Bipolar Disorder Often Misdiagnosed as Major Depression
Researchers Pinpoint 5 Factors That Can Help Improve Diagnosis of Bipolar Disorder
I’ve been hunting for an article just like this, perhaps info for my dilemma ‘Major Depression diagnosed as Bipolar Disorder’.
I was diagnosed as BP II in 1997, at which time psychiatrists prescribed mood stabilizers, followed by antidepressants and a myriad of medications throughout the years.
A number of these medications are still prescribed, so I’m puzzled by this diagnosis, considering primarily fighting off major depression for years. Episodes of “mood swings”, “rapid cycling” or “mania”, just aren’t there. I’m demanding a reevaluation; perhaps confirming meds that may not even be necessary.
About one in three people diagnosed with major depression may actually have bipolar disorder, researchers report.
Five characteristics, including extreme mood swings and psychiatric symptoms at a young age, may help pinpoint which patients actually have bipolar disorder, they say.
Bipolar disorder covers a spectrum of disorders in which patients may be sad and down one day and feeling on top of the world, hyperactive, creative, and grandiose the next.
The extreme mood swings may be more or less frequent and more or less severe, says study head Charles Bowden, MD, of the University of Texas Health Science Center in San Antonio. Bowden has consulted for Sanofi-Aventis, which funded the study.
“As a result, bipolar disorder can be difficult to diagnose, even by experienced psychiatrists,” he tells WebMD.
Recent studies suggest as many as 40% of patients receive another diagnosis first and that it can take years before they’re correctly diagnosed, Swanson says. Many are diagnosed with major depression, resulting in inappropriate use of antidepressants, he says.
Not only do antidepressants fail to help, “but patients can get worse, their mood can become more unstable, and some even get more manic,” says Donald Hilty, MD, co-chair of the committee that chose which studies to highlight at the meeting and professor of psychiatry at the University of California, Davis.
These patients should be on a mood-stabilizing drug, he tells WebMD.
The current study involved 5,635 patients with major depression from 18 countries in Europe, Asia, and North Africa.
The researchers sought to determine which patients fit the criteria for bipolar depression using various tools and see which factors best predicted a diagnosis of bipolar disorder.
Full article @ WebMed.com