What does it mean to have a diagnosis of Bipolar I or II? For some, finally getting a diagnosis can be a relief, as it was for Demi Lovato, whose story was shared in Moodsurfing a few weeks ago. For others, not so much. Mariah Carey was diagnosed with bipolar back in 2011, but she says “I didn’t want to …
Undiagnosed Hypomania – Nancy
How big a problem is undiagnosed hypomania? By some estimates as many as 50% of people being treated for depression may have hypomania (similar to mania, but milder) episodes as well. A recent article in Psychiatric Times encourages doctors to maintain an increased level of suspicion about the possibility of hypomania in patients who are receiving treatment for a range …
Depression Increasing – Nancy
Is depression increasing? Major depression diagnoses have risen by as much as 33% according to a report by insurer Blue Cross Blue Shield. These numbers may be under-reports since they do not include the uninsured, and even among insured people there is significant under-diagnosis. Particularly concerning is the rise in depression among adolescents and young adults. Rates have increased as much …
Data Mining for Mental Health – Digital Phenotyping
Digital phenotyping is Tom Insel’s fancy term for using some of the vast amount of data that our cell phones collect about our behavior to try to inform assessments of mental health diagnosis, symptoms and risk. Two years ago an article in JAMA Internal Medicine highlighted significant deficiencies in the way that smartphone-based conversational agents like Siri or Cortona responded to …
When Is a “Good Mood” Too Good
The question of when is a good mood too good and what to do about it lies at the heart of my recurring experience that, as a psychiatrist specializing in working with people with bipolar and depression, I find myself in the uncomfortable position of being a spoilsport from time to time. Actually, sometimes it is much worse than that. …
Childhood Bipolar: Mother Knows Best
A recent blog post in Bipolar News (one of our favorite resources for up-to-date information on bipolar research) argues that mother’s evaluations of their children are more useful than teacher’s report of symptoms and than reports from the children themselves when diagnosing childhood bipolar. The article summarized research presented at the 2015 International Society for Bipolar Disorders by Eric Youngstrom. Eric Youngstrom, Ph.D., is …
Bipolar Types
One of my new patients introduced herself this way, “Hello Dr. Forster, I have Bipolar 2 and a half.” Had she just finished watching Harry Potter and was thinking about the invisible platform that takes young wizards to Hogwarts? No, she was referring to a type system developed by Hajop Akiskal, probably one of the most influential thinkers in the …
Diagnosed Bipolar in a Crazy World – Lyndsey
I saw a production of Hamlet last month, performed by the Shakespeare-by-the-Sea ensemble. Having not seen it since my diagnosis, I felt as if I was watching the play for the first time. Do you remember the story? “To be or not to be?” – And all that. Hamlet, the young intense Danish Prince, is distraught over the sudden death …
Denial: I’m not Bipolar, Doctor
You’re wrong, Doctor ! I’m not bipolar! How can you say that to me? You just met me – how can you possibly know??!! I’m just depressed and I get agitated and anxious and hyper – sometimes but everyone gets moody ! It s normal to have moods. You re pathologizing me! No other doctor has ever told me I have bipolar, …
Evaluating Emotions and Experiences: Could I Be Bipolar?
People often wonder whether the notion of bipolar moods really applies to their experiences. They compare what they have heard about bipolar (crazy person running berserk) and their life which is never that intense and wonder whether the doctor (or whoever else raised the idea) is just making a wild suggestion about the problem that they have. After all, it …