1.Thou shalt not blame everything on chemical imbalance. 2.Thou shalt avoid high places and sharp objects when on either extreme of the mood spectrum. 3.Thou shalt not covet thy neighbor’s shiny trinkets. 4.Thou shalt not trust any shrink who writes thee up a prescription after the first 15 minutes. 5.Thou shalt not beat up anyone while on a manic fit, no matter how much ye really want to, or how much they deserve it. 6.Thou shalt indulge in immaturity whenever the urge strikes thee. 7.Thou shalt not break stuff that does not belong to thee. 8.Thou shalt go to bed only when ye feel tired. 9.Thou shalt allow others to occasionally get a word in edgewise. 10.Thou shalt not send people crazy e-mails at odd hours of the night,
Actually, we all knew this. We’ve discussed it. But, now, here’s an article that will back us up. I’m going to post the full interview since it’s not too long…..
A new study by Rhode Island Hospital and Brown University researchers reports that fewer than half the patients previously diagnosed with bipolar disorder received a diagnosis of bipolar disorder based on a comprehensive, psychiatric diagnostic interview. The study concludes that while recent reports indicate that there is a problem with underdiagnosis of bipolar disorder, an equal if not greater problem exists with overdiagnosis. The study was published online by the Journal of Clinical Psychiatry.
T he study method involved 700 psychiatric outpatients who were interviewed using the SCID and completed a self-administered questionnaire between May 2001 and March 2005. The questionnaire asked patients whether they had been previously diagnosed with bipolar or manic-depressive disorder by a health care professional. Family history of bipolar disorder was used as an index of diagnostic validity.
Of the 700 patients, 145 reported they had been previously diagnosed as having bipolar disorder; however, fewer than half of the 145 patients (43.4 percent) were diagnosed with bipolar disorder based on the SCID. Further, the study showed that patients diagnosed with bipolar disorder based on the SCID had a significantly higher morbid risk of bipolar disorder in first-degree relatives.
Unnecessary side effects are a significant concern of overdiagnosis. Because mood stabilizers are the treatment of choice for bipolar disorder, overdiagnosing can unnecessarily expose patients to serious medication side effects, including possible impact to renal, endocrine, hepatic, immunologic and metabolic functions.
HUH? NO SHIT, SHERLOCK!!! HOW MANY RESEARCHERS WERE PAID FOR THAT STUDY. JEEZ….ALL YA HAD TO DO WAS ASK ONE OF US!
Lead author Mark Zimmerman, M.D., director of outpatient psychiatry at Rhode Island Hospital and associate professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University, notes, “Clinicians are inclined to diagnose disorders that they feel more comfortable treating. We hypothesize that the increased availability of medications that have been approved for the treatment of bipolar disorder might be influencing clinicians who are unsure whether or not a patient has bipolar disorder or borderline personality disorder to err on the side of diagnosing the disorder that is medication responsive.” He continues, “T his bias is reinforced by the marketing message of pharmaceutical companies to physicians, which has emphasized the literature on the delayed and underrecognition of bipolar disorder, and may be sensitizing clinicians to avoid missing the diagnosis of bipolar disorder.”
STRAIGHT FROM THE HORSE’SJACKASS’ ASSHOLE’S MOUTH!
Zimmerman concludes, “The results of this study suggest that bipolar disorder is being overdiagnosed (MAYBE IN CELEBRITIES) and we recommend that clinicians use a standardized, validated method in diagnosing bipolar disorder.”
And, now, for some silly jokes:
Two psychologists meet at their twentieth college reunion. One of them looks like he just graduated, while the other psychologist looks old, worried and withered. The older looking one asks the other, “What’s your secret? Listening to other people’s problems every day, all day long, for years on end, has made an old man of me.” The younger looking one replies, “Who listens?”
Patient: Doctor, you must help me. I’m under such a lot of stress, I keep losing my temper with people. Doctor: Tell me about your problem. Patient: I JUST DID, DIDN’T I, YOU STUPID BASTARD!!!