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Q: Undiagnosed BP
asked by: dingo75 on October 3rd, 2008
New User
I don't know where to begin exactly, probably like a lot of other people, but after a quick read around this forum this seems like as good a place to start as any Smile I'm 33 years old and my life has been a series of turbulent ups and downs and I've consistenly failed to reach what I thought were very serious goals (education, work, relationships, etc) despite trying again and again. At the age of 21 I reluctantly agreed to see a therapist and psychiatrist due to onging issues with OCD and an eating disorder. I was diagnosed with major depression/anxiety and since then have been prescribed numerous anti-depressants, always of the SSRI variety. These always made me feel calmer at first, but my symptoms of fatigue and extreme moodiness always returned quickly. The last time I was on SSRI meds I experienced really strong suicidal impulses so I quit them all together. I could go on and on, but ever since I was a kid I've always had a lingering sense that there was something abnormal going on in my mind. This keeps getting stronger as I get older. My ups and downs are causing problems in my current relationship and life in general and I want to get help, its just hard without a doctor or health insurance. Any suggestion or input from people would be appreciated.
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MandMs
replied on October 3rd, 2008
Extremely eHealthy
Welcome to EHEALTH forum!
The more time a patient spends in a depressed state, the higher is the risk of suicidal acts over time.
Thus, reducing the severity and the duration of a depressed state by antidepressant treatment is likely to be an effective preventive measure for suicidal acts.
However, some randomized clinical trials have shown that adults treated with SSRI antidepressants have risk of either non-fatal self harm or suicidal thoughts than those on placebo.
During one large study have been found that some people who have been taking SSRI and have suicidal tendency, are the ones with specific variations in two genes (depending on the particular mix inherited, these versions increased the likelihood of such thoughts from 2- to15-fold).

Very often patients who are actually bipolar, are misdiagnosed as having major depression, cause there can be only dominant symptoms of depression and mild symptoms of mania (which can go unrecognized) or no symptoms of mania at all.
Other scenario, that is associated with high suicidal risk is having mixed bipolar episodes.
Mixed episode, means having symptoms of mania and depression together, including agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking.
When left untreated this disease tends to get worse overtime, with more frequent and more severe ups and downs.

Do you take some other medicines?
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