If you are not a registered member of our community, please click here to register...

 Home Message Boards Health Guide Join for Free Testimonials About Us
Search
   
  


PDA

View Full Version : Bipolar I, & BPD.


 

 

 
BipolarPrincess
05-06-2009, 09:58 PM
Wonderful. I have both. I'm in denial mode, I'm in panic mode, and CONFUSED.

#1 WHAT is the difference between Bipolar I and Bipolar II ?

#2 Am I going to suffer forever with this pain? I'm majorly depressed, irritable, and anxious.

Going to start intense therapy 5 days a week, you meet with a psychiatrist once a week and can have one on one with a therapist.

I'm so scared I won't get better from depression. I wish I was 'manic' or 'hypomanic'..at least I'd experience some joy. I get none. I'm dead inside right now.

Sponsor
 



dreams in neon
05-06-2009, 10:15 PM
Wonderful. I have both. I'm in denial mode, I'm in panic mode, and CONFUSED.

#1 WHAT is the difference between Bipolar I and Bipolar II ?

#2 Am I going to suffer forever with this pain? I'm majorly depressed, irritable, and anxious.

Going to start intense therapy 5 days a week, you meet with a psychiatrist once a week and can have one on one with a therapist.

I'm so scared I won't get better from depression. I wish I was 'manic' or 'hypomanic'..at least I'd experience some joy. I get none. I'm dead inside right now.

1. BPI is characterized by full blown mania and severe depression. BPII is characrerized by hypomania (mild mania) and severe depression.

2. Since your diagnosis is new, it will take some time for you to accept which is normal. You will also need to find the right med combo to help with your depression. If your anxiety is severe, your psychiatrist can give you a med to deal with that as well.

As far as mania and hypomania are concerned, not everyone feels happy during this state. I don't. I start off feeling wonderful, but by the middle and end of an episode, I "crash" into extreme irritability and severe depression.

BipolarPrincess
05-06-2009, 10:23 PM
1. BPI is characterized by full blown mania and severe depression. BPII is characrerized by hypomania (mild mania) and severe depression.

2. Since your diagnosis is new, it will take some time for you to accept which is normal. You will also need to find the right med combo to help with your depression. If your anxiety is severe, your psychiatrist can give you a med to deal with that as well.

As far as mania and hypomania are concerned, not everyone feels happy during this state. I don't. I start off feeling wonderful, but by the middle and end of an episode, I "crash" into extreme irritability and severe depression.


So, I have the worse of the two? I've had 2 full bown mania's, which the first one I quit paxil cold turkey and it happened and was using drugs, the second time I was using lots of drugs and messed with my medication again. SO, how does my therapist figure I'm bipolar I from that? That's what I'm trying to figure out right now. :(

dreams in neon
05-06-2009, 10:39 PM
So, I have the worse of the two? I've had 2 full bown mania's, which the first one I quit paxil cold turkey and it happened and was using drugs, the second time I was using lots of drugs and messed with my medication again. SO, how does my therapist figure I'm bipolar I from that? That's what I'm trying to figure out right now. :(

Hmmm. Usually bipolar isn't diagnosed when someone does illicit drugs. Note that I am not judging you in any way. I'm just indicating what the DSM (a manual that psychiatrists use) says in regards to this.

If you became manic after being taken off of Paxil, it's possible you're bipolar I since it caused you to have a manic episode. Some people do become manic or hypomanic if they are withdrawn from an anti-depressant.

I have a question. When you were on Paxil, were you also on a mood stabilizer? If not, then Paxil caused your manic episode. When people with bipolar take an anti-depressant without a mood stabilizer, it can cause mania.

BPI is technically considered more "severe" than BPII but only when it comes to mania vs. hypomania.

However, BPII can be just as severe (if not more) due to frequent severe depressive episodes.

Most pdocs consider depressive episodes to be of more concern than manic episodes for obvious reasons. Manic episodes pose a great danger themselves due to promiscuity, gambling, shopping sprees and impulsivity, but it does not result in the same problems that depression can cause.

Also remember that just because you have BPI does not mean your case is more "severe" than someone who has BPII. I know someone who has BPII who has very severe depression (she is someone I know on a deaf and hard of hearing message board I used to participate on) and she was far more symptomatic than I was even though my pdoc and tdoc consider my bipolar to be "severe" due to my voices, delusions, paranoia and rapid cycling.

Long story short, the severity of bipolar and how it affects each of us varies from person to person.

katlin09
05-06-2009, 10:42 PM
I have to agree with Dreams, I have BPII and BPD, and my hypomania's are not always "pleasant". they may briefly start that way, but then the quickly turn into irritability, stress, agitation and anger. One thing you might want to know is that once you get on the right meds and on a regular therapy schedule the depression will be manageable at times. I won't lie, you will have times when it does get the better of you, but for the most part you should be able to have some control over it with the help of your pdoc and tdoc. I know a little about this as my formal diagnosis is BPII w/severe med resistant suicidal depression. So I get depressed, severely depressed quite a bit, but my docs and meds help me to get it under control sooner or later.

kat

dreams in neon
05-06-2009, 10:50 PM
My pdoc added Klonopin to my med regimen to help control my rapid cycling so that I don't cycle into extreme irritability, severe depression or mania. I've been on this med for a month and so far, it's working great. I'm currently in a mixed state right now, but that's only because of some health problems I've been dealing with over the past 2 weeks. If it were not for my health, my moods would be level.

Llama
05-06-2009, 11:37 PM
Hi bpprinces, I know what you mean about wishing you were hypomanic or manic. At least there would be some pleasure felt then. I hope you feel better soon.

Llama
05-06-2009, 11:41 PM
And I know kat and dreams are right about the mania part becoming irritability and other negative emotions. But sometimes at first it can be very fun. I miss having fun. I'm on too many anti-manic meds; there's no way I'd ever get manic on all these meds. But depressed? I guess it's still possible for me to get depressed on all these meds. Yay...:(

BipolarPrincess
05-07-2009, 12:21 AM
Hmmm. Usually bipolar isn't diagnosed when someone does illicit drugs. Note that I am not judging you in any way. I'm just indicating what the DSM (a manual that psychiatrists use) says in regards to this.

If you became manic after being taken off of Paxil, it's possible you're bipolar I since it caused you to have a manic episode. Some people do become manic or hypomanic if they are withdrawn from an anti-depressant.

I have a question. When you were on Paxil, were you also on a mood stabilizer? If not, then Paxil caused your manic episode. When people with bipolar take an anti-depressant without a mood stabilizer, it can cause mania.

BPI is technically considered more "severe" than BPII but only when it comes to mania vs. hypomania.

However, BPII can be just as severe (if not more) due to frequent severe depressive episodes.

Most pdocs consider depressive episodes to be of more concern than manic episodes for obvious reasons. Manic episodes pose a great danger themselves due to promiscuity, gambling, shopping sprees and impulsivity, but it does not result in the same problems that depression can cause.

Also remember that just because you have BPI does not mean your case is more "severe" than someone who has BPII. I know someone who has BPII who has very severe depression (she is someone I know on a deaf and hard of hearing message board I used to participate on) and she was far more symptomatic than I was even though my pdoc and tdoc consider my bipolar to be "severe" due to my voices, delusions, paranoia and rapid cycling.

Long story short, the severity of bipolar and how it affects each of us varies from person to person.


Ah, okay. Well I was on numerous anti-depressants all my life, with no mania. When I stopped the paxil cold turkey and was smoking lots of pot, I went "manic"...which can be drug induced and stopping an SSRI cold turkey can cause that in people who aren't bipolar. and no i wasn't on a mood stabilizer. Never been on one in my life besides neurontin for the past year and a half, and that does NOTHING for me. I have mood swings, which can be intense, but that's symptoms of Borderline Personality Disorder as well. The therapist I went to for an intake told me "honey i have been doing this for 30 years you are bipolar I"..just from reading my history. I'm rather aggravated at the whole situation.

BipolarPrincess
05-07-2009, 12:24 AM
Hi bpprinces, I know what you mean about wishing you were hypomanic or manic. At least there would be some pleasure felt then. I hope you feel better soon.


Thank you. I'm hoping too but also very agitated if you read my post in response to dreams you'll see why.

dreams in neon
05-07-2009, 12:52 AM
Ah, okay. Well I was on numerous anti-depressants all my life, with no mania. When I stopped the paxil cold turkey and was smoking lots of pot, I went "manic"...which can be drug induced and stopping an SSRI cold turkey can cause that in people who aren't bipolar. and no i wasn't on a mood stabilizer. Never been on one in my life besides neurontin for the past year and a half, and that does NOTHING for me. I have mood swings, which can be intense, but that's symptoms of Borderline Personality Disorder as well. The therapist I went to for an intake told me "honey i have been doing this for 30 years you are bipolar I"..just from reading my history. I'm rather aggravated at the whole situation.

Now you've got me curious. If you were smoking pot and ended up manic as a result of that, then you technically should not have been diagnosed with bipolar. The DSM-IVR states that when mania is a result of illicit drugs, a diagnosis of bipolar is not warranted.

I'm beginning to wonder if you have Borderline and not bipolar because from what you've described to me, your manic episodes were caused by illicit drugs. With that being the case, you don't have BPI.

As for what your therapist said, she may have 30 years of experience, but apparently she didn't read the part of the DSM which states that when mania is caused by illicit drugs, it does not constitute a diagnosis of bipolar.

If I were you, I'd seek a second opinion or see a different therapist. Seriously.

dreams in neon
05-07-2009, 12:55 AM
I also wanted to add that reading your post made me livid. Tdocs like that who don't know what they are doing make things worse for their clients and cause a great deal of confusion. No wonder you're upset. If mood stabilizers aren't working for you, then that may also prove you don't have bipolar. I'm inclined to think that your only diagnosis is Borderline. I'm not a pdoc, but based on what you've written, that's what I think.

dreams in neon
05-07-2009, 12:58 AM
One more comment. Your therapist sounds like the pdoc I saw when I was IP in 2006 for my first manic/psychotic episode. He told my sister chances were likely that I'd never have another manic episode again. Imagine her confusion when I was manic several months later. Thanks to what he said, I had to spend the next 2 years convincing my sister that I had bipolar and that it wasn't a temporary condition caused by stress.

BipolarPrincess
05-07-2009, 01:28 AM
One more comment. Your therapist sounds like the pdoc I saw when I was IP in 2006 for my first manic/psychotic episode. He told my sister chances were likely that I'd never have another manic episode again. Imagine her confusion when I was manic several months later. Thanks to what he said, I had to spend the next 2 years convincing my sister that I had bipolar and that it wasn't a temporary condition caused by stress.


She isn't my main therapist, she is just one of many that work at this place,and who took my history. And yeah, I agree that i'm more just borderline than bipolar. She was wretched though, I don't want to see her ever again. I DO think I need a mood stabilizer to help with the Borderline. I am just so aggravated right now I can't sleep. I took 2 benadryl. Surprise Surpise therapist, I didn't take any valium.. OH WAIT, maybe because I am NOT a drug seeker looking to get high anymore. I hate being judged because of my past, and that's what the tool did. :mad:

dreams in neon
05-07-2009, 01:45 AM
She isn't my main therapist, she is just one of many that work at this place,and who took my history. And yeah, I agree that i'm more just borderline than bipolar. She was wretched though, I don't want to see her ever again. I DO think I need a mood stabilizer to help with the Borderline. I am just so aggravated right now I can't sleep. I took 2 benadryl. Surprise Surpise therapist, I didn't take any valium.. OH WAIT, maybe because I am NOT a drug seeker looking to get high anymore. I hate being judged because of my past, and that's what the tool did. :mad:

Do you experience more mania than depression or vice-versa? The reason I ask is because some mood stabilizers are better at treating mania (Depakote, Risperdal, Geodon) while others are better at treating depression (Lamictal, Lithium, Seroquel).

Having said that, Lamictal treats both mania and depression so you get a 2-in-1 mood stabilizer.

BipolarPrincess
05-07-2009, 02:26 AM
Do you experience more mania than depression or vice-versa? The reason I ask is because some mood stabilizers are better at treating mania (Depakote, Risperdal, Geodon) while others are better at treating depression (Lamictal, Lithium, Seroquel).

Having said that, Lamictal treats both mania and depression so you get a 2-in-1 mood stabilizer.


I never have mania. Just depression/anxiety..

dreams in neon
05-07-2009, 08:51 AM
I never have mania. Just depression/anxiety..

Since that's the case, I wonder why your therapist diagnosed you with BPI? If you've never experienced full blown mania before (with the exception of taking illicit drugs), you would be considered BPII or cyclocymic.

People with BPII experience hypomania (mild mania) and severe depression while those with cyclocymia experience mild hypomania and mild depression.

Since you struggle with depression, Lamictal would be a good choice for you due to its' anti-depressant qualities. Seroquel may be another option.

It's also possible that you have major depressive disorder given the fact that you do not experience mania.

I'm not a pdoc though, so you may want to ask for a second opinion regarding your diagnosis from a psychiatrist.

Unfortunately, therapists aren't the best people to go to when it comes to receiving a diagnosis. Psychiatrists are the ones who have the training and experience necessary to diagnose mental illness.

BipolarPrincess
05-07-2009, 01:57 PM
Since that's the case, I wonder why your therapist diagnosed you with BPI? If you've never experienced full blown mania before (with the exception of taking illicit drugs), you would be considered BPII or cyclocymic.

People with BPII experience hypomania (mild mania) and severe depression while those with cyclocymia experience mild hypomania and mild depression.

Since you struggle with depression, Lamictal would be a good choice for you due to its' anti-depressant qualities. Seroquel may be another option.

It's also possible that you have major depressive disorder given the fact that you do not experience mania.

I'm not a pdoc though, so you may want to ask for a second opinion regarding your diagnosis from a psychiatrist.

Unfortunately, therapists aren't the best people to go to when it comes to receiving a diagnosis. Psychiatrists are the ones who have the training and experience necessary to diagnose mental illness.


yeah, exactly my thoughts. i'm only on zoloft 100mg's right now..NOT CUTTING IT. That woman is ridiculous. I can't stop dwelling on it. That information will be handed to my pdoc and they will assume I'm Bipolar I. I definitely have Borderline, which isn't that bad of a diagnosis. I do not cut or self-harm in any way. I just can't cope and let my feelings determine my moods. I know there's other ways of handling things, but right now I just want to watch TV, hide out, play with my kitten, and so forth. I don't even want to shower, although I will later tonight to relax when I can't sleep. My family doesn't understand and it's very stressful. :(

dreams in neon
05-07-2009, 02:27 PM
yeah, exactly my thoughts. i'm only on zoloft 100mg's right now..NOT CUTTING IT. That woman is ridiculous. I can't stop dwelling on it. That information will be handed to my pdoc and they will assume I'm Bipolar I. I definitely have Borderline, which isn't that bad of a diagnosis. I do not cut or self-harm in any way. I just can't cope and let my feelings determine my moods. I know there's other ways of handling things, but right now I just want to watch TV, hide out, play with my kitten, and so forth. I don't even want to shower, although I will later tonight to relax when I can't sleep. My family doesn't understand and it's very stressful. :(

When you see your pdoc, tell him exactly what I told you -- that bipolar is not diagnosed if mania is caused by illicit drugs. You may want to do an Internet search for the DSM-IVR's criteria for bipolar and look at the section which indicates that a diagnosis of bipolar is not warranted when mania is caused by a medical condition or illicit drugs. You may even want to print that out and give it to your pdoc. As for your therapist, it sounds to me like she was just trying to put another label on you. That's happened to me before as well. When I saw a counselor for an hour long intake interview whom I had to see before meeting with a new pdoc in December (a pdoc I eventually decided not to see because of how far his office was from my home), she diagnosed me with an eating disorder even though she knew I was bipolar and didn't eat whenever I rapid cycled, was manic or depressed. After I spoke to my own tdoc about it, he said that any problems I have with eating are strictly due to my bipolar.

BipolarPrincess
05-08-2009, 02:19 AM
When you see your pdoc, tell him exactly what I told you -- that bipolar is not diagnosed if mania is caused by illicit drugs. You may want to do an Internet search for the DSM-IVR's criteria for bipolar and look at the section which indicates that a diagnosis of bipolar is not warranted when mania is caused by a medical condition or illicit drugs. You may even want to print that out and give it to your pdoc. As for your therapist, it sounds to me like she was just trying to put another label on you. That's happened to me before as well. When I saw a counselor for an hour long intake interview whom I had to see before meeting with a new pdoc in December (a pdoc I eventually decided not to see because of how far his office was from my home), she diagnosed me with an eating disorder even though she knew I was bipolar and didn't eat whenever I rapid cycled, was manic or depressed. After I spoke to my own tdoc about it, he said that any problems I have with eating are strictly due to my bipolar.

Thanks dreams. I am going to do that. You are so smart with everything, I always look forward to your replies.:angel:

dreams in neon
05-08-2009, 02:39 AM
Thanks dreams. I am going to do that. You are so smart with everything, I always look forward to your replies.:angel:

Aww, thanks! I'm glad I could help! Let us know what happens at your appointment! Good luck! :)

BipolarPrincess
05-08-2009, 02:46 AM
Aww, thanks! I'm glad I could help! Let us know what happens at your appointment! Good luck! :)

Thanks, I will. I don't know when it will be. I'm calling tomorrow since they didn't call me today. They are putting me into a partial group, which means 5x's a week from 9-3. They teach DBT and CBT. And you have a pdoc and tdoc. I'm so nervous. So depressed. On a scale from 1-10 mine is 11 right now.

dreams in neon
05-08-2009, 03:23 AM
Thanks, I will. I don't know when it will be. I'm calling tomorrow since they didn't call me today. They are putting me into a partial group, which means 5x's a week from 9-3. They teach DBT and CBT. And you have a pdoc and tdoc. I'm so nervous. So depressed. On a scale from 1-10 mine is 11 right now.

I'm sorry you're depressed right now. :(

I'm sure the CBT and DBT group will help in more ways than one. I've attended partial hospitalization many times during the early 90s when I had severe suicidal depression. My sessions were also from 9-3. We had a talk therapy group and discussed various topics about mental illness including bipolar, depression, schizophrenia and PTSD. We also had an activity group which focused on positive thinking and creating goals that we wanted to reach once we were discharged from the hospital.

BipolarPrincess
05-08-2009, 03:31 AM
I'm sorry you're depressed right now. :(

I'm sure the CBT and DBT group will help in more ways than one. I've attended partial hospitalization many times during the early 90s when I had severe suicidal depression. My sessions were also from 9-3. We had a talk therapy group and discussed various topics about mental illness including bipolar, depression, schizophrenia and PTSD. We also had an activity group which focused on positive thinking and creating goals that we wanted to reach once we were discharged from the hospital.

Thanks (((dreams))) Hey, do you have a website that I could go to to find the criteria needed to print out to bring to the doc?

dreams in neon
05-08-2009, 03:34 AM
Thanks (((dreams))) Hey, do you have a website that I could go to to find the criteria needed to print out to bring to the doc?

We aren't allowed to post websites on the board, so I will send it to you via PM.





Site owned and operated by HealthBoards.com (TM)
Copyright and Terms of Use © 1998-2009 HealthBoards.com (TM) All rights reserved.
Do not copy or redistribute in any form!