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Sorry Dr. Thomas for not getting name right.
Thank you for your quick reply. So it is possible that taking Zoloft before BP diagnosis (no stabilizer) for anxiety and depression, and no mania symptoms? Then after a few months off zoloft, start taking zoloft again during stressful period induced or amplified a manic episode possibly? I was having I believe promorbid symptoms with sleep disturbance, reduced sleep, waking up with chills and sweats. So possible the symptoms of my youth with bad anxiety/depression every few years was early signs of bipolar. Then in my 40's something physiologically changed and under stress the bipolar was going into high gear and the zoloft triggered or aggravated the manic?
Thank you Dr. Thomas
Could the severe anxiety and depression for 3 months when I was 18 be early signs of bipolar onset. Also less severe depression in grade school off and on.