Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Hi! I believe I can be of help with this issue.
First, let me say that I can imagine how confusing and distressing this must be for you. You are taking powerful psychotropic medications but you're not sure how the diagnosis was made that you have Bipolar Disorder (BD). You're also not sure if the diagnosis is accurate.
And this is actually the key to my answer to you that you need to consider and think about. You need to discuss with your doctor that you are not confident about the diagnosis of BD. That it was made during a difficult life situation and that you are not convinced that it is accurate. And that you would like to get a new psychiatric evaluation for BD.
I'd like to give you some resources to prepare for such a new diagnostic evaluation. This should start with your tracking your moods throughout the day for a period of time. Here are three resources: the first are computer programs for tracking moods:
They are both popular; Moodtracker is perhaps more well known, at least here in the US. Here, though, is a simple printout with charts that you can copy and fill in by hand and that may be enough:
Let me paste in for you the Diagnostic Criteria for BD. Then I'll continue.
Symptoms of mania or a manic episode include:
Symptoms of depression or a depressive episode include:
What do you think? Does this sound like it describes your situation? The idea is that the mood swings back and forth unpredictably, with some quicker than others. Here's a quote from the DSM-IV: "Sometimes individuals experience severe mood swings from periods of extreme depression to periods of exaggerated happiness. This is known as bipolar disorder or manic-depressive illness, an illness that involves episodes of serious mania and depression. The individual's mood usually swings from overly "high" and irritable (mania) to sad and hopeless (depression) and then back again, with periods of normal moods interspersed."
Let me end off with this because it may be of use to you if you do indeed have BD:
In my practice, I use the resources with people with BD from Mary Ellen Copeland. I have found her work easy for people to use and easy to keep up with. The biggest problem is forgetting to keep to the plan when times are good and then something happens! Copeland also had BD and was hospitalized. She's a therapist and developed a BD treatment protocol called Wellness Recovery Action Plan (WRAP). First let me cite one of her books for you. The Depression Workbook: A Guide for Living with Depression and Manic Depression by Mary Ellen Copeland. Amazon: http://www.amazon.com/Depression-Workbook-Guide-Living-Second/dp/157224268X/ref=sr_1_1?ie=UTF8&s=books&qid=1284317815&sr=8-1-catcorr
Now here's a YouTube search I've put together on the WRAP program. I want you to look at the videos and see what you think:
The video with Mary Ellen is a bit strong but worthwhile. It gives a real view of what the full blown BD is like. Here's an analogy:
Most people are like cars with automatic transmission. They tool around the day going from a little sad and then they feel a little glad and if they get to too high a gear, the emotional transmission just automatically sends them back to a lower gear and if the low gets too low, the transmission clicks into a higher gear. Rarely are they thinking about it. They are usually within their normal range.
People with BD are like a car with a manual transmission. They start having a racing mood and unless they downshift manually, you're going to be out of control soon until they can't maintain that and they cycle down and then get too far down, etc. So they have to continually use the clutch and manually adjust the emotional gear.
That's what a program like the WRAP plan is about. It gives you the tools to notice what's going on and to make adjustments. So along with medications (psychiatrist) if you do have BD you may want to find a therapist to work on a mood management program.
If you don’t have a good referral source, here is the web address for Psychology Today's therapist directory. You can sort by zip codes and when you see someone who seems like they might be helpful (they have a photo of the therapist) look at the listing and see if they list BD as one of the disorders they work with.
Good Therapy is a non profit directory. Same idea as the one above:
I wish you the very best and be hopeful and confident for the future!
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