[QUOTE=kshow215]
Originally Posted by kshow215
cymbalta caused hypomania for several weeks in me lamictal a mood stabilizer is better for bipolar individuals, for not being as likely to cause mania/hypomania and being very good for bipolar depression. Lithiam is a better choise for individuals with predominant mania, or in combination with cymbalta or other antidepressants.[/QUOTE
Medication all depends on the individual persons symptoms, reactions to different medications, and your doctors supervison, and opinion. The bottom line is that medication assisted treatment will most likely be a better alternative, than not.
An issue with dual dianosis individuals, is that substance abuse can imitate many symptoms that are similar or the same as certain mental disorders, but there is diagnostic criteria for dual diagnosis people, and mentally diagnosed people. Definitave diagnosis can be achieved with significant periods of sobriety, and the presence of diagnostic criteria for mental disorders after a period of sobriety, as well as certain criteria that confirms mental disorders regardless of substance abuse, depending on the certain individual.