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A 36-year-old member asked:

can people with bipolar have episodes of hypomania before depression as well as before mania?

2 doctor answers9 doctors weighed in
Dr. Neil Liebowitz
Psychiatry 39 years experience
Yes: This is the more common pattern of mania or hypomania followed by episodes of depression. As patients get older the manias become shorter and less frequent while the depression gets longer and worse. This is why early treatment is so important to prevent this worsening.
Dr. Mark Reynolds
Psychiatry 33 years experience
Yes: The pattern of mood cycling varies both between individuals as well as within the same individual. The pattern you describe is possible.

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Similar questions

A 36-year-old member asked:

Could I have the postpartum depression five months after my delivery?

2 doctor answers13 doctors weighed in
Dr. David Fein
Specializes in Preventive Medicine
Yes: Post-partum depression can occur up to a year after delivery. Please do not hesitate to talk to your ob/gyn or primary care doctor if you think that symptoms of depression are starting to affect your health and well-being.
A member asked:

How can I breastfeed if I have post-partum depression?

2 doctor answers5 doctors weighed in
Dr. Laura Webb
Pediatrics 13 years experience
Focus on baby: 10-40% of women suffer from PPD after giving birth. Many find it difficult to continue breastfeeding. Realize that breastfeeding has significant health benefits for baby as well as for mom. During bf oxytocin is released, which is a natural antidepressant. This may help those with ppd. If you are taking antidepressants talk with your dr about risks/benefits of continuing to breastfeed.
Dr. Pamela Pappas
Psychiatry 42 years experience
Postpartum "Blues" occurs in 40-80% of women after giving birth. It's less intense and long-lasting than Post Partum Depression, which has point prevalence 5 to 9%, & lifetime risk of 10-25%.
Aug 31, 2013
A 33-year-old member asked:

What are the best treatments for postpartum depression?

2 doctor answers8 doctors weighed in
Dr. David Fein
Specializes in Preventive Medicine
Medication: Despite tv commercials blasting their safety, it is a fact that our current anti-depressants (such as zoloft, (sertraline) celexa, etc.) are extremely helpful, with a rapid response to post-partum depression. In conjunction with counseling (if needed), most women will see a rapid return to normalcy and a happy, enjoyable time with their newborn.
Dr. David Finke
Dr. David Finke commented
Obstetrics and Gynecology 15 years experience
Medication along with Cognitive Behavioral Therapy (Psychiatrist/Psychologist referral).
Sep 26, 2011
A 32-year-old member asked:

What should I know if I am pregnant and taking medication for bipolar disorder?

3 doctor answers11 doctors weighed in
Dr. David Fein
Specializes in Preventive Medicine
Check with your MD: Many women with bipolar disorder have taken psychiatric medications during their pregnancies and have had successful outcomes. However, some medications are known to be unsafe in pregnancy, but other, newer medications are considered safer -- so, along with close medical supervision by your psychiatrist and obstetrician, you can lessen risk factors and experience a normal, healthy pregnancy.
A 40-year-old member asked:

What is the incidence of depression in pregnancy?

2 doctor answers7 doctors weighed in
Dr. Eugene Louie-Ng
Obstetrics and Gynecology 26 years experience
5-25 %: Depending on how the studies have defined depression (major versus minor, etc.) and whether postpartum depression has been included in that definition, the incidence has been estimated at anywhere from 5-25%. If there are any concerns about possible depression, have a conversation with your provider.
Dr. Chevies Newman
Obstetrics and Gynecology 22 years experience
Anxiety disorders overlap but are also about 20%
Jan 2, 2013

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Last updated Nov 27, 2017
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