EDUCATE ME,PLEASE

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Flopsie
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Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 1:58 PM (GMT -7)   
Well Ladies,
I need some education. Today I was diagnosed with BiPolar Depression. Don't have a clue what it is. HELP!
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
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Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 3:24 PM (GMT -7)   
Well, need a little more info on that dx, are you depressed, not manic?  To have bipolar depression, you would first have to have had a manic/hypomanic episode.  Otherwise, it would be unipolar depression.  Does that make sense?   Basically, here's the cut and paste that saves me typing, lol.  (Not laughing at you at ALL).  BTW, what meds did your doc prescribe?
 
If you read this the minute you get the notificaton, read it again in another minute, can't copy/paste at the same time of the post. 
 

Signs and symptoms of mania (or a manic episode) include:

  • Increased energy, activity, and restlessness
  • Excessively "high," overly good, euphoric mood
  • Extreme irritability
  • Racing thoughts and talking very fast, jumping from one idea to another
  • Distractibility, can't concentrate well
  • Little sleep needed
  • Unrealistic beliefs in one's abilities and powers
  • Poor judgment
  • Spending sprees
  • A lasting period of behavior that is different from usual
  • Increased sexual drive
  • Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
  • Provocative, intrusive, or aggressive behavior
  • Denial that anything is wrong

A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present, so seven in all.

One big difference is that bipolar depression involves leaden paralysis, which is basically that it's hard to move, you feel like you're made of lead and basically bedridden.  Clinical depression doesn't have that.  Of course, that's when it's severe, but even in lighter forms, it is harder to move, you feel heavy and can no longer do things like your regular exercise, even a walk is very hard.  Is this happening to you?
 
It is extremely important that you not be quickly diagnosed BP, which it seems more docs are doing these days.  It's very hard to diagnose quickly.  Did you take any screening tests? 


Variety is the spice of life, BP is the key

Post Edited (psychnurse) : 9/26/2005 4:29:48 PM (GMT-6)


Flopsie
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Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 3:40 PM (GMT -7)   
No meds today, will go back in am for results of all lab work. have always had bouts of anxiety and depression. Anxiety/Panic. My moods change swiftly, I can be up and cleaning house for 2 hours and the next hour , in here crying over something I saw on the puter( and it does not have to be anything sad). have always had problems with people following my train of thought when talking to them, cause I talk real fast and keep on talking, till I get out of breath, then ask "Did you understand what I just said?" LOL, did you understand what I just wrote?
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
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Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 3:44 PM (GMT -7)   

LOL of course!  I've had 40 years of it to practice with lol.

Anxiety/panic often goes with BP, (me too) but how many symptoms on the list did you have besides pressured  speech and fast train of thought?  Manic episode needs to be a week or more.  Not sure about moods changing every few hours.     Did you see a pdoc?


Variety is the spice of life, BP is the key


psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 3:45 PM (GMT -7)   
BTW I am not trying to dx you!  Only get a feel for what 's been going on :-)

Variety is the spice of life, BP is the key


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 3:47 PM (GMT -7)   
no , he gave me no tests, but I have all of those S/S except, drug use, and incresed sex. I have a lot od other things going on for me that would include the leaden paralysis. i think we were typing at the same time as indicated in above post.
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

Flopsie
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Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 3:55 PM (GMT -7)   
no pcp today. saw a pdoc when i was put on disability. Didn't think you were DXing me, i am not familiar with this DX and did not find anything when I ran search. What screening tests should be done and what meds do they usually use, the only one he mentioned today was Cymbalta, but did not write it yet. Sorry so many questions, this is just scary to me. No psych experience, except with my daughter in law and she is Bi-polar, that is only DX she has, can stay up for days and prominent manic episodes, Then she will sleep for days also. I do not do that.
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 3:56 PM (GMT -7)   
EEK!  You may be.  There was an MD on here last night named ckgMD and he mentioned the Hamilton depression scale and the mood disorder questionnaire.   These are to my knowledge the most effective screening tool to use in dx BP and other things, but it is very thorough in weeding out BP.   If you are BP, you sound like a rapid cycler, which Nickie, Sandra and myself are.  It's the hardest one to treat becuase it fluctuates too quickly and often.  But, there are times when it's tamer, thank god!
 
I'm sure your thyroid was checked.  Did he mention checking am and pm cortisols?   Also, thyroid disorders are prevalent in BPs, along with migraines and stomach disorders.


Variety is the spice of life, BP is the key


psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 4:03 PM (GMT -7)   
Flopsie, Cymbalta is an SNRI, basically same as SSRI and is NOT recommended to use in BP.  It causes mania.  I was afraid of this, that's why I asked what med.  PCPs dont know much about BP and if they suspect any kind of depression, BP or otherwise, they tend to hand out the latest samples of whatever antidepressant there is.   I would advise you to get an eval from a pdoc, and not start the cymbalta until you do.  If BP is ruled out, fine.  Read the thread about need information started by Portia, in the second page ckgMD, a PCP in NY wrote in about this very thing.  He is a particularly well informed doctor who realizes the dangers of writing SSRI/SNRIs for BP patients. 

Variety is the spice of life, BP is the key


psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 4:09 PM (GMT -7)   
Also, you can google mood disorder questionnaire (I would give you the link, but can't here) and take the test.  It's pretty dead on and it may help you get a better understanding of where you are.
Variety is the spice of life, BP is the key


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 4:35 PM (GMT -7)   
Yikes 7+. looks like Bi-Polar 2 to me from reading the links, Oh Lord what do i do now. Although it says it does not have the manic episodes
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

kittycat27
Regular Member


Date Joined May 2005
Total Posts : 438
   Posted 9/26/2005 6:01 PM (GMT -7)   

Have you ever been dx for depression before? What made you go in, and how long did it take for him/her to dx you? Sorry if I missed that, I was first dx with depression ( MD), then 1 year later dx with Bipolar. I always doubt this dx, however I think everyone around me knows it's a true dx. Shannon we talk all the time, have you ever actually seen( hehe) me manic? I don't recall in the last months if I have been besides med induced. I know STOP with the denial. Also Sandy, I will email ya when I have more time like tomorrow, about the dreams, wow now i am freakin out, I had similiar dreams, ohhhhhhh... that's creepy. Love ya chicks. Nickie

P.S. I dreamed that one of the instruments I am learning for surgery was trying to attack me. Oh my God..... I never want to touch that one...it's a frazier, a neurotip suction , how weird is that.


bdr1
Regular Member


Date Joined Aug 2005
Total Posts : 121
   Posted 9/26/2005 6:38 PM (GMT -7)   
Hey Flopsie ...

I completely agree with Shannon .... cymbalta is a recimic mixture of Prozac. Although SSRI's may be effective in treating depression, they do carry the greater risk of inducing a manic switch (where a patient who might be depressed might flip totally into a hypo/manic stage). I would strongly suggest that you consult with your physician about initiating therapies other than an SSRI therapy (or, referring to a psychiatric consult before initiating treatment).

hope this helps!

best,
ckgMD

psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/26/2005 7:08 PM (GMT -7)   
http://www.psycheducation.org/depression/MDQ.htm
 
Yes, I think this is pretty thorough, although of course you can't just diagnose yourself over the internet.   But I do wish  more docs (even pdocs dont all use this) would.
 
BP II is hypomania, a milder form of mania which is dangerous enough to cause a lot of problems with relationships, financial status, keeping jobs, etc.  The difference between type II and type I is full mania with psychotic episodes as well i.e. hearing voices, hearing your name being called all the time even when there is no one there, thinking you are something grand, the president, having special supernatural powers, special connections with God, smelling things burning or that just aren't there, extreme paranoia are some of the things type I experiences. 
 
BP II is no light matter.  If you are scoring high on the mood disorder questionnaire you need a pdoc in the worst way and to show it to him.  This is the first application of working WITH the pdoc.  You will always have to in order to be as successful as possible with your treatment.
Variety is the spice of life, BP is the key


Flopsie
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Date Joined Jun 2005
Total Posts : 1361
   Posted 9/26/2005 7:27 PM (GMT -7)   
Hi kittycat, yes I have fought depression for many years, have been on several meds in the past, the most recent being Paxil, which I could not tolerate. It had some bad side effects, made me want to do seriously bodily harm to other people.Before that I was med free for many years, and now it has come back.

I could go on and on about my life, but I will leave it here,and thank you all for your input. Will see what doc has to say after the labs come back tomorrow. Not to happy with him anyway, wanted to take me off my Lanoxin, cold turkey after 15 years and change to Coreg.

Thanks again,

flopsie
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/27/2005 5:03 AM (GMT -7)   
Flopsie, did you ask the doc why Coreg instead of Lanoxin?  One possibility, and this is just an idea, is that you run the risk of dig toxicity, which I'm sure you already know, so dig levels are needed.  However, you may still need glucose levels done with a beta blocker.  Coreg works on both hypertension and CHF by stimulating the heart muscle, so not so necessary to take potent diuretic medications.  You still may possibly have to, but dig may not be necessary.  Just a thought. :-)


Variety is the spice of life, BP is the key

Post Edited (psychnurse) : 9/27/2005 6:06:35 AM (GMT-6)


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 9/27/2005 5:49 AM (GMT -7)   
nope did not ask him why, just said NO and left it at that, Been on lanoxin, get my dig level done every 6 months. They are theraputic range and I am not changing . Once this diabetes is under control, a lot of things will prob be different.
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

Arenace
Regular Member


Date Joined Aug 2005
Total Posts : 249
   Posted 9/27/2005 5:59 AM (GMT -7)   
Okay nurses, by the time you two are finished we're all going to need an education, and an asprin!!! LOL

BP brings new meaning to Life's Little Ups and Downs


Arenace
Regular Member


Date Joined Aug 2005
Total Posts : 249
   Posted 9/27/2005 6:06 AM (GMT -7)   
Thanks Jennifer!!

BP brings new meaning to Life's Little Ups and Downs


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 9/27/2005 6:32 AM (GMT -7)   
ok, LOL, finished... take an aspirin and call us inthe morning..LMBO. Have a good day!
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/27/2005 7:28 AM (GMT -7)   
Jennifer, have a question about links.  Rules say no links, but you say they are fine.   Can you tell me why?

Variety is the spice of life, BP is the key


Flopsie
Veteran Member


Date Joined Jun 2005
Total Posts : 1361
   Posted 9/27/2005 7:33 AM (GMT -7)   
I am not jennifer, but here are the official rules on that subject


4. No advertising or links to advertising or "Spam" is permited (including signatures). Advertising or Spam is defined as posting a link for the purpose of selling products, soliciting, fundraising, or other commercial activity by someone that has ownership or other "vested interest" to the web site involved, including efforts to promote other online forums or web sites by web site owners. If you are a web site owner and have a link that fits into this category that you want to share, please submit it to our resource directory and we will review your submission. Only links to personal home pages are allowed in signatures and member profiles. Links to helpful web sites (commercial or otherwise) are allowed when they are posted by someone without any "vested interest" AND whose purpose is NOT to solicit, advertise, promote, etc.
Don't walk in front of me....I may not follow
Don't walk behind me....I may not lead
Walk beside me..and be my friend...
                                    Albert Carnus
 
and Lord, put your arm around my shoulder and your hand over my mouth
 
Help HealingWell.com continue to help others. Donate Today....http://www.healingwell.com/donate/
 
co-moderator for Arthritis and Anxiety/Panic
 

psychnurse
Veteran Member


Date Joined Mar 2005
Total Posts : 807
   Posted 9/27/2005 8:15 AM (GMT -7)   
Thank you both - I just skimmed it the other day, sorry! :-)
Variety is the spice of life, BP is the key


Putter
Regular Member


Date Joined May 2005
Total Posts : 204
   Posted 9/27/2005 9:02 AM (GMT -7)   
Flopsie,
 
I haven't been around in a few days, but wanted to say hello and wish you well on your serach for the right treatment for you.
 
I was diagnosed BP II and most of my symptoms were very similar to the ones that you mentioned as having experienced. Before I knew much about BP, I always figured that the only manifestation of 'elevated' moods were full-blown manic episodes and didn't think that I was BP. It wasn't until I had done more reading and talked with the pdoc that I realized that hypomania was also a manifestation of BP and that in fact there was an explaination for my erratic behaviour. Although I don't think that I've ever experienced a truly manic episode, the hypomania alone was enough to throw my personal life into a shambles. I've managed to get most of my life in order and am living well with medication, but am thankful that I was finally able to put a name (and a treatment) to this thing that ran my life for so long.
 
It has been a challenge for me to accept and then articulate my diagnosis to my friends and family. Many of the effects of BP II are so subtle to the outside observer, that it is hard for people to understand the frustration/resentment/anger/etc. that comes with it - only further aggravating the situation.
 
This is an awesome forum with so many smart and knowledgeable people and hopefully you will find some useful info.
 
Best of luck,
Putter
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