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BPD; same thing as Atypical Depression?

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Re: BPD; same thing as Atypical Depression?

Postby katana » Tue Oct 25, 2011 5:17 pm

ajr8 wrote:Everyone here knows about BPD, do you know what Atypical Depression is?

Basics of Depression
1. Intense feelings of emptiness and sadness
2. Loss of interest and pleasure in most activities
Features of Atypical Depression
1. Hypersomnia; sleeping too much
2. Increased appetite or over eating, often leading to disordered eating
3. Mood reactivity; depressive symptoms remit or vanish in response to positive events
4. Interpersonal rejection sensitivity, causing severe relationship and interpersonal problems
Facts about Atypical Depression
1. More common in women, and is rarely diagnosed in men
2. The most common subtype of depression
3. Onset starts earlier than other mood disorders
4. Symptoms are more chronic and cause more dysfunction than other mood disorders
5. Commonly co-occurs with eating disorders, anxiety disorders, and substance abuse

Does any of this sound familiar to any of you? Because it certainly does to me. I see so many similarities with AD and BPD. Does anyone here have a doctor who has mentioned AD to you? There seems to be so much overlap between these two illnesses I'm wondering if there is a connection or if they are like sibling disorders. What do you guys think? Can you identify with AD at all?


Very.

ajr8 wrote:Lilyfairy, that's what happens with atypical depression. When something good happens your mood gets better, but it always comes back, it's like having short but very frequent depressive episodes that go away briefly when things start to go well for you, I can relate to that a lot, same for the other AD symptoms.


Ditto.

ajr8 wrote:It makes me wonder if this particular set of problems is always BPD or just this form of depression, it's confusing me a lot lately because they seem so similar.


Does it really matter...? considering im guessing the prescribed treatment for depression is considered to be antidepressants + therapy, it doesn't necessarily matter too much about dxing it separately. (i'm not feeling much like doing amateur psychology today, right now kinda feeling the need to sort my own $#%^ out too much for that.)

ajr8 wrote:If you ever received this diagnosis, they would have called it Major Depressive Disorder with Atypical features. I'd be willing to bet that Wellbutrin, which I take in the morning, gets prescribed to people with AD, because that medicine gives you more energy and it decreases your appetite.


interesting. im not sure id want to decrease my appetite, i tend to be healthiest when i eat a lot of the right stuff not when i don't eat properly, lol. tho i wouldn't be bothered if i'd still have an appetite but just didn't want chocolate or cream cakes etc lol

doesn't explain how i don't have a damn clue who i am tho. which i never cared about before, but is proving kinda inconvenient now :|

atomicuniverse wrote:What I've noticed in the diagnostic criteria for AD is that it doesn't really have symptoms that would be caused by either a major trauma or a malformation in the brain. It looks like CBT in combination with medication therapy would be an appropriate treatment, whereas with BPD, the appropriate treatment is at least 1 year of DBT only in combination with medication if the symptoms are severe enough. Per the all-knowing Wikipedia, it has also been shown in studies that the underlying cause for a lot of people with AD is a thyroid issue, and not severe childhood neglect, abandonment, genetic pre-dispositions and structural differences in the brain that are shown in people with BPD. I think comparing AD to BPD is like comparing something with surface rust that just needs to be sanded down and shined and something that's rusted all the way through and needs a part to be replaced :/


i actually kinda disagree with this. unless my trauma-based issues and the effect that have had on my life has caused the depression over time. I also tested ok on thyroid tests, but have a lot of atypical depression symptoms, which i believe are linked to/part of/caused by "developmental trauma".
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Re: BPD; same thing as Atypical Depression?

Postby ajr8 » Tue Oct 25, 2011 5:36 pm

Wellbutrin only causes a modest decrease in appetite, it's never so much that you'll notice, but it supposedly helps people who binge eat. Unfortunately for me I still have very unhealthy eating habits, I go about a day or so without eating anything at all, and then spend the next few days eating non stop and spending all my money on food. I spent this entire past weekend eating, going to multiple restaurants a night, constantly buying more food, and stuffing my face. I only stop eating when I worry about gaining too much weight, but luckily for me I haven't been able to gain any weight lately, so I'm free to eat like a horse. I think Wellbutrin makes me skip breakfast, but I eat two dinners a night.

As for sleeping too much, I require a lot more sleep than the average person but I never had that problem until I started taking Geodon at night, so for me it could be a medication issue.
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Re: BPD; same thing as Atypical Depression?

Postby mjpam » Tue Oct 25, 2011 9:14 pm

I'm not sure that one can draw the parallel between the effort to avoid abandonment in BPD and the hypersensitivity to rejection in AD. First, the former is an effort to avoid furture actionand the latter is a reaction to a past action.Further, at least to me, abandonment and rejection are qualitatively different; abandoment, as I understand it, is the temrination of an existing relationship, whereas rejction does not necessarily assume the previous existence of the relationship.

I know that this is most probably hair splittin, but the above explanation delineates my non-expert opnion on the subject. Take for what it is. :)
Dx: ADD, MDD
Current Rx: 300 mg Wellbutrin, 40 mg Viibryd, 2 mg Tenex
Previous Rxs: 200 mg Zoloft
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Re: BPD; same thing as Atypical Depression?

Postby ajr8 » Tue Oct 25, 2011 9:20 pm

They have differences but they are potentially related. And abandonment could be considered a form of rejection, which it is in fact. You say that one just happens prior to a relationship, and the other happens after, so other than that they are very alike.
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Re: BPD; same thing as Atypical Depression?

Postby ajr8 » Fri Oct 05, 2012 1:37 pm

I thought this was relevant again because I'm over eating a lot and over sleeping lately. And my mood is consistently irritable.

Any of the new people here heard of AD or been diagnosed by a doctor?

I still think this disorder has some very strong similarities to BPD.
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Re: BPD; same thing as Atypical Depression?

Postby wineaux » Fri Oct 05, 2012 3:25 pm

this doesn't work for me, but it totally works for my bestie who is dx'd bpII. interesting...thanks for the heads up.

is this cyclical for you aj? :(

Dx: PDNOS, ADHD, MDD, ED (recovering)

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Re: BPD; same thing as Atypical Depression?

Postby ajr8 » Fri Oct 05, 2012 3:36 pm

If you mean cyclical as in coming in cycles, I honestly don't know. I've just noticed these symptoms flare up in the last few days, and usually I get depression after drinking, but I've been sober since July. So it could be cyclical.
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