To: gao seng who wrote (139 ) 7/31/1999 3:16:00 PM From: Brander Read Replies (2) | Respond to of 193
Against my better judgement, I'll try one more time. Mania is a medical syndrome, classified as a mood syndrome. When a person has a history of at least one medically defined manic episode and depressive episode(s), this person has a medical illness called Bipolar Active Disorder (Manic Depression). Violence is a behavior with many etiologies; it is not a medical illness or medical syndrome. One can certainly be violent and not manic. Causes of violence include neuropsychological factors, genetic determinants, hormones (such as endocrine disease), neurotransmitters, alcohol and drugs, developmental factors, socioeconomic factors, psychiatric disorders, and I'm sure you can name others. Psychiatric Disorders, which mania falls under, is just one of the many etiologies of violent behavior. It should also be noted that violent behavior is relatively rare overall in people with psychiatric disorders, but it is greater than in the general population. Now, concerning the original point. It is very well known by the medical community that antidepressants, when used by themselves, can induce a manic episode in a patient with bipolar affective disorder. This has been known for decades. Antidepressants should, in general, not be prescribed as the sole medication for a patient with bipolar affective disorder because of the risk of inducing a manic episode. This would be considered an improper usage of medications, not in line with the standards of medical care. This is consistent with my statement that psychotropic medications, when used according to accepted medical standards, do not induce violent behavior.