Quote:
Originally Posted by Sesiley
Anti depressants alome can sometimes make a person with Bipolar go into a hypomania or manic episode
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Yep, unfortunately 
Question 1: does bipolar tend to get worse over time?
Question 2a: why has there been made a difference between BP1 and 2? Since the treatment (pharmacotherapy/psychoeducation/selfmanagement etc.) is the same.
Question 2b: why does one qualify for BP1 after even 1 mixed episode?
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.
Mx: To clean up the mess use lamotrigine, risperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.
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