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Daily Archives: September 29, 2016
Mixed States
Anxious depression could be “bipolar”?! An international group of expertsISBD described anxiety in bipolar disorder thus: General hyperarousal Inner tension Irritability /impatience Agitation “Frantically anxious” These symptoms are not generally regarded as symptoms of bipolar disorder. Unfortunately, the very name … Continue reading
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Hypomania in clinical practice
Abstract Recent work suggests that a broad clinical spectrum of bipolar disorder is more common than previously thought and that the disorder may affect up to 5% of the population. The correct definition and diagnosis of hypomania is central to … Continue reading
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The Bipolarity Index: a 5-dimension, 100-pt. system
Dimension 20 points 15 points 10 points 5 points 2 points Episode Characteristics Manicsymptoms with “prominenteuphoria, grandiosity or expansiveness”. Manic symptoms withdysphoria, irritability Hypomanic symptoms; or mania following an antidepressant Hypomanic symptoms following an antidepressant; or hypomania below DSM threshold; … Continue reading
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Bipolarity Index Table
The Bipolarity Index: a 5-dimension, 100-pt. system Dimension 20 points 15 points 10 points 5 points 2 points Episode Characteristics Manicsymptoms with “prominenteuphoria, grandiosity or expansiveness”. Manic symptoms withdysphoria, irritability Hypomanic symptoms; or mania following an antidepressant Hypomanic symptoms following an antidepressant; … Continue reading
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Treatment
What are the basics of bipolar disorder treatment? Principle A: Maximize Non-Medication Approaches Principle B: Medications — use evidence-based Mood Stabilizers Principle C: Beware of Antidepressants Which mood stabilizer should I start with? What should I do with my antidepressant? … Continue reading
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