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Old Jan 07, 2008, 06:32 PM
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Perna Perna is offline
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Member Since: Sep 2006
Location: Maryland
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I don't think for you it is that simple?
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OCD has a complex relationship with bipolar disorder. I'm certain I've seen some patients start out looking like they have classic OCD and end up looking like they have definite bipolar disorder without OCD. These two conditions might be part of the same thing somehow, at least in some people. At least we know they are found together very often, much more so that one would expect. In one study, 20% of people with bipolar disorder had OCD, twice the number seen in unipolar depression (which is also higher than people with no diagnosis).

A group of researchers has looked at how OCD and bipolar relate. They found that whereas unipolar depression was "incidental", i.e. not clearly related to the OCD (although common), by contrast bipolar disorder seemed to be more directly related to the OCD. For example, people with religious and sexual obsessions as part of their OCD were more likely than those with other obsessions to have bipolar disorder. The authors specifically recommend that bipolar disorder take precedence over the OCD in terms of which is treated first.

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From: http://www.psycheducation.org/depression/Anxiety.htm

You could have co-morbid OCD (both bipolar and OCD) but it's probably some inter-related thing, not something one would want to treat one without the other. I'd just work with whatever your therapist was trying until it was obvious to both of you it didn't work well then try something else?
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