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Summary
Summary
Tried everything but still not feeling better?
If your depression keeps coming back or is even getting worse, then you may be suffering from bipolar II or "soft" bipolar disorder. Commonly misdiagnosed, these mood disorders are characterized by recurring bouts of depression along with anxiety, irritability, mood swings, sleep problems, or intrusive thoughts.
Why Am I Still Depressed? shows you how to identify if you have a nonmanic form of bipolar disorder and how to work with your doctor to safely and effectively treat it.
Author James R. Phelps, M.D., gives you the latest tools and knowledge so you can:
Understand the Mood Spectrum, a powerful new tool for diagnosis Know all your treatment options, including mood-stabilizing medications and research-tested psychotherapies Examine the potential hazards of taking antidepressant medications Manage your condition with exercise and lifestyle changes Help family and friends with this condition understand their diagnosis and find treatmentAuthor Notes
James R. Phelps, M.D. , has been practicing psychiatry for more than fifteen years and specializes in treating bipolar disorder. He speaks on bipolar disorder throughout the Pacific Northwest. Dr. Phelps has authored journal articles for American Journal of Medicine , Academic Psychiatry , Journal of Affective Disorders, and Academic Medicine . For more information visit his website PsychEducation.org.
Table of Contents
Foreword | p. xi |
Acknowledgments | p. xv |
Introduction | p. xix |
Part I Do You Have a "Mild" Form of Bipolar Disorder? | |
Chapter 1 Understanding the Mood Spectrum and How It Can Help You | p. 3 |
Understanding the Middle of the Mood Spectrum | p. 4 |
Using the Mood Spectrum to Diagnose Bipolar Variations | p. 10 |
Naming and Understanding the Different Types of Bipolar Disorder | p. 10 |
Chapter 2 Can You Be a Little Bipolar? Recognizing Hypomania | p. 15 |
The Difference Between Hypomania and Mania | p. 17 |
What Does Hypomania Really Look Like? Identifying Symptoms | p. 18 |
When Hypomania Is Barely Detectable | p. 27 |
Bipolar III: Antidepressant-Induced Mania or Hypomania | p. 31 |
How Brief Can a Bipolar Phase Actually Be? | p. 32 |
Depression and Hypomania at the Same Time: Recognizing Mixed States | p. 34 |
Chapter 3 No Mania or Hypomania? Understanding "Soft" Bipolar Disorder | p. 39 |
Looking at the "Soft Signs" of Bipolar Disorder | p. 40 |
Why You Should Know About Soft Bipolarity | p. 46 |
Hormonally Related Mood Conditions and Soft Bipolarity | p. 49 |
Can You Still Be Bipolar Without Depression? Diagnosing "Normal" | p. 52 |
Chapter 4 Making Your Diagnosis | p. 55 |
Why Searching for Hypomania Can Be Difficult | p. 56 |
Getting an Accurate History: How Family and Friends Can Help You | p. 61 |
What If They Call Me Bipolar When I Really Am Not? | p. 64 |
Bipolar Tests | p. 72 |
Chapter 5 What Else Could It Be? Ruling Out Conditions That Mimic Bipolar Disorder | p. 81 |
Medical Conditions That Look Like Bipolar Disorder | p. 82 |
Medications That Can Produce Bipolar-Like Symptoms | p. 87 |
Psychiatric Conditions That Might Explain Your Symptoms | p. 89 |
Conditions That Commonly Occur with Bipolar Disorder | p. 91 |
Part II Finding and Using the Right Treatment | |
Chapter 6 Getting Help: How You Can Work with Your Doctor | p. 103 |
What Your Doctor Needs to Know About You | p. 104 |
Strategies for Working with Your Doctor | p. 110 |
Working with Your Doctor Over Time | p. 113 |
Chapter 7 Where to Start: Guidelines for Choosing Treatment | p. 119 |
Evaluating Claims by Looking for Evidence | p. 120 |
Considering the Risks and Benefits of a Treatment | p. 124 |
What Causes Mood Disorders Anyway? | p. 130 |
General Guidelines for Managing Bipolar Variations | p. 134 |
Three Main Strategies for Treating Complex Mood Disorders | p. 141 |
Chapter 8 Mood Stabilizers: The Core Ingredient in Medication Treatment | p. 147 |
Examining the Mood Stabilizer Menu | p. 148 |
How to Choose from All These Options | p. 157 |
Balancing Hope and Realism When Using Mood Stabilizers | p. 165 |
How Long Do You Need to Take This Stuff? | p. 166 |
Can Trying a Mood Stabilizer Make Things Permanently Worse? | p. 167 |
Chapter 9 What You Need to Know When Considering Antidepressants | p. 169 |
When Depression Is the Dominant Symptom | p. 170 |
The Antidepressant Controversies | p. 170 |
Chapter 10 Managing Weight Gain from Medications or Other Causes | p. 191 |
Not Just the Medications' Fault | p. 192 |
How to Handle Weight Gain | p. 198 |
Blocking Weight Gain with Antidote Medications | p. 204 |
Chapter 11 Simple Lifestyle Changes That Can Improve Symptoms | p. 209 |
Watching Sleep, Light, and Darkness Closely | p. 210 |
Stress Management: Crucial to Stabilizing Moods | p. 217 |
Limiting or Eliminating Mind-Altering Substances | p. 218 |
Chapter 12 How to Use Psychotherapy Across the Mood Spectrum | p. 225 |
Five Effective Psychotherapies | p. 226 |
If Several Are Available, How Do You Choose? | p. 231 |
When Should You Start-and Stop? | p. 232 |
Chapter 13 Exercise: Not the Usual Rap | p. 237 |
The Best Evidence You Ever Heard | p. 237 |
Are You Ready for a Simple Program? | p. 241 |
Chapter 14 How Family and Friends Can Help | p. 247 |
First, Do No Harm | p. 248 |
Don't Just Do Something, Sit There | p. 248 |
Ask, Don't Tell: Collaborating | p. 249 |
Setting Boundaries | p. 249 |
The Problem of Insight | p. 250 |
Concluding Thoughts | p. 251 |
Selected References | p. 255 |
Index | p. 263 |