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<blockquote data-quote="klmno" data-source="post: 112620" data-attributes="member: 3699"><p>Wow, I really opened up a can of worms here. Sorry- that wasn't my intent.</p><p></p><p>From what I've read, which isn't everything by any means, the current diagnostic manual states a certain period of time that phases must last in order to meet the criteria for bipolar. Apparently this has been this way for quite some time, however, some psychiatrists are starting to think the cycling can happen quicker for younger people. So, these psychiatrists think that's why it has taken 10 years in the past to diagnosis and get adequate treatment. (Not all agree with that.) I interpret that to mean the line for diagnostic criteria might be moving, albeit maybe it's moving too far to the extreme. I wasn't aware that Dr. Papolos was considered as a psoc who had moved that line too far. Really, I just want to support any research efforts that can help hone in on this.</p><p></p><p>My difficult child has had extreme, erratic behavior in the past. Much of it meets bipolar symptons, some can equally meet unipolar depression. I'll do anything I can to help get the diagnosis right if the medications are so different that one can make him manic and the other can cause him to have life long side effects. </p><p></p><p>I certainly can't diagnosis him, much less anyone else's difficult child. I hope everyone can understand that I'm not pushing for this answer or that answer, I just want THE ANSWER for my difficult child. I got help for myself in my early 20's and it makes me feel extremely guilty and inadequate that I can't feel confident in the "help" he's being provided. I don't want him to get back to the point where I'm in fear of him dying or hurting someone else.</p></blockquote><p></p>
[QUOTE="klmno, post: 112620, member: 3699"] Wow, I really opened up a can of worms here. Sorry- that wasn't my intent. From what I've read, which isn't everything by any means, the current diagnostic manual states a certain period of time that phases must last in order to meet the criteria for bipolar. Apparently this has been this way for quite some time, however, some psychiatrists are starting to think the cycling can happen quicker for younger people. So, these psychiatrists think that's why it has taken 10 years in the past to diagnosis and get adequate treatment. (Not all agree with that.) I interpret that to mean the line for diagnostic criteria might be moving, albeit maybe it's moving too far to the extreme. I wasn't aware that Dr. Papolos was considered as a psoc who had moved that line too far. Really, I just want to support any research efforts that can help hone in on this. My difficult child has had extreme, erratic behavior in the past. Much of it meets bipolar symptons, some can equally meet unipolar depression. I'll do anything I can to help get the diagnosis right if the medications are so different that one can make him manic and the other can cause him to have life long side effects. I certainly can't diagnosis him, much less anyone else's difficult child. I hope everyone can understand that I'm not pushing for this answer or that answer, I just want THE ANSWER for my difficult child. I got help for myself in my early 20's and it makes me feel extremely guilty and inadequate that I can't feel confident in the "help" he's being provided. I don't want him to get back to the point where I'm in fear of him dying or hurting someone else. [/QUOTE]
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