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Dr John B
Dr John B, Psychologist
Category: Mental Health
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Experience:  PhD in Clinical Psychology, registered clinical psychologist.
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I was diagnosed with ocd when i was 16, i now am 25. I was

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I was diagnosed with ocd when i was 16, i now am 25. I was given paxil, paxil worked for a while but made me hypomanic. I am now being put on seroquel low dose and depakoate low dose. My current psychiatrist thinks i have bipolar 2 disorder. I have taken many quizzes on bipolar 2 disorder. I currently score negative. If i was on paxil and took the quiz i would score a dx of bipolar 2. What is my diagnoses?? I get anxiety from time to time, but i feel distressed that i do not know my condition. I also feel like i have not processed thoughts and i am going to see a psychologist soon for this and to help process things that paxil caused me to not "care" about.
Submitted: 5 years ago.
Category: Mental Health
Expert:  Dr John B replied 5 years ago.


Sorry to hear of the situation, I can understand why you must be confused. Neither tests nor Psychiatrists are infallible and it wouldn't be the first time a Psychiatrist made a poor diagnosis or a test failed to pick up (indicate) an illness. If there is any uncertainty around diagnosis then the only way to resolve this is to seek a second opinion from a senior clinician (or even a third opinion for that matter). Remember that a diagnosis is a persons opinion and as such they can unfortunately vary quite dramatically from person to person.

I would assume that your Psychiatrist believes you may have Bipolar mood instability because the Paxil made you hypo manic. People with a vulnerability to bipolar instability often react this was to antidepressant medication whereas others don't. Again, this is his/her opinion not a fact and while a manic reaction to the medication is common to people with Bipolar mood instability it is not definitive......there are undoubtedly also people who react in this manner but DO NOT have bipolar instability.

By the way, have tried Cognitive Behavioral Therapy for OCD? It is recommended as the gold standard treatment for OCD and you could try a self help program at home for free.

I hope this helps. Let me know if you have further questions or would like me to clarify anything I have written.

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