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Thyroid disease may also be a physiological trigger, suggests research by Stephen Pariser, M.D., a psychiatrist and mood-disorders specialist at Ohio State University Medical Center.
It's the manic episodes that lead ...
It's the manic episodes that lead to a diagnosis of bipolar disorder and make sufferers different from those who have "pure" depression, said Dr. Stephen Pariser, director of the Mood Disorders Clinic at Ohio State University Medical Center.
While some types of mania are easy to recognize -- people who become suddenly euphoric, excessively talkative and energetic without sleep -- others are equally or more common and less obvious, complicating and delaying diagnosis, he
Whichever type of mood variations a bipolar person experiences, if they're mild, they're often brushed off as normal mood swings, hormonal changes or reactions to stress, Pariser
"Antidepressants can actually make bipolar [patients] worse, make them more agitated and cycle more," Pariser
added: "The irony is that while these patients can present as some of the sickest individuals anyone could ever imagine seeing, at the same time once they get well . . . they have great potential for a full and rich life.
Stephen Pariser, M.D.Dr. Pariser is a professor of clinical psychology and the director of women's mood disorder clinic and geriatric psychiatry at The Ohio State University. He received his M.D. in 1972 at The Ohio State University.His
postgraduate education included a rotating interm at USC-Los Angeles County Medical Center
(1972-73), a psychiatry residency at the Ohio State University
(1973-76), and an ob/gyn residency at Mount Carmel Medical Center
major interests include psychopharmacology of mood disorders, geropsychiatry and sexual & marital health.He
has published 12 articles 10 book chapters and has written 1 book.
Bipolar Disorder (Children and Adolescents)
Stephen F Pariser, MD
The Ohio State University
Pregnancy Today – Prepared for Postpartum: Understanding Postpartum Depression
"There have been quite a number of published studies looking at mothers who breastfeed and take newer anti-depressants, and they offer encouraging results," says Dr. Steven Pariser, professor of clinical psychology and obstetrics and gynecology at The Ohio State University Medical Center.
"People don't have the same acceptance of depressive illness as they have for diabetes, hypertension and hypothyroidism, and that's an unfortunate fact," Dr. Pariser
"It's wonderful if spouses help the new mother get help, not only professionally but at home," Dr. Pariser
..."Very little in terms of clinical, postpartum depression is the result of societal expectations," says Dr. Steven Pariser, professor of clinical psychology and obstetrics and gynecology at The Ohio State University Medical Center who directs both the Depression Research Program and Women's Depression Clinic.
"At the same time, it's not helpful to a new mother to be feeling so poorly and have everyone around her
dumbfounded by the fact that she
isn't celebrating.Stress, financial or relationship issues, marital problems, job-related concerns - a lot of factors can make it worse, and we try to address them all."
So misinformed is the general public about this very common and treatable condition that Dr. Pariser
fears the Andrea Yates case, in which the Texas woman was convicted of drowning her
five children, pushed informational progress back at least a century."She
did not have postpartum depression," says Dr. Pariser
"Addressing any other psycho-social issues - relationships and other co-morbid conditions that make it worse - is important," Dr. Pariser