Medical Questions? Ask a Doctor Online!
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It has been a problem for most of my life. I have felt driven in goal achievement all during my working years and still tend to be over giving (lack discernment) in assisting those in need. I have been treated as a psyc. patient since 1973, first for recurrent major depressive episodes (15 hospital admissions), 100% disability in 1998. At that time I was sent to another Psychiatrist who awarded me a new DX of Bipolar II. I knew at the time that was incorrect and two weeks ago I was able to prove it to the same doctor as a result of testing for a Mayo clinic study to determine genetic markers for Bipolar Disorder. I am not concerned with changes to the diagnosis since treatment is virtually the same for both. I have tried all drug classes, CBT, ECT, do have history of depression in the family.
1) All physical tests normal
2) DNA test for Narcolepsy negative
3) Sleep Apnea normal
Other than the time spent in college and Vietnam my entire adult life has been in the medical field - I am able to understand medical terms. I don't expect any miracle answers - just any thoughts you may have.
I was called the following morning with a guarded response indicating I may have Bipolar NOS but they had decided not to use my test information nor my blood sample in their research for genetic markers in Bipolar Disorder. They recommended I return to my treating physician. Since I have never had a manic or hypomanic episode I am inclined to believe I have chronic refractory unipolar depression.
The 15 hospital admissions were all to the psychiatric ward. All admissions were voluntary, only one included suicide watch. After release I would continue medication as directed for a proper length of time but eventually discontinued because they were serotonin drugs. I couldn't be alert when called out at 3:00 in the morning then be ready for the 7:00 AM surgery schedual that often included seven cases often in two different cities forty miles apart. To be more specific in answer to your question, I did regain health and strength for a period of time after release but the stress of an emergency on call 80 hour work week would cause another acute episode.
I would just like to be able to stay awake, alert and enjoy life in the years I have left.