recently diagnosed

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tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 1/1/2010 8:53 PM (GMT -7)   
I just entered a day program and the nurse there diagnosed me with bipolar II after a 2 hr interview. My therapist disagrees with the diagnosis. I am also having problems with my menstral cycle. I don't know what is causing what. I am under extreme stress. I was prescribed lamictal which one of the side effects is painful periods. Mine are already excruciating. I guess my question is do I have bipolar or a hormonal issue? It is very difficult to get a doctor to test for hormonal imbalances especially the right ones. I'm so confused especially because my therapist and the new nurse disagree. I can see why she thinks I have bipolar II the symptoms do fit, but so don't hormonal imbalances. I don't know maybe it's both.

SnowyLynne
Veteran Member


Date Joined Apr 2004
Total Posts : 1539
   Posted 1/2/2010 1:28 AM (GMT -7)   
I would find another Dr & get a second opinion.Maybe an Internist...........Explain the problems you are having,everything..........
SnowyLynne


Linx
Regular Member


Date Joined Nov 2009
Total Posts : 82
   Posted 1/2/2010 5:48 AM (GMT -7)   
hello,
I would have to agree it is hard to diagnose bi-polar in two hours. I'm bi-polar and it took them almost a year to see how I cycled before they made the final diag. I would deffenatly get a second oppionion. You want to make sure they have it right.....

serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 1/2/2010 11:43 AM (GMT -7)   
Hi tebasmm,

Neither a nurse or a therapist is qualified to diagnose you. You need to talk to a licensed psychiatrist. Not a general practitioner -- a psychiatrist. Make an appointment soon, because it can take a while to get into a psych for a first (intake) appointment.

You will probably need to have your general doctor or ob-gyn write you a referral (but check with your insurance) for a specialist to check on your hormone levels. I have some friends with hormone problems and they can be debilitating. Have you talked with your ob-gyn about your painful periods? That can indicate something very serious. You definitely need to have that checked out.

serafena
Serafena
Co-Moderator, Bipolar and Depression Forums
Bipolar II

"Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life." - CARRIE FISHER


tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 1/2/2010 5:04 PM (GMT -7)   
Thank you for your replies. I do have a psych dr. that I see on a regular basis (every 6-12 weeks). He has never really told me what he thought my diagnosis was. I already saw the ob-gyn she ran some tests which I have not got the results for yet and requested an ultrasound which
I have not had yet. I just wish they would all get together to discuss this because I am stressed and confused and tired. I just know something is wrong.
The nurse that diagnosed me does that for a living at a day program for I don't know what you call it. They sent me there after I was released from the hospital.
It's weird she worded the questions differently than my therapist did after I told my therapist the diagnosis. So they were yes to the nurse and no to my therapist. Similar questions but worded just slightly different. My therapist doesnt think I have bipolar II because she has never seen me manic. But I do take topamax for depression which is also used for bipolar and wellbutrin. I just forget to take it a lot. I think I need a new Psych dr. he will brush all of this off. He's always in a rush.

Stormienite
Regular Member


Date Joined Dec 2009
Total Posts : 185
   Posted 1/3/2010 10:05 AM (GMT -7)   
Please let us know what the blood tests show!
Rapid Cycling Bipolar Disorder (and about a dozen other things)
300mg Lamictal
90mg Pamalor
60mg Prevacid
2mg Niravam (Xanax)


serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 1/3/2010 10:42 AM (GMT -7)   
You can ask for your docs to consult one another. Just give them each others names and they'll do it if they have time. When I was having thyroid and sleep problems, my mood got very exacerbated, obviously. My gp and my pdoc consulted with each other then, because she didn't want to over medicate me while they were adjusting my thyroid meds, etc... It all worked out eventually, but it took a little time. Hang in there. And do let us know how things go.


serafena
Serafena
Co-Moderator, Bipolar and Depression Forums
Bipolar II

"Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life." - CARRIE FISHER


tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 1/9/2010 4:05 PM (GMT -7)   
Hi again. I saw my PDr & he blew me off. He said I could see the APRN at the program that changed my meds. I tried to explain thats not how it works and he's in charge now even though I'm still in the program but he said come back in 4 weeks. This was immediately after my therapist spoke to him about her concerns because she disagrees with the diagnosis and possibly the change in medications (she is trying to be professional about it but I can tell she is uncomfortable with it.) He only spoke to me for 3 min. Thats crazy. I was hospitalized and my meds have been completely changed and I've been in his care for 4 years. I know I need a new Dr. But then I lose my therapist she is the only person looking out for Me. I have been to so many bad ones. I feel like I will just give up if I have to start over. I wanted to give up after my appt with him. The APRN is so busy she never gets to everyone. The therapist has a little knowledge of meds but cant RX and doesnt pretend to be schooled in them. I am so confused. I don't even know for sure what my diagnosis is. the stupid meds make me stupid which don't help. anyway thanks for reading my rant.

Stormienite
Regular Member


Date Joined Dec 2009
Total Posts : 185
   Posted 1/9/2010 8:13 PM (GMT -7)   
OMG I'm so sorry your Pdoc is an AH.  (I'm trying to be nice here but I'm really fuming.  I have Drs that are like this)  Okay, why will you lose your therapist if you change to another PD?  IMO, it seems to me this guy forgot why he got into psychiatristy and just wants to clear his schedule so he can be home by 4.  Ugh I want to smack him upside the head and rip up his 60 year old diploma.
Rapid Cycling Bipolar Disorder (and about a dozen other things)
300mg Lamictal
90mg Pamalor
60mg Prevacid RIP
2mg Niravam (Xanax)


serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 1/9/2010 9:39 PM (GMT -7)   
Ooooooh. Crap doctor. Time for a new one. It's a total pain (I really know--I saw 5 this year) but getting a doc who responds to your needs is crucial.

Why would you lose your therapist? Is she part of his practice? She wouldn't see you on an individual basis? Have you talked to ehr about this?

serafena
Serafena
Co-Moderator, Bipolar and Depression Forums
Bipolar II

"Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life." - CARRIE FISHER


tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 1/9/2010 10:09 PM (GMT -7)   
He owns the practice. So I have to see him to see her. She's a professor when she's not there. I haven't been able to talk to her yet this just happened Friday. I saw her right before him. I am afraid of what to say she is the type to get right up and say she said you did this to her and I get so embarrassed so easily. I know what he did is very wrong. I shouldn't be the one to be embarrassed but I will be and I probably wouldn't go back. I don't see her for two more weeks because she's out next week. Thats adding to my anxiety, not that I need to see her but I'm so frustrated and I feel she is the only one looking out for my best interest. Or at least putting a little extra effort into thinking about it instead of an automated response. It seems like everyone in the program I am going to is on the same medication. Storm you are exactly right he was running behind as usual and his next patient was new. Thank you guys for responding and reading and just being here. It helps so much just to get it off my chest. I tried to talk to my brother but he wants his wife to yell at the Dr. Thats not what I want. He just didn't know what else to do.

tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 1/9/2010 10:19 PM (GMT -7)   
I have a question maybe someone can answer. With bipolar II when it describes the hypomania is it basically the person experiences lows all the time and then very low lows. Never any highs or manic states? Like your depressed and then majorly depressed or suicidal those are your two poles?

serafena
Veteran Member


Date Joined May 2007
Total Posts : 3715
   Posted 1/10/2010 9:34 AM (GMT -7)   
Hi tebasmm,

Hypomania isn't low, it's more like persistent agitation: feeling like you're jumping out of your skin, irritated, can't stop your brain, talking too much, some self-destructive behavior but not the high flights that true mania gets. You don't have the feelings of indestructability, power, breaks with reality.

If you want more discussion of it, check out some of the links in the Resources thread. The ones to the Mayo Clinic and Nimh talk about hypomania pretty well.

serafena
Serafena
Co-Moderator, Bipolar and Depression Forums
Bipolar II

"Bipolar disorder can be a great teacher. It's a challenge, but it can set you up to be able to do almost anything else in your life." - CARRIE FISHER


Bohemian
Regular Member


Date Joined Jan 2010
Total Posts : 58
   Posted 1/10/2010 9:33 PM (GMT -7)   
As of last year, I have FINALLY found a VERY good psychiatrist; he listens, and responds to me very well.  He sees me any where from three weeks, up to three months; depending on my condition.  I can also email him at anytime.  I am fortunate to have found him.  Others I have had in the past, would book me in anywhere from 6 months, up to a year.  Many of them gave very little feed back when I asked questions.  Proper comunication between the Psychiatrist and Patient is crucial.
 
In response to the painful, and stressful menstrual cycles; definietly go an Obstetrics and Gynecologist.  I've experienced, extreme stress, and agitation during the week of PMS.  Since my doctor prescribed Librium (25mg, in the morning, and at night).  I have noticed that the PMS I have been experienced before, is not there anymore.   By the way, I am new to the forum; I have OCD (anxiety disorder), and Rapid Cycling Bipolar 2 (mood disorder).  He primarily precribed Librium for my anxiety.  Librium is a benzodiazapine with a long half life, and stays in the system longer.  Unlike Xanax which has a very short half life, it goes out of your system quicker.  Once Xanax is out of the system, usually, there is an anxiety reboud effect; not good.  I know of many doctors who are reluctant to prescribe Xanax, and those that are similar.
 
Check out with the Ob Gyn, the psychiatrist and/or therapist, FIRST.  Do not be affraid to ask ANY questions, even though they want to kick you out of the office (of course, be reasonable with the over-time).  Remember, this is about YOU, not the health care workers.
 
May everyone stay well. (((hugs)))

tortoise11
Veteran Member


Date Joined Jan 2010
Total Posts : 2896
   Posted 1/11/2010 6:37 AM (GMT -7)   
If your pdoc is aways running late, how about scheduling the FIRST appointment of the day so he can focus on you, not the clock?
 
Then you can get the attention you need, and still see your tp.

tebasmm
New Member


Date Joined Sep 2009
Total Posts : 19
   Posted 2/11/2010 10:56 PM (GMT -7)   
hi guys me again. I am not doing well. I had a very bad episode this weekend. I tried to ask for help at the day program only for them to tell me I'm being discharged without even asking me how I was doing or why I asked for help. I don't get it. I feel lost and right back where I started. Or further back. I saw My Pdoc today and without listening to my full story but I did get half in he added celexa to my lamictal and topamax. I tried to fight the addition. I begged to have one of the others taken away. I do not want to be on 3 meds, nor do I want to take one that will make me gain weight. He insisted. IDK I have this feeling that this is all wrong for me. I did get the insurance co. to give me more time at the day program but now I'm wondering whats the point. I've been there for 5 weeks and got worse. I don't know what to do or where to go.I feel like they look at me and have no idea what to do with me.
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