of a number of these *bipolar varients* being bipolar. There is argument that antidepressant induced mania, is *not* indicative of bipolar and should get its own classification for instance.The new version of the DSM will be out in 2011 which will include expanded subtypes of bipolar spectrum and overlapping of Unipolar/Bipolar. I would think the DSM has some weight to it as a diagnostic tool.
> (Parkinsons meds can induce psychosis, that doesn't mean the patient has latent schizophrenia!)Once again your indicating I think everyone has underlying bipolar just because adverse reactions to medication.
> There are a number of different oppinions about what constitutes bipolar disorder these days. There is little agreement, as you are probably aware.Yes, there is controversy out there.
> Calling recurrent unipolar disoder, bipolar is not yet commonpractice, and most doctors won't prescribe bipolar meds unless there is a history of mania or hypomania.
Many Psychiatrist prescribe mood stabilizers for "SOME" recurrent unipolar with positive results in outpatient remissions.
> Show me studies of efficacy of a mood stabilizer for SAD! Not just a bunch of cases studies, cause its clear that some with SAD may actually have bipolar, but I bet you can't find an open study demonstrating the efficacy of a mood stabilizer in SAD who have no symptom of bipolar.I did not indicate I am arguing this point.
> If a mood stabilizer works, then fine, but there would be doctors who would call everybody bipolar, which is not really advantagious IMHO.
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I know from your post that you are very intelligent for your age, and I respect that. You contribute very good advice to babble. I hope you are pursuing or considering a Psychology major in college. Once you get out, and work in the field, experience and see it for yourself, maybe some of your opinions will change.Polarbear
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poster:polarbear206
thread:779563
URL: http://www.dr-bob.org/babble/20070824/msgs/779728.html