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Bipolar ForumsGeneral & SupportDSM-V draft guidlines
02/11/2010 01:34 AM
jennywren
jennywrenPosts: 3026
Senior Member

Seroquel XR, 300mgs
Then 50mgs later on in the evening
to encourage sleep.
250mgs of Lamictal in the morning. Mood Stabilizer
Lithium 250mg at night and 250mgs in the AM.


Three other meds for psychical problems
Reply

02/11/2010 11:57 AM  Top
AppleG
 
Posts: 291
Member

www.dsm5.org This is another link to it. What do you guys think?
Depakote 1250mg
Lithium 600mg
Lunesta 3mg
Ritalin 40mg

02/11/2010 12:17 PM  Top
PinkishlyPink
PinkishlyPink
 
Posts: 273
Member

Interesting
Bipolar I (mixed states, rapid cycle) ADHD, gluten intolerant

Living Gluten Free

Xanax XR 1mg
Lithium 750mg
15mg Restoral
I get ECT treatments every 3 weeks

02/11/2010 12:19 PM  Top
PinkishlyPink
PinkishlyPink
 
Posts: 273
Member

So I would be a 296.5x LOL I love being a new number
Bipolar I (mixed states, rapid cycle) ADHD, gluten intolerant

Living Gluten Free

Xanax XR 1mg
Lithium 750mg
15mg Restoral
I get ECT treatments every 3 weeks

02/11/2010 01:14 PM  Top
luvmy3boys
luvmy3boys
 
Posts: 240
Member

If I am reading this correctly, it says you can't diagnose someone as bipolar based on an antidepressant induced mania?

Previous discussions I participated in:
Memory and Bipolar
no more meds
Lithium and weight gain

02/11/2010 03:05 PM  Top
ApRiLGeTsAngry77

wow see what I mean you can be medicated to be bipolar??? hmmm thanks for the link, I shared it with Noca™ my good canadian friend that is studying pharacology and psychology.

02/11/2010 04:35 PM  Top
Lrose35
Lrose35
 
Posts: 1733
Senior Member

I couldnt get anything out of it. I have a hard time focusing to read anything.
Abilify 2 mg at bedtime
Klonopin 8 mg 2mg 4x daily
Cymbalta 60 mg 1 during the day
Lamictal 300 mg 2 during the day, one at bedtime
Luvox CR 100 mg in the morning.
Simvastatin - High Cholesterol bedtime
Metoprolol - High Blood Pressure 2 x during the day
"Life is not measured by the number of breaths we take but by the moments that take our breath away."

02/11/2010 05:01 PM  Top
YorkieLove
YorkieLove
 
Posts: 7028
VIP Member
I'm an Advocate

I reviewed this some and it looked like one of the proposals was to allow mixed states diagnosis in other bipolar types other than bipolar I.

Does anyone else get this from this? It was on the Rationale tab under Mixed Specifier.

Lisa

My advice is purely personal. I am not a Doctor and there is NO substitute for getting proper medical diagnosis and advice.

Bipolar II, Depressed Severe

Lamictal 400 mg
Seroquel 150 mg
Effexor 150 mg
Inderal 10 mg
Ambien 5 mg
Lithium 1200 mg

02/11/2010 10:44 PM  Top
jennywren
jennywrenPosts: 3026
Senior Member

Yes and no Luv....gee forget your name. In DSM-IV mania as a result of meds excluded Bipolar diagnosis.

DSM-V is looking at calarifing this, ie if the mania persists after the med is discontinued, then Bipolar Mania may be a valid symptom pointing to Bipolar Disorder. Thus in DSM-V Bipolar Disorder is no longer excluded.

JennyWren

Seroquel XR, 300mgs
Then 50mgs later on in the evening
to encourage sleep.
250mgs of Lamictal in the morning. Mood Stabilizer
Lithium 250mg at night and 250mgs in the AM.


Three other meds for psychical problems

02/11/2010 11:01 PM  Top
jennywren
jennywrenPosts: 3026
Senior Member

Hello again Yorkie,

What they are looking at is Manic or Hyomanic Mixed States and Depressive Mixed States. ie two core types.

What is said in the draft is a bit confusing and I get the impression that it still needs to be tied up.

I am suposed to have Mixed States Bip. I have always had problems seeing myself a meeting all the criteria for Mixed States in DSM-IV. But now I am seeing a lot closer resemblance in the proposal.

There was a very smart cookie back in nineteen thirty seven who proposed six variations of Bipolar Mixed States. I forget the poor guys name. Sad

Giving symptoms related to either mania/hypomania is a very smart idea and sounds correct to me.

In DSM-IV sufficent attention was not given to Bipolar Mixed States. It looked to me that is was just "tossed" in as an afterthought.

JennyWren

Found him.

As long ago as 1921, Dr. Emil Kraepelin described several kinds of mixed states, including excited or agitated depression and depression with isolated manic symptoms1. In 2000, noted bipolar researcher Dr. Hagop Agiskal reported that mania with few depressive symptoms represents the most prevalent kind of mixed or dysphoric mania.2

Post edited by: jennywren, at: 02/11/2010 11:34 PM

Seroquel XR, 300mgs
Then 50mgs later on in the evening
to encourage sleep.
250mgs of Lamictal in the morning. Mood Stabilizer
Lithium 250mg at night and 250mgs in the AM.


Three other meds for psychical problems
Reply

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