I was thinking seriously about GBS at one point, but had similar fears. Thank you so much for posting this - I think I'll have another talk with my psychiatrist and psychologist both about it. Thank you so much!
There's a fine line between a yes for that question, and a no. Yes, your bipolar may be a direct result of the TBI (if bipolar is what you have), but more accurately would be to say that the TBI aggravated things to where the bipolar became more pronounced.
I work for a handful of Neurologists in a local hospital, and I *have* seen some cases come through where a person, after a TBI, exhibits characteristics of a mood disorder that their parents or families never had.
It's kind of like what Dibbits said - the nerves can be damaged and pathways cut off or rerouted. At the base of things, what is bipolar? A chemical imbalance. So what if you have TBI, and things get imbalanced? Follow it backward, and you end up with bipolar.
One thing I haven't seen come through (which is not to say it's not possible), is psychosis. Those born to bipolar disorder, some of them have episodes of psychosis, or psychotic features ... I've not heard of a TBI patient presenting with psychosis. That's one of the main reasons why, in my belief, no TBI patient has been accurately diagnosed with schizophrenia.
On the other hand, some would say no, under no circumstances should it be considered bipolar unless it was received genetically.
I've always loathed hearing the terms "became bipolar" - as in hearing someone fifty years old saying they "became bipolar" two years before ... because to me, if you're predisposed to be bipolar, then you are from birth, and you "develop" bipolar, not just "become" it.
You can see how sticky that becomes though, when a TBI patient with no obvious genetic predisposition starts exhibiting signs of severe depression and bipolar...
I've had those feelings often before. When I'm out, if I start longing to go in it's usually because I'm extremely unbalanced.
The thing is, for a lot of people admission is like locking yourself in a haven - a safe place. That's exactly how I've described it to others; a safe place, quiet, with no pressure and little stress. My brother, on hearing me say that, said it sounded like a vacation of sorts - a time away from things for a little while.
I can go months without thinking twice about admission, but when things turn for the worst, when everything gets terribly hard to bear, it's always there as an option.
I recently spent a week and a half in my local in-patient psych ward [very recently; just got out on Friday>. This is my fourth time in, and they're getting more frequent - my last in was just this past January.
They added lithium to my cocktail, in addition to what I already take: Lamictal, Celexa, Geodon, Wellbutrin, Trazodone, Melatonin, and a plethora of suppliments. So here I am, back at work again, and dealing with not only a major depressive episode but also the discombobulation of being on a higher dose of one and a whole new addition of lithium.
For the past year I've been contemplating leaving my job. I can't run the risk of disability denying me, so I'd have to go on indefinite long-term disability leave at work. This will mean less pay, and little to no spending money on average.
I'm contemplating this because work has become hell, a major stressor that I *used* to be able to handle. Now it's only compounding my issues.
If I do this though, I just can't shake the feeling that I'm being lazy, and quitting life in general. I know I can do things and become active outside of work, especially since I'll have all this extra time, but again ... am I trying to find excuses for justifying laziness?
If I do this, I can also go back to school for a medical coding degree (which is a year and a half, beginning to end), and hopefully get a higher paying job after its completed, also hopefully with less stress, or find a way to do coding from home (best option).
Someone please reassure me on this. Honest advice?
Thank you so much, ladies! You're words are valuable to me. I also spoke with my brother about it (who I thought would be the worst of the criticism), and he said pretty much what ya'll did - that if I can financially be stable and comfortable, then go for it.
This most recent hospitalization really shook him up - he's never seen me be truly depressed and anxious before, and when he saw me after I'd gotten out, he hugged me for like 7 minutes straight.
I would give it just a little bit of time. Talk to your gyn doc to see if they want you to temporarily stop taking your bc [sometimes they do, sometimes they don't, depending on what kind it is>.
The earliest you can do a semi-accurate pregnancy test is a week before you're due to have your period. Although, that can change depending on your bc and when it needs to be taken and how it works.
For now, kind of hold off on drinking or [if possible> from sex, and speak with your pdoc about the Zoloft, let them recommend a good course of action for the possibility of your being pregnant versus not.
My mother had bipolar and I just found out my brother does, too. I don't know anything about my grandparents or extended family so really couldn't say on them...
I know my sister has ADHD and so does 2 of her 3 kids, and ADHD kind of goes along with BP, or so I've read [ADHD, bipolar, and schizophrenia ... and one other, I can't remember, are kind of the "main four" psychological things that run in families; one member might have ADHD and another might have bipolar and a third might have both, things like that>.
Some of the articles that BP mag prints are really interesting; I recommend it to anyone.