WOMENS-HEALTH Messages for May, 2000: Re: Misdiagnosis of Bipolar disorder?

Re: Misdiagnosis of Bipolar disorder?

From: anonymous@obgyn.net
Mon, 15 May 2000 14:56:40 -0500 (CDT)

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In reply to: Tonya: "Misdiagnosis of Bipolar disorder?"

At Fri, 12 May 2000, Tonya wrote: >
>My sister-in-law was diagonosed with bipolar disorder approx. 2 years
>ago. She has been hospitalized x 2, less than 24 hours each time. After
>being overly medicated for this length of time,(2 years) a GYN has
>reviewed her charts and noted that all of her "episodes" seem to be
>cyclical-within days of her period each month. The remainder of the
>month she experiences all the symtoms of depression due to the hopeless
>and helpless feeling of not finding anything to alleviate these
>dibilitating symptoms. Her life is and has been that of an invalid for
>the past 2 years. I am writing for several reasons: Can severe PMS
>mimic symptoms of a phsycological disorder of this magnitude? What, if
>any is the recommended treatment? The GYN has suggested a treatment that
>I would like to know if anyone has heard of and if so, could this be
>effective? The treatment is that he will inject her with Lupron for a
>period of 3 months to stop her periods thus putting her into a
>premenopausal state, during which time she will be monitored to see
>whether this produces any change in her symptoms. After which, if it's
>noted that her moods do in fact stabilize and her weight increases(she
>is down to 92 lbs at 5ft2,her normal weight is approx, 120lbs) he will
>then suggest a hysterectomy to put her into a permanent state of
>menapause and HRT will be given to provide her a balanced hormone state.
>I have never heard of this treatment but in theory it does sound
>plausable. The physchiatrist has "taken back" the bipolar diagnosis.
>Unfortunately this doctor can't "take back" the mega amounts of drugs
>that has been prescribed-one right after the other that I fear may have
>caused permanent damage to my sister-in-laws' heart, among other things.
>I apologize for the length of this posting but I am just so glad to have
>finally found this site so that I may be able to help someone I love and
>get some answers for myself as well. I would appreciate any responses
>any of you may have. *T*

Removal of the ovaries is an effective but rare treatment for this condition. The Lupron trial should give you a good idea whether it will work or not. Obviously, this is a treatment of last resort, but it is VERY effective if the current diagnosis is correct.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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