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Tuesday, June 09, 2009 Lindsey asks

Q: husband diagnosed with severe depression - but I feel he is bi-polar

My husband sought help at a clinic after I couldn't take any more of his abusive behaviour, unwise choices, etc and he was diagnosed with severe depression. He has a caseworker coming to talk to him weekly and I have expressed concerns that I feel he is bipolar. After we married, he would easily blow up in a rage at little things, be irritable/moody for no reason. When he drives, especially on the highway, he takes risks and everyone says he is dangerous- he drives at high speeds at times and races people, cuts people off, doesn't like to be crowded in etc. He doesn't like to be around people at all, when I ask him something he doesn't want to talk about and if I continue, he gets verbally abusive and has been physical. He has only worked for half of our marriage, as he has problems at work with people. He seems not to be able to pay attention and after repeating myself for days, still will not have heard something I've said. He has in the past gone off and gambled, about 6 times in 2 years, but not in the last year. He didn't tell me where he was and gone for 1/2 days. He has gone back to smoking pot on many occasions without me knowing. There are times he feels useless, unmotivated to do anything and does nothing for a time and then seems to be ok and it goes back and forth. He is irritable on a morning and I know to stay away. He is negative, pessimistic, always talking badly about people and saying that no-one likes him, etc when they haven't done anything to him.  He has a sister who is bi-polar, a brother who is alcoholic, one who executed on deathrow, and several others who have been on depression medications over the years. His father was an alcoholic and was abusive, and has been on antidepressants for years.

My husband is taking citalopram, which has taken the edge off things, but nothing has really changed that much. The caseworker asked me when was his last manic episode and because it wasn't recently, he feels he doesn't have bi-polar. Any advise please?

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Answers (1)
6/ 9/09 11:44pm

A psychosocial history and a psychiatric evaluation will give a much more definite indication of his diagnosis.  Proper treatement hinges on a proper diagnosis.  If his last evaluation was some time ago and he was diagnosed with Major Depressive Disorder and has had an episode of hypomania or mania since he may need to be re-evaluted.

 

If the manic episode you reported to the Case Worker was not recent, that does not mean he does not need to be re-evaluated or that he does not have Bipolar Disorder.  It is possible to remain in remission for some time.  Get an evaluation to be sure.

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6/13/09 1:39pm

 if a case worker asked when was his last manic episode then she also thinks

 that he  has bipolar.  And it never hurts to get a second opionion from a

 psychiatrist.  

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6/16/09 6:07pm

THIS IS JUST MY OPINION from what I read, but he sounds like he has all of the symptoms of my BP ex... plus the family history is there.  I think you have good reason to suspect BP.

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6/16/09 7:30pm

 yes if there s a history , i d suspect you could be right. for sure...

    i m not disagreeing with you, but i cant diagnose him, could you get

   him to go into the hospital to speak  with mental health when he s  depressed?

   maybe they will see something somebody else missed, cause when a bipolar

                                person is

  depressed , many times, they swing, up to happy and then back down to sad,

    they d be able to detect that.

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By Lindsey— Last Modified: 12/24/10, First Published: 06/09/09