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Dr G
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shania09 posted:
I came across some info awhile back talking about the hormones being unbalanced in women, a few other things. Well it said it can cause the severe mood swings on the same level as BP. Could this be true? How would someone tell the difference between the two? Also, could BP get worse, well at the depression level anyway, over time?
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1 Replies |Watch This Discussion | Report This| Share this:Dr GI came across some info awhile back talking about the hormones being unbalanced in women, a few other things. Well it said it can cause the severe mood swings on the same level as BP. Could this be true? How would someone tell the difference between the two? Also, could BP get worse, well at the depression level anyway, over time?
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Joseph F Goldberg, MD responded:
Dear Shania,

Premenstrual disorders can somtimes cause day-to-day or moment-to-moment mood swings, but moment-to-moment mood swings in the absence of sleep and energy changes have nothing to do with bipolar disorder. Bipolar mood episodes are defined by the associated cognitive, speech-language and energy changes of mania; mood is just one associated symptom.

Bipolar disorder can get worse over time for some people, ie, more frequent episodes and more persistent periods of depression with fewer periods of wellness. Unfortunately, that can happen despite good treatment. It is more likely to happen without good treatment, or in the setting of shaky adherence, concurrent alcohol or drug abuse, poor functioning, and other factors.

Dr. G.
Report This| Share this:Dr GDear Shania,<br /> <br />Premenstrual disorders can somtimes cause day-to-day or moment-to-moment mood swings, but moment-to-moment mood swings in the absence of sleep and energy changes have nothing to do with bipolar disorder. Bipolar mood episodes are defined by the associated cognitive, speech-language and energy changes of mania; mood is just one associated symptom.<br /> <br />Bipolar disorder can get worse over time for some people, ie, more frequent episodes and more persistent periods of depression with fewer periods of wellness. Unfortunately, that can happen despite good treatment. It is more likely to happen without good treatment, or in the setting of shaky adherence, concurrent alcohol or drug abuse, poor functioning, and other factors.<br /> <br />Dr. G.
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