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Bipolar Disorder
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/9/2021 3:41 PM (GMT -7)
I am curious about others who started off with severe anxiety which led to Bipolar diagnosis. I don't see much about this, maybe sometime we don't recognize the extent of our disorder

Thanks
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/9/2021 6:21 PM (GMT -7)
You say,

"I am curious about others who started off with severe anxiety which led to Bipolar diagnosis. I don't see much about this, maybe sometime we don't recognize the extent of our disorder"

Do you feel you've gone from being anxious to being bipolar?

The Mayoclinic.org says bipolar is "a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

"When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly."

And says anxiety disorder is "intense, excessive and persistent worry and fear about everyday situations. Often, anxiety disorders involve repeated episodes of sudden feelings of intense anxiety and fear or terror that reach a peak within minutes (panic attacks).

"These feelings of anxiety and panic interfere with daily activities, are difficult to control, are out of proportion to the actual danger and can last a long time. You may avoid places or situations to prevent these feelings. Symptoms may start during childhood or the teen years and continue into adulthood."

Which do you think you might be?
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22122
Posted 1/9/2021 9:21 PM (GMT -7)
Well, hi. Not a shrink, can only glean that you have a dx of anxiety and possibly bi polar disorder, or just curious.
With this in mind, anxiety is known to be apart of depression, bi polar and others. Depending on the
anxiety diagnosis. Bi polar can be 1. bi polar disorder, mania, depressive crashes and psychosis.
2. Can be more depressive, with less mania, can be mixed mood, agitation, me, and within all three you can
have episodes of psychosis, rapid cycling and rage, and prolonged hypomania that can cause psychosis.
I live with GAD, generalized anxiety disorder, but this is not technically bi polar specific, it is more
to do with external situations. Bi polar is a chemical imbalance in the brain.

Hope this helps. HT
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/10/2021 5:45 AM (GMT -7)
Hello,

I have more irritability, insomnia, along with getting stuck focusing on something until exhausted. Also the sadness and the lack of concentration and energy. Also times with more energy causing less need for sleep.
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/10/2021 5:52 AM (GMT -7)
No antidepressants have helped yet
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/10/2021 10:11 AM (GMT -7)
You said in your first post:

“I am curious about others who started off with severe anxiety which led to Bipolar diagnosis. I don't see much about this, maybe sometime we don't recognize the extent of our disorder”

A response to that was:

“The Mayoclinic.org says bipolar is "a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

"When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly."

Your reply to that was:

“I have more irritability, insomnia, along with getting stuck focusing on something until exhausted. Also the sadness and the lack of concentration and energy. Also times with more energy causing less need for sleep.”

Your answer includes several of the signs of bipolar, including, in your words, “irritability,” “insomnia” and “sadness.” You added, “Also times with more energy causing less need for sleep.”

You, also, said that you had the additional trait of “getting stuck focusing on something until exhausted.”

Typing in “obsession with bipolar” in the search engine, it shows,

“Bipolar disorder is recognized by mania and depression and usually anxiety. One area of bipolar disorder not usually talked about is obsessive thoughts and behavior.”
(Namimc.org/National Alliance on Mental Illness)

You mentioned anti-depressants. As a bipolar, I take an anti-depressant (Mirtazapine) and a stabilizer (Lithium), with net saying stabilizers help with both depression and mania, helping to keep the person with those two conditions stable.
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/10/2021 10:21 AM (GMT -7)
Wow, reading about the OCD and Bipolar is making sense now. Very interesting...
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22122
Posted 1/10/2021 8:31 PM (GMT -7)
time for the doc mate. Sounds like a mood stabiliser will help.
The longer without treatment, esp with bi polar the worse it gets. HT
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/11/2021 2:20 PM (GMT -7)
It is Depakote and Trazodone

Hope it works
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/11/2021 4:56 PM (GMT -7)
Verywellmind.com says
Depakote is an anticonvulsant (anti-seizure) medication that is also used as a mood stabilizer in the treatment of bipolar disorder.

Medicineplus.gov says Trazodone is used to treat depression.

The great adventure.
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/11/2021 5:24 PM (GMT -7)
1 for mood and 1 for depression

Not sure how that will go
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22122
Posted 1/12/2021 12:07 AM (GMT -7)
STANDARD FOR BI POLAR, ANTI DEP, AND MOOD STABILISER.
SHOULD GO REALLY WELL.
ACTUALLY, MOOD STABILISERS ARE BEST AS A NON STAND ALONE.
ME, PRISTIQ AND LAMOTROGINE. HT
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/12/2021 1:02 PM (GMT -7)
Yes, you said one of your medicines (Depakote) would be the mood stabilizer for bipolar, and one (Trazodone) is for the depression.

I've read on this website where 5 or 10 people were treated for bipolar, and the psychiatrist gave them only an anti-depressant, because they came in as depressed. Well, they're supposed to ask about any manic episodes they may have had, in case they are bipolar, not just depressed.

Because, if they're bipolar and they gave them only an anti-depressant, it can send them into mania, and panic attacks. I've had that kind of treatment, misdiagnosed and miss-medicated, myself.

So you are fortunate that you got diagnosed and medicated right, as far as both a stabilizer and and anti-depressant.

What are you in now, before you took the medicine, a depressed state? Did you have any mania?

Are you noticing any improvement?
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/12/2021 1:23 PM (GMT -7)
I presented with anxiety racing thoughts not sleeping irritability and had tried antidepressant which got me very agitated like wanting to fight for no reason

I feel better yet don't know if I'm just hopeful to get better

I'm sleeping slightly better yet not good
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/12/2021 4:42 PM (GMT -7)
I think it's good that you are on medicine, especially as a believed to be bipolar, you're on an anti-depressant and a stabilizer.

You said the antidepressant(s) made you want to fight for no reason. I take Ativan tranquilizer for a health reason, and they say that can make you combative, and I think I believe that. So I know about that kind of side effect.

You said, "I feel better yet don't know if I'm just hopeful to get better." I think your hopeful to get better can play a part in your possible improvement.

I was negative for many years, from childhood training or maybe my bipolar, or a combination of that. Then I read a column on being positive before going into a problem that you can solve it. What it did was, it opened up my unconscious looking for ways to win, rather than my unconscious negative (which I didn't know I had) looking for ways to lose, like I had programed it in both cases.

I realized when I did that, believing I could solve the problem before I started to try to solve it (by saying to myself, "think positive, think positive, think positive"), I was 200 percent better at solving problems.

So, I'm thinking if we're looking for ways to stay sick, we can find them. And if we're looking for ways to get well, we have a better chance at finding that.

Are you generally positive? Did you come from a positive household?

As for sleep, I use Melatonin health food. But I think if you're taking a new medicine, you'd want to check with your doctor to see if the medicine will help you get to sleep. To see how well the medicine does with that.
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/12/2021 5:33 PM (GMT -7)
I'm generally positive. I just never thought of being Bipolar, just living and don't know any different. I used lots of energy just to function day to day. It does seem that people get diagnosed with Depressive Disorder then later Bipolar.

Are there many that are diagnosed Bipolar then not? Wondering if mood stabilizer works then likely Bipolar?
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/12/2021 7:32 PM (GMT -7)
How long have you been taking your medicine?

I can react to medicine pretty quickly. Did you say you had already started to feel better?
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/12/2021 7:43 PM (GMT -7)
3 days

I do feel better. I think I had been living unstable for years. Almost like a relief to have answers

What were your symptoms
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22122
Posted 1/13/2021 12:04 AM (GMT -7)
six weeks till full efficacy is reached, however uptake does happen earlier. HT.
Are you seeing a shrink? General doctor not the best. Psychiatrists are psych med specialists, on top of
being psychiatrists. HT
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/13/2021 3:21 AM (GMT -7)
Psychiatrist
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/13/2021 8:10 AM (GMT -7)
The Trazodone has me agitated, so every antidepressant has done this, ridiculous
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/13/2021 10:50 AM (GMT -7)
You've been on the medicine 3 days. So it is having a chance to work.

Glad you feel better. Sorry you had been living unstable for years. What was that like?

What had they done, miss-diagnosed you as anxiety, then finally bipolar?

You asked, "What were your symptoms"

Symptoms of bipolar were, one was depressed. I would go into the psy. office as depressed, the psy, wouldn't say anything, he would just listen to me talk. See my as depressed, dx me as depressed. Wrong. Could have said, do you ever have any manic episodes?

I was miss-diagnosed for about 15 years.

Signs of my bipolar were: In manic phase, couldn't slow my mind down. Hard to concentrate at times but could occasionally stay on a task for a long time, probably obsessing. Would go until I had a collapse of some sort. One time I couldn't walk for a few hours, probably because of no socialization and obsessing on a project and not on any medicine such as anti-depressant or stabilizer such as Lithium. My mind just refused to keep going 100 miles an hour.

Laid in the ER for a few hours, socialization, then got up and walked out.

Was put on anti-depressant alone, and with no stabilizer, the anti-depressant by itself would throw me into mania. Then I would have panic attacks. And the psy. wouldn't have a clue when I went back to see him again.

You said, "The Trazodone has me agitated, so every antidepressant has done this, ridiculous"

Yes, that is ridiculous.

For the Trazadone anti-depressant, webmd.com says under side effects:

"This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin....(see Drug Interactions section).

"Get medical help right away if you develop some of the following symptoms: .... unusual agitation/restlessness."

Depakote (stabilizer):

"A small number of people who take anticonvulsants for any condition (such as seizure, bipolar disorder, pain) may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Tell your doctor right away if you or your family/caregiver notice any unusual/sudden changes in your mood, thoughts, or behavior...."

What, a lot of anti-depressants raise the serotonin level, which seems to be the chemical which makes us feel good?

What other anti-depressants have you taken?
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/13/2021 10:57 AM (GMT -7)
Hydroxyzine, Elavil, Zoloft, Prozac

I've had lots of difficulties you mentioned

Restless, racing thoughts, obsessions
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Tim Tam
Veteran Member
Joined : May 2016
Posts : 1797
Posted 1/13/2021 5:13 PM (GMT -7)
The way I found out I was bipolar was, I was talking to a lay counselor on the phone, and telling him of my troubles. He said, “I knew your uncle. And he was bipolar, and you probably are too.”

So, I would have told my psy. and he would have added Lithium stabilizer to my anti-depressant Sinequan.

My panic attacks stopped as soon as I was put on the Lithium stabilizer.

Because, the doctor prescribed Sinequan anti-depressant, because I was mis-diagnosed as simply depressed, and the anti-depressant was throwing me into mania, because I was really manic depressed.

I had two conditions, but the psy. only saw the depression, and they don’t ask questions, they sit there. He could have asked, do you ever have any manic episodes? It never dawned on him that if someone is depressed, they could be manic-depressed, and anti-dep. by itself will throw them into the mania.

In addition to my uncle, my mother’s mother also had bipolar, and I inherited it from her. It skipped a generation, my mother did not have bipolar. So my parents did not have to have bipolar for me to inherit it from my mother’s mother. Do you have any relatives who have emotional problems, possibly bipolar?

You say, “It does seem that people get diagnosed with Depressive Disorder then later Bipolar.” I think they get mis-diagnosed as depressive, because they come in as that, and the psy. doesn’t ask them about possible mania. Then when they keep getting in trouble with the untreated mania, that Psy. or another one will hopefully dx them as bipolar. I don’t think these patients change, I think they get mis-dxed.

As far as if anyone gets dxed as Bipolar, and then not, I don’t think that happens. They get mis-dxed as depressive, and then not. So if a mood stabilizer works then likely Bipolar, probably so. These are just my opinions.

Mayoclinic.org says, two kinds of bipolar: Bipolar I and Bipolar II. Difference is, it says, is Bipolar I you have full mania, and Bipolar II you have hypomania, but no manic episodes. You’ll want to check all of this with your doctor.

“Mania is more severe than hypomania and causes more noticeable problems at work, school and social activities, as well as relationship difficulties” mayo says.

Have you had full mania? For me, it would be working on something until I collapsed. Or do you just have hypo, or reduced mania?
Signs of “manic and a hypomanic episode include three or more of these symptoms,” says mayoclinic.org:

Abnormally upbeat, jumpy or wired; Increased activity, energy or agitation;
Exaggerated sense of well-being and self-confidence (euphoria); Decreased need for sleep;

Unusual talkativeness; Racing thoughts; Distractibility; Poor decision-making — for example, going on buying sprees, taking sexual risks or making foolish investments.

Do you have some of those?

Then the shift to depression (mayo says some of the signs are):

Depressed mood, such as feeling sad, empty, hopeless or tearful; Marked loss of interest or feeling no pleasure in all — or almost all — activities;

Either insomnia or sleeping too much; Either restlessness or slowed behavior; Fatigue or loss of energy; Feelings of worthlessness or excessive or inappropriate guilt; Decreased ability to think or concentrate, or indecisiveness
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gateway43
Regular Member
Joined : Feb 2017
Posts : 45
Posted 1/13/2021 5:21 PM (GMT -7)
I do have first degree relatives with Major Depression, Schizophrenia, Anxiety.

I would also work myself hours and hours even without being paid OT. I would believe I was expert at certain things, so wrong. Also sexual risks. I'm difficult in relationships.
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