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Depression

:: September 2014


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Related Topics - Highlighted Articles

Bipolar Disorder

Borderline personality disorder characteristics in young adults with recurrent mood disorders: a comparison of bipolar and unipolar depression. (J Affect Disord. 2005) "BACKGROUND: In young adults it can be difficult to differentiate between an early bipolar illness and borderline personality disorder. There are considerable areas of clinical overlap between cyclothymic temperament, bipolar-spectrum disorders and borderline characteristics. The aim of this study was to measure borderline characteristics in young adults during an index depressive episode and to compare three diagnostic groups: DSM-IV bipolar affective disorder (BPAD); bipolar spectrum disorder (BSD); and DSM-IV recurrent major depressive disorder (MDD). CONCLUSIONS: Young adults with bipolar depression exhibit significantly higher levels of borderline personality pathology than those with unipolar depression. Those borderline screening questions that reflect cyclothymic characteristics or depressive mixed states may be of practical use to clinicians in helping to differentiate between bipolar depression and unipolar depression in young adults."


Bipolar Disorder

Is Your Depressed Patient Bipolar? (The Journal of the American Board of Family Practice 2005) "Accurate diagnosis of mood disorders is critical for treatment to be effective. Distinguishing between major depression and bipolar disorders, especially the depressed phase of a bipolar disorder, is essential, because they differ substantially in their genetics, clinical course, outcomes, prognosis, and treatment. In current practice, bipolar disorders, especially bipolar II disorder, are underdiagnosed. Bipolar illness is also characterized by a more pronounced seasonal pattern than is observed in major depression, with winter depressions being the most common. There is a greater likelihood of mood disturbance occurring during the postpartum period; as many as half of all women with bipolar spectrum disorder experience an episode of depression, mania, or mixed states after the birth of a child. In fact, for many women, the first presentation of a bipolar disorder is a postpartum episode. Any woman without a prior psychiatric history who develops postpartum depression should be closely followed and monitored, as the risk for developing a bipolar disorder may be especially high."

 

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