User talk:Mcman

Welcome to the Wikipedia!
Welcome to the Wikipedia, Mcman! And thanks for contributing the new section to the Clinical depression article. Hope you enjoy editing here and becoming a Wikipedian! Here are a few perfunctory tips to hasten your acculturation into the Wikipedia experience:


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Best of luck, Mcman, and have fun! Ombudsman 01:03, 4 January 2006 (UTC)

You are NOT a clinician...
Kindly desist from adding content that serious professionals would find suspect, at best...unsupportable nonsense, at least. Mjformica 03:10, 4 January 2006 (UTC)

Happy now!?!!
...you big, fat egomaniac! :-) I included all of your work and ideas in the expansion of your edits.  Make certain I didn't screw anything up, from your perspective. --Mjformica 00:49, 5 January 2006 (UTC)

You're welcome
The English is perfectly clear, maybe just a bit too lofty -- an editorial shortcoming of mine. Feel free to dumb it down. I am, as you pointed out, a collaborative editor -- which means I am your editor, and you, mine. I continue to hold, however, the previous contributions you made on several counts were patently incorrect, and demonstrably mis-informed. No libel there...an informed statement of fact. Your threats, however, are a different matter altogether.

Kindly make certain that all the references to research that you've made and I have included are cited appropriately, as per the request of the Wiki-Admin. He was a bit stern about that.

And the big, fat egomaniac comment was a jest...lighten up, son. Restraint my asana.

You're doing good work, as a patient advocate and educator. Just keep your facts straight and your point of view out of it. One of things that is so screwed up about my profession is that it is all too often agenda driven. Change starts at home... --Mjformica 05:01, 5 January 2006 (UTC)

Mores cites...
Hey...I'm wondering if you have the citation info for the Mood Spectrum section that you put into the Bi-polar I page. Maybe you could add them. --Mjformica 12:29, 5 January 2006 (UTC)

Pissing contest
Will you please stop this nonesense. I understood us to have gotten past our initial rancor with one another and that we were collaborating on this section. --Mjformica 15:45, 6 January 2006 (UTC)


 * Gee Wiz guys.... I have been working on the Bipolar article for a while now trying to bring some sanity and accuracy to a very jumbled up mess. Mcman, I know you- having been quoted in your newsletter and having known people associated with you for quite a long time now. Mjformica, I don't know you, but you've apparently got the academic qualifications than neither Mcman or I have. Perhaps we can all act like civil adults and work together talking things out on the article discussion page and respect the strengths that each brings to the table without any snarking or sarcasm? Hmmm???Curlywhirly 16:49, 6 January 2006 (UTC)

Stop taking things so personally, would you?
I did not suggest that you dumbed things down. I asked you to "dumb down" my writing to a standard that would be acceptable to the forum, and I admitted to my own high-brow tendencies. To dumb something down is not a perjorative, but an editorial colloquialism that I have heard in academic and professional circles for years, and refers specifically to the talent of writing to a specific audience in a specific forum. It was not meant to be offensive.

As for not having your experience, well, that's arguably a judgment on your part, as are some of your other comments.

As I noted in the public forum, I won't touch your stuff unless I ask from this point forward.

As for getting banned...it takes two to tango, and no one is going to ban two professionals with so much to contribute.

Do me a favor, re-write our combined effort to a standard that you feel is appropriate to the forum, tell your mediator to go out for coffee. I will ask the other members to disregard my formal RFC, and I will go out and buy a copy of Scientific American after I'm done with my patients today. Fair? Good...because I'm done. --Mjformica 13:15, 7 January 2006 (UTC)

How's this?...
The different types of Depression and Anxiety are classified separately by the DSM-IV-TR, with the exception of hypomania. Despite the different categories, depression and anxiety can be either co-occurring (occurring together, independently, and without mood congruence), or co-morbid (occurring together, with overlapping symptomology, and with mood congruence). In an effort to bridge the gap between the DSM-IV-TR categories and what clinicans actually encounter, experts such as Herman Van Praag of the Maastricht University have proposed ideas like anxiety/aggression-driven depression citation?. Ideas similar to this refer to an anxiety/depression spectrum, which is different from the mainstream idea of discreet diagnostic categories.

While there is no specific diagnostic category for the co-morbidity of depression and anxiety in the DSM or ICD, the US National Comorbidity Survey reports that some 58 percent of those with major depression also suffer from lifetime anxiety citation?. In anecdotal support of this, two widely accepted colloquiallisms of clinicians and diagnosticians are: •	agitated depression - referring to a state of depression that presents as anxiety, that includes akethasia, insomnia (not early morning wakefulness), non-clinical (meaning “doesn’t meet the standard for formal diagnosis”) and non-specific panic, and a general sense of dread. •	akethetic depression - referring to a state of depression that presents as anxiety, and includes akethasia, but does not include symptoms of panic.

It is important to note that, while widely accepted, this is general terminology that is used much in the same manner that a cardiologist might use more common references to describe what diagnostically would be called congestive heart failure.

It is clear, then, that even mild anxiety symptoms can have a major impact on the course of a depressive illness, and the co-mingling of these symptoms is important to consider. A pilot study by Ellen Frank PhD, et. al., at the University of Pittsburgh found that depressed or bipolar patients with lifetime panic symptoms experienced significant delays in their weeks to remission citation?. These patients also had higher levels of residual impairment, or the ability to get back into the swing of things. Robert Sapolsky PhD of Stanford University, and others, argue that the relationship between stress, anxiety, and depression could be measured and demonstrated biologically. citation?.

Hypomania, a diagnostic category that includes both anxiety and depression, can be described as a state of anxiety that turns inward and presents as clinical depression Patients in a hypomanic state describe a sense of extreme generalized and/or specific anxiety, re-recurring panic attacks, night terrors, guilt, and agency (as it pertains to co-dependence and counter-dependence). All of this happens while they are in a state retarded or somnolent depression. This is the type of depression where a person is lethargic and unable to move through life. Like "agitated" or "akethetic" depression, the terms “retarded” and “somnolent” depression are shorthand for states of depression that include lethargy, hypersomnia, a lack of motivation, a collapse of ADLs (activities of daily living), and social withdrawal.

In considering the hypomanic variant of depression, one other distinction should be made. That is the differentiation among anxiety, panic, and stress. Anxiety is a physiological state that is caused by the sympathetic nervous system. Anxiety does not need an outside motivator or influence. Panic is a reactive state, induced by an outside stimili, that is also a product of the sympathetic nervous system. Panic is related to the instinctual "fight or flight" mechanism. Finally, stress is a psycho-social condition for which a person volunteers, based on the manner in which s/he filters non-threatening external events. This is based on his/her own ideas, assumptions, and expectations. These ideas, assumptions, and expectations compass a notion referred to as social constructionism.

On a final note, researchers at the University of California, San Diego under the guidance of Hagop Akiskal MD, have found convincing evidence for the co-occurrence of hypomanic symptoms associated with diagnosed depression that do not warrant a bi-polar diagnosis citation?. Symptoms under consideration, such as irritability, mis-directed anger, and compulsivity, may not present sufficiently to be considered a hypomanic episode as described by a Bipolar II Disorder. As noted in the Frank study citation? mentioned above, this particular course of the disease may have a significant impact on the overall course of the depression.

This idea is supported in a study by Giovanni Cassano MD of the University of Pisa, and his collaborators on the Spectrum Project, who found a correlation between lifetime hypomanic and manic symptoms, and the severity of the depression. citation?

“The presence of a significant number of manic/hypomanic items in patients with recurrent unipolar depression seems to challenge the traditional unipolar-bipolar dichotomy...”

The authors, along with many other researchers, argue in support of a revision of psychiatric diagnosis into what is referred to as a mood spectrum approach “...in making more accurate diagnostic evaluation[s].” This approach, although controversial, has begun to be taken seriously by many behavioral health professionals.

Psychology Wiki
Hey McMan,

I noticed that you are interested in Psychology, and thought you might be interested in this project which I am involved in, The Psychology Wiki.

I won't say too much, as I'd like you to judge it for yourself, but you should find that it is different from Wikipedia, because approximately 90% of our contributors so far are psychologists, either professionals like yourself, academics, or students and trainees.

Our site is hosted by a company called Wikia, which was founded by Jimmy Wales and Angela Beesley. There are Google Ads on the site, but we dont make money from the project, they're just to pay for the bandwidth, storage and technical support that Wikia give us.

Have a look and see what you think...

Mostly Zen 23:56, 30 July 2006 (UTC)

PS: If you want to update our sections on Bipolar & unipolar depression please feel free to do so. If you think we are a valuable resource, please would you consider mentioning us on your website? We are quite small but growing very quickly, and need more contributors to make our project a success.

File permission problem with File:Mcman4.jpg
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