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Re: Question for all-any advice please!!? mitch » hildi

Posted by Ritch on July 5, 2002, at 22:39:39

In reply to Re: Question for all-any advice please!!? mitch, posted by hildi on July 5, 2002, at 20:17:06

Hildi,

I would consider phenelzine as monotherapy first. What is going on here is the big diagnosis question-is this bipolar disorder developing or is this simply a "neurotic" anxious, reactive, recurrent depression? I am bipolar and I found Trileptal to aggravate hypomania-just an FYI (also it hasn't been shown to be effective for mania just yet). If you can tolerate another class of antidepressant to treat a(n) anxiety disorder(s), and it works without taking a "mood stabilizer"-then you have the "acid test" to determine whether you are bipolar or not-IMO. I think people need to reassess the idea of becoming hypomanic as a result of medications as an intolerability issue rather than a certain flag for bipolar.

Mitch


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poster:Ritch thread:111427
URL: http://www.dr-bob.org/babble/20020628/msgs/111534.html