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Sep 28, 2013, 06:30 PM
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Member Since: Mar 2013
Location: USA
Posts: 1,486
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Quote:
Originally Posted by Miguel'smom
It'd be interesting to see the difference between people with 'pure' BP and one with co-morbid issues as a lot of the co-morbid issues require AD's.
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This is my thinking as well. For example, if you suffer from frequent SI and/or attempts, I would think that on the part of pdocs there would be such an urgency in these cases that they would throw everything possible at it, in an attempt to at least keep the pt safe. I think this can lead to serious polypharmacy as well, especially if at least some of the SI is due to psychological issues that will breakthrough meds.
And maybe co-morbid issues would make antidepressants more desirable and/or effective. I think usually in studies they only enroll people with a relatively 'pure' form of whichever disorder they're studying so as not to confound the results; but the fact is, is that in BP as in many other illnesses, there can be a lot of co-morbidity, making such studies -at least potentially- limited in their usefulness. Though I think I've read that anxiety is the or one of the most common co-morbid issues, and I wouldn't think AD's would help too much with this (though I think maybe one or two purport to, so I'm really not sure).
The emphasis on therapy I find very interesting, though, it's not something you find much in articles/studies on BP, except for psychoeducation. Though I think that psychodynamic can also help, not just CBT-type therapies --they're so in vogue right now, though, it's hard to find support for other modalities, though studies proving it's effectiveness in a few different disorders are out there.
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