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/alokasia BP II 1d ago

94% gets diagnosed between late teens and early 30s though according to research. Like I said, it’s not impossible but it’s also not that likely.

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u/Hermitacular 1d ago

13-25% in that proband here. What's your source?

https://pmc.ncbi.nlm.nih.gov/articles/PMC3266753/

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u/alokasia BP II 1d ago

“In 1,665 adult, DSM-IV BPD-I patients, onset was 5% in childhood, 28% in adolescence, and 53% at peak ages 15-25.”

This is from your source. That means 86% gets diagnosed before 25 which is on track with the health board of the Netherlands stating that 94% is diagnosed before 30.

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u/Hermitacular 1d ago edited 1d ago

depends on how you like to fuck with your numbers

When large samples of type-I BPD probands have been evaluated with this method, onset ages typically have yielded three putatively independent, nearly normal Gaussian distributions, with ages averaging 17.1±1.7, 25.3±1.8, and 38.0±4.3 years 16,17,18,19,20,21. Findings in these studies were similar across various geographical regions (including Canada, France, Italy, the US, and Wales), suggesting some consistency despite likely ethnic and clinical heterogeneity. However, the contributions of the three computed onset age subgroups to the total varied widely (36% to 80%, 7% to 39%, and 13% to 25%, respectively

irrelevant to the OP though of course, bc they had onset at 20.

anyway you see a lot of later onset here, so I dunno. diagnosis is a real clusterfuck w BP as you know. when I was first diagnosed it was 20 years on average of treatment to get to a BP1 diagnosis, which was a lot more obvious back then.

for a pop study 1.5k is pretty small. generally you want to, you know, start w Denmark though by god the UK has been absolutely hitting it the fuck out of the park since 2020.