I am no expert in BiPolar disorder but I thought I would throw in a useful piece of information. I am a psychology student, in training to be a clinical psychologist. We do get taught about BiPolar disorder, Depression etc... so a psychologist may be able to help you. The only thing is that (In the UK) a psychologist cannot prescribe any meds unless he has done an extra course. That is the job of the psychiatrist. But you might find it useful to get a 2nd opinion from a psychologist and take it from there.
I hope this helps
Post Edited (Honey Bee) : 10/2/2007 6:25:54 AM (GMT-6)
Post Edited (serafena) : 10/2/2007 6:58:24 AM (GMT-6)
Thank you Honey Bee for responding and giving me such good first hand information. You really are living this just as I am. Yes, I feel so overwhelmed by his ups and downs and overspending and more as you know. I use to be so productive and organized. Now, I feel alot of fear and seem to stay numb over how he just lives his life in general even more so since we have started working together at home.
It is a type of business where his input is essential so it isn't a good situation at all. He stays in bed so much and wants to work from his bed alot and wants me to bring him the things that he wants. I try not to enable him so he will get up and do what he needs to do unless he truly is really sick but it is such a struggle and he pulls the energy and motivation out of me daily just trying to live with him much less run this business with him. He thinks that it is ok to just get back to a customer when he feels like it. I often have to wake him up to take a customer call and he lets them know that he is still in the bed because he didn't sleep well the night before. But it is often the only way I can get him to get up and get on with his day. Then he gets up and often takes off for shopping and out to eat by himself if I won't go.
I really dread getting new meds because we have been down that road alot already so I know what you mean about the side affects can often be as damaging as whatever the disorder is. Yes, he could have more than one disorder going on because I really see ADD because he gets distracted and loses things constantly and has trouble listening during a conversation. Also, the BPD is possible because he had a very traumatic childhood, one that involved losing his alcoholic parents while still a teenager. But this pyschiatrist doesn't counsel with him to find out, he just asks if he is having any problems and writes another script. Maybe I should be more adamant about trying to get the information out during an appointment but the doctor often stops me from talking by changing the subject at the first opening to something else like giving dh samples or something. And dh talks alot so it is hard to get a word in between them. This psy is a friendly type guy most of the time and keeps dh talking but about things that don't matter.
I have heard that psychiatrists only give medications and that pychologists determine or diagnose what the disorders are and then tells the psychiatrist so I felt like you guys know better than anyone which way to go. I don't have a problem going to someone else for a second opinion and dh will do just about anything I want to do. I read where the bp folks here often go to the hospital. That is something we haven't done in any of dh's symptoms of depression or manic or maybe hypomania type episodes. Should we be calling the doctor every time he has a new mood or won't get out of bed? He is very dysfunctional alot. That mood chart is an excellent idea, I will start it today.
When dh overspends, it's not like he wipes out the bank account but he will go into a store like Walmart or Walgreens Drugstore and spend $200 or $300 on stuff that we already have or just junk we don't need (or gifts for other people for no occassion!!). And he wants to spend an unlimited time just browsing up and down the isles for entertainment, like a kid in a toy store. He wants to make big purchases like RVs and vehicles, etc. with no regard to our budget or income limitations.
Thanks Serafena about the information on the how tricky the meds are. Maybe that's why the psy won't give dh an ADD med is because he isn't sure if he has bp and he is afraid of how it will react on him. But I wish he would be more forthcoming on what he thinks is going on with dh. He said once that he had to do this in a scientific way as far as what meds and dosages he would give. Also what you are saying sounds like he will need to constantly go back to the doctor for new medication every time he turns around. We don't have health insurance, I don't know how we are going to do that.....
I have thought about just writing the psy a letter with all of dh's behaviors about a week before his next appt, not an emotional one, just the behaviors explained so that he will have to know more when he talks to him next time.
What do are the bp patients go to the ER for? Is is when they are in a mania stage or a depression stage and can't cope any longer? What can the ER medical staff do if they are already under medications from another doctor?
Thank you all for helping me understand this. I really appreciate your help.