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is it straight, unipolar depression? does your friend have any mood variability or instability, such as being overly energetic, along with being mean?
i'm just mentioning that because a lot of depressed people end up being diagnosed with a form of bipolar disorder, and they never thought they could be bipolar.
hypomania, or the state below a full mania, can include just being a bear to be around (with other symptoms, but that's the main one you'd most likely observe).
being bipolar isn't always living on these god-like highs. it can feel like the world is closing in on you in a hypo or manic state, and the need to lash out may be pressing.
i'm NOT a medical professional and obviously can't diagnose anything. however, i'm trying to contribute ideas that haven't been mentioned.
just as in unipolar depression, bipolar people can be snarky.
i'd watch out for: 1. increased energy 2. decreased need for sleep 3. racing thoughts/quick speech 4. increased sexual promiscuity/activity (being perhaps irresponsible) 5. eating more or less than usual, usually less 6. exercising too much 7. starting strange projects.....
this probably doesn't ring a bell, but if it does, your friend should see the pdoc and get evaluated for perhaps a form of bipolar disorder.
just my thoughts.
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Current cocktail: Abilify 30mg. Adderall XR 30mg, Lamictal 400mg, Wellbutrin 300mg, Lithium 1200mg
DX: BP1, ADHD, and PTSD
In tribute to my dad, BP1 suicide.
"She sits in a corner by the door...there must be more I can tell her. If she really wants me to help her, I'll do what I can to show her the way, and maybe one day I will free her. But I know, no one can see through her. Lisa, Lisa, sad Lisa, Lisa..."
-- Sad Lisa by Cat Stevens
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