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Even after I was diagnosed with bipolar disorder, I often doubted the diagnosis. The reason was that my "up" periods were so rare, my depressions so frequent and so long. I thought major depressive disorder was a better diagnosis.
Later I learned something important that I want to share here: people with bipolar II spent about 10% time ill than with bipolar I, and about as much as a whopping 40% more time depressed than people with bipolar I.
Also, as I wrote about in the SharePost Bipolar II - Why Don't I Feel as Good as I Used To? , folks like me with bipolar II often tend not to come all the way back to a good stable mood between depressive episodes. This can leave us going between very depressed and feeling slightly depressed for a long time. I've experienced that often .
As far as symptoms go, there's no difference between the criteria for depressive episodes of bipolar I, bipolar II, and major depression. But having hypomanic episodes occasionally - as I do -
Alternative Names Psychotic depression; Delusional depression Treatment Psychotic depression requires immediate medical care and treatment. Treatment usually involves antidepressant and antipsychotic medication. You may only need antipsychotic medication for a short period of time. Electroconvulsive therapy can help treat depression with psychotic symptoms. However, medication is usually tried first. Support Groups Expectations (prognosis) This is a serious condition that requires immediate treatment and close monitoring by a doctor. You may need to take medication for a long time to prevent the depression from coming back. Depression symptoms are more likely to return than the psychotic symptoms. Complications The risk of suicide is much higher in people with depresison with psychotic symptoms than in those without psychosis. You may need to stay in the hospital if you have thoughts of suicide. The safety of others must also be considered. Calling your health care provider If you have thoughts ...
One of the first studies to look at serious physical trauma in patients reveals that nearly a third of the patients studied sustained sexual dysfunction even after a year passed since the trauma event. This particular study involved over 10,000 patients and 69 hospitals across 14 states. The incentive to do the study was prompted by surgeons of young trauma patients who were receiving these complaints of sexual dysfunction even though a year's time had passed and adequate healing (regardless of the type of physical trauma) had occurred.
The rate of sexual dysfunction nearly doubled when comparing under age 50 trauma patients to healthy patients in the same age group; it nearly tripled in the over age 50 age group when compared to the over 50 healthy populace. What was also really provocative was that the statistics of sexual dysfunction did not depend on what kind of physical trauma had occurred. It was expected that if the serious trauma involved the pe...
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