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Question

I am a 49 year old female and have been married for 3 years to a man who I lived with for 4 years prior to marrying him. He told me when we first started dating that he had been diagnosed as bipolar when he was going through his divorce. However, he believed he had only been depressed at the time due to the divorce and not biopolar. I always wondered about this and watched for signs, but over the last 7 years never saw any signs of the illness. Until recently. Over the last 3 months he has had a sudden increase in energy and requiring a lot less sleep. He has planned and completed several huge projects around the house and has started hunting and fishing again. When confronted about my concerns, he blames it on the fact that I went back to school a couple of years ago to get my masters degree which kept me very busy. He states he had to find something to keep his time occupied. I finished my degree but he is still hyper. Do you think I am suspecting correctly? Thanks, Jody

Submitted: 406 days and 8 hours ago.
Category: Health
Value: $9
Status: CLOSED
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Optional Information

Age: 52; Male, West Virginia

Accepted Answer

I think given the fact that your partner has suggested that he had a previous diagnosis as bipolar that it is quite sensible to be conscious of these signs.

However the diagnosis of bipolar requires the presence of periods of mania of which you have given a description but also periods of depression, which has not been described. Often during a bout of mania, the affected person may not be conscious of their abnormal behaviour but after this resolves they may be suprised over what had occurred. The duration that periods of mania and depression cycle can be over a few weeks and even last months if left untreated.

It might be an idea to discuss with him what his maniac episodes were thought to be during his divorce, my suspicion as you mention he acknowledges depression during divorce is that he was only having reactive depression. If he was taking any medication at the time would give you an idea too eg mood stabilise like lithium or just an antidepressant.

At the moment I wouldn't given your description be too worried about bipolar unless he develops bouts of depression or this has been present just prior to his mania. Or if his maniac behaviour is extreme eg spending extravagant amounts of money he cant afford.

 

If there are other features such as increased appetite, intolerance to heat it might be worthwhile just checking his thyroid function tests in case this change is not a psychiatric but medical problem

 

I hope this information is useful, feel free to reply for any clarification

Expert: Dr AW
Pos. Feedback: 100.0 %
Accepts: 
Answered: 10/12/2008

Doctor

MBBS with hospital experience as SHO in a wide variety of fields

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