How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Mark Your Own Question
Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5220
Experience:  Dr. Mark is a PhD in psychology in private practice
Type Your Mental Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

I was put on celexa by my family doctor for depression. After

This answer was rated:

I was put on celexa by my family doctor for depression. After he increased the dose to 40 mg I experienced my first mania. I was then referred to a psychiatrist and eventually put into the mental health centre after a suicide attempt after the mania ended and I had to face all the devastation I had done. There I was diagnosed with bipolar disorder and put on lithium and effexor. For the next 11 years I lived with the diagnosis of bipolar until one day I came across some information on the Internet. It was the DSM criteria for bipolar. It said that a manic caused by antidepressants did not count towards a bipolar diagnosis. I brought this to my psychiatrists attention ( my third psychiatrist in 11 years) , she reviewed my medical records and said that she could no longer treat me for bipolar. She said there was not enough information. She changed my diagnosis to unipolar and after a fewonths discharged me and said she didn't need to see me anymore. Is this misdiagnosis considered negligent?

Hi! I'll be glad to be of help with this issue.

I can imagine how distressing and devastating this situation must be for you and this whole process must be. You have been through the wringer with the mood issues. And it now seems that the Celexa may have been the cause of your problems rather than an internal process within your physiological system. I'm so sorry you've gone through this. I'm sure there have been many difficulties: you hint at this when you write about devastation.

I am not an attorney and this is the mental health forum, so I can't answer your question in terms of legal liability. In other words, if your question is whether your psychiatrists were legally negligent, I can't answer that as I am not qualified.

However, in terms of mental health practices, it is customary for mental health workers to look at internal processes for causes of mood changes and behaviors. We are trained to see symptoms such as you describe as being caused by disorders, not side effects of Celexa. That it's possible is of course known to us, but it is not common and so we don't look at it. You brought it up and it "forced" your current doc to relook at the diagnosis and see that bipolar was not applicable, rather that you have a unipolar mood disorder. I imagine your medications reflect this new diagnosis.

So, again, you may need to consult with an attorney in terms of the legal implications of the diagnoses. But as for the usual practices in mental health treatment, unfortunately, we are not really trained to look at side effects of medications unless they are rather standard and prominent or--and this is important in your case--we are not trained usually to look at side effects that mimic prevalent disorders like bipolar disorder.

Okay, I wish you the very best!

My goal is for you to feel like you've gotten Great Service from me and the site. If we need to continue the discussion for that to happen, then please feel free to reply and we'll continue working on this. If the answer has given you the help you need, please remember to give a rating of 5 (Great Service) or 4 (Informative and helpful), or even 3 (Got the job done) button. This will make sure that I am credited for the answer and you are not charged anything more than the deposit you already made by pressing any of these buttons. Bonuses are always appreciated! If I can be of further help with any issue now or in the future, just put "For Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, XXXXX XXXXX

Dr. Mark and other Mental Health Specialists are ready to help you

Related Mental Health Questions