manic with or without trigger

[adel_ezz]

I know it's immaterial whether you get manic under a trigger or without it, the result is the same you are diagnosed with bipolar disorder.

But do people here agree with me that a true i.e. a typical or classical patient with BP can become manic without a trigger i.e. passing by periods of elation or depression, whereas a person who is driven manic only under a trigger especially antidepressant is not or should NOT be considered having BP.

[Bubulous]

No, thank you for the information,

Yeah I wasn't diagnosed until I was put on an AD.  That brought on a severe manic attack, the dangerous kind.  My doctor always asks me, for some reason, what brought on my mania or depression.  I don't have an answer most of the time.  Medicine and codependent behaviors are usually what bring mine on.

I had never heard of people outgrowing BP, but I will look into what you said and it almost makes me cry to think that someday I may be symptom free, not cured, but symptom free. I have been bipolar since I was about 13 or 14.  However, I have only been diagnosed and on meds for the last year and a half.

Thank you so much for this,

Larry

[adel_ezz]

thank you for the feedback

I will iterate what i meant is that in the majority of the cases like in type 2 the patient starts to be depressed so he goes to see a pdoc who prescribes an AD and if he is witty he gives me an AP to cover the AD just in case he can have a BP. Most likely he gives him an AD only along with a benzo say. The pt is stable but all pts stories say that after a few months he becomes manic and the usual story of the road with no return he is bipolar (for ever). Now those types were driven manic ONLY under an AD i.e. had they not taken the AD surely they can stay depressed and God only knows until when. We give them an AD fearing that if not they can hurt themselves. Now no one elated and happy and having a sense of grandiosity or feels he owns the world goes to see a pdoc only when depression starts. The BP appeared or is revealed clinically under the AD like in my case.

I was referring to another category like the develish personality of rage and manic depressive people like history tells us how they discovered the effect of lithium in smoothing the aggressive personalities of prisoners and improved their mood i.e. there is a category of people who can have a hypomania without a reason or trigger can have mixed states or rage under no medication I am speaking of those whom i called classical BP contrary to the ones who developed the symptoms under an AD. Of course medicine doesn't differentiate between both cases, WHY? because medicine simply cures the symptoms and not the cause and that is medicine. If you have a headache or migraine you start by aspirin until you end up if no improvement to an MRI say. So in fact pdocs never asked me why were you manic and this they don't give it a damn. Although they should have asked me did you get manic before being medicated. The majority of pts will say NO

The reason of my question was 2-fold. On one side how can one be sure that a person has a true BP i mean classically speaking or it was induced by some trigger especially meds. This explains why the no of BP pts across the world is in the rise due to the abuse of AD, they constitute almost 4% of the population (i was an OCD guy until i used an AD) and if so will the BP outgrown like they say sometimes because a year ago in missouri USA some researchers announced that it resolves after 30 years old and only 3% of the cases remain BP.

thanks and good day

[Bubulous]

WOW, what a loaded question....

Let me try.  Bipolar triggers are actually called breakthroughs if you are being mediacted and stay stable for a while, however long that lasts.  In my case yes it can be brought on by anti-depresents.  However, I have seen type 1s and type 2s who have to be on anti-depressants.   In the case of type 2s they most of the time, not always, have to be on them because they are mostly depressed and the anti-depressents are necessary.  There are so many of us, but still few, and we all differ with how our cycles run....

This is how mine works.  I am extremely codependent which means that I can go manic or depressed based on how much flattery or critisism I take in.  Being codependent is allowing the mood or the words of other people effect how you feel.  Too much love will make me manic.  Too much pain will cause me to go depressed.  I can also go manic from zoloft but I am put on it sometimes to pull me out of manic depression.  Tha is the only reason they will put me on it and they will only keep me on it until I start going manic because that is the opposite of manic depression.

Even will all that I can have breakthroughs of mania or depression involuntary.  S to answer your question all of us are different with different cycle of mania and depression.  Some of us have gifts of music, art, writing, and many others.  Some of either don't or they have not realized what theirs are.  Mine are music and writing.  We all cycle different and after a while we can find the knowledge and medicine to stop the breakthroughs from occuring so fast.

I hope this helps and if you need anything else I will try to help.  I don't know everything about it but I know alot....I have to,

Larry