Posted by Geezer on March 17, 2002, at 13:39:56
In reply to Re: Give Nardil a Good Try! » ross, posted by Hal on March 17, 2002, at 13:08:31
> Hey Ross,
>
> This whole Bipolar II fad upsets me. Several years ago when only lithuim was availible, psychiatrist where pretty reluctant to diagnose bipolar disorder unless they were confident about it. Now, with a whole slew of new meds for bipolar disorder, anyone who does not respond to an SSRI or effexor is labeled soft bipolar or bipolar II. Bipolar disease is a specific illness, with characteristic highs and lows ..... and not everyone with mood instablity not responding to meds should be labeled as bipolar spectrum.
>
> I wish you the best of luck with your new doc and lithium. Remember, nardil and parnate will be availible if lithium is not sufficient.
>
> HalHi Ross,
Looks like I am the opposing viewpoint on the Bipolar II issue. I was treated for Unipolar Recurrent Major Depression for 30 years - no mood stabilizers. Hospitalized 8 times, full disability in 1997, SSRIs are as useful as jelly beans, norep. drugs trigger dysphoric mixed states. Currently mixing various mood stabilizers with the hope of adding MAOI for the major depression. I never had anything resembling true MANIA. In my opinion any pdoc that treats a Bipolar patient (thank God for the differential DX) with an AD, without first stabilizing the patients mood, should be subject to charges for mal-practice.
Geezer
poster:Geezer
thread:97961
URL: http://www.dr-bob.org/babble/20020313/msgs/98452.html