Dr. Bill Wilson argues that bipolar II is often misdiagnosed CARB Syndrome, not true bipolar disorder. He says patients are wrongly prescribed atypical antipsychotics that worsen outcomes and cause weight gain, calling the trend a clinical tragedy.
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There used to be just one bipolar. You became psychotic and depressed with interspecial with depression. And then in the last 30, 40 years, they started seeing some folks that became hypomanic, never got manic and some mood swings. And they thought, well, it's kind of like, looks like bipolar. Not totally. Let's call the original 1 bipolar 1, and we'll call this 1 bipolar 2. That's carb syndrome. It has nothing to do with bipolar. Put them on an atypical psychotic. What's going to happen? They get worse and they gain weight. Okay. We're seeing tons of patients now that fit into that category, and I feel that's a horrible tragedy. I want to tell patients, you know, that that's not where you want to go.