Keep track of the attending physician if there is one so you can address questions to an individual but also bear in mind that in emergency situations playing twenty questions with the doctor takes time away from the care your mother is receiving. That being said try to find outlets for your own well-being while your mother recovers. Typically in a mental setting one cannot stay combative for too long because quite frankly things can really get out of hand quickly so they get sedated immediately (and I'm interpreting combative literally - she has engaged). That should be easier for the psychiatric staff to get under control. As bad as that sounds it could be a good thing because then the docs could have a chance to deal with the physical aspect and your ma could get some rest. As scary as it can be from your end keep in mind that mental illness is not new and neither are the drugs or conditions albeit physical or mental that co-exist with it. Try to relax, and try not to place too much weight on things your mom may be saying. She is in the hands and care of professionals.
Everyone has "hyper" periods. Looking back at things I wrote when my mind was racing there is a lack of comprehension at times and multiple tangents. This was straightforward and easy to follow. If you have people telling you to go to the doctor go, otherwise let it be and chill.View Thread
Sometimes it does. Typically your psychiatrist will want a blood draw to see the serum level. Sometimes though it takes your body awhile to adjust to the lack of sleep from the preceeding manic episode (if that was the reason you were placed on this drug). If you had been getting acclimated to three hours of sleep a night try keeping in mind hopefully you stay healthy and that doesn't come back. It can take awhile for the body and mind to recover fully.View Thread
And yes as your prescribing doctor if you begin a course of treatment it is his responsibility to follow-up and see how the treatment has proceeded. And no it's not weird, psychiatrists often have therapists that they are affiliated with. It can be a good thing if they think they have one that is suited for your personality type. I would argue that this is another indication that your psychiatrist feels therapy can be a helpful tool for you. Typically the psychiatrist already knows ahead of time that the therapist takes your insurance too if you weren't paying out of pocket!View Thread
Lol you don't have to apologize for the suffering comment. I've made that same assumption before working with a specific population and found it to be so far from the truth. I'd let you know if I was offended. What you're talking about now is a little different and I commend your doctor. It does sound as if you are jumping to worst case scenario though by going automatically to all three. And yes it would be contradictory and in some cases harmful to mix alcohol (a depressant) with an anti-depressant. You may also want to discuss AA meetings with your therapist. If you are able to lay off the drinking I am sure your doctor would be willing to revisit the medication question with you in the future. Additionally, I wouldn't get to hung up on the word "mental illness" and the negative social context it has taken even to this day. Most people, even those who aren't diagnosed with something have things that they can work on or mentally improve.View Thread
Do apologize if it comes across as edgy, but I was just trying to be straightforward. With the "abuses" both substance and relationship that you mentioned there was more psychological than biological jumping out of your post.
I'm aware the majority of webmd is not m.i. related. My main point was that the doctor DID NOT diagnose you. YOU DIAGNOSED yourself WITH 3.
Make no mistake about it. A psychiatrist is not going to leave you guessing.
Quite frankly too many do and too many doctors push over for many reasons.
Noone has moods that are completely grounded. It is expected that some bumps and turns come about. If you are tenative, have a history of alcoholism and ptsd from a relationship that can certainly dictate everything you have mentioned.
Your first sentence struck me (not at all unfamilar to webmd). More and more people are looking and going in to the doctors saying I think I have this when it should be the other way around. The spectrum of symptoms is so wide it is easy to see some of it in everyone if you are looking hard enough (usually)In another couple of years another goofy DSM will come out and more people that are considered o.k. will be slapped with a diagnosis?
All your feelings are legitimate and yes there is such a thing is bipolar depression. It is different than unipolar depression in the way it presents itself. I would address the lexapro question to Dr. Goldberg but typically I've never heard of anyone using it independent of a mood stabilizer for bipolar disorder due to the risk of mania unless they are trying to intentionally kick-start their system and you sound like you are above that level of functioning. In regards to reactions it differs but the pdr generally lists common ones and it is a decent source. If you are questioning the diagnosis I would seek a second opinion, but it is increasingly rare to find doctors who hold back on throwing out spectrum disorders. Outside of the suicide (and even there you can have logical cases that don't indicate mental illness; not justifying it and not saying this is the case), nothing you mentioned really isn't that abnormal. It sounds like he was being open and considering all options. To be honest there is nothing here that screamed off the page except you saw a psychiatrist that was indicating by deferring to further talk therapy and an anti-depressant that for the time being you are either a. depressed or b anxiously depressed. It definitely sounds like you have a lot to talk about. Bringing closure to the hurt from the relationships can be undone properly without medication and someone who knows alcoholism can help you navigate that area as well. Make the appointment with the therapist as soon as possible and see what they have to say, but it sounds like this one said no and you put these words in his mouth? And I definitely don't mean intentionally.
The difference between one and two is simple. The presence of a mania. It also would / should be outside the use of substances et cetera. Bipolar 1 is not a difficult diagnosis for a doctor to figure out. The repetitive nature of your posts indicate that you may really reap benefits from a therapeutic setting. Contrary to what you have stated as your preferred treatment this should not be a setting where you walk out every time you dislike or disagree with the doctor.View Thread