Antidepressants and bipolar disorder, should they mix? My own experience with antidepressants has helped fuel the controversial antidepressant fire in my own life, but I was curious to see what the “professionals” had to say about it.
The International Society for Bipolar Disorders (ISBD) Task Force has just released a new set of recommendations for the use of antidepressants with bipolar patients in the American Journal of Psychiatry. The final recommendations are the result of 173 studies, and urge caution. Dr. Eduard Vieta states,
First, they shouldn’t be used in mania or in mixed episodes, they should only be used in bipolar depression in patients with a history of a good response in the past to antidepressants and no history of rapid cycling or switches into mania right away.
(Mixed episodes as well as rapid cycling and switches make me a poor candidate.)
In addition, antidepressant monotherapy (meaning taking an antidepressant alone with bipolar disorder) is not advised, neither is taking an antidepressant if you have predominantly mixed states.
Of course, I could say “tell me something I don’t already know”, but at least these people are putting it on the record and hopefully others will benefit from being spared antidepressants when they are prone to having a bad reaction.
For the entire article, go here.