A 38-year-old female asked:
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With bipolar ii, adhd, & c ptsd, what additional tests are beneficial? Ie: hormone, neurotransmitter , DNA mutation (mthfr, a1at ...) methylation etc.

1 doctor answer
Dr. Samuel Miles
46 years experience in Psychiatry
None: These diagnoses are made on clinical grounds. No biological tests are warranted unless medication is prescribed. In that event periodic monitoring may be required to check for toxicity.
Answered on Nov 23, 2013
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Dr. Pamela Pappas
41 years experience in Psychiatry
MTHFR mutation testing may provide more info in case antidepressants are not fully effective. Many depressed patients may have these genetic polymorphisms, and antidepressant response may be much better when methylfolate is added to their regimen.
Mar 8, 2013

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