Unipolar or MDD is me being down (depressed all the time). I am only "up" because I take medications and they are not effective 24/7. I just had to up my lamictal because it wasn't working or I wasn't working or something.
Bipolar is like a pendulum on one side of the arc is severe depression on the other side of the arc is mania. A person's pendulum (mood) swings from side to side (not necessarily all the way to either extreme nor is the time frame consistent). There are different types of Bipolar. Bipolar 1, 2 and mixed and maybe some others (memory and depression).
I get some good information from www.nami.org, www.dbsalliance.org, www.crazymeds.org (be sure to read the disclaimer and source of information and consult with your physician before doing anything). and then the www.nimh.nih.gov
I hope these sights help you learn about these things.
It is not important for me to have a label as much is it is how to recognize what is going on with me from day to day and do something about it. If you NEED a label - there is nothing wrong with that. That is why we are all unique! We all have unique needs!
They also ask if a person is easily agitated, been involved in sexual promiscuity, those are some common characteristics of a person with bipolar disorder, but if a person answered yes to all of them, they may not be bipolar. There are some tests that can be used as a diagnostic TOOL but they are not totally conclusive and the results can be determined to be invalid.I understand the Beck Depression Inventory is good in determining the extent of depression. The MMPI has also been a useful diagnostic tool. There are others I am not remembering I am sure. I took a bipolar questionnaire of some sort with my psychiatrist. However, psychiatrist don't use these as much as psychologist. The diagnosis comes much more subjective and from the answers to the questions and over time. The DSM-IV-TR is used and if a person meets the criteria outlined there, then that's the DSM code you get stuck with, thus the label. The DSM-IV-TR is not available on line but you can read about it and what it is. It is also necessary code for most insurance just like ICD and CPT codes are used for medical conditions.
I have worked in the mental health field for a number of years and the diagnostic codes don't seem to matter as much as the fact that the treatment is working for whatever reason. There are four different major types of meds used in the treatment of MDD. Some are SSRI (Selective Serotonin Reuptake Inhibitors), tricyclic antidepressants, MOAI (monoamine oxide inhibitors) and some others if they got a name I can't remember it (lol, the depression kicks in here). Anyway there are other treatments for people who are depressed like ECT and vagus nerve stimulators, but those are extreme (in my opinion). I am not as familiar with treatment for bipolar disorder. I did not know that lamictal could be used to treat MDD either, but it is approved in the US for treatment of depression, as well as seizures and bipolar disorder.
I wanted to know everything I could comprehend about my condition. I studied (so slowly, ever so slowly) due to the concentration and focus difficulties - I still have lots of problems reading - but keep plugging away at it to learn more. I learned about both bipolar and unipolar. I bought what I think is a great book - called The Bipolar Workbook by Monica Ramirez Basco, PhD. It is also CBT based (cognitive behavioral therapy). If I could find a CBT certified therapist within 150 m