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Can you have episodes every two years?


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Well I was initially diagnosed schizo-affective, bipolar type. But it's been one year and five months since my first ever episode and I've not had a manic episode since then. I am on 10mg Abilify only. Do you think my bipolar diagnosis is incorrect then? 10mg can't be enough to cover bipolar symptoms, right? Sorry I know I've been questioning my diagnosis lately and I have asked for a second opinion but it's going to take ages to get one.

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When I was younger (think teens and early twenties) and unmedicated, my episodes followed a clearly predictable three year trajectory. I would spend roughly a year with hypomania escalating into mania, then I'd crash and be suicidal for a while, then work my way up to merely hideously depressed-that would also take about a year, and finally emerge into being fine for right around a year.

The pattern changed when I was 27, and I began to get really awful mixed states, which is what finally landed me in the hospital and then led to the psyche meds. Since then I've had some remissions, one that lasted, oh, two or three years, if you discount minor blips, and I've also had some hypomanias and some depressions that lasted many months but were not as bad as the ones I got pre-medication.

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Yes, you can. I've heard of people for not having episodes for 3+ years. One manic episode is all you need to be diagnosed. Of course then there's the messy bit, about antidepressants and drugs and other things that can trigger manic episodes, but I'm not an expert so I'll stop here :)

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