Not sure about my diagnosis
I have just recently been diagnosed with Bipolar 2 but I'm having some problems getting my head around the diagnosis.
My problems first started in my late teens, after a couple of depressive episodes involving self-harm & suicide attempts, I was prescribed flouxetine. This started to help but soon sent me into agitated, paranoid state. I couldn't sit still, started hearing things & experienced a sort of weird perceptual shift where everything was sort of buzzing. Colours were brighter & 2d images looked like they were jumping out at me, pictures of people felt like they were watching me. I became violent on one occasion & had to be restrained by friends.
After some trial & error I was put on lamotrigine, which seemed to help. My psychiatrist said that I was possibly at risk from developing Bipolar but my psychologist thought it might be BPD instead. I suppose this sounded about right at 19, but it doesn't now.
At some point the drugs made me feel flat & lifeless & I stopped them myself. I thought I was doing ok, but looking back at the large amounts of alcohol & drugs I was using, maybe I wasn't. However once I met my wife & moved away I began to manage my mood a lot better & have had 6 pretty stable years, the last 2 since the birth of my son have been especially good.
Recently, several stressful events involving the death of a family member, work issues & health problems, to name a few, have all hit me at once.
I recently experienced a period of high energy & confidence, even though I was only sleeping about 4 or 5 hrs a night. I felt more creative more productive & occasionally something approaching a mild amphetamine buzz. After about 5 days I crashed & felt sluggish & withdrawn, wanting to stay in bed all day, though this felt more like just being tired all the time than depression. I experienced another high period & the crashed into a pretty dark mood, which felt more like depression, though not as bad as my first few episodes in my late teens.
Right now, things are not so bad that I can't function but my wife is worried about me & I get the feeling that co-workers have been talking about my erratic moods. I don't want things to get any worse.
My Dr, who has had some mental health experience, has diagnosed me with Bipolar 2 & suggested that I start back on meds. Part of me thinks this makes sense & would explain why I seem to experience periods of creativity & motivation followed by periods where I am much less actve & begin to doubt myself much more & why I still occasionally experience those shifts in perception, though much less severe & now I use them for my art.
But I wonder why if it is BP, it would remain dormant or at least very mild, for so many years & then suddenly flare up. I tried asking my wife if she noticed any erratic behaviour in the years she has known me but she said not until recently. However she didn't know me until after I stopped taking my meds & so it might be difficult for her to judge what is normal for me, whatever that might mean.
Also I'm scared about going back on the meds because I feel I might lose some vital part of myself as both a person & an artist & this would be a big commitment for at least a number of years if not for the rest of my life.
I'm not looking for someone to tell me what to do. I just need some advice to help me come to a descision.
From your very good description it does sound like your doctor is on the right wave-length so far as diagnosis is concerned. Coming to terms with it is a different issue and it sounds like this is what you are wrestling with. The event you describe of a period of creativity and high energy followed by a crash is very typical.
You say you are seeking advice. In some ways you have already sought this from your doctor and it has been given. Your emotional reaction to the advice is what I suspect we are considering here. Given your history I feel you should follow the medical advice. I don't think your personality or creativity should be stifled by medication. If you have a negative experience with medication it's time to adjust the dosage or the medication itself until you can reach a point that is tolerable.
There's one more thing to consider and that is how we tend to talk about all medication as though it will inevitably lead to side effects. However this isn't an inevitable outcome of medication and many people don't feel any side effects.
Hope this contribution helps a little.
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Hi, OF. I heard the magic word - stress. The stresses in your life may explain why your illness has suddenly flared up after lying dormant all these years. Bipolars are exceptionally vulnerable to stress, and there is no shame in acknowledging that sometimes life throws too much our way for us to handle. So getting back on the meds is probably a good idea for right now. You can assess the situation later, some time after the stress has gone down (assuming it does). As well as the meds, it pays to work on various stress-avoidance and stress-reduction techniques. Hope this helps -
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