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Doctor insights on: Bipolar Vs Depression Treatment

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What type of treatment for major depression anxioty bipolar?

What type of treatment for major depression anxioty bipolar?

Bipolar Disorder : with Anxiety. Start with a comprehensive psychiatric evaluation. Insure that medical causes for symptoms are ruled out. Talking therapy (Cognitive Behavioral Therapy or insight oriented psychotherapy) is allows for lasting change. Avoid alcohol, caffeine and illicit drugs. Take medications as directed. Eat healthfully. Sleep consistently. Be physically active. ...Read more

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Dr. Pamela Pappas
4,612 doctors shared insights

Depression (Definition)

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


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What is the difference in treatment for unipolar depression vs. bipolar disorder?

What is the difference in treatment for unipolar depression vs. bipolar disorder?

Bipolar vs Unipolar: with unipolar depression- antidepressants are the first "go -to" meds. With bipolar depression - mood stabilizers and antispychotics are the first go too's. ...Read more

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Manic depressive disorder vs major depression, what is the difference?

Manic depressive disorder vs major depression, what is the difference?

These are different: Diagnosis. People with depression may have bouts with depression followed by periods when they are less depressed. They do not have manic episodes. Bipolar disorder is a physical illness like diabetes that does not go away, it simply can be controlled using and adjusting the proper medication throughout your life. Having a good psychotherapist and psychiatrist is imperative. I hope this helps. ...Read more

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S lithium the best treatment for bipolar depression?

S lithium the best treatment for bipolar depression?

Yes: Lithium, lamictal, and atypical antipsychotics (seroquel, zyprexa, risperdal, geodon, (ziprasidone) abilify) are probably the first line agents for bipolar depression. Antidepressants can make bipolar depression turn into bipolar mania in some people, and should probably be reserved for situations in which the first line agents have failed. ...Read more

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Is lithium an effective treatment for bipolar disorder?

Is lithium an effective treatment for bipolar disorder?

Yes: In fact, lithium is probably the best/most studied medication for the treatment of bipolar disorder. It is very effective in many but not all cases. It has been shown to be the most effective treatment for suicidality. It can be safe and effective, especially for bipolar i disorder or a manic episode. ...Read more

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How is the success of Lithium Therapy in Atypical depression?suffering from unipolar treatment resistant depression.

How is the success of Lithium Therapy in Atypical depression?suffering from unipolar treatment resistant depression.

Treatment : Research suggests that lithium is effective 50% of the time when added to antidepressant medication to augment response in the treatment of depression. ...Read more

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How are bipolar depression and bipolar disorder different?

How are bipolar depression and bipolar disorder different?

Terminology: There are a number of conditions that fall under the spectrum of bipolar disorder. Essentially, bipolar disorder encompasses periods of low energy, low mood and other impairments (depression) as well as periods of high energy & increased mood (mania or hypomania). The term bipolar depression is referring to only the depressive cycle that is part of a bipolar disorder. ...Read more

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How can treatment for depression differ from treatment for borderline personality disorder?

How can  treatment for depression differ from treatment for borderline personality disorder?

Time and Focus: The first thing to understand is that episodes of depression can-and do-happen in the course of treating bpd. Also many of the symptoms of the two disorders are similar, so at times both the meds and therapy that would be appropriate are likely to look identical. But, in very general terms, bpd depends more heavily on long-term therapy--building a positive sense of self and capacity for trust. ...Read more

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Which anti psychotic is more preferred for acute mania mixed bipolar disorder aripiprazole or paliperidone?

Which anti psychotic is more preferred for acute mania mixed bipolar disorder aripiprazole or paliperidone?

Acute mania meds: Atypical antipsychotics have been increasingly used for (and gaining FDA approval for) acute mania. Both meds mentioned (abilify (aripiprazole) & paliperidone) are in this class and can be used to treat acute mania. Other atypicals are also used. Li, VPA, and some typical antipsychotics are FDA approved in acute mania as well. Talk with your doc to make the right right choice for your specific case :) ...Read more

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How are bipolar disorder, and bipolar depression different?

BPD = general term: There are several kinds of bipolar disorder. Bipolar depression is the depressed phase of the two extreme poles. All people have moods, however, normally the variation is not extreme. To be labelled bipolar, a person needs to have had at least one past manic episode.A website, www.Bipolar.Com is a good reference for more specific distinctions between the different variations of bpd. ...Read more

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Abilify (aripiprazole) or Effexor for major depressive disorder. Which is better?

Abilify (aripiprazole) or Effexor for major depressive disorder. Which is better?

Completely different: Effexor is directly an antidepressant, and is fda indicated for this disorder & generalized anxiety, etc. Abilify (aripiprazole) is an antipsychotic, but is also sometimes used to augment antidepressant effect. If you have bipolar depression, being on an antidepressant alone is unwise due to possible triggering of hypomania or mania. In manic situations, Abilify (aripiprazole) may be used to contain these symptoms. ...Read more

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Whats the difference between bipolar and severe bipolar depression with psychotic features?

Whats the difference between bipolar and severe bipolar depression with psychotic features?

Bipolar: Bipolar disorder has different phases of illness, and different levels of intensity. Bipolar patients may have more depression episodes than mania or hypomania. Also, depressions in bipolar disorder may be without, or with, psychotic features. Psychotic features may include hallucinations & delusions with themes of personal inadequacy, guilt, disease, death, nihilism, or deserving punishment. ...Read more

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Is psychotherapy for treating depression?

Is psychotherapy for treating depression?

Not only: Psychotherapy has been shown to be helpful in treating various mental ailments; psychotherapy also helps a person cope with physical ailments; psychotherapy can be used to improve communication skills, self-concept, parenting skills, anger management, etc. There is individual psychotherapy, couples/marital/family. ...Read more

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Is lamotrigine the most effective treatment for bipolar depression?

Is lamotrigine the most effective treatment for bipolar depression?

Lamotrigine: "more effective" all depends on what you're comparng it to. Caveats/points of interest: - Lamotrigine both stabilizes/prophylaxes mania as well as helps raise the mood with an antidepressant like effect. - sometimes it is ineffective by itself for depression, and something else needs to be added. - potentially inadequate four mania/hypomania prophylaxis, particularly with vigorous anti-dep rx. ...Read more

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How is bipolar disorder different from major depression?

Bipolarvs Depression: Actually, according to the criteria used, one may have only ever had manic moods, or mania, and qualify for the diagnosis of bipolar disorder. That is why the term manic-depression is confusing. One may never have been depressed at any time, and still have bipolar disorder. ...Read more

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How effective is electroconvulsive shock therapy for bipolar and psychotic disorder?

How effective is electroconvulsive shock therapy for bipolar and psychotic disorder?

ECT: ECT is typically used for cases of severe depression, and not bipolar/psychotic disorders. ECT was once used much more widely than it is now. ...Read more

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S lithium the best treatment for bipolar depression?

Yes: Lithium, lamictal, and atypical antipsychotics (seroquel, zyprexa, risperdal, geodon, (ziprasidone) abilify) are probably the first line agents for bipolar depression. Antidepressants can make bipolar depression turn into bipolar mania in some people, and should probably be reserved for situations in which the first line agents have failed. ...Read more

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What are your treatment options of bipolar depression?

What are your treatment options of bipolar depression?

Medication +: Psychotherapy. Medications need to be monitored and adjusted as needed. Psychotherapy (Cognitive Behavioral & family therapy) are needed as well. ...Read more

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Depression. If i instead have bipolar disorder, what is a more effective treatment?

Depression. If i instead have bipolar disorder, what is a more effective treatment?

Depression versus BPD: I don't know what you're currently taking. I can only tell you what the approved treatments for bipolar depression are. They are, symbyax, (fluoxetine and olanzapine) seroquel xl and latuda, with the latter 2 being approved with or without lithium or depakote. Non approved medications that are often used include lithium, lamictal, wellbutrin with lithium or depakote, and antidepressants which can carry the risk of throwing the patient into mixed mood states, agitated depression, mania, or rapid cycling.Hope this helps and best wishes for a happy and healthy holiday season. ...Read more

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What type of treatment for major depression anxioty bipolar?

Bipolar Disorder : with Anxiety. Start with a comprehensive psychiatric evaluation. Insure that medical causes for symptoms are ruled out. Talking therapy (Cognitive Behavioral Therapy or insight oriented psychotherapy) is allows for lasting change. Avoid alcohol, caffeine and illicit drugs. Take medications as directed. Eat healthfully. Sleep consistently. Be physically active. ...Read more

See 1 more doctor answer
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Is lamotrigine the most effective treatment for bipolar depression?

Lamotrigine: "more effective" all depends on what you're comparng it to. Caveats/points of interest: - Lamotrigine both stabilizes/prophylaxes mania as well as helps raise the mood with an antidepressant like effect. - sometimes it is ineffective by itself for depression, and something else needs to be added. - potentially inadequate four mania/hypomania prophylaxis, particularly with vigorous anti-dep rx. ...Read more

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What is the difference in treatment for unipolar depression vs. bipolar disorder?

Bipolar vs Unipolar: with unipolar depression- antidepressants are the first "go -to" meds. With bipolar depression - mood stabilizers and antispychotics are the first go too's. ...Read more

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What is the best treatment for the depression in someone with bipolar affective disorder?

What is the best treatment for the depression in someone with bipolar affective disorder?

Mood stabilizer: Most mood stabilizers used in the treatment of bipolar disorder treat both the depression and mania. An adjustment in the dose of the medication and some psychosocial intervention may be all that is needed during a depressive phase. Anti depressants alone are not recommended. Talk to your doctor if your symptoms continue or worsen. ...Read more

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Can you tell me how to make my mom to get treatment for her depression and bipolar disorder?

Depends: States have civil commitment laws that govern involuntary psychiatric treatment if specific legal criteria are meet. Absent this treatment can't be forced. ...Read more

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How long does it take to find the right fit treatment for affective disorders like bipolar, depression?

Depends.: A good history and mental status examination will help your doctor determine what medications will help you . There are different types of Bipolar disorders and the medications will target those symptoms. It may take a few weeks to see if the medications help.a good therapeutic relationship with your psychiatrist and therapist is key. ...Read more

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What is the best way to find an expert psycho-pharmacologist to treat treatment resistance depression in bipolar disorder?

Try Psychology Today: If you are looking for a psycho-pharmacologist, take a look at psychology today's website. There are profiles of psychiatrist & psychologists from around the country including a description of their specialties. Many have their profiles certified by the website. ...Read more

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I am almost sure that I have a bipolar disorder & my depression & anger is ruining my life. Where can I go for diagnosis & treatment? In baltimore, md

I am almost sure that I have a bipolar disorder & my depression & anger is ruining my life. Where can I go for diagnosis & treatment? In baltimore, md

Many psychiatrists: There are many excellent private psychiatrists in baltimore md. Also you can go to the department of psychiatry at johns hopkins school of medicine. ...Read more

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My partner believes I am bipolar/depression. How to i get myself to seek treatment when i'm having depressed symptoms? (no motivation, self-loathing)

You are seeking!: Asking this question is a big step in the right direction. It might seem insignificant, as you say, depressed symptoms can really put you in a bind when it comes to getting help. If you don't have the energy or motivation to find a therapist, ask your partner to help. It might be easier to get help than you think. Good luck. ...Read more

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Can one become schitzophrenic from bipolar after stopping antipshychotic treatment and just augment with ssri for depression? Would be troubled with sleeping mania.

No, but....: Stopping antipsychotic won't make you psychotic if that wasn't a predisposition. I believe that people who respond well to antipsychotic augmentation (esp a young person with severe depression) is likely to really have a bipolar spectrum condition. ...Read more

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Where can I find help (housing, testing, therapy) for my 30 yr old sister? She has split personalities, severe bipolar, depression, schizophrenia, al

Where can I find help (housing, testing, therapy) for my 30 yr old sister? She has split personalities, severe bipolar, depression,  schizophrenia, al

Resources: Most counties in the U.S. have mental health programs that can provide assistance for patients with mental health diagnoses even if patients don't have private insurance. The National Alliance for the Mentally Ill (NAMI) has chapters in many cities/counties as well and are a good resource and referral base. Start at https://www.nami.org/ and search for a local chapter based on your location. ...Read more

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I'm Bipolar. Medications aren't working. I've tried them all. I'm currently experiencing depression, insomnia, anxiety. What are some natural supplements I could try to help me feel better? I am also doing therapy. Looking for a natural way to heal.

I'm Bipolar. Medications aren't working. I've tried them all. I'm currently experiencing depression, insomnia, anxiety. What are some natural supplements I could try to help me feel better? I am also doing therapy. Looking for a natural way to heal.

Bipolar Disorder: Bipolar Disorder can be tricky to treat. Sometimes it takes a number of trials to get the right regimen for optimum treatment. Polytherapy also tends to be required. I don't recommend changing to natural supplements. This may cloud the picture and could cause side effects. Take care. ...Read more

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What is the treatment for manic-depressive disorder?

Medications plus: Bipolar disorder almost always requires treatment with so-called mood stabilizers, of which there are several classes--lithium anticonvulsants, and antipsychotics. Other types of support also may be valuable using individual or group therapy. ...Read more

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Diagnosed with Bipolar Disorder Stage 1 with manic depresion few years ago and had a 3 months treatment, but now i'm totally on my own, is it ok?

How do you feel?: If it's been a few years then, the person to ask for an opinion as to how you're doing "on your own" would be YOURSELF or your family/friends. How do you think you're doing or how does your family think you're doing since not being on any medication? If you'd like to schedule a consult to talk about things you may write me at: www.healthtap.com/drsaghafi Use PDXFNR to set up appointment. ...Read more

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Dr. James Lin Dr. Lin
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Had an laparoscopy done 7 days ago for suspected endometriosis due to constant pelvic pain. Recovery has been fine except I have been experiencing symptoms of depression. I have Bipolar and not on treatment. Will this pass? Or should I be concerned?

Dr. James Lin Dr. Lin
2 doctors agreed:
Had an laparoscopy done 7 days ago for suspected endometriosis due to constant pelvic pain. Recovery has been fine except I have been experiencing symptoms of depression. I have Bipolar and not on treatment. Will this pass? Or should I be concerned?

Depending...: Physical suffering from unclear causes will frustrate the affected persons despite being given a diagnosis. The accumulated frustrations over time will lead to stress, disappointment, and depression, which has been commonly treated with antidepressants. But at least equally important is to realize and accept the facts of life that something is not curable but modified to some degree. More? ask.... ...Read more

Dr. Donald Jacobson
780 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
1,774 doctors shared insights

Bipolar Disorder (Definition)

Also known as manic depressive illness, this brain disorder causes dramatic shifts in mood, ...Read more