Doctor insights on:
Bipolar Disorder (Manic Depression)
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
What medication is prescribed to bipolar disorder/manic depression? What are the effects of the medication? How does it make you better?
Bipolar disorder Tx: Meds fall into classes of mood stabilizers (Lithium?/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. Refractory cases- Transcranial magnetic stimulation or electroconvulsive therapy. For individual med > ...Read moreSee 1 more doctor answer
Can you have bipolar disorder (manic depression), then gradually become more and more depressed, until it just becomes unipolar (depression)?
That is not quite: How it works. A person with bipolar disorder has periods of markedly ^ energy, ^ impulsivity, elated or irritable mood as well as separate periods of low mood & energy. (a mixed state is also possible).However, I have seen bipolar individuals who over the years, developed one long, chronic depressive episode. Their manic or hypomanic episodes can sort of die out over time. But it is still >>. ...Read more
Does it sound like i'm suffering from bipolar disorder (manic depression)? I often have sudden, and random shifts in my mood. Sometimes i'm fine, sometimes i'm absolutely irritable and just angry at the world. Then there are times that I am so ridiculousl
Hello, : Hello, dr. Kardener made good points. I don't know if you have bipolar disorder. Your symptoms could be consistent with bipolar disorder but borderline personality disorder or unipolar agitated depression can present similarly. The recommendation for a mood stabilizer is spot on. I agree with a referral to a psychiatrist if you are not already seeing one. Unless you see a psychiatrist who also does therapy; would recommend that you also work with a therapist. With the right treatment, would anticipate that you will start seeing improvment. If you are seriously contemplating suicide please get help right away. Having a plan or urges to follow through on it should definately prompt immediate care. Take care and don't give up hope. ...Read moreSee 1 more doctor answer
It's the old name: By definition and according to what is called the diagnostic manual, a person may fulfill the criteria for bipolar disorder and never been depressed a day in their lives. That is why "manic-depression, " is the old name and is confusing. A person may have only ever had a manic episode (or a mixed episode), but still be considered as having bipolar disorder. Many with bipolar d/o do have depression. ...Read moreSee 2 more doctor answers
The decade's DSM: About a century ago it all began and much is the same, but for boundary lines. Few use the M-D term now but otherwise the differences are hard to lock in. Some BPs only show depression, but varying sorts of elevated periods can be there and they can be just very active or irritably violent. Extremely intense episodes come close to, or are, a psychosis. Good treatment (Therapy+) really helps. ...Read moreSee 1 more doctor answer
SAME: Same.Get a more detailed answer ›
Good reasons: Here is a complete answer to your question: http://bipolar.About.Com/od/definingbipolardisorder/a/manic_depression_changes_names.Htm. Manic – depression was used to describe many types of conditions, not just those falling under the bipolar spectrum disorder umbrella. It was a stigmatizing label. The diagnostic criteria for bipolar disorders are sharply defined & the term is less pejorative. ...Read more
St johns wort for bipolar disorder? More depression episodes than manic...Nothing severe, will st johns wort be ok?
Go see your doctor: St john's wort is not effective in major depressive disorder although it may be fine in mild. However, in bipolar disorder, there is concern that it might bring out mania. Furthermore, st john's wort interacts & interferes w/many other meds so it's important that you always tell your doc everything that you're taking. http://www.nimh.nih.gov/health/publications/bipolar-disorder/index.shtml. ...Read moreSee 1 more doctor answer
How effective is lamictal for bipolar disorder? What is typical dose for bipolar? Is it sometimes also used just for depression without mania?
Good medicine: In my practice, i regularly prescribe both topiramate and lamotrigene for bipolar disorder. I have found each to be very effective when taken at full, therapeutic doses. Again, in my practice, I have found that 100-200mgs twice daily is an effective dose range. I have used it occasionally for recurrent depression without mania. ...Read moreSee 2 more doctor answers
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more
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