Advertisement
Thanks Thanks:  0
Likes Likes:  0
Page 1 of 2 12 LastLast
Results 1 to 10 of 15

Thread: Anxiety disorders can impair bipolar outcome

  1. #1

    Anxiety disorders can impair bipolar outcome

    Anxiety disorders can impair bipolar outcome
    Sept. 1, 2004
    Psychiatry Matters

    Multiple comorbid anxiety disorders are fairly common in patients with bipolar disorder and can lead to a poor outcome, say Canadian researchers who found that the type, rather than the number, of anxiety disorders may be a key factor.

    "We found that an increasing number of diagnosed anxiety disorders did not predict worse outcomes for our participants. In contrast, it appeared that presence of certain anxiety disorders, generalized anxiety disorder (GAD) and social phobia specifically, were more likely to be associated with negative outcomes on a variety of illness measures," explain Khrista Boylan (St Joseph's Hospital, Hamilton, Ontario) and colleagues

    For their study, the researchers used structured clinical interviews to determine the rates of GAD, panic disorder, social phobia, obsessive-compulsive disorder, and post-traumatic stress disorder in 138 patients with bipolar disorder.

    The impact of one or more comorbid anxiety disorders on mood symptoms and general functioning was then evaluated over a 3-year period.

    Over half (55.8%) of the participants had an anxiety disorder, and close to one third (31.9%) had multiple anxiety disorders.

    The results showed that patients with comorbid anxiety disorders had an earlier age at onset of illness, had more depressive symptoms, spent a significantly greater proportion of the year ill, and tended to have lower Global Assessment of Functioning scores than bipolar patients without an anxiety disorder. There was also the tendency for anxiety disorders to be associated with a rapid cycling course of bipolar illness.

    The researchers report in the Journal of Clinical Psychiatry that, with regard to negative outcomes, the number of anxiety disorders was found to be less important than the type, with GAD and social phobia having the most negative impact.

    "It is obviously important clinically to screen for and treat anxiety disorders in patients with bipolar disorder," Boylan and team conclude.

    "Future studies will need to focus on optimal pharmacologic and nonpharmacologic approaches to treating these comorbid conditions as there are few data describing the best management of any anxiety disorder in a patient with bipolar illness."

    J Clin Psychiatry 2004; 65: 1106-1113

  2. Advertisement
  3. #2

    Re: Anxiety disorders can impair bipolar outcome

    just wondering if there is an update to this article... ??

  4. #3

    Re: Anxiety disorders can impair bipolar outcome

    Does anyone know or has anyone heard differently from this article if this is still the case here. I mean since it's from 5 years back, is it possible there has been different findings?

    Sorry, I know I ask a lot of stupid questions, they are important to me though.

    Please and thanks.

  5. #4

    Re: Anxiety disorders can impair bipolar outcome

    I don't know. I can't say I've seen any replications of the findsings or followup studies.

    Based on what I see clinically, my guess is that many patients with bipolar disorder have some sort of anxiety-based issues, for example OCD tendencies. Does that make for a negative prognosis? I would say no, as long as those auxiliary issues are recognized, identified, and treated.

  6. #5

    Re: Anxiety disorders can impair bipolar outcome

    That just freaks me out a little because I am diagnosed bipolar,GAD, and was diagnosed with social phobia before the AvPD. Is there anything else that can add to my struggles of getting better...(that's rhetorical.) Frustrating.

  7. #6

    Re: Anxiety disorders can impair bipolar outcome

    Quote Originally Posted by STP View Post
    That just freaks me out a little because I am diagnosed bipolar,GAD, and was diagnosed with social phobia before the AvPD.
    Did you read this part?

    Quote Originally Posted by David Baxter View Post
    Based on what I see clinically, my guess is that many patients with bipolar disorder have some sort of anxiety-based issues, for example OCD tendencies. Does that make for a negative prognosis? I would say no, as long as those auxiliary issues are recognized, identified, and treated.
    You are already being treated for your anxiety issues so it's not like it's "situation: hopeless".

    It's like having more than one physical health condition. Suppose you have, for example high blood pressure plus a thyroid disorder. Does that mean you have a negative prognosis because you have more than one condition requiring treatment? No, because both are treatable conditions.

  8. #7

    Re: Anxiety disorders can impair bipolar outcome

    I did read that. lol I'm sorry I have to read a lot of things over and over before they actually sink in, if they do at all. Apparently I read it the once but, it didn't stick.

    I understand what your saying about it not having to be a hopeless situation. Just with treatments not working so well anymore( on me personally) it's hard to look things with hope or patience anymore.

  9. #8

    Re: Anxiety disorders can impair bipolar outcome

    Unfortunately, it can be very difficult to find the right combination of medications to effectively treat bipolar disorder. I understand why you feel frustrated and discouraged, but don't give up hope. Keep working with your doctor and making sure s/he has all the information necessary, e.g., side-effects, symptoms not getting better, symptoms getting worse, new szymptoms emerging, etc. As team, eventually you'll get there.

  10. #9

    Re: Anxiety disorders can impair bipolar outcome

    Quote Originally Posted by David Baxter View Post
    Unfortunately, it can be very difficult to find the right combination of medications to effectively treat bipolar disorder. I understand why you feel frustrated and discouraged, but don't give up hope. Keep working with your doctor and making sure s/he has all the information necessary, e.g., side-effects, symptoms not getting better, symptoms getting worse, new szymptoms emerging, etc. As team, eventually you'll get there.
    Thank-you. I try to tell my psychiatrist everything with the little time I have with him (a busy guy).
    I just feel like all the years are going by so fast, I don't want to be on my death bed finally feeling happy. It's just hard to keep up with "hope" after awhile.
    I do know that "hope" is the only thing that will keep me going forward. I use to be able to see the positives in things that sucked, I can't even do that anymore. Well, for others I can. It just seems impossible to find any when I have been this cruddy for this long.:fool:

  11. #10

    Re: Anxiety disorders can impair bipolar outcome

    Quote Originally Posted by STP View Post
    Thank-you. I try to tell my psychiatrist everything with the little time I have with him (a busy guy).
    I often advise clients to make a list and keep adding to it between apointments so when they do get to see the psychiatrist they can just hand it to him/her.

    Quote Originally Posted by STP View Post
    I just feel like all the years are going by so fast
    Believe me, we all feel like that!

    Quote Originally Posted by STP View Post
    I don't want to be on my death bed finally feeling happy. It's just hard to keep up with "hope" after awhile.
    Yes. That's where "grit and determination" comes in.

    Quote Originally Posted by STP View Post
    I do know that "hope" is the only thing that will keep me going forward. I use to be able to see the positives in things that sucked, I can't even do that anymore. Well, for others I can. It just seems impossible to find any when I have been this cruddy for this long.:fool:
    Again, as I often say to clients, at those times when you find it hard to maintain hope, hang on to the hope and faith that others have for you.

Page 1 of 2 12 LastLast

Similar Threads

  1. Replies: 5
    Last Post: February 3rd, 2006, 03:14 AM
  2. Anxiety exacerbates bipolar disorder
    By David Baxter in forum Bipolar Disorder, Cyclothymia
    Replies: 0
    Last Post: January 6th, 2005, 12:24 PM
  3. Eating disorders often follow childhood anxiety disorders
    By David Baxter in forum Anorexia and Bulimia
    Replies: 2
    Last Post: December 27th, 2004, 12:18 AM
  4. Bipolar Disorder and seizure disorders
    By Ash in forum Bipolar Disorder, Cyclothymia
    Replies: 1
    Last Post: August 31st, 2004, 12:03 PM
  5. Anxiety Disorders and Headaches
    By David Baxter in forum Headaches and Migraine
    Replies: 0
    Last Post: June 10th, 2004, 11:49 AM

Bookmarks

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Disclaimer: PsychLinks is not responsible for the content of posts or comments by forum members.

Additional Forum Web Design by PsychLinks
© All rights reserved.