{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Bipolar Disorder - When Not To Take Antidepressants' data-url='/boclips/videos/6507150024f4c9319be06107' data-video-url='/boclips/videos/6507150024f4c9319be06107' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nBipolar Disorder - When Not To Take Antidepressants\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eWe generally do not use antidepressants in bipolar 1 disorder, because antidepressants are more likely to cause you to switch from depression into mania thereby triggering mania. Or it can cause you to rapid cycle. That is, you can have...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eWe generally do not use antidepressants in bipolar 1 disorder, because antidepressants are more likely to cause you to switch from depression into mania thereby triggering mania. Or it can cause you to rapid cycle. That is, you can have a depressed state that resolves and then quickly returns. A quick return would be within weeks. So when you hear the term switching and antidepressants causing switching, it's classically meant as switching between mania and depression but it can also refer to rapidly returning episodes. Even if it was the same episode.\u003cbr/\u003e \u003cbr/\u003e With bipolar 2 disorder you get hypomania and depression instead of mania and depression. But the depression in bipolar 2 tends to be longer and more severe. In general we believe that people with bipolar 2 disorder can safely take antidepressants especially if it is added to a mood stabilizer. And there are some subgroups of people who can tolerate an antidepressant without a mood stabilizer, which is called monotherapy. We don't have a clear picture though of what subgroup of people can handle antidepressants well. But it may be related to how you experience your hypomania.\u003cbr/\u003e \u003cbr/\u003e Here are some risk factors for antidepressants making you more unstable or causing switching:\u003cbr/\u003e Having bipolar I disorder as opposed to bipolar 2 \u003cbr/\u003e Having mixed features during depression \u003cbr/\u003e Using tricyclics antidepressants like nortriptyline or amitryptline.\u003cbr/\u003e \u003cbr/\u003e References:\u003cbr/\u003e Gitlin M. Antidepressants in bipolar depression: an enduring controversy. Int J Bipolar Disord (2018) 6:25 \u003cbr/\u003e \u003cbr/\u003e Simon NM, Otto MW, Fischmann D, Racette S, Nierenberg AA, Pollack MH, Smoller JW. Anxiety sensitivity as a potential mediator of panic during manic states. J Affect Disord. 2005 Jul; 87(1):101-5.\u003cbr/\u003e \u003cbr/\u003e  Parker G, Ed. Bipolar II Disorder: Modelling, Measuring, and Managing, 3rd ed. Cambridge, UK: Cambridge University Press; 2019.\u003cbr/\u003e \u003cbr/\u003e Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. 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This channel teaches you about mental health issues and self-improvement. Why? Because education empowers. You will learn about bipolar disorder, depression, anxiety, attention deficit disorder, schizophrenia and more. I group the videos for these topics into playlists. Youtube allows you to save playlists to your library. If you are interested in only one topic, you can save the playlist and see when new videos on that topic are published.' data-trigger='hover focus'\u003e\n\u003cspan\u003eDr. Tracey Marks\u003c/span\u003e\n\u003ci aria-hidden='true' class='fa-solid fa-circle-info channel-tooltip-icon' id='channel-tooltip'\u003e\u003c/i\u003e\n\u003c/div\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eDate\u003c/dt\u003e\n\u003cdd\u003e2019\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003ci aria-hidden='true' class='fai fa-solid fa-language'\u003e\u003c/i\u003e\n\u003cdt\u003eLanguage\u003c/dt\u003e\u003cdd\u003eEnglish\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eAudiences\u003c/dt\u003e\u003cdd\u003e\u003cspan\u003e\u003ca href=\"/search?audience_ids%5B%5D=371079\u0026amp;keywords=graphing+slope-intercept\u0026amp;page=5\u0026amp;search_tab_id=1\"\u003eFor Teacher Use\u003c/a\u003e\u003c/span\u003e\u003c/dd\u003e\u003cdd class=\"text-muted\"\u003e\u003ci class=\"fa-solid fa-lock mr5\"\u003e\u003c/i\u003e2 more...\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eUsage Permissions\u003c/dt\u003e\u003cdd\u003eFine Print: Educational Use\u003c/dd\u003e\n\u003c/dl\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv aria-labelledby='additional-materials-heading' class='rp-info-section'\u003e\n\u003ch2 class='title' id='additional-materials-heading'\u003eAdditional Materials\u003c/h2\u003e\n\u003cdiv class='additional-material'\u003e\n\u003ci aria-hidden='true' class='fai fa-solid fa-lock'\u003e\u003c/i\u003e\n\u003ca class=\"text-muted\" title=\"Video Transcript\" data-html=\"true\" data-placement=\"bottom\" data-trigger=\"click\" data-content=\"\u003cdiv class=\u0026quot;text-center py-2\u0026quot;\u003e\u003ca class=\u0026quot;bold\u0026quot; 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