Big Pharma viewed the development of this new diagnosis with great interest. Drug companies offer lucrative opportunities to doctors who give talks to other doctors. It was through these industry-sponsored talks that many child psychiatrists received instruction in the diagnosis of pediatric bipolar disorder. The talks were sponsored by companies that made drugs approved for use only in adults, but it appears the drug companies correctly anticipated that child psychiatrists would make the association and then prescribe the drugs to children. It’s now big business: hundreds of thousands of children in the . have been given the diagnosis.
A group of researchers has looked at how OCD and bipolar relate. They found that whereas unipolar depression was “incidental”, . not clearly related to the OCD (although common), by contrast bipolar disorder seemed to be more directly related to the OCD. For example, people with religious and sexual obsessions as part of their OCD were more likely than those with other obsessions to have bipolar disorder. The authors specifically recommend that bipolar disorder take precedence over the OCD in terms of which is treated first. Perugi
There are several different types of bipolar disorder, some more serious than others. WebMD describes these forms of bipolar disorder as falling into categories of Bipolar I, Bipolar II, Rapid Cycling, Mixed Bipolar, and Cyclothymia. Bipolar I is the most severe form of the disease and involves at least one full-out manic episode in which the unusual, “high” mood is not warranted by external events, and which results in a disruption with the person’s life. People with Bipolar I may require hospital care when in the grip of their manic episodes. Bipolar II while much the same as Bipolar I, has less extreme manic episodes. A person with Bipolar II may never have experienced a full-out manic episode, but does fall into depressive episodes. In between these less-than-manic highs and the lows of depression, this person may be basically normal. Rapid Cycling bipolar disorder is defined as one in which there are four or more episodes of either mania or depression within one year. Possibly between 10% and 20% of those with bipolar disorder exhibit Rapid Cycling. Mixed Bipolar is a form in which the person exhibits the characteristics of both mania and depression more or less concurrently; this is an indicator of Bipolar I level disease. While estimates vary substantially, WebMD reports that between 20% and 70% of those with bipolar disorder experience the Mixed Bipolar symptoms. Finally, Cyclothymia is a mild form of Bipolar disorder; instead of being categorized as a mental illness, it is instead considered a “mood disorder” in which the mood swings from mild depression to mild “highs” that never achieve the level of a mania. This version of bipolar disorder appears to affect between 1/2 and 1% of the population in the . (WebMD, 2005-2011)