I could get a second opinion. I have to deal with my insurance company to make a change. I guess to get a better understanding I will have to ask someone else. I don't know enough about Bipolar to know if he is coming up with something weird or not. I allways thought Bipolar people live in extremes as far as being really anxious or down and out really depressed. I have had some very bad anxiety but not so much on the depression. Back in 2000 my father and father in law died I got depressed and was experiencing depersonalization. I told this doctor about that so maybe he thought that was significant in coming up with his thoughts. I hate to go to another doctor and tell them his bipolar thoughts because that influences their diagnosis. I have been to couple other psychiatrists through out the past 23 years and had not been told this. Maybe this new psy doctor is really good on diagnosis or way off track. I don't know. I just was curious to find out what the rule of thumb is about the 2 different types of antidepressants affect on people if they are bipolar. My GP doctor says the Sri work good on bipolar people. I was telling him about what this psy doctor had said. Oh well some where along the way it will get straighten out. Linda