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Re: Medications that don't touch the 5HT1 receptor?

Posted by SLS on June 11, 2015, at 12:10:50

In reply to Re: Medications that don't touch the 5HT1 receptor? tiopenster, posted by phidippus on June 11, 2015, at 1:15:05

> >Then I'll go manic or depressed or normal - I rapid cycle even though I'm not bi-polar.
>
> if you become manic and depressed you are bi-polar.
>
> How are you with no medications?
>
> Eric


Eric might be right.

Chronic depression with episodes of drug-induced mania is diagnosed in the DSM 5 as being a form of bipolar disorder. That you describe rapid cycling just reinforces this diagnosis in my opinion. I think that it is a difference in the set of physiological processes that are most important in the separation of the phenemenologies of bipolar versus unipolar mood illnesses. If your depression is a manifestation of bipolar biology, despite the lack of spontaneous mania, treating it as a bipolar apectrum disorder might increase your chances of getting well. A new set of approaches might yield better results, especially if you haven't tried lithium, anticonvulants, or second-generation (atypical) neuroleptic antipsychotics.

Very few people relish having a diagnosis of bipolar depression. It is notoriously difficult to treat.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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