I have some questions about bipolar and your guy's thoughts about what m pych dr said. (Full Version)

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LittleGirlHeart -> I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 5:45:52 PM)

before i went into residental treatment i was having a lot of anxiety issues and out right panic attacks and i told my dr and he tried to tell me no, i was not. It was all part of my bipolar, and i told him no offence, but i know what the bipolar feels like and it aint this. we're talkin apples and oranges here.


So then i end up in patient at Safe harbor. and i spend a week there and when i get out I have a meeting with Pych dr. and we're talking about the anxiety issues and the panic attacks and i told him the meds dr and the psychological dr at Safe harbor says it's clear as day i suffer from anxiety * which i have not been officially diagnosed with *and ptsd and Adhd. and Bipolar and i have emotionall problems* which i have been officially diagnosed with*


.
he told me that it's very rare for most people to have multiple diagnosis and that i either was over diagnosed or i am very unlucky . he does not believe i am all the diagnoses that i have been given. And I certainly do believe I am. I see it and the therapist and the med dr and pych dr at safe harbor saw it and my new therapist at Life practices sees it.



my therapist and i, we were talking about it and she says it sounds more like anxiety than panic attacks, cuz panic attacks usually you can't pin point the cause an i know what causes my anxiety. I can point right to any instance and say this is what set me off and this is how it shows up for me.

So, is anxiety issues and panic attacks usually a part of Bipolar? Cuz for me I only experience the mania's of bipolar and belive me that is far different than an anxiety attack,



OsideGirl -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 5:53:53 PM)

Anxiety and depression frequently go hand in hand...hence drugs like Efexor.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 5:56:58 PM)

What if it's rare i experience the depression side of things? Or i do not feel depressed but i have a lot of indicators of a depressed person?
quote:

ORIGINAL: OsideGirl

Anxiety and depression frequently go hand in hand...hence drugs like Efexor.




OsideGirl -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 6:13:09 PM)

I would leave those questions up to the people that actually have experience with you and are diagnosing you.

But, I would also agree that it's unusual to have pile of psychiatric diagnoses. It's usually one underlying problem causing the symptoms to branch out into other tendencies.



RedMagic1 -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 6:20:59 PM)

quote:

ORIGINAL: LittleGirlHeart
he told me that it's very rare for most people to have multiple diagnosis and that i either was over diagnosed or i am very unlucky . he does not believe i am all the diagnoses that i have been given. And I certainly do believe I am. I see it and the therapist and the med dr and pych dr at safe harbor saw it and my new therapist at Life practices sees it.

Some states, e.g., Oregon, limit the amount of care available per diagnosis. So the therapist determines what care is needed, then constructs diagnoses that will provide that care. There's an unspoken reading between the lines in a lot of case files. No idea if this happened to you, but it isn't a conspiracy theory. It's a side effect of the capitated rate system.

If you just don't agree with this therapist, you can always find a different one. Your therapist works for you, not the other way around. If you do trust this therapist, maybe do what he or she says? Those seem like the two main options. Option 3, which is "do nothing and worry more" doesn't seem too helpful.



TigressLily -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/24/2013 11:32:51 PM)


LGH, I don't know whether your treatment facilities have been dual diagnosis, but my older son is an Addictions Counselor who has worked with the developmentally disabled and counsels the mentally ill daily. It isn't uncommon for his bipolar clients to be taking anti-anxiety meds. Many of them only experience manic episodes and not depressive ones. Symptoms of mild depression often translate into feelings/spells of acute anxiety. I'm not qualified to diagnose what interrelationship if any one might have with the other. Interestingly enough, when they do undergo a manic period about once or twice a year, it falls on or near the anniversary date of some significant life event (which could be as basic as a birthday, Thanksgiving or Christmas) and are often predictable as a result. Those who have no background in therapy can scoff, but psychiatric symptoms have been known to get amplified and/or triggered off during full-moon phases. When he worked for a residential treatment program, my son and the other staff members knew to be on high alert then.

quote:

ORIGINAL: LittleGirlHeart

So, is anxiety issues and panic attacks usually a part of Bipolar? Cuz for me I only experience the mania's of bipolar and belive me that is far different than an anxiety attack,

quote:

ORIGINAL: OsideGirl

Anxiety and depression frequently go hand in hand...hence drugs like Efexor.



Oside, I believe you have an accredited psychological background, and your assessment is spot on. There is usually a primary diagnosis, whether it be bipolar or schizo-effective disorder, or a combination thereof, with paranoia getting assigned to either schizo or anxiety disorder (which includes panic attacks). For example, if a patient has an irrational fear that others are talking negatively about her/him or has a vendetta against her/him, then these phobic, sometimes debilitating symptoms (not being able to leave the house or go certain places in case s/he runs into those persons) get treated with anti-anxiety medications, hence the anxiety diagnosis.

quote:

ORIGINAL: OsideGirl

I would leave those questions up to the people that actually have experience with you and are diagnosing you.

But, I would also agree that it's unusual to have pile of psychiatric diagnoses. It's usually one underlying problem causing the symptoms to branch out into other tendencies.


I'm concerned that with seeing so many therapists and/or specialists, OP, you are getting or will become over-medicated. There's always the risk of side effects, and it could be you are experiencing adverse side effects to your primary medication, or even to the side-effect medication that was prescribed along with it. If you are also taking other non-psychiatric medications, this cocktail could be affecting you by altering your brain chemistry or having other physiological impacts on you. Remember, when it comes to the medical profession (as with scientists, or anyone else who relies on empirical evidence), very often the left hand doesn't know what the right hand is doing. Less is better. Good nutrition and regular exercise can relieve or ameliorate some conditions and should never be overlooked as remedial actions you can take into your own hands.



angelikaJ -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 9:20:03 AM)

I would not be at all surprised by a diagnosis of PTSD, given your history...

and triggers are a common manifestation in PTSD.

I don't think the labels themselves are a problem as long as you are being treated appropriately and are able to function.
Maybe your doctors all need to have a conversation?


LGH,
You often seem to manifest symptoms of depression: having no motivation to take care of yourself.
There can be other reasons for no motivation and perhaps your therapist can help you sort that out.

"Emotional problems" on the other hand is a non-specific diagnosis, and could fall under the umbrella of any number of types of mental illness.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 9:55:00 AM)

Technically they said severely and emotionally disturbed, and i have no idea what they meant by that. cus they never defined their idea of it. The pych dr at safe harbor said she wasn't surprised i had PTSD either given the horrible childhood and early young adult hood i had.

I agree the lack of desire to fight for myself health wise is typical depression.

quote:

ORIGINAL: angelikaJ

I would not be at all surprised by a diagnosis of PTSD, given your history...

and triggers are a common manifestation in PTSD.

I don't think the labels themselves are a problem as long as you are being treated appropriately and are able to function.
Maybe your doctors all need to have a conversation?


LGH,
You often seem to manifest symptoms of depression: having no motivation to take care of yourself.
There can be other reasons for no motivation and perhaps your therapist can help you sort that out.

"Emotional problems" on the other hand is a non-specific diagnosis, and could fall under the umbrella of any number of types of mental illness.





LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 10:00:26 AM)

Safe harbor was only a temporary thing. People in acute mental crisis go in and stay for a short time. Some people stay for 30 days, but most people are only there for 2 ish weeks. Under that time period you see their dr and their pych dr to check in and work on getting your head on straiter. They're really reluctant to prescribe meds, unless it's something you really really need, because you're only there for such a short time, and prescribing meds would be best left to your pych dr you regularly see. Once out you go back to the regular number of people you're seeing. Which for me is 1 pych dr and 1 therapist.
quote:

ORIGINAL: TigressLily



I'm concerned that with seeing so many therapists and/or specialists, OP, you are getting or will become over-medicated. There's always the risk of side effects, and it could be you are experiencing adverse side effects to your primary medication, or even to the side-effect medication that was prescribed along with it. If you are also taking other non-psychiatric medications, this cocktail could be affecting you by altering your brain chemistry or having other physiological impacts on you. Remember, when it comes to the medical profession (as with scientists, or anyone else who relies on empirical evidence), very often the left hand doesn't know what the right hand is doing. Less is better. Good nutrition and regular exercise can relieve or ameliorate some conditions and should never be overlooked as remedial actions you can take into your own hands.




angelikaJ -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 1:39:56 PM)

quote:

ORIGINAL: LittleGirlHeart

Technically they said severely and emotionally disturbed, and i have no idea what they meant by that. cus they never defined their idea of it. The pych dr at safe harbor said she wasn't surprised i had PTSD either given the horrible childhood and early young adult hood i had.

I agree the lack of desire to fight for myself health wise is typical depression.



When you were diagnosed with that they typically didn't use the PTSD diagnosis on kids, nor did they diagnose kids with depression.



DesFIP -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 4:08:38 PM)

Well the adolescent psychiatrist who treated my daughter for years said most people are comorbid. A term meaning multiple diagnoses.

She has:
Bipolar Type II, mixed states, adolescent onset, ultra high cycling
Generalized Anxiety Disorder
ADD/ADHD
Sensory Integration Disorder
Oppositional Defiance Disorder, which is only set off by the Generalized Anxiety Disorder being insufficiently controlled.

Her official diagnosis is Mood Disorders: NOS meaning not otherwise specified.

I suffer from
Unipolar Depression
ADD
Generalized Anxiety Disorder, which is worsened by the treatment for hypothyroidism.

Comorbidity is common in mood disorders. You tend to pick just one or two to treat though. My daughter takes an anticonvulsant for the bipolar and an atypical antipsychotic for both the bipolar and the anxiety. Those are her worst problems.
The level of anticonvulsant has been stable for years, the atypical antipsychotic was raised last year.

For the ADHD, she just uses caffeine because it's minor compared to the other two.

I was on antidepressants for the unipolar and am not now on anything for the anxiety because I don't like any of the side effects that come with treating it. SSRIs remove my libido. Benzos give you euphoria which is psychologically addictive. Atypical antipsychotics knock me out for 14 hours a day plus cause weight gain.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 5:02:42 PM)

I was evaluated at 17 to get SSI when i got out of the group home and came back home. The adhd and learning disability and the SED and maybe the bipolar cuz they wanted me on lithim and stuff when i was a kid and i remember the drugs made me so sick i couldn't function was as a lil kid and the ptsd at 17.




quote:

ORIGINAL: angelikaJ

quote:

ORIGINAL: LittleGirlHeart

Technically they said severely and emotionally disturbed, and i have no idea what they meant by that. cus they never defined their idea of it. The pych dr at safe harbor said she wasn't surprised i had PTSD either given the horrible childhood and early young adult hood i had.

I agree the lack of desire to fight for myself health wise is typical depression.



When you were diagnosed with that they typically didn't use the PTSD diagnosis on kids, nor did they diagnose kids with depression.




pissdoll -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 5:09:20 PM)


quote:

ORIGINAL: LittleGirlHeart

I agree the lack of desire to fight for myself health wise is typical depression.



yeah...it may even be more complicated than just that.

i have a friend who wears turtlenecks and baggy pants. she wears them in the winter. she wears them in the summer. she wears them when we all go on vacation and go to the pool and she wears them at the beach. it took a number of years of friendship to discover that she suffers from ptsd from being brutally raped. it has devastated her life and she is determined to never be raped again.

you ask many many questions that are hygiene related, but you don't ever follow through. you live with the person who abused you as a child and you suffer from ptsd like my friend.

i'm not a therapist, so the thoughts in my mind are completely unprofessional and worth absolutely nothing, but i have often wondered upon reading your posts if the poor food choices, filthy living environment and poor health/hygiene are your turtleneck and baggy pants, so to speak.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 5:36:03 PM)

I'm not afraid of being molested aggain or looking sexy, in fact i'd love to feel sexy and attractive and i just don't.

And on the hygein front, actually since coming home from safe harbor i bathe more. I do not always hit the every day and i am not hitting the twice a day i want, but i average about every other day if not everyday And i have a bench that goes in and out of the shower easily and i feel safer in the bath tub and it's far easier now. which helps a lot. but it wasn't why i wasn't as good as i could have been on the hygein front, i just didn't care enough to attend to it..
quote:

ORIGINAL: pissdoll


quote:

ORIGINAL: LittleGirlHeart

I agree the lack of desire to fight for myself health wise is typical depression.



yeah...it may even be more complicated than just that.

i have a friend who wears turtlenecks and baggy pants. she wears them in the winter. she wears them in the summer. she wears them when we all go on vacation and go to the pool and she wears them at the beach. it took a number of years of friendship to discover that she suffers from ptsd from being brutally raped. it has devastated her life and she is determined to never be raped again.

you ask many many questions that are hygiene related, but you don't ever follow through. you live with the person who abused you as a child and you suffer from ptsd like my friend.

i'm not a therapist, so the thoughts in my mind are completely unprofessional and worth absolutely nothing, but i have often wondered upon reading your posts if the poor food choices, filthy living environment and poor health/hygiene are your turtleneck and baggy pants, so to speak.





singlemaltlady -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/25/2013 5:51:48 PM)

Hi LGH, I wish you all the best. Since you are exploring the world of psychiatric meds and conditions, watching these may help. Watching a documentary and a fiction film won't cure anything, but it can help you write down some questions to bring to your next appointment.

http://www.primewire.ag/watch-2717865-The-Marketing-of-Madness-Are-We-All-Insane

http://www.primewire.ag/watch-2738331-Side-Effects



DesFIP -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/26/2013 8:43:22 PM)

How long were you on the lithium?
Did you tell the doctor that the side effects were intolerable?
Because if it was effective, then the way to treat the side effects is not to quit using it, but to have the dosage reduced severely and slowly brought back up. Which allows you to get used to it without any of the side effects.

I found that Zoloft lifted the suicidal ideation within three days but increased my anxiety and caused nausea. The psychiatrist cut it to a fourth, and raised it every two weeks. Eventually I went from 12 1/2 mg to 200. No side effects once I was at 200. At a lower dosage I had no energy though which indicated I was not yet at the needed dosage.



SweetAnise -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/27/2013 6:04:27 AM)

It is good you're taking care of yourself. Continue to do that...and realize that health care professionals are not always perfect they make mistakes but it seems you are asking the right questions and you are trying to explore what you need. Find a good licensed professional both a psychiatrist and therapist and have them collaborate on your care. I always believe that medication and therapy work so much better than just taking medication. Good luck.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/28/2013 7:00:18 PM)

It was so long ago i cant remember and at the age you're at i 3rd ish grade your mom and dad talk to the dr not you. but i think if i remember right the school insisted i be on something so they tried it an then my mom went into protective momma bear mode against the school when the meds started making me sick and zombie ish.


One med i was on made me start lacktating at 13/14 .


I'll have to try that tactic now i am an adult, cause the dr had me on one med an it made me so sick. i had all the serious side affects and he wouldn't listen to me and finally had to off it against medical advice because he was totally unwilling to hear anything from me or work with me. Dr I am seeing now that is questioning whether i really am the things i have been diagnosed as probably would.
quote:

ORIGINAL: DesFIP

How long were you on the lithium?
Did you tell the doctor that the side effects were intolerable?
Because if it was effective, then the way to treat the side effects is not to quit using it, but to have the dosage reduced severely and slowly brought back up. Which allows you to get used to it without any of the side effects.

I found that Zoloft lifted the suicidal ideation within three days but increased my anxiety and caused nausea. The psychiatrist cut it to a fourth, and raised it every two weeks. Eventually I went from 12 1/2 mg to 200. No side effects once I was at 200. At a lower dosage I had no energy though which indicated I was not yet at the needed dosage.




littlewonder -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/28/2013 7:37:39 PM)

do both of your doctors communicate with each other? If not then you need to insist on that. You can't get the help you need if the other doesn't know what the other is doing. They could be going incompletely different directions, only causing you more harm than good.

If they cannot communicate with each other then you need to find a clinic or office where there is both a therapist and a physician in house that share records on their patients because they are inter-related.



LittleGirlHeart -> RE: I have some questions about bipolar and your guy's thoughts about what m pych dr said. (10/29/2013 9:00:31 AM)

Dr's as in general practitioner and the pych dr, or therapist and pych dr and practitioner?

I signed a consent form for all 3 to talk to each other if they need to. I don't know if they have been but they've been authorized!
quote:

ORIGINAL: littlewonder

do both of your doctors communicate with each other? If not then you need to insist on that. You can't get the help you need if the other doesn't know what the other is doing. They could be going incompletely different directions, only causing you more harm than good.

If they cannot communicate with each other then you need to find a clinic or office where there is both a therapist and a physician in house that share records on their patients because they are inter-related.





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