LYCOS RETRIEVER 
Manic Depression: Patients
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Due to severe mood swings, manic depression is associated to other mood disorders which ... confuses the patient. Its not necessary that the patient will describe each and every symptom in full minute details to his/her doctor. And this lack of proper description leads to wrong diagnosis. This is the reason for considering manic depression as incurable or life-threatening in some cases.
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There are some symptoms similar to manic depression, which are actually caused by other medical conditions. These conditions make it more difficult to identify whether or not the patient really has manic depression. These are:
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Proper diagnosis of the manic depressive symptoms is necessary in order to provide the proper treatment needed by the patient. The symptoms are confusing. The assistance of professional people is important in order to recover properly. Administration of medication is almost always necessary to stabilize the patient. Medications would help a patient respond well to other forms of psychiatric treatments such as psychotherapy and cognitive therapy.
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In general, giving an antidepressant to manic–depressed patients can make their condition worse because this medication can precipitate a switch to manic episode. Although there are some exceptions to the rule (extreme depression, lack of response to mood stabilizers, among others), it is preferable to avoid antidepressants among bipolar patients.
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