Mood Swings

A Psychiatrist Surveys the Mind and the Wider World

Relax: You're not bipolar

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I have not known National Public Radio (NPR) to closely follow the annual meetings of the American Psychiatric Association (APA). Maybe I just missed it, but I haven't noticed CarlĀ Kasell roaming around the 15 conventions I've attended. Hence my surprise to hear a report on May 6, 2008 entitled "Study: Doctors overdiagnosing bipolar disorder."

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bi-polar

Regarding the doctor's article about over dx of bipolar disorder....I just feel a liitle sad that I know that the proper dx and meds have made such a difference in my life. It burdens me that there are not more efforts at exposing this illness and how devastating but treatable it can be. Also, I so wish that an influential person could educate people about two things: 1) Don't confuse bi-polar with multiple personality disorder 2) There are many different degrees of the severity of bi-polar, meaning that we who have a relatively mild case don't have to be "feared" as someone who might "go crazy."

the real world

Your comment highlights how the real world of diagnosis is much more complex than simply saying bipolar disorder is overdiagnosed. It is easy to confuse with many other conditions, including "personality disorders" as you point out. And it is not just one simple thing: it has gradations of severity of manic symptoms, the milder types of which are usually misunderstood and ignored.

A Joke in the House

There is a joke in my house, when you walk into a psychiatrists office you should get 900mg. of lithium and a gram of depakote. You come back in a month. If you are not improved we start thinking of other things. At least do no harm.
Bipolar Disoder should be by definition that disorder which responds to mood stabilizers and and major depressive disorder should be that disorder which responds to anti depressants.
Just make diagnosis be determined by response to medication, say in a year. Whatever!!! No mixing. I know of know creditable evidence that mood stabilizers and anti depressants are complementary.

Even within the medical

Even within the medical community I feel that there exist natural prejudice to view behaviors as being outside of pathology. We have long been conditioned to view our cognisance as something with little relationship to biology. Compound that with BD's periods of euthymia and it reinforces those very biases. It is unfortunate that the Brown study was so poorly done, it makes one wonder its outcome was preordained.

Glenn ---Bipolar overly used.. Disappointed in Brown study

Glenn I completely agree with you. I am searching the internet to find people sharing our opinion. I have been hospitalized over 20 times and yet I am functioning, blend in with normal people which is a real vote of confidence. I could walk into any psych office in the US and be free of diagnosis. If they were to review my medical chart they would likely agree with the others. I have had more hospitalizations than many people with serious mental health issues. This is one area of medicine where doctors will not admit that a mistake was made. Psychiatry is not an exact science. I have a degree in psychology and I would like to see changes made to the field. It also baffles me that violent offenders aren't considered mentally ill. The criteria to admit someone to a psych hospital is danger to self or others. I have never fit that category. But my 20+ visits precludes their judgement at this point. I have much more to write and don't want to make it too long to read. Your opinion is rare Glenn and I hope you or anyone else likeminded will contact me at Facebook Kel Moy

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S. Nassir Ghaemi, M.D., M.P.H., is Professor of Psychiatry and Director of the Mood Disorders Program  at Tufts Medical Center in Boston.

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