not being taken seriously

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sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 11/29/2017 6:41 AM (GMT -7)   
I believe I have bipolar but the substance misuse service thinks its an overiding alcohol issue. Where do I go from here?

Psychiatric appointment at the alcohol services next Wednesday but I believe I'm not going to get taken seriously.

I have extreme mood swings even when sober. One day I'll be depressed, other days hyper. On my hyper days I speak really fast that people think I'm taking amphetamines. I ********* 6 times a day on non depressed days. I've wasted £26,000 in 6 months.

My latest psychotic episode:

In July I was drunk and high on cannabis and started blasting music full blast 100% volume. People started knocking on my door and I thought they were burglars.

On the 24th of October, I went round to this guys flat who's a known burglar and threatened to beat him up, I also threatened his brother by text.

The next day our lock got smashed in (his cousins a known vandalist and burglar). I was playing music really loud that day so it must have happened then. I saw a neighbour watching my house so I walked out of the house screaming at the top of my lungs "IT's HIM' and screamed "AArgh" and punched the bush".

I then walked up the road towards the shops and saw a guy on a motorcycle. I shouted at the top of my lungs "HAVE YOU JUST SMASHED OUR LOCK IN?" "TURN THE F AROUND AND COME BACK HERE".

I've been like this since I was a teen.

pedidiva
Regular Member


Date Joined Mar 2007
Total Posts : 57
   Posted 11/29/2017 7:08 AM (GMT -7)   
Hi

I find that writing things down, like in a time line of your symptoms can be helpful for the doc. Do you have a friend who can go with you and serve as someone who is an objective observer of how you are affected by the mood swings? Sometimes that is helpful for the doc to hear, too. I would make sure to tell the doc that you have these spells even when you are not on any chemical substances and that you have had these episodes since you were a teen. A good history is paramount. For sure tell about the racing thoughts and racing speech. Reckon that you are using the alcohol to self-medicate? Many times there is a dual diagnosis.

Have you seen a therapist for talk therapy?

Good luck.

UserANONYMOUS
Forum Moderator


Date Joined May 2011
Total Posts : 4428
   Posted 11/30/2017 6:33 AM (GMT -7)   
Hi sunnys80,

Welcome to the forum!
Please note that we have forum rules that we need to follow. We cannot use obscene or vulgar language, and discussions of marijuana (excepting medical marijuana) is not permitted.
Please view link where you can have a read of the rules in your spare time to familiarize yourself with it:
/www.healingwell.com/community/default.aspx?f=46&m=106997

I am glad you joined us.

A psychiatrist would be able to conduct an evaluation and make a diagnosis.

You mentioned an alcohol issue? Are you an substance abuser or are you sometimes dependent on alcohol? Sometimes Bipolar disorder and alcoholism commonly co–occur. I have read that Bipolar disorder is more likely to occur with alcohol dependence than with alcohol abuse. Although alcohol does not cause bipolar disorder, it can set off a serious bipolar episode and trigger mania.

pedidiva offered you some good advise. Writing things down is very helpful. This will be helpful to you doctor as well. My mother advised me to start this as sometimes when I visit my doctor, I forget to mention certain things, or ask certain questions.

If you are diagnosed with Bipolar disorder, or they conclude it is an alcohol issue, please know that both issues or disorders can be managed. However, you must be willing to seek help and take the first step.

I hope your appointment goes well. Keep us updated on how it goes.

UA
Moderator - Bipolar

sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 11/30/2017 2:16 PM (GMT -7)   
Thanks. I am alcoholic and have been a morning to night drinker since 2005 after losing my job.

I do believe it's not alcohol related because I've had manic episodes since a teen when I wasn't dependent on alcohol but the alcohol does amplify my mood swings.

I'm going to see what the psychiatrist thinks on Wednesday but I do believe I won't get taken seriously. I'm also going to write down a timeline of symptoms as suggested.

I'll keep you updated, thanks.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 11/30/2017 3:28 PM (GMT -7)   
It's good that you responded.

I do believe it's interesting whether the psychiatrist will take you seriously concerning if your up times are from the alcohol or from the manic part of your manic-depression situation.

But you also have some work to do before Wednesday.

In a way, it doesn't matter what the psychiatrist thinks. What matters is if you can stop drinking.

Even if he or she does believe you, even if they prescribe you the right medicine, one for the mania (I take Lithium) and one for the depression (I take Mirtazapine anti-depressant), if you're still drinking, you can't take any such medicine.

As they saying goes, we can be our own worst enemies at times.

It's not going to be whether the doctor gets it right or not, it's going to be whether you get it right.

Why are you drinking? What is it you are trying to get over?

Is it inherited?

You have plenty of work to do, as do we all. Do you believe you can stop drinking? Do you believe you can solve this problem? That's what's going to determine the outcome of this.

And that's a good thing. We are the captain of our own ships, we are the masters of our own souls. God speed us on our journey.

sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 11/30/2017 4:45 PM (GMT -7)   
Thanks. Yes, it's inherited. My dad, uncle and grand father were all alcoholics. I'm waiting for a medicated detox for the alcohol but am trying my hardest to taper down my consumption before then.

The reason I don't believe I'll get taken seriously is because I never brought up bipolar to the substance misuse services or my gp until this latest episode.

This started after a new neighbour moved in and started watching my every move (the neighbour i screamed at before the motorcycle rage). He was continually watching me before I started blasting music sending me extremely paranoid. Everyone else around here knows me very well and this guy moved in early this year.

He looks like a burglar type, I ignored him but continuously watching me drove me over the edge.

A close friend who has bipolar noticed the symptoms in me 7 years ago and said I think you may have it but I never took him seriously.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 11/30/2017 6:52 PM (GMT -7)   
It’s good that you responded.

1. You said, “A close friend who has bipolar noticed the symptoms in me 7 years ago and said I think you may have it but I never took him seriously.”

That’s the way I learned I was bipolar. I was talking on the phone to a lay minister/counselor, and was telling him about my troubles, and he said, “I knew your uncle, and he was manic-depressive, and I think you are, too.”

So, two things, I inherited my bipolar from my mother’s mother, and my uncle was her son, and he was bipolar, also. And, you inherited your alcoholism from your ancestors, and you learned of your bipolar from a friend.

2. Rage. When I use to drive, I couldn’t go very far without getting furious at a lot of people. I’ve gotten two very aggressive men to get out of their car and want to do me bodily harm. One word: Lithium. Which is a mood stabilizer for bipolar, or, life saver, yeah.

We’ll live longer with a mood stabilizer, like Lithium. There are others.

Lithium is for the mania. On the other end of the spectrum, we also need something for the depression. One word: Mirtazapine, for me that is, it’s an anti-depressant.

Rage, part II: You say: “I have extreme mood swings even when sober. One day I'll be depressed, other days hyper. On my hyper days I speak really fast that people think I'm taking amphetamines. I've wasted £26,000 in 6 months.

“On the 24th of October, I went round to this guys flat who's a known burglar and threatened to beat him up, I also threatened his brother by text.

“I then walked up the road towards the shops and saw a guy on a motorcycle. I shouted at the top of my lungs "HAVE YOU JUST SMASHED OUR LOCK IN?" "TURN AROUND AND COME BACK HERE".

That sounds like me and my neighbors.

Paranoia is probably part of the bipolar, and especially when the mania gets really bad.

So what Lithium does is lower the mania, and lift you from the depression. You won’t want to be stomping everybody. You’ll also need an anti-depressant, to better handle that end of the spectrum of bipolar.

Yeah, add alcohol to the mania and the depression, and any mental disorder becomes much worse.

My mother’s mother had bipolar, but they did not have any medicine for it in the 1930s and 1940s and into the 1950s. And she went through agony. You know, like we would be if it weren’t for Lithium.

She had to be sent to a state hospital 125 miles from her home, where she stayed for years. Because they had no Lithium.

So we want to take advantage of being in the right time, a time when they have Lithium and other mood stabilizers for bipolar.

But we can’t take it if we’re taking alcohol. So you have to decide. You have to put on your big girl panties.
I know, it’s going to be tough.

You had my dad quit smoking? He knew his cigarettes were on the top of his dresser, and he wanted to see how long he could go before he went and got them. He never smoked again. He just quit smoking cigarettes. That how he stopped.

You said, “I'm waiting for a medicated detox for the alcohol but am trying my hardest to taper down my consumption before then.”

That is very good. Just try to be positive that you can solve that.

If you believe going into that problem, or any other, that you can solve it, your brain will be more likely to follow your instructions. If you believe you can’t solve that problem going into it, your brain will follow those instructions.

That’s why it’s important if you believe you can solve it going in to the problem. So decide that right now. Do you believe you can stop drinking?

It’s not important, it’s the deciding issue. Do you believe you can solve that problem, and others you may face?

You found this help website, how did you do that and why? If you can do that, you can do a lot of other things.

Let us know how this is going.

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20048
   Posted 12/2/2017 1:57 AM (GMT -7)   
any shrink worth their salt will take you seriously.
you got to take it seriously as well. they see thru bs.
not saying you or anything, but they know. you will get help if ya
want it. ask the questions that need asking. ht

sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 12/6/2017 11:03 AM (GMT -7)   
I had the psychiatric appointment today. He does believe I have bipolar but can't diagnose me because he's a substance misuse psychiatrist. He told me to abstain from alcohol for a few months then ask my gp to refer me to a mental health psychiatrist.

I'm six days sober. I ordered diazepam off the internet and self detoxed myself. I told him this. He says the alcohol complicates things and I will need to be clean for a while to get a proper diagnosis.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 12/6/2017 2:00 PM (GMT -7)   
sunnys80:

You said, “I’m six days sober.”

That is very good.

Then you say, “I ordered diazepam off the internet and self detoxed myself. I told (the psychiatrist) this.”

We bipolar’s have to hold on to something every now and then.

I wanted to get off of Ativan one time, and my psychiatrist said to just quit taking it. So, I went off of it too fast and it caused problems.

I went from one end of the bipolar spectrum to the other too fast, and it caused me problems.

Did the psychiatrist you saw give you any idea of how long you are to keep taking the medicine, Diazepam, which I've taken as Valium tranquilizer.

Can you go back to him to report how you are doing, and find out how long you need to stay on the valium?

If you can’t go back to that doctor, can he or someone else recommend a drug rehab doctor or clinic?

You can look in the phone book, or better on the computer, under "alcohol detox" in the search engine, and see what is there in your city.

I went to the net about this and it seemed to be helpful. You might want to get some data from there.

Valium was mentioned as one of the detox meds, one place said the med was stopped after 4 days of quitting the alcohol and one place said it was stopped after 7 days.

Where are you on this valium situation?

Cleanandsoberlive.com highly recommended going to a clinic to detox, but said if you're trying it on your own, one should: Detox under proper medical supervision, Avoid dependency on others for your sobriety, but publicly declare your commitment to quit; Maintain and seek out healthy relationships.

If you are still around the same people, they’re worried you may drop back into that.

One thing, you could call AA (Alcoholics Anonymous) in your city, and attend some of those meetings, and ask what tips they may have.

The AA groups are in your phone book, or on your computer, which I would recommend. They are free. I think you really need to do this, as soon as possible.

Can you let us know if there are any AA groups in your area? This puts you around people who know about this. In larger cities, these meetings are held 7 days a week. So this gets you around people pretty quick.

They (clendandsoberlife.com) stress not keeping alcohol in your house, avoid place and people which might pull you back to that, staying productive, such as a job or volunteer, such as at a hospital, senior citizens home or walking a dog at a kennel.

Have healthy distractions such walking or jogging.

Again we bipolars have to watch out for ourselves.

You're not on any bipolar medicine, so you might not want to wait 3 months before seeing about that. Can you see about getting in contact with a psychiatrist, if only about other things if not about getting on any medicine right now?

Post Edited (Tim Tam) : 12/7/2017 9:51:27 AM (GMT-7)


sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 12/7/2017 12:28 AM (GMT -7)   
Thanks Tim Tam. I've been off the valium since Saturday. I only took it for two days and then didn't suffer withdrawal symptoms after that. I was also taking codeine which I was prescribed for pain a few days after and have been clean from that for three days.

I'm moving into supported living rehab next Tuesday the 12th. I'm also booking a gp appointment today t be referred to a mental health psychiatrist because over here in England it takes a few months until you're actually seen after being referred. I'm never touching alcohol or any drugs again.

I'll keeep you updated on how it goes.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 12/7/2017 11:32 AM (GMT -7)   
sunnys80:

This is all very good news. Don’t know what to say.

1. Off alcohol 2. Off Codeine for pain. 3. Into supported living rehab next Tuesday the 12th. 4. Booking a general practitioner to get an appointment with a psychiatrist. Saying, “I’m never touching alcohol or any drugs again.”

I’ve seen scripts for movies that weren’t that interesting.

Of course, we know, that difficult times can occur. Especially for us Bipolars. As the song says, “Nice and easy does it every time.”

Again, we need to get on that Lithium, or mood stabilizer of some kind. And an anti-depressant. I can’t believe they keep you going for three months with no medicine.

You’re not going to have any medicine?

What about the AA meetings? Oh, you're going to be in drug rehab place.

What helps me get through is, when I encounter a problem, I say, “One problem at a time, and be positive about that problem.”

I didn’t always say that, but I happened upon a newspaper column that talked of being positive prior to going into a problem that you can solve it.

So, after that, I told myself, before going into a problem, say to myself, “Think positive, think positive, think positive” to get my mind in the right way of thinking, before actually trying to solve the problem. It was my negativism that was getting me, not the problem.

Another thing that helped was, in a rough time I was going to these Al-Anon meetings, for spouses of alcoholics, which is one reason I was advocating AA meetings for you. So, when it came my time to talk, I started listing all of my troubles, in a very sad tone of voice.

This woman next to me listened to it all and when I finally finished, she said, “Oh, you were having a Pity Party. We’ve all done that.”

Well, what was that? Was that an attack? Well, it wasn’t but she sure embarrassed me to tears in front of the group, but her “in between” voice got through my defenses and I heard what she was saying: “You don’t need to feel sorry for yourself all the time.”

And since then, I never have. And the few times that I’ve tried, I hear that woman’s voice, and I see her face, and it doesn’t work. I can’t get a good Pity Party going. That woman was like magic.

So I would recommend that to you, if you see yourself starting to wallow in pity, like I did for decades, think of that woman and you’ll stop.

Also what helps me is that I found I can turn around my psychic energy by worrying about somebody else’s problems rather than mine.

I went to a health issue website one time fully intending to pour forth about an all-consuming problem I had, and started reading about a plight this woman was in. I got so wrapped up in that I never mentioned my problem or even thought of it. It vanished.

Oh, by the way, I have as many problems as you do, I just put them aside for a while.

So you might want to try doing that with say a job, or working in a clinic that works with drug or alcohol people, and see if your psychic energy doesn’t turn around.

Or you could volunteer in a hospital, senior citizens home, or walk a dog in a kennel. Those dogs have a lot of problems, too.

In a hospital as a volunteer, you can see job listings which could lead from volunteering to working, maybe even in the drug and alcohol section.

We’re waiting on our updates. Promises are promises.

TitusNana
Regular Member


Date Joined Jul 2016
Total Posts : 30
   Posted 12/8/2017 4:13 PM (GMT -7)   
A psychiatrist will take you seriously if you can describe how you feel accurately. Write down the words for how you feel when too energetic, along with some examples. Do the same for when you are lower energy or your body is slowed down. Include a description of your agitation and irritability, and how young you remember these things happening. If you focus only on depression, you'll get antidepressants. If you focus on the whole picture, possibly you will trial a different med, such as a mood stabilizing anticonvulsant. The psychiatrists go by what you tell them. Many, many people self-medicate when they are uncomfortable or unstable. You are wise to seek input from a psychiatrist. You may need to see a few until you find one who understands. Some are better than others. Find on you can work with. There is alcoholism and bipolar all over my family tree. It seems they find alcohol first, which takes up many years to work through that underlying bipolar. Good luck to you!! Congratulations for being pro-active!

TitusNana
Regular Member


Date Joined Jul 2016
Total Posts : 30
   Posted 12/8/2017 4:23 PM (GMT -7)   
To add to my comment, you may want to get on a couple different psychiatrist's wait lists. In this way, you can have a back up plan if your first one is not up on his game. You seem to have a lot of insight, and you are probably right about the bipolar.Also, it is a good idea to mood chart for many months. There is a simple form which has 4 checkboxes for each day. Over time, you can see patterns, which is helpful. You can print one off from: http://www.cqaimh.org/pdf/tool_edu_moodchart.pdf

TN

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20048
   Posted 12/8/2017 9:10 PM (GMT -7)   
with TN. PS...all psychiatrist are trained in all facets of
mental illness, and i am bemused that a misuse shrink,
can't dx you as you may have a dual dx? what a crock.
might specialise in misuse, however all shrinks are dr's first,
then if train to be a psychiatrist do another 6-8 yrs. i would look around.
and maybe ask if this person is just an addiction specialist?
look for a consultant psychiatrist approved by the relevant board in
your area country.

sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 12/10/2017 3:03 AM (GMT -7)   
This is who I saw:



He listened to everything I said, my life story and episodes, scars on my arm, rage bursts etc from the age of 14. He said how can we help you I said I think I have Bipolar, he said "But this is about the alcohol".

He said remain abstinent from cannabis, alcohol and drugs, he's not going to prescribe medication and I told him I'm going to get my gp to refer me to a mental health psychiatrist. I think he does believe I have it but because I'm a known relapser at the substance misuse services and haven't been sober long enough.

EDIT: Links posted was removed.

Post Edited By Moderator (UserANONYMOUS) : 12/11/2017 5:45:17 AM (GMT-7)


UserANONYMOUS
Forum Moderator


Date Joined May 2011
Total Posts : 4428
   Posted 12/11/2017 5:44 AM (GMT -7)   
Hi Sunny,

Great to hear that you found a doctor who listened to you. Sounds like you are comfortable with him.

I am glad you are seeking further help to get a referral to a mental health psychiatrist. You are on the right track.

How is the abstinence from the substances going thus far for you? How are you coping?

Kindly note that I removed the links you posted with the doctor you visited. I know you were just sharing it with us, but it may violate our rule:
Advertising or spam is defined as posting a link for the purpose of selling, soliciting or promoting something.

Please view link where you can have a read of the rules in your spare time to familiarize yourself with it:
/www.healingwell.com/community/default.aspx?f=46&m=106997

Keep us updated on your are you doing on this journey. Please know that we are here for you through this journey that you are taking.

UA
Moderator - Bipolar

sunnys80
New Member


Date Joined Nov 2017
Total Posts : 7
   Posted 12/11/2017 2:17 PM (GMT -7)   
11 days sober and substance free. I'm doing pretty well but just have to wait to be referred to a mental health psychiatrist. I hope it goes well.

I have written down pages of my life events and focused more on my manic episodes than the depressive ones. I;m staying positive.

Tim Tam
Veteran Member


Date Joined May 2016
Total Posts : 1109
   Posted 12/11/2017 3:40 PM (GMT -7)   
Very proud of you.

Is tomorrow the big day? You said you were to go into the substance abuse center on Dec. 12.

In the meantime before you see a psychiatrist, are you suppose to not have any medicine?

When is the soonest you can see a psychiatrist?

Are you still in the same social situation you were in when you got into trouble?

What is your home life like? Does the person you live with have a substance problem?

If so, I would think that if you stay with that person, I think it would be harder to disconnect from the substance.

I think it would also be difficult to disconnect from the person you may be living with.

You might have to make some tough choices.

I think it's good that you are staying positive.

Please let us know how your first day goes. The first day of the rest of your life.

theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 20048
   Posted 12/11/2017 8:40 PM (GMT -7)   
good work on the abstinence. the early days are
the hardest...and with any addiction. proud of ya
achievements thus far.

UserANONYMOUS
Forum Moderator


Date Joined May 2011
Total Posts : 4428
   Posted 12/13/2017 11:22 AM (GMT -7)   
Congrats on being 11 days+ sober Sunny!
yeah yeah yeah

Keep up the good work, and staying positive. Know it may be hard at time, but you can do it!
Moderator - Bipolar
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