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PDF Editor FAQ

I’m on venlafaxine and I’ve been experiencing hypomanic episodes. Could antidepressant induced mania/hypomania be a sign of underlying bipolar disorder?

It can be, but usually isn’t.Antidepressants very commonly cause mania/hypomania — it is a standard effect of drugs such as venlafaxine, rather than a strange and atypical reaction to the drug mechanisms involved. In most cases, there is not some underlying concern which drugs have provoked; it is a usual reaction to drug use, especially after dose increases or decreases. However, as you note, sometimes there will be a pre-existing dynamic that drug use is bringing to the fore. This is not necessarily a concern which qualifies someone for a “bipolar” label, but sometimes it can be.Susceptibility to drug-induced mania is not unique to or inherent to experiences meeting the diagnostic criteria for “bipolar”. Some people diagnosed as “bipolar” find antidepressants ‘triggering’, others do not. Other pre-existing concerns can involve drug-sensitive mania, and “bipolar” itself encompasses a variety of differing physical and psychological causes. Personal reactions differ, as will the nature of whatever is labeled as “bipolar” in so-diagnosed patients. The label “bipolar” just states that there are not medical problems or drug effects behind the mania.Whether or not a professional decides to diagnose you as “bipolar” is a somewhat separate matter. Doctors commonly neglect to follow the standard diagnostic criteria when assigning psychiatric diagnoses, and misattributing organic manias to “mental illness” is one of the most prevalent forms of misdiagnosis seen today. More than a few doctors will even say that antidepressant-induced mania always qualifies someone for a “bipolar” diagnosis, regardless of what official guidelines state.Something to make most clear here is that “bipolar” is not something which can be ‘underlying’, per se. It is not an illness we can have or note have. It is just a label used to refer to a certain collection of experiences retroactively, based on whether or not they meet certain vote-based psychosocial criteria. It is a label of convenience rather than a statement about something being physically present, and the dynamics involved are not specified by the use of a diagnostic label.Getting professional help to troubleshoot the situation is certainly advised, as mentioned by other posters. Evaluating for organic causes, seeing how you feel if you slowly taper off the venlafaxine and stay sober for a while, and looking at your history of mental experiences are some steps that should be taken to try and contextualize the hypomania you keep encountering. Notably, sometimes these manic reactions are about the convergence of multiple factors, and will be set off only when multiple conditions are met. It isn’t always a simple thing to track down.

What if I went to North Korea and spit in Kim Jong-un’s face? Would America come save me?

This is what happened to University of Virginia student Otto Warmbier when he stole a political flag from his hotel hallway.WikipediaOtto WarmbierOtto Frederick Warmbier (December 12, 1994 – June 19, 2017) was an American college student who was imprisoned in North Korea in 2016 on a charge of subversion. In June 2017, he was released by North Korea in a vegetative state and died soon afterward.Otto WarmbierBornOtto Frederick WarmbierDecember 12, 1994Cincinnati, Ohio, U.S.DiedJune 19, 2017(aged 22)Cincinnati, Ohio, U.S.EducationUniversity of VirginiaDetainmentCountryNorth KoreaDetainedJanuary 2, 2016ChargeSubversion(through attempted theft of a propaganda poster)Sentence15 years' imprisonmentReleasedJune 12, 2017Warmbier entered North Korea as part of a guided tour group on December 29, 2015. On January 2, 2016, he was arrested at Pyongyang International Airport while awaiting departure from the country. He was convicted of attempting to steal a propaganda poster from his hotel, for which he was sentenced to 15 years' imprisonment with hard labor.Shortly after his sentencing in March 2016, Warmbier suffered a severe neurological injury from an unconfirmed cause and fell into a coma, which lasted over a year.North Korean authorities did not disclose his medical condition until June 2017, when they announced he had fallen into a coma as a result of botulism and a sleeping pill. He was freed later that month, still in a comatose state after 17 months in captivity. He was repatriated to the United States and arrived in Cincinnati, Ohio on June 13, 2017. He was taken to University of Cincinnati Medical Centerfor immediate evaluation and treatment.Warmbier never regained consciousness and died on June 19, 2017, six days after his return to the United States when his parents had requested his feeding tube to be removed.A coroner's report stated that he died from an unknown injury causing lack of oxygen to the brain.Non-invasive internal scans did not find any signs of fractures to his skull.In 2018, a U.S. federal court found the North Korean government liable for Warmbier's torture and death, in a default judgment in favor of Warmbier's parents after North Korea did not contest the case.In 2019, U.S. President Donald Trump caused controversy after saying that he believed the word of North Korean leader Kim Jong-un that Kim was not responsible for Warmbier's death. In response, Warmbier's parents criticized Trump for making excuses for Kim and "his evil regime".

How is BJP president Amit Shah as a person?

I put up some points about amit shah here and leave it to the reader to decide how is Amit Shah as a perosn.Amit Shah does not wear Watch, because he believes that the culture of giving gifts in public life starts with watch and pen. And he decided to stop this culture.Around 1985, Shah was contesting a college election. One day before the voting, his opponent was ahead in the race as most of the girls students' vote was with him. On the night before the day of voting, family of all the girls were called and told that there may be violence in the election tomorrow. Due to which family of the girls did not send them to vote and Shah won the election.Once in MLA's election, Shah noticed that there were no posters of his opponent. So he asked his assosiates to stick the posters of his opponent. The reason behind this is the party workers will feel that his opponent is strong and then they will make full efforts.Amit Shah turned his troubles into opportunity. Plenty of cases were filed against Shah, he had to leave Gujrat and stay in Delhi. A new place , unknown people, away from the family, court hearings all the time. If these things had happened to someone else, the person would have left politics. But Shah did not give up. He turned his problem of living in Delhi into an opportunity, used this time to understand the politics of Delhi, which helped him a lot after becoming president of BJP.5. Amit Shah makes very few trips abroad. There are two reasons behind this, one is he doesn't want to waste his time, and second Shah belives that India has lot of places the world should see.6. In personal life Shah's attitude is progressive. When it comes to his son's marriage, Shah supported intercast marriage and Shah's son Jay Shah has inter-cast marriage.7. When Shah just became the chairman of Ahmedabad State Co- operative Bank in 2000, the bank was in a loss of 20 crores, within a year Shah's strategy led the bank to a profit of 6 crores.8. Shah became the youngest national president of BJP at the age of 49.9. Under Shah's leadership BJP started his membership campaign and became the largest party in the world.10. Amit Shah has won all the elections he contested.11. Shah is in the habit of writing journal, he says that it is for his own evaluation.12. At the age of 13, Shah used to stick posters to campaign for Mani Ben Patel, daughter of Sardar Patel. Mani ben was fighting against the oppressive policies of Indira Gandhi.13. While Modi ji was born in a lower middle class OBC family, Shah was born in a rich Vaishnav family in Mumbai.Amit Shah's Parents :Thanks.Sources : booksP.S. = If Rahul Gandhi or any Congress Leader had made even 10 percent of the efforts that ‘Shah did to strengthen BJP', then the Congress would not have faced the fate as today.Edit 1 : Thanks for more than 2k upvotes. Read how Narendra Modi is as a person in below answer. This answer has some interesting facts about Narendra Modi also.Ravish Pathak's answer to What are some of the most mind-blowing facts about Narendra Modi?

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