Reply to ISO psychiatrist for complicated depression/bipolar teen -- desperate and worried!

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Reply to "ISO psychiatrist for complicated depression/bipolar teen -- desperate and worried!"

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[quote=Anonymous]I know this is an old thread, but since it's been revived anyway, I'm jumping in to say I'm surprised no one brought up Bipolar II as a potential diagnosis. For anyone reading this thread who thinks, "OP's DD sounds like my DC," it's something to at least ask about when seeking a diagnosis.

It's not as well understood as what we commonly think of as bipolar disorder. It can be missed or misdiagnosed.

The mood fluctuations are not as extreme as what we typically think of as bipolar disorder. People with bipolar II have more depressive episodes and their "manic" phases are actually called "hypomanic" phases. The OP's persistent statements that her daughter did not have manic episodes is what raised a red flag for me. Hypomania is a low-grade manic episode that, in my experience, is just more like having a high energy level or feeling really happy.

FWIW, stimulant medications (for ADHD, for example, which often co-presents with bipolar disorder) can have an adverse affect on people with bipolar disorder and trigger manic episodes.

These are all conversations that should be had with medical providers, of course.

This might be helpful:
http://www.umm.edu/health/medical/reports/articles/bipolar-disorder[/quote]

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