Bipolar disorder or manic depression is not a psychological condition but a medical disorder exactly where the brain is unable to maintain a peaceful and steady mood. Despite the fact that the diagnosis of bipolar disorder is often missed, there are a number of quite helpful approaches that can help physicians enhance diagnostic accuracy: screening for manic symptoms, identifying characteristics of the depression that are more common of bipolar issues, and interviewing a family members member/substantial other.
Thoughts you, Bipolar II is not a milder version of Bipolar I, though it is really often described that way, to my utter dismay. Only 3 drugs are approved by the FDA for treating bipolar depression: olanzapine/fluoxetine (a combination), quetiapine, and lurasidone. Ironically, your diagnosis could be determined more by the skilled whom you see than the symptoms you have.
The subsample of 252 sufferers in the present report ( Table 1 ) have been chosen from 293 out-patients enrolled in the RCT based on obtaining completed at least 4 assessments with the Clinical Monitoring Form (CMF) 53 prior to recovery from depression (if recovered) or the end of the study (if not recovered). There was no important distinction in the prices of prospectively observed remedy-emergent mania, hypomania, or mixed episodes amongst the individuals receiving a mood stabilizer plus an antidepressant (10.1%) and these getting a mood stabilizer plus placebo (10.7%).
Our data suggest that the short-term addition of bupropion or paroxetine to mood-stabilizer therapy does not boost the threat of cycling from depression to mania or hypomania. Gijsman HJ, Geddes JR, Rendell JM, et al. Antidepressants for bipolar depression: a systematic review of randomized, controlled trials. Benazzi F. Depression with DSM-IV atypical attributes: a marker for bipolar II disorder.
But Dr. Ghaemi and colleagues assert that there are versions of depression that end up acting a lot more like bipolar disorder, even although there is no hypomania at all that we can detect (or, as in item #9, only when an antidepressant has been utilised). Lish JD, Dime-Meenan S, Whybrow Pc, Cost RA, Hirschfeld RM. The National Depressive and Manic-Depressive Association (DMDA) survey of bipolar members.