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Old 11-22-2009, 12:37 PM
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Join Date: Aug 2006
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waves waves is offline
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Join Date: Aug 2006
Posts: 10,329
15 yr Member
Default according to my pdoc ...

it is possible to have a drug-induced manic reaction, and not be bipolar.

clearly bipolars are much much more at risk for manic switch from antidepressants.

but a drug-induced manic reaction, albeit grounds for caution with anti-depressants, further investigation into the patient's history and certainly a longitudinal observation, is by itself insufficient for a bipolar diagnosis.

i suspect not all pdocs agree on this.

but in effect, even the DSM states that a bipolar diagnosis requires an episode of mania, hypomania or mixed mania that is not drug-induced.

~ waves ~
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