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Mental Health  (Expert Forum)
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PTSD Depression-BiPolar?
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD) , bipolar disorder , dementia , electroconvulsive therapy (ECT) , learning disabilities, memory, obsessive compulsive disorder (OCD) , panic , personality disorders, phobias , post-traumatic stress disorder (PTSD) , schizophrenia , stress , transitions, and work problems.

PTSD Depression-BiPolar?

by Susie__0__0, Aug 02, 1999 12:00AM

Posted by Susie on August 02, 1999 at 09:48:53
I have a long history of severe depression and PTSD.  Recently I have been on high doses of Zoloft for the depression which has been the best drug for me.  I was on 300mg a day.  I also have possible Autoimmune Hepatitis and due to liver disease I have been taken off all meds and will being going to Mayo this week.  My question is can you have bipolar if you cycle at certain times of the year.  I can almost always count on a high period during July/Aug and by October severely depressed.  As I said I mainly suffer with severe depression so just wondering if the cycling is normal?  I'm 41 now and can remember this since my college days.  For example A's at Midterm one semester and withdrew failing by end of fall semester.  Thanks for your opinion and/or advise.
Susie

Posted by HFHS M.D.-SW on August 05, 1999 at 15:10:40
Dear Susie,
   From your letter it appears you are going through a stresssful period, I
hope you have a therapist who can help you.
In reply to your question, a person may have a mood disorder that cycles at
certain times of the year.  Seasonal Affective Disorder (SAD), also called
Mood Disoder with seasonal pattern is a mood disorder with regular
relationship with a particular time of the year.
The more likely relationship is depressed mood during the fall or winter and
an elated mood during spring or summer.  These mood cycles may vary in
severity.
Considering your history and your current medical condition one must also consider bipolar disorder, followup with a psychiatrist is important.
This reply is provided as general information. Always consult your
physician.
Sincerely,
   HFHS M.D.-SW
*Keywords: Seasonal Affective Disorder



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