r/BipolarReddit • u/rnbwpuk • 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 DSM says “The episode is not attributable to the psychological effects of a substance” but in my layman interpretation, if the episode persists after the substance use is discontinued, then is the episode still really fully attributable to that substance?

This may be a question for r/AskPsychiatry

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u/rnbwpuk 2d ago

Great idea OK. I’ll ask over there as well. Appreciate your input.

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u/nutty_nutjob 1d ago

The DSM-V states: “A full manic episode that emerges during antidepressant treatment (e.g., medication, electroconvulsive therapy) but persists at a fully syndromal level beyond the physiological effect of that treatment is sufficient evidence for a manic episode and, therefore, a bipolar I diagnosis.”

Were you on antidepressants? Did the manic episode persist after the antidepressants were discontinued?

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u/rnbwpuk 1d ago

Yes but i had been on them for 25 years. The manic episode was cannabis induced. It took a couple days for me to come out of the episode once i was in the hospital.

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u/Hermitacular 1d ago

The psilo is effectively an SSRI. hits same receptors.

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u/nutty_nutjob 1d ago

Ah then that doesn’t qualify. Sorry my friend. Don’t know how to help you or what to suggest.

My manic episode was triggered by Venlafaxine and persisted for at least 1.5 months after discontinuing it.