14 doctors weighed in:
What could happen if a person who is most likely bipolar receives a depression diagnosis and is given meds for depression?
14 doctors weighed in

Dr. Madan Uprety
Psychiatry
5 doctors agree
In brief: Use mood stabilizer
It is a significant risk to take onle antidepressant medication for bipolar patients, even in a depressed phase.
You will run a risk of manic or mixed episode. Talk to the doctor to add mood stabilizer or Lamictal immediately.

In brief: Use mood stabilizer
It is a significant risk to take onle antidepressant medication for bipolar patients, even in a depressed phase.
You will run a risk of manic or mixed episode. Talk to the doctor to add mood stabilizer or Lamictal immediately.
Dr. Madan Uprety
Dr. Madan Uprety
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Dr. Samuel Miles
Psychiatry
5 doctors agree
In brief: It depends
Many people with bipolar disorder who are depressed do not respond as well to antidepressant medication as do people with 'unipolar' major depression.
Sometimes a manic episode may be provoked with the antidepressant.

In brief: It depends
Many people with bipolar disorder who are depressed do not respond as well to antidepressant medication as do people with 'unipolar' major depression.
Sometimes a manic episode may be provoked with the antidepressant.
Dr. Samuel Miles
Dr. Samuel Miles
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Dr. Carla Enriquez
Pediatrics
3 doctors agree
In brief: Varies
This often happens if the bipolar person is in a depressive phase.
Sometimes nothing happens- good or bad. Sometimes the antidepressant can trigger a manic cycle. Close communication with doctor is imperitive in the diagnosis, treatment and follow up of a complex and chronic problem like bipolar. Nimh has a great web site: www.Nimh.Nih.Gov/health/publications/bipolar-disoreder/index.Shtml.

In brief: Varies
This often happens if the bipolar person is in a depressive phase.
Sometimes nothing happens- good or bad. Sometimes the antidepressant can trigger a manic cycle. Close communication with doctor is imperitive in the diagnosis, treatment and follow up of a complex and chronic problem like bipolar. Nimh has a great web site: www.Nimh.Nih.Gov/health/publications/bipolar-disoreder/index.Shtml.
Dr. Carla Enriquez
Dr. Carla Enriquez
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2 comments
Dr. Donald Hazlett
A general rule for bipolar disorder treatment is to treat first with a mood stabilizer before considering antidepressant medication. That is because antidepressant medication in bipoplar depression without a mood stabilizer can make the bipolar disorder even more unstable and then not be helpful for the depression. Even with mood stabilizers in place antidepressant meds should be short term.
Dr. George Klauber
Huge problem can be stabilised patient stopping medication without supervision. Subject misses a dose and feels great, feels happier and more self-confident (like a drug high) so stops taking the medication and can have a rebound manic phase. Never discontinue medications or change dosage witjout medical supervision
Dr. Douglas Bey
Psychiatry
1 doctor agrees
In brief: May prime the pump
Sometimes pushes pt into a manic phase in general bipolar pts don't respond we'll to antidepressants but do respond to mood stabilizers which is always a consideration when a depressed pt seems to be "treatment resistant"-.

In brief: May prime the pump
Sometimes pushes pt into a manic phase in general bipolar pts don't respond we'll to antidepressants but do respond to mood stabilizers which is always a consideration when a depressed pt seems to be "treatment resistant"-.
Dr. Douglas Bey
Dr. Douglas Bey
Thank
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