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Doctor insights on: Bipolar 1 Vs Bipolar 2 Disorder

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Question about people with a diagnosis of bipolar. Are the 2 phases 2 semi-separate personalities?

Question about people with a diagnosis of bipolar. Are the 2 phases 2 semi-separate personalities?

No: The two phases are due to abnormalities is separate brain structures. There is no personality "separation." it can look that way because the mood changes are often unpredictable and quite different. ...Read more

Dr. Heidi Fowler
208 doctors shared insights

Bipolar I Disorder (Definition)

Is a mood disorder characterized by at least 1 manic or mixed episode, with history of 1 or more major depressive episode. It is a type of manic depression. It is not accounted for by schizoaffective disorder or superimposed on schizophrenic disorder, delusional disorder, or other psychotic disorders, or relates to medical illnesses ...Read more


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I've visited 2-3 psychologist.Some say adhd.Bipolar disorder, mood disorder, anxiety disorder, severe depression, m confused.Plz help, told evry doc same?

I've visited 2-3 psychologist.Some say adhd.Bipolar disorder, mood disorder, anxiety disorder, severe depression, m confused.Plz help, told evry doc same?

Diagnosis can be: quite difficult at times. Bipolar disorder is a mood disorder. Depression is part of Bipolar Disorder (AKA manic depression). ADHD and bipolar disorder can have overlapping symptoms and may also co-occur. Anxiety can occur with any of these - either as a symptom or as a clinical disorder. ...Read more

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What is bipolar disorder?

What is bipolar disorder?

Manic depressive : Bipolar disorder is a mood disorder which is characterized by abnormally high (manic) and abnormally low (depressive) episodes. ...Read more

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Is borderline personality disorder related to ptsd?

Is borderline personality disorder related to ptsd?

Sometimes related: Some people with borderline personality disorder act out in ways which are dangerous to themselves or others. They may develop ptsd as a result of these experiences. ...Read more

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Can you tell me how is bipolar disorder different from major depressive disorder?

Can you tell me how is bipolar disorder different from major depressive disorder?

Bipolar Disorder has: Periods of depression but in addition there are periods of mania, hypomania or mixed states. ...Read more

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Is valproate acid (depakote) effective for treating bipolar mixed depressive states?

Is valproate acid (depakote) effective for treating bipolar mixed depressive states?

Yes. : Bipolar disorders are complex to understand and to treat. Combining proper medication with therapy is ideal ...Read more

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What are different personality disorders that fall under or are caused by borderline personality disorder?

What are different personality disorders that fall under or are caused by borderline personality disorder?

Borderline: Cluster b personality disorders are dramatic and erratic in behaviors. It includes borderline, antisocial & histrionic personalities. ...Read more

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What is the avoidant personality disorder?

What is the avoidant personality disorder?

Avoiding personality: Avoidant personality is diagnosed when an individual avoids work or school activities that involve significant interpersonal contact because of fears of criticism, disapproval or rejection. ...Read more

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Are there psychiatric conditions associated w/ abnormally high levels of anger sadness & jealousy.feel like those destroying my life & relationships?

Are there psychiatric conditions associated w/ abnormally high levels of anger sadness & jealousy.feel like those  destroying my life & relationships?

Yes, the symptoms: you mention can cluster together w/in several different diagnoses. A mental health professional can help you sort this out. Work w/it now while you are young and it will make a happier life more possible in the future. Peaceand good health. ...Read more

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Can escitalopram be used as an antipsychotic ? I have major depressive disorder plus symptoms of psychosis.I'v started with 5 mg medication.

Can escitalopram be used as an antipsychotic ? I have major depressive disorder plus symptoms of psychosis.I'v started with 5 mg medication.

Treatment: Escitalopram is an effective antidepressant. 10-20% or major depression can be complicated by psychosis. Standard of care for psychotic depression is antidepressant plus antipsychotic for non affective psychosis ( not psychotic depression) escitalopram is not effective by itself. ...Read more

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Bipolar : could severely reduced calories or not eating trigger mania / hypomania?

Bipolar : could severely reduced calories or not eating trigger mania / hypomania?

If it became enough: Of stress on the person it may. There are many types of stressors which may trigger mania or hypomania. Prescription medications are one (antidepressants, stimulants, steroids, decongestants, asthma inhalers ; antabuse) as well as caffeine ; illicit drugs. Lack of sleep, menses, head injury, ms ; infectious diseases are other causes. Psychosocial stressors may include death of loved one, divorce, . ...Read more

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With a diagnoses of schizoaffective disorder cause a person to change like sexual desire, motivation, and being social?

With a diagnoses of schizoaffective disorder cause a person to change like sexual desire, motivation, and being social?

That is possible.: If someone had manic symptoms they may have increased libido, interact more with others & be very productive in activities. If someone had depressed symptoms they might have a reduced sex drive, isolate more from others & become less motivated. If the person is psychotic, how they behave may not be predictable. These are generalizations. But a person can change depending on what state they are in. ...Read more

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Are patients with bipolar disorder at high risk for suicide?

Are patients with bipolar disorder at high risk for suicide?

Yes: Studies have shown that 25-50% of patients with Bipolar disorder attempt suicide. This is much less likely to happen if prsons with this condition are in a good relationship with a psychiatrist and are on the proper medication . ...Read more

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How do clinical depression and local episodic depression differ?

How do clinical depression and local episodic depression differ?

I am not familiar: With term "local episodic depression". Clinical depression is not standard psychiatric terminology. There is a term called episodic mood disorder which is used to refer to bipolar spectrum disorders. The term clinical depression helps to differentiate a depressed mood from a more substantial depression. ...Read more

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Re: a severely depressed person with constant suicidal ideation, a plan, and multiple means of high lethality, what does a "grave" prognosis mean?

Re: a severely depressed person with constant suicidal ideation, a plan, and multiple means of high lethality, what does a "grave" prognosis mean?

Get person to ER: This person needs to be seen in the ER asap and hospitalized for suicidal high risk. This person should not be left alone. All obvious means of self-harm (pills, alcohol, drugs, any weapons, sharp objects etc) should be removed and made inaccessible. Call 911 if necessary. This person as described meets criteria for involuntary psychiatric hospitalization. ...Read more

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How 2 differentiate between age related dementia & Alzheimer?Which lld be first taken donepezil or memantine in both case?Other suggestions of Med?

How 2 differentiate between age related dementia & Alzheimer?Which lld be first taken donepezil or memantine in both case?Other suggestions of Med?

AD vs ARCD: Typically the impairment of age related cognitive decline (ARCD) is not as severe as Alzheimer's (AD). Many cases of early AD are first diagnosed as age related until the impairment becomes more severe then the diagnosis of AD is made. I have used Aricept and Namenda (memantine) simultaneously in AD. Med choice based on response and side effect profile. Best wishes! ...Read more

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How do OCD and schizophrenia with paranoid delusions differ?

How do OCD and schizophrenia with paranoid delusions differ?

Very different: Schizophrenia is a chronic, severe, and often disabling brain disorder with psychotic symptoms like hallucinations, delusions, and thought disorder. Depending on treatment, people may or may not be able to hold jobs or relate well to others. Ocd is an anxiety disorder, and is not psychotic. It's characterized by obsessive thoughts and compulsive, ritualized behaviors. Both can be treated. ...Read more

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Wot is best treatment for bipolar coexisting adhd ? I am in my 30's I Already take lithium and lamotrogine to control bipolar can Ritalin (methylphenidate) be added?

Wot is best treatment for bipolar coexisting adhd ? I am in my 30's I 
Already take lithium and lamotrogine to control bipolar can Ritalin (methylphenidate) be added?

Complicated issue: If your bipolar is under good control with your two mood stabilizers - addition of a stimulant can be considered. Please discuss with your psychiatrist. ...Read more

Dr. Donald Jacobson
764 doctors shared insights

Manic Depressive Disorder (Definition)

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


Dr. Alan Ali
1,757 doctors shared insights

Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, ...Read more