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How do I know it's bipolar?

By china41602 Thursday, October 18, 2007
I was diagnosed with bipolar in 2004 after I sought treatment for my increasing irritability and was prescribed prozac. I don't remember too many details, only that I became more sad, angry, driven, irratic, after I started taking it and I felt extremely out of control. I've always had trouble sleeping regularly, but during this time I hardly slept at all. But I never needed to be hospitalized, I still went to work every day, and maintained my role as a mother and wife. I just was very unpleasant to be around. My doctor (whom I trust completely) gave me the diagnosis after I filled out a questionaire in his office, and also based on the fact that my sister was diagnosed with it. The first few medications I took made me a zombie. My depression intensified. I started seeing a therapist, and eventually stopped all medications. I had felt so bad on the meds, that I thought I was back to normal, until I tried taking college courses and all the irritability,anxiety and sleeplessness came back. Finally a psychiatrist prescribed Lamictal, and Risperdol to help me sleep and control irritability. It took several months, but slowly I became more like my normal self. I've taken self-induced "medication holidays" because I forgot what I was like before and I guess partly to see if I still had it. It would always lead to an increase in symptoms. I have also since been diagnosed with ADHD, but while that seemed to make a lot of sence, it also created more difficulty accepting my bipolar diagnosis. My ADHD symptoms fit the classic profile, while my bipolar ones don't, or I don't think they do anyway. I was told by a phychiatrist that it was bipolar typeI with some rapid cycling, but I've never had a classic manic episode (euphoria, grandiousity, calling friends in the middle of the night etc.) and almost always my "elevated moods" were (are) unpleasant. When I was charting my moods I couldn't decide if I was up or down because I knew I definately didn't feel good! I finally learned about dysphoric mania. And the only severe episodes of depression I can remember were when I was already taking antipsychotics, so I thought if I have bipolar it seemed to be more like bipolar typeII. A lot of my symptoms could be related to ADHD and bipolar,so I don't know which are which anymore! I guess I should talk more with my therapist but I'm seeing a different one now due to insurance, and it hasn't come up yet. When I went to my first one we mostly delt with damage control. I'm struggeling with anxiety depression (low feelings of self-worth), and guilt. Is there anyone else out there who is also having a hard time figuring out what they are going through too, or who can offer insight to my experiences?
10/18/07 11:44pm

china41602 -

My personal experience differs from yours but I have met many people with bipolar who have had similar troubles. You sound like an intelligent person who is willing to try and find a solution with your doctor's and therapist's help. I believe this is key. Something I've learned about bipolar is it doesn't manifest identically in any two people. You've taken the right steps in getting help but I would stress  strongly the need for educating yourself and being your own advocate.

 

Best of luck to you,

Monica 

10/19/07 8:14pm
Thank you. I want difinitive answers but as it has been pointed out to me, there are none for issues of mental health. I guess I feel like I will have more control if I can put a nice, neat label on it. I'll keep learning but try harder to accept that this is who I am!
10/19/07 7:31am

Offering insight…hopefully you diagnoses were based on more than just the fact that your sister has it and a questionnaire that you filled out in the office. I hate those questionnaires in the mere fact that really anyone filling it out can somehow relate and think they are bipolar.

 

 

Prozac give a person the… I don’t give a crap feeling. From what I have read, small does mixed in combo with others does help people afflicted with the illness. You sound unsure of your diagnoses and concerned with the ADHD symptoms and earlier diagnoses.  

 

 

You went on to say that after Lamictal and Risperdol were added you had relief and felt better. Its also common practice for someone with the illness to get grandiose feelings of somehow being cured and going off their meds only to find they aren’t.

 

 

Every time you do this it puts you back to square one on building up the medications (therapeutic) 6 to 8 weeks to get back to relief. It’s termed not being medication compliant and heavily frowned on.

 

 

My suggestion would be to worry less about the label (bipolar) and more on how you feel over all. Does it really matter if you are ADHD or Bipolar if the medications being prescribed are working? The only value I see for the label is for billing purposes of insurance companies.

 

 

My personal feelings are that as long as I am feeling ok and better on my meds, they can label it as me being pregnant (and I am a guy). I know it’s hard and we are only human in trying to figure out what’s going on with ourselves, but as I have said elsewhere…they are no definitive tests to be sure of anything in the metal health field other than thyroid issues that should always be ruled out first early on.

10/19/07 7:59pm
Thank you for your insight. You are right, I shouldn't worry about labels if the medications are working, and they are for the most part. I just forget sometimes how bad things were before and I get so frustrated dealing with insurance copays, doctors, changes in meds, etc. I'm sure you know what I mean! Sometimes I just don't know where the effects of the meds end and I begin. But I know how lucky I am to be able to get the care I need. So thanks again for giving me a better point of view!
Anonymous
lifeishorrible!!
12/ 3/07 9:58pm
 is being bipoar kind of like being emo? a question me and my friends have been asking...we know its not all the same...but is it close????

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By china41602— Last Modified: 12/20/10, First Published: 10/18/07