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Hypomania Part IV: It Can Make Us Want to Crawl Out of Our Own Skin

By John McManamy, Health Guide Friday, March 10, 2006
Hypomania is not all fun and games.While working on technical update to the DSM, Trisha Suppes MD, PhD of the University of Texas Medical Center in Dallas carefully read its criteria for hypomania, and had an epiphany. "I said, wait," she told a UCLA grand rounds lecture in April 2003, "where are a...
Fred and Ginger, and I'm in Heaven
Anonymous
Ericka
6/20/06 9:20pm
I am reading the series on hypomania, but I can't get access to the first installment. Can you help me with this? I would like to read that installment particularly. ***************************************** Hi Ericka, You can access it here. Thank you for reading, John
Anonymous
Jennifer
8/25/06 5:34pm
I lost my job due to my former psychiatrist. He took away some of my stabilizing meds and put me on a de-stabilizing med for no reason. He had no idea I was bipolar II ... nor did he care. I wound up unknowingly being in a mixed state, and completely blew it when an employee whined to me (I was a human resources manager at that time) that someone had written a curse word in the dust on his car's hood. I had had it with this employee's complaints and my manager's total lack of comprehension of the stress she continually put me through. Needless to say, I gently told my manager what I thought about her management techniques and the resulting situations SHE created. She fired me on the spot. If only I had been given the right diagnosis, the right meds, and had had the right psychiatrist, I would be working now. As it is, I have been out of the workforce for years. But I have a good psychiatrist now that diagnosed me correctly immediately and listens to me. I just wish I had been diagnosed correctly years ago. I look forward to reading your book, John. Thank you for your wonderful newsletters - I've learned a lot about my disorder thanks to you.
Anonymous
Robby
8/26/06 11:40pm
During phases of hypomania, I have encounter great and ingenious ideas and lots of energy. However, trying to go to work 9-5, five days a week is tough. IT is hard to be both hypomanic and work at the same time. I've tried 200mg of Seroquel to bring be down, which does the job somewhat but not enough. Hopefully my irritability will go away soon. . .
Anonymous
paule lepage
10/17/06 11:17pm
hi john, i just learned that im not so crazy. im not depressed very often but im up all the the time and /or aggitated , going to my groupes i felt like a fraud because i wasnt down like the others. i fired my psychiatrist because i felt he was cold and robotic, my psychologists left for a better life and i loved her she was a real friend. now i have my family doctor with our health care system in quebec i see her once every six months thank u now i fit.... paule
Anonymous
Riley
11/ 1/06 12:29am
Hi, I'm from England, and as far as I understand it, the diagnosis and treatment of Bipolar disorder is well... 'poor'. I am just 18 and have a really fast cycle of deep depression with rare Euphoria, but regularly feel angry and frustrated. I realise at this point I sound like most 14 year olds. I don't actually know why I posted, I suppose mainly because I am struggling to understand it and what it means for me; I have a deep seeded fear that if I go for help, that it will affect my life, I know already that some careers are almost closed to me due to it. From what I've read so far, it has given me some insight, thanks, P
Anonymous
Anonymous
9/19/07 11:25pm

Hi over there in England!  I am here in Atlanta Georgia. I wanted you to know I am 49 and I regularly feel angry and frustrated and have episodes of deep depression. I was diagnosed with bipolar ll and put on lithium because of my regular cycles of being frustrated, irritated, angry. If your symptoms are really bothering you and affecting your life ( I have had these all my life, since atleast beg'g around 15) then seek help. The lithium has taken the edge off. I am on a low dose (600mg) but it feels okay not to be as regularly irritable and angry as I have been.  I know how you feel, and no, I don't blame your symptoms all on adolescence.  If it makes you miserable, then it may be something other than just growing pains.  Hope this helped.  I think the whole mood swing thing is all confusing. I am glad there are these posts because I think we learn and get help from eachother more than other resources.  Good

thoughts sent your way! Is any one in your family moody?  My family has some MOODY people....so, that is always an eye opener.

Anonymous
Lizby
1/16/07 9:35pm
I have recently been going through a major depressive stage. During the midst of it and at a time I was at my near lowest, I experienced couple of days of severe agitation, anxiety and a feeling of "crawling out of my skin". The agitation and anger was so severe that I fired off a series of extremely cruel and ugly email messages to some of my dearest friends. Fortunately for me, they recognized what was happening and dismissed everything I wrote to them. The day following the email incident, my therapist told me that what she thought was happeneing was most likely a mixed state type of bipolar depression. I had never experienced this before and am not sure how common it is, but I can sincerely say that I did not like the way it felt. I found myself writing furiously in my journal about caged animals and canabalism. It was a nightare I would just soon forget.
Anonymous
Anonymous
3/26/07 6:38pm
"We tend not to feel comfortable in our own minds and own bodies, as if
we need to crawl out of our skin. It’s as if our brains had a minor
power surge and power outage at the same time."

That sentence is bang on for my hypomanic moods. Thanks for the insightful read!

It is difficult to keep track of hypomanic symptoms when most of the reading materials and advice on the subject talk about euphoric moods.  When I'm hypomanic I'm anything but euphoric, my wife will attest to that.
Anonymous
Anonymous
9/19/07 11:10pm

 After reading your blog on hypomania, I would llike to share some more confussion with you. I sound like your description of dysphoric mania, however, I feel like sometimes I am always, more days than not, in a state where something, trivial usually, can put me in a agitated mood where I just go balistic. I became hypomanic in a good way only when I was placed on an antidepressant. I am now on lithium. I never experienced "good" hypomania until I went on the antidepressant (even though I wish I did!). I do feel, somewhat,that the lithium has helped calm my irritable, agitated tendencies which were easily set off. My question then,  by having a mood state that flunctuated so quickly between being okay one minute, irritable and agitated the next, sometimes this occurring every day, sometimes not every day...skipping a few, would this be bipolar, or could it just be irritable depression?  I am totally confused by all this stuff.  I don't want to be medicated for a condition that I may not have. Already, I feel llike my brain is slower than it used to be; is this medication effects, or mood state effects? Any comments on my "confussion" would spread some "enlightenment" around here (:

Anonymous
Allyson
11/18/07 9:22pm
I am 19 years old and am a couple weeks pregnant with my second child it was definatley unplanned and my husband is thrilled. I however cannot stand it, I went through alot of physical and emotional issues with the first pregnancy. Now I cannot really control my behavior, I am depressed and I know that but I have these episodes where I am extremely anssiy and cannot sit still and feel nauseas, I want to crawl or scratch my way out of my skin! I literaly scratchy skin to try to control myself. I am very irritable but I just want to rip off my skin and I am worried that I won't be able to control the scratches and it will be noticable, I only scratch until the feeling subcides till it's berable. I guess I am kind of asking if anyone has any insite.
Anonymous
mrs.biss
11/26/10 6:23am

I have a similar feelings and am at 37 weeks. I've only felt this way for about a week or two though. I've found that the "skin-crawling" and being antsy only occurs at night for me.  I get really sleepy and try to lay down only to find that my entire body wants to twitch. It seems like restless leg syndrome but everywhere.

I was just recently identified as hypo-manic. My doc believes it could easily balance back out once the baby comes but if not there are some medications that help with this. Since I'm so close we are attempting to manage it with natural remedies like breathing excersises, counseling, and sleeping aides. Please do you and your baby a favor and get a professional opinion. They may be able to make you more comfortable with some meds.  All the best!

1/19/08 8:57pm
I don't get the euphoric feelings when I'm hypo. either.  I'm lucky I guess that I don't get agitated or irritated either.  The best I can do when I'm hypo. is spend money.  And I get a  lot of mixed moods.  I'm thinking I'm over-medicated because I don't feel like crawling out of my skin at those times.  I take 20 pills a day.  My state of mind is depressed and more depressed.
1/29/10 7:18pm

I don't get euphoric or even happy--if it is happy, it's an agitated "jump out of my skin" happy. Also, I spent my way into a deep debt (retail therapy) that I have been paying off for 3 years. Wish I was diagnosed earlier. All dr.'s could see was the depression and an anxiety disorder.

Anonymous
Sheri
11/27/09 2:57pm

so thanx for this:

 

This is where you want to throw Richard Simmons off the Carnival Cruise ship. Okay, many normal people feel that way, too, but in this state of mind you want to do it in waters frequented by sharks who are slow picky eaters.

 

Namaste,

 

Sher

 

PS.  Insightful and clarifying article for me... helps me feel better that I'm not the only one who has no clue what is and ISN'T healthy thought and action anymore when it comes to hypomania.  My full-blown Manic episodes have scared me away from "happiness," so much so that even after years of treatment, I still keep my excitement level to a minimum at all times. 

 

In my current treatment program I'm just beginning to accept that maybe, with careful monitoring and counter-balancing tools, habits and resources, I can allow myself to be happier than I have in the past.  I can leave the door open to the possibility of NOT living the rest of my life as a quiet, complacent medication taker who has auto-piloted herself and her emotions right in between fear and confinement.

 

best wishes to all!

Anonymous
Kenowe
1/13/10 3:02pm

The Richard Simmons comment was dead on for me also!!!  My experiences with the irritability makes that last bit with the sharks feel gleeful!   His article really made sense to me.   it is SOOOOOO nice to know I'm not the only one who feels this way!

 

Kenowe

1/29/10 7:25pm

Thank-you for disclosing this information. I am just finding out that I am hypomanic and it is so good to know that I can accept it (the diagnosis) knowing that agitation, anger, and irritability are part of it. I never have the euphoria they speak of!

2/ 1/11 8:47am

I have been a happy go lucky person my whole life. I always could handle what came my way and find the good in people and situations. When I was little I remember being so happy at time,I couldn't stand it, I would want to jump up and down. ( Now a days they probably would of said I had ADD because I could not listen to one person talking to me, I would know what everyone around me was doing too.)   As I got into my teens I continued to be happy never irritable or angry but I would have days to a week where I just was done I didn't want to play the game of life anymore. I wanted it to be my time to be with God. I remember once going to bed with a bunch of pill bottles lined up on my dresser but I was afraid it wouldn't work and my secret sadness would be exposed. I didn't want to hurt anyone I just wanted to go away. So I continued to be the happy go lucky person everyone thought I was. As I got older college & mid 20's the episodes of sadness were not as common. Although when I would go out for an evening on the town I would often times be the life of the party. High school I drank my brains out I am grateful now I had a home to come too that kept me somewhat accountable. I would have regular black outs and throw up most the time. One night I did a bong and I did not like beer so they poured a litter of coke with a litter of rum into the bong. I was sleeping over at a friends house and when the parents checked on us they noticed I was not breathing right. They did not know me that well so they let me be. I threw up for two days and stayed in bed for four everyone but my friends just thought I had the flew. By college I no longer drank to that access I became the babysitter. I married and had 4 children. I loved the craziness of the house and the roller coaster of life. My husband on the other handed hated it. He was always squashing me down we would fight all the time. He is Italian and his talking was like a mad fight to me. To me it was his way or the high way- I felt like he had to always be right. So if it was going to work I had to give in and be submissive. It wasn't worth the battle. 3 years ago I got very sick with a form of strep I was in bed for 2 weeks and lost 1/4 of my body weight and it was not just dehydration. 6 months later I hit full force depression. I would hide in my closet and cry a couple times a day. I no longer wanted to live. I often thought about suicide. My husband was very supportive and loving. But it became very hard to manage the home I eventually went to the doctor and was diagnosed with major depression and was put on meds. I now go to a physiologist for meds and both my husband and I go to a councilor once a week. I seem to be on a 6 month cycle where every 6 months I go from depression to Hypo.  My husband thinks I am hypo. I am not sure if it is hypo or the old me. Every time I get happy/hypo they ajust my meds and I crash into depression. Could this happy state just be me? What is the problem with me being hypo and just working on living in this state with relaxation tecniques  and concintrating on slowing down? I really do not want to crash again. Is it possible to work through this stage. I am currently taking 100mg of cybalta & 20mg of celexa. I would love to hear from anyone o has an oppinion on my situation. Sincerely, Mary Ellen

 

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By John McManamy, Health Guide— Last Modified: 03/27/12, First Published: 03/10/06