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Old Jan 17, 2013, 09:21 PM
hamster-bamster hamster-bamster is offline
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Member Since: Sep 2011
Location: Northern California
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Quote:
Originally Posted by usbusi View Post
The general idea on this out there seems to be it gets worse if it isn't treated.
Yes. It is attributed to the phenomenon of kindling: one episode ignites the next in the brain and the more untreated episodes you have, the more frequently they would appear.

"Results:  Response rates for the mania and maintenance studies ranged from 52–69% and 10–50%, respectively, for individuals with 1–5 previous episodes, and from 29–59% and 11–40% for individuals with >5 previous episodes. These rates were significantly higher for the 1–5 group on most measures of response with up to a twofold increase in the chance of responding for those with fewer previous episodes. For the depression studies, response rates were significantly higher for the 1–5 group for two measures only. In the maintenance studies, the chance of relapse to either mania or depression was reduced by 40–60% for those who had experienced 1–5 episodes or 6–10 episodes compared to the >10 episode group, respectively. This trend was statistically significant only for relapse into mania for the 1–5 episode group (p = 0.005).

Conclusion:  Those individuals at the earliest stages of illness consistently had a more favourable response to treatment. This is consistent with the staging model and underscores the need to support a policy of early intervention."

From http://onlinelibrary.wiley.com/doi/1...A748B61.d01t02

But it does not mean that it is impossible later - it just has less of a chance.

Note: this is from an industry-sponsored study.

Last edited by hamster-bamster; Jan 17, 2013 at 11:58 PM.
Thanks for this!
Anika., BipolaRNurse