Thank you, I'm not sure why my son is going to have blood tests and ECG when he has suspected bipolar and yet his nurse is talking about SSRIs. Like you've said I thought blood tests would have been for lithium or something?
Like Kitty said, SSRIs are a VERY bad idea if someone is bipolar (or suspected) as they can trigger mania/ hypomania. This happened to me --and bastard CMHT wouldn't believe me, twats--) Sometimes SSRIs are prescribed with a mood stabiliser to avoid this though. Blood tests and ECG probably just standard before any meds are started.
I've just run this by my DH who specialises in mood disorders. SSRIs are used in bipolar, BUT he's used them twice in 10 years and only for treatment resistant patients. They should never be used as first line treatment and never without a mood stabiliser otherwise you run the risks of the problems the pps have experienced.
It depends on the nature of the bi polar. I am diagnosed with big polar 2 and my lows are worse than the manias. I have been on an ssri for a few years and it really works. I have been advised to reduce the dose if I start getting high but I am now aware of triggers and behaviours and have managed this reasonably well.