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Re: 'anticipatory anxiety' treatment-please help Peter

Posted by Jasmine Neroli on August 28, 2003, at 2:55:21

In reply to Re: 'anticipatory anxiety' treatment-please help Jasmine Neroli, posted by Peter on August 27, 2003, at 5:29:09

Peter, you're a real gem. Your post perked me up no end :) Ha, Yep, I did see Bill Murray in "What About Bob?"...very, very funny and SOOO appropriate right now, LOL!
I just wanted to share with you something I came accross where GAD and Bipolar 11 are compared to show very overlapping symptomology:
Cognitive:GAD-worry, difficulty concentrating.
BP2-free-floating anxiety, difficulty
Energy: GAD-keyed up, on edge.
Easily fatigued.
Difficulty falling/staying asleep.
BP2-motor agitation.
extreme fatigue
profound insomnia

Mood: GAD- irritability
BP2- dysphoria/irritability

The article suggests that those diagnosed GAD who don't respond to AD's alone and the addition of mood stablizers improve the condition, must surely have a version of BP11. Apparently GAD's with the inability to concentrate + insomnia problems are the ones most likely to be improved by adding mood stabilizers.
Does that help you determine whether or not you fit the bipolar 11 criteria? It's hard to sort out, because you have to try and remember yourself in an unmedicated state. I mean, maybe your ADHD sympoms (focus/concentration problems, restlessness/agitation) are actually accounted for by GAD/Bipolar 2??? Then that would also explain your pdoc's 3rd hypothesis -SSRI induced hypomania.(I'm beginning to think I might be BP2 too!!! Really - it's true.The Internet is a dangerous place!). The one thing I do know is, that there are always more questions than answers.
Let us know what your substitute doc thinks about Prozac/SSRI, but Sept. 2 is drawing closer...and it might be worth waiting to talk to your own doc.
Good luck as always.




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