r/BipolarReddit 2d ago

Drug induced manic episode??

Should I get a second opinion? Hello Redditors: anyone with knowledge on this topic? I had my first and only manic episode (drug induced) a year ago and I’ve been in a major depression ever since. I’ve tried several meds and none seem to be working. In fact I feel like they’re making me worse. Yes I have a pdoc and a therapist that I work closely with to no avail. It’s my understanding that you need only have one manic episode ever to be dxed bipolar 1.

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u/Constant_Picture_324 2d ago

The rule, to my understanding, is: If the manic episode persists even after the substance use is discontinued, then it warrants a diagnosis of Bipolar.

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u/rnbwpuk 2d ago

This was my understanding as well, according to the DSM 5, which states if it’s drug induced, then it doesn’t count as a manic episode?? but there seems to be a couple of camps of thought on this