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FORUMS > Ask the Psychiatrist
Replying to Topic: SAD vs Bipolar Disorder
Created On 11/17/16 9:17 AM by rose2


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rose2
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11/17/16 9:17 AM
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What is the difference between seasonal affective disorder vs. Bipolar? Is there any difference in the treatment?
 
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Dr. Price MD
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11/17/16 9:23 AM
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S.A.D. usually refers to depressive mood during colder months with shorter days followed by improvement in mood during warmer months and longer days. Pharmacologic treatment includes anti-depressants during the depressive season.

Bipolar does not necessarily fluctuate based on seasons and must include at least of period of hypomania at some time during which there may be decreased need for sleep with high energy and some other associated behaviors. Pharmacologic treatment is typically mood stabilizers since anti-depressants can increase the risk of mood cycling.

I hope this has been helpful.

Rabbi Price, M.D.
www.RabbiMD.com
 
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rose2
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11/17/16 9:54 AM
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thanks for that info.
could depression in the winter (follows a VERY precise pattern) with hypomania during the summer fall into the category of seasonal affective disorder? And if it does would it make any difference if was misdiagnosed as bipolar?
 
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Dr. Price MD
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11/17/16 9:56 AM
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Pharmacologic treatment is different. Anti-depressant treatment could make S.A.D. better and Bipolar worse.

Rabbi Price, M.D.
www.RabbiMD.com
 
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rose2
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11/17/16 10:45 AM
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what about vice versa would how would bipolar treatment affect SAD?
 
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Dr. Price MD
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11/17/16 10:53 AM
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Bipolar treatment may not help Seasonal Affective Disorder as much as anti-depressants but would likely not worsen it.

Rabbi Price, M.D.
www.RabbiMD.com
 
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rose2
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11/17/16 11:03 AM
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so is it possible to be diagnosed SAD after having depression in the winter and hypomania summertime?
 
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Dr. Price MD
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11/17/16 11:14 AM
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Hypomania defines Bipolar which rules out the lesser Seasonal Affective Diagnosis.

Rabbi Price, M.D.
www.RabbiMD.com
 
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rose2
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11/17/16 11:45 AM
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does it make any difference if the patient diagnosed with bipolar due to hypo manic episodes has a VERY distinct seasonal cycle?
 
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Dr. Price MD
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11/17/16 11:49 AM
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Can make a difference in helping to plan ahead to control triggers for the mood and adjust medication accordingly.

Rabbi Price, M.D.
www.RabbiMD.com
 
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rose2
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11/21/16 10:58 AM
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would you recommend light therapy or is there risk of triggering manic episode?
If yes any specific brand?
 
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Dr. Price MD
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11/21/16 11:47 AM
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There is a risk but can stop therapy if side effect.
Northern Lights Technologies.

Rabbi Price, M.D.
Www.RabbiMD.com
 
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