Phsical bone and muscle pain with depression

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Regular Member

Date Joined Nov 2007
Total Posts : 74
   Posted 1/1/2008 10:03 AM (GMT -7)   

She complains about physical muscle and bone pain


I am Bipolar and I have a sister-in-law that is in a manic state right now she

doesn’t sleep well and clean house at night and watches TV on the couch, in the last 2-3 weeks she falls a sleep for only 2-4 hours a night the last two days, I have been here she has gone to bed at 6am.

I told her she needs to see a Doctor and she has but it’s only her family Doctor and he is just trying to manage the body pain. He did give her Paxcel (sp) but she has taken none...I am trying to tell her that she needs meds to help get her out of the funk she is in and it will only keep getting worse with out proper

meds,docs and sleep.

I said to her tell your family doc to recommend a councilor or psychiatrist that you could see.


What’s your feed back in getting the help she needs, she has no family support but me

and I am newly diagnosed as bipolar.

Regular Member

Date Joined Dec 2007
Total Posts : 364
   Posted 1/1/2008 10:21 AM (GMT -7)   
The physical muscle and bone pain can very well be from the lack of sleep. Our bodies become achy when we go on long trips and can't stretch out. This is an example of exactly how lack of sleep (quality) affects your bones. You become achy all over and really irritable. This then makes it harder to relax, resulting in insomnia for the next night. It becomes a vicious cycle. The muscles remain tense from irritability and fatigue and also ache.

You might want to pose to her a few questions such as:

1. Do you want help or would you prefer to continue this way? (follow up with its vital in stoppin the pain to have 8 full hours of sleep, ambienCR can work, or lunesta)

2. I'm here for you, but at the same time if you don't want to help yourself I see no point in my worrying! (Let her know that you aren't God and can't fix her. She must want help herself.

3. Would you be willing if I went to the doctor with you and described to him/her what I've seen as far as how much trouble your having sleeping? (she may feel better if accompanied).

4. While it's true that bipolar can cause all of this, you didn't really mention mood swings but rather her restlessness and inability to sleep; which could be mistaken for mania (It is possible a general doctor can get her on the proper meds, however if her lack of sleep is coming from the depression she may need to work out some more intense feelings she has inside).

Your very nice and thoughtful to try and seek answers for her. One thing that you must know is she has to want to get the help. You might also let her know how her conditon is affecting you, and others (if there be any others).

Lots of luck and God bless,

Every day brings us closer to what we reach for all things.

Regular Member

Date Joined Nov 2007
Total Posts : 74
   Posted 1/1/2008 10:38 AM (GMT -7)   

Thanks Kiera,

  I did forget to mention the mood swings she admits (and recognizes) that she can snap from anger to happy then become sad and worry’s about teenage kids and husband also she did say she has racing thoughts at night while up.



Post Edited (MDdave) : 1/1/2008 11:24:20 AM (GMT-7)

Veteran Member

Date Joined May 2007
Total Posts : 3715
   Posted 1/1/2008 1:00 PM (GMT -7)   
I think one way or another, Kiera's right, you need to insist she see a doctor. It sounds like her complaints are more than you can help her with personally. A doctor is going to have to be more involved. She's either deeply depressed (which still may be, even with the sleeplessness) or having a manic state as you describe. How long has she been taking the Paxil. It will take a few weeks to kick in.

By the way, thanks for popping on to our board, Kiera. It's nice to have you.
Co-Moderator, Bipolar Forum

Bipolar II
It is a melancholy of mine own, compounded of many simples, extracted from many objects, and indeed the sundry contemplation of my travels, in which my often rumination wraps me in a most humorous sadness. -- William Shakespeare

Regular Member

Date Joined Nov 2007
Total Posts : 74
   Posted 1/1/2008 2:21 PM (GMT -7)   

She has the Paxel but does not like taking it as it made her feel hung over the next morning. I told her there is lots of meds to try if your not doing well with one.

I have mentioned to her many time in the three days I have been visiting with my brother, to seek professional help but I see a nod from her but untill the feet move I don't see it happening it's hard for her to come to terms.

I told her that the side affecets are strong at first but you will get over most of the hung over felling and I also told her that the meds take up to six weeks to really take a full effect.

My brother is one that doesn’t believe in counseling or therapist and I was the same until I went to the hospital as I had come to a complete low.

I had seen a a few women in the hosp and really got to talk to them men also during our free time so I have see the depression in other and myself and feel that there is

Help in meds and counseling to lead a better life…she is a happy person as I have known her for 17 years but that person is trapped in side.

My brother even used his air line points to fly me from MD to Fl b/c he said I need to come visit with family as I am living outside my home in MD do to a restraining order from my wife and my hospital stay was just last Nov 16th. Even with him knowing my resent problems he does not relate to his wife and says it’s a waist of time with mental health doc's and pills, he even said to me as I was talking to him about her that the Paxel she has is to help the pain and sleep.

I was stunned when he said that...complete spousal denial he is of the mind set that if it doesn't happen to him the why would it happen to other's...Hello why do you think I am were I am today with my bipolar it’s b/c I have those problems except the manic?

My family has always been one to not deal with issues and address problems and I carried that in to my marriage but I want to break myself from that and not sweep family issues under the rug.

My parents still do not recognize that I was the cause of a lot of the reason behind the restraining order but I now understand why my wife did what she did and thankful that someone did something (even though it was a restraining order and was thinking of suicide prier to that) as my feet weren’t moving to get the help I needed.

 I gave her the link to this site and asked her to visit my post her so she could see other offering some help.

Post Edited (MDdave) : 1/1/2008 2:25:34 PM (GMT-7)

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