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	<title>Comments on: Bipolar Diagnosis on the Rise: Pros and Cons</title>
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		<title>By: Jennifer</title>
		<link>http://www.finkshrink.com/blog/diagnosis/bipolar-diagnosis-on-the-rise-pros-and-cons.html/comment-page-1#comment-1768</link>
		<dc:creator>Jennifer</dc:creator>
		<pubDate>Sat, 12 Sep 2009 15:26:13 +0000</pubDate>
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		<description>Candida Fink says the following:

&quot;The professional criteria for diagnosing bipolar disorder have expanded with the publication of the 1994 edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The addition of the Bipolar Disorder Not Otherwise Specified category opened up a much larger range of mood regulation difficulties to being diagnosed as a bipolar variant.&quot;

However, Bipolar Disorder Not Otherwise Specified existed already in DSM-III-R. With DSM-IV the diagnosis &quot;Bipolar II&quot; was added. I hope this information was helpful, Candida.</description>
		<content:encoded><![CDATA[<p>Candida Fink says the following:</p>
<p>&#8220;The professional criteria for diagnosing bipolar disorder have expanded with the publication of the 1994 edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The addition of the Bipolar Disorder Not Otherwise Specified category opened up a much larger range of mood regulation difficulties to being diagnosed as a bipolar variant.&#8221;</p>
<p>However, Bipolar Disorder Not Otherwise Specified existed already in DSM-III-R. With DSM-IV the diagnosis &#8220;Bipolar II&#8221; was added. I hope this information was helpful, Candida.</p>
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		<title>By: Joe</title>
		<link>http://www.finkshrink.com/blog/diagnosis/bipolar-diagnosis-on-the-rise-pros-and-cons.html/comment-page-1#comment-1218</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Mon, 07 Jul 2008 15:41:03 +0000</pubDate>
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		<description>I agree with Jim. If your sister does have bipolar disorder, taking an antidepressant without the protection of a mood stabilizer could trigger mania or make it worse. A doctor who has experience treating depression and mania is better qualified to tell whether your sister is experiencing unipolar or bipolar depression (or something else) before prescribing medications.

We posted a sample chapter from our book &lt;em&gt;Bipolar Disorder For Dummies&lt;/em&gt; on the blog: &lt;a href=&quot;http://finkshrink.com/blog/sample-chapter-bipolar-disorder-for-dummies&quot; rel=&quot;nofollow&quot;&gt;Chapter 5, &quot;Getting a Psychiatric Evaluation and Treatment Plan.&quot;&lt;/a&gt; The information in this chapter could help ensure that your sister obtains an accurate diagnosis, which is key to obtaining the right treatment.</description>
		<content:encoded><![CDATA[<p>I agree with Jim. If your sister does have bipolar disorder, taking an antidepressant without the protection of a mood stabilizer could trigger mania or make it worse. A doctor who has experience treating depression and mania is better qualified to tell whether your sister is experiencing unipolar or bipolar depression (or something else) before prescribing medications.</p>
<p>We posted a sample chapter from our book <em>Bipolar Disorder For Dummies</em> on the blog: <a href="http://finkshrink.com/blog/sample-chapter-bipolar-disorder-for-dummies" rel="nofollow">Chapter 5, &#8220;Getting a Psychiatric Evaluation and Treatment Plan.&#8221;</a> The information in this chapter could help ensure that your sister obtains an accurate diagnosis, which is key to obtaining the right treatment.</p>
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		<title>By: Jim Dnn</title>
		<link>http://www.finkshrink.com/blog/diagnosis/bipolar-diagnosis-on-the-rise-pros-and-cons.html/comment-page-1#comment-1207</link>
		<dc:creator>Jim Dnn</dc:creator>
		<pubDate>Thu, 03 Jul 2008 11:53:41 +0000</pubDate>
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		<description>Daisy i think your sister should be checked out by a physcian
-----------------------------------------
Jim Dunn

http://www.dualdiagnosis.net/</description>
		<content:encoded><![CDATA[<p>Daisy i think your sister should be checked out by a physcian<br />
&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<br />
Jim Dunn</p>
<p><a href="http://www.dualdiagnosis.net/" rel="nofollow">http://www.dualdiagnosis.net/</a></p>
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		<title>By: daisy rhodes</title>
		<link>http://www.finkshrink.com/blog/diagnosis/bipolar-diagnosis-on-the-rise-pros-and-cons.html/comment-page-1#comment-1206</link>
		<dc:creator>daisy rhodes</dc:creator>
		<pubDate>Thu, 03 Jul 2008 11:49:49 +0000</pubDate>
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		<description>my sister was currently put on anti-depressants coz we suspect that she is bi-polar,do you think the condition will get worse?</description>
		<content:encoded><![CDATA[<p>my sister was currently put on anti-depressants coz we suspect that she is bi-polar,do you think the condition will get worse?</p>
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		<title>By: Dr. Fink</title>
		<link>http://www.finkshrink.com/blog/diagnosis/bipolar-diagnosis-on-the-rise-pros-and-cons.html/comment-page-1#comment-1100</link>
		<dc:creator>Dr. Fink</dc:creator>
		<pubDate>Fri, 23 May 2008 15:06:57 +0000</pubDate>
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		<description>Hi Larry - 
I don&#039;t know the name of the psychiatrist you are referring to off the top of my head - but I am aware of the literature that is looking at expanding bipolar disorder into more of a bipolar spectrum diagnosis.  It is somewhat controversial actually - there are a number of people who are not sure that this is particularly helpful - at least not necessarily putting all of the mood regulation disorders into the category of bipolar.    Bipolar has traditionally referred to a very specific set of symptoms - and expanding it into people who are reactive and dysregulated is a a big topic of discussion.  I am hopeful that with time we will have more information on the underlying neuropathology - with imaging, biochemical and genetic data - that will take us from being solely descriptive in the DSM IV - and just trusting our instinct and general patterns - to being much more scientific about it. 
So the answer I think is - stay tuned for lots more information to explode onto the scene in the next few years. 
Take care -

Candida Fink MD</description>
		<content:encoded><![CDATA[<p>Hi Larry &#8211;<br />
I don&#8217;t know the name of the psychiatrist you are referring to off the top of my head &#8211; but I am aware of the literature that is looking at expanding bipolar disorder into more of a bipolar spectrum diagnosis.  It is somewhat controversial actually &#8211; there are a number of people who are not sure that this is particularly helpful &#8211; at least not necessarily putting all of the mood regulation disorders into the category of bipolar.    Bipolar has traditionally referred to a very specific set of symptoms &#8211; and expanding it into people who are reactive and dysregulated is a a big topic of discussion.  I am hopeful that with time we will have more information on the underlying neuropathology &#8211; with imaging, biochemical and genetic data &#8211; that will take us from being solely descriptive in the DSM IV &#8211; and just trusting our instinct and general patterns &#8211; to being much more scientific about it.<br />
So the answer I think is &#8211; stay tuned for lots more information to explode onto the scene in the next few years.<br />
Take care -</p>
<p>Candida Fink MD</p>
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