Is she taking medication?
What happens when she has an episode, is it just arguing?
Are you arguing about anything in particular?
Was she in therapy in her home town? Is she in therapy now?
I apologize for the delay. I have asked another of our experts to step in and help, we will get back to you shortly.
I have been asked to step in on this by Ms. Chase. I clearly hear the distress you are experiencing due to the episodes that your girlfriend has the result of her bipolar Type II dx.
There is hope for you and for her but there are also numerous questions to ensure that you receive the most important answer for your concern.
You indicate that your girl saw a psychiatrist and he gave her a medication for epilepsy. Is this by chance called Depakote? The reason that I ask is there are several medications that are used for treating more than one illness or condition.
What are the two tablets that she takes daily? Are they Lithium or Lithobid and if so what is the strength of each tablet?
We will get through this... Hang in there!
The information that you have just provided makes it very important that I know the medications that she is taking. More so if the onset of menopause is occurring.
It makes perfect sense that the episodes are hand in hand with her period for this time of the month generates serious hormone activity in the female body. It makes me think that menopause may not be occurring just yet also... Do you know if she has any of the symptoms associated with menopause?
Missed periods - Hot Flashes - Night Sweats - Vaginal Dryness, etc.
The sodium valproate chrono is similar to Depakote... It is a generic medication and the brand name for this would be Epilim Chrono and yes, these can be used for patients that experience epilepsy but it is also widely used in the treatment of schizophrenia and paranoia that can accompany bipolar disorder when psychosis is occurring or that is clinically present on it's own.
Diazepam is a form of Valium and is also used for individual's that are in the recovery process of an addiction. The medication venlasaxine hydrochloride is a generic form of Effexor XR which is a medication that is commonly used int he treatment of generalized anxiety disorder GAD. Tramadol is the [pain reliever that she is taking and it is very low dose according to what you have reported.
I am going to suggest the following for you in the hopes that it will make each of you enjoy life together more peacefully. First thing that I notice is that with the information that you have given it doesn't sound like your partner is bipolar type II. It sounds to me as though she is experiencing what we refer to as Shizoaffective disorder. The reason that I suggest this is the term Schizo refers to the loose thinking that occurs with schizophrenic patients. The term affective refers to a persons mood. Paranoia is also a feature of schizo personality.
I do agree with you that she is in menopause! Unfortunately, this doesn't help things at all. For now we will focus on a solution to the problem you are having.
I will first suggest that your partner see a new doctor for the purpose of a second opinion and also to have blood work drawn. If she is taking 200mg of sodium valproate chrono daily this is most likely not a therapeutic level and her blood labs will show this. Her medications need to be administered precisely and administered according to her doctor's orders without fail to promote stabilization in her episodes before you can effectively begin to work on the relationship.
When this is completed, I am going to suggest that both of you enter into therapy... This is not because I think that the two of you have a problem, it is because I know that if it is your heart's desire to help her the best that you can therapy will enlighten you about the disorder she is experiencing and it will help you learn the things that can be done to calm her down when a episode is at hand. It is for the purpose of you becoming fully educated about her disorder, how it effects her and how the two of you can work on it together.
Finally, you don't mention whether or not she is still fighting her addiction to alcohol. If she is I am going to suggest that you attend Al-Anon. This is group interaction for individuals that live with an alcoholic. Again, it teaches excellent coping methods and identifies areas that can be family members can understand for the purpose of helping the alcoholic.
I wish you the best.
If this information has been helpful to you then please do ACCEPT by clicking on the green button on your screen for this is how we are compensated for our work. Positive feedback is always appreciated too!
If I can be of assistance to you in the future, you may request my help by typing:
ATTN: Terri60 before typing your question on the header or subject line and submitting it!