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Ask Kym Tolson, LCSW, CSAC, NBCCH Your Ow...
Kym Tolson, LCSW, CSAC, NBCCH, Therapist
Category: Mental Health
Satisfied Customers: 251
Experience:  Over 15 years of experience as a substance abuse therapist. I am a Licensed Clinical Social Worker
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I am 53 years old and my life has been a car crash! I have

Resolved Question:

I am 53 years old and my life has been a 'car crash'!
I have been on an emotional; rolercoaster all my adult life, never been able to manage relationships. I seem to have been in a chronically depressed state punctuated by periods when I have believed that I could do anything. I have spent all my money reclessly and been obsessed by sexual gratification and have a tendency to binge drink. I feel that I have never been myself and now wonder just who 'myself' really is. Last January, unable to continue my charade any longer, I stopped working as an airline pilot and left my profession and haven't worked since though the feeling on top of the world followed by depression swings have continued. My friends suspect that I am bipolar, their son was diagnosed 15 years ago, are the right.
I am currently in a deep depression and have been taking Prozac for almost a week and fear that I may be headed for another bout of mania. Please help me.
Submitted: 7 years ago.
Category: Mental Health
Expert:  Kym Tolson, LCSW, CSAC, NBCCH replied 7 years ago.
Thank you for using I'm so sorry to hear you are going through this. I would suggest seeking out a psychiatrist immediately for an evaluation. GP's are great but they don't necessarily understand bipolar d/o v/s depression. If you are truly bipolar, Prozac can actually set off a manic episode. There are other meds for bipolar disorder called mood stabilizers that are much more effective for bipolar. You will need a proper evaluation by a psychiatrist to determine for sure which issue is going on.
I would also suggest talking with your therapist about an Intensive Outpatient group setting where you can get more intensive treatment than just one on one talk therapy. Also, since you are not working you may want to consider a 30 treatment program where you can have round the clock evaluations, medication, therapy and really work on all of these issues at the same time.

I hope this answer helps, please let me know if you have any other questions or if you need further clarification about this answer.

Take care,
Kym Tolson, LCSW, CSAC, NBCCH and other Mental Health Specialists are ready to help you