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  #1  
Unread 01-20-2018, 04:59 AM
me_too me_too is offline
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Default Bipolar diagnosis

One question I was thinking about is wether typically depression or mania is first when this disorder shows up.
Any guess perhaps?
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  #2  
Unread 01-20-2018, 08:58 AM
lylemcdonald lylemcdonald is offline
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I don't think there is any commonality in terms of which presents first

In my case, since hypomania was just me being awesome, I only went for help when I was depressed. And got middoagnised with depression.

These are details that are irrelevant.
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  #3  
Unread 05-09-2018, 06:36 PM
doctor_octopus doctor_octopus is offline
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Quote:
Originally Posted by me_too View Post
One question I was thinking about is wether typically depression or mania is first when this disorder shows up.
Any guess perhaps?
Patients are usually diagnosed with depression until a manic episode happens, then it's automatically either bipolar I or II presenting with any variant (mood congruent psychosis, depression, mixed). If mood incongruent psychosis presents, then it's usually labeled schizo-affective. I might have some old terms mixed with newer standards but the literature is out there.
If a patient with treatment resistant depression has ever had a manic episode, it's bipolar.
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