Backwoods
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(I have followed along intermittently and missed her string of diagnoses. This explains a lot.)
Her depression could be situational r/t her severe OCD, but this diagnosis more likely came from the depressive side of her bipolar disorder.
Here is the big problem in treating OCD patients who are also bipolar: Antidepressents (the older ones and SSRIs) are effective in controlling symptoms of OCD, BUT they are risky/tricky to prescribe to bipolar patients.
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If Julia was placed on SSRIs for her depression or for her OCD and she was not being frequently assessed/meds adjusted, she could have been manic when Sky disappeared. She might still be manic.
snipped you a little for space and bbm: extremely important consideration here! (in fact, your whole post is, IMO)