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Old 06-26-2009, 05:51 PM   #1
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Can anxiety be mania?

I have been recently diagnosed with bipolar disorder and am really confused about it. I have OCD and generalized anxiety disorder and have always been told that my anxiety is part of my OCD and GAD. I had no clue that anxiety could be a symptom of mania. I ended up going to the hospital because my anxiety was so bad and it was making me throw up and not be able to breathe very well and I hadn't slept in three days. I have really bad insomnia and rarely sleep very much and no drug on Earth makes me even remotely tired. When I was at the hospital the psychiatrist on call told me that the anxiety that I was having was not due to my OCD and GAD but that I was actually having a mixed episode. He said that's why I couldn't sleep as well. It's just confusing to me because I always thought mania involved grandiose behavior. I am the most cautious and level-headed person ever and just fill like the diagnosis doesn't fit. After I got out of the hospital I met with my psychiatrist and she told me that she had suspected all along that the anxiety was a form of mania and was glad that someone else confirmed the diagnosis. Does anyone know if intense anxiety like this and bad insomnia can be bipolar in nature? Please help. Thanks......

 
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Old 06-26-2009, 06:15 PM   #2
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Re: Can anxiety be mania?

Yah it definitly can. Its actually really common in people who experience mania to not be able to sleep for as long as you did. Anxiety can also be part of being manic.

 
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Old 06-26-2009, 07:24 PM   #3
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Re: Can anxiety be mania?

Quote:
Originally Posted by strawberrysc View Post
I have been recently diagnosed with bipolar disorder and am really confused about it. I have OCD and generalized anxiety disorder and have always been told that my anxiety is part of my OCD and GAD. I had no clue that anxiety could be a symptom of mania. I ended up going to the hospital because my anxiety was so bad and it was making me throw up and not be able to breathe very well and I hadn't slept in three days. I have really bad insomnia and rarely sleep very much and no drug on Earth makes me even remotely tired. When I was at the hospital the psychiatrist on call told me that the anxiety that I was having was not due to my OCD and GAD but that I was actually having a mixed episode. He said that's why I couldn't sleep as well. It's just confusing to me because I always thought mania involved grandiose behavior. I am the most cautious and level-headed person ever and just fill like the diagnosis doesn't fit. After I got out of the hospital I met with my psychiatrist and she told me that she had suspected all along that the anxiety was a form of mania and was glad that someone else confirmed the diagnosis. Does anyone know if intense anxiety like this and bad insomnia can be bipolar in nature? Please help. Thanks......
I have BPI and can tell you that anxiety is a symptom of mania.

In fact, whenever I'm manic, I experience anxiety myself for which I take Klonopin.

When I was manic two weeks ago I felt like I was having a heart attack.

I also had a feeling of impending doom. This is when my therapist said I had a panic attack and explained that it was due to my manic episode.

I've also had anxiety whenever I've had a mixed episode although it was never as bad as it was 2 weeks ago.

The anxiety I had at that time was so severe that I ended up taking a higher PRN dose of my sleep med along with
2 Klonopin (with my psychiatrist's permission) in order to knock myself out. I slept from Saturday afternoon until Sunday evening. When I woke up, I felt much better.

Yesterday my new tdoc taught me breathing techniques I can use whenever I have an anxiety attack. He told me whenever I feel anxious, I should tell myself "I feel anxious right now, but I can handle this." If I don't know what I'm anxious about, I am supposed to tell myself "I don't know what I am anxious about, but that's okay. I can work through this and everything will be okay."

He suggested that I slowly exhale all of the air out of my lungs, inhale deeply and then hold my breath for 2 seconds before letting it out again. I am to do this twice and repeat if necessary.
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Atypical Bipolar I Disorder with Rapid Cycling
Meds:
Depakote 1500mg
Prozac 40mg
Risperdal 1mg titrating to 6mg/day
Klonopin .5mg (2x/day)
Trazodone 100mg or 200mg PRN

Last edited by dreams in neon; 06-26-2009 at 07:35 PM.

 
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Old 06-27-2009, 10:39 AM   #4
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Re: Can anxiety be mania?

Interesting--my anxiety disappears during my hypomanic states, but it's still a real issue, especially during depressive episodes the rest of the time, despite treatment.

I'm glad you posted--I'm struggling to figure out how to recognize the beginning of hypomanic states, and I'll add that to my list now, hadn't thought of it before.

 
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Old 06-27-2009, 01:54 PM   #5
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Re: Can anxiety be mania?

Dear Strawberry,

I was diagnosed with postpartum depression in 1990 when my son was born. Three yrs later I was diagnosed bipolar II (I'm mostly hypomanic with very little depression). I can tell you that my FIRST symptom (in 1990) was insomnia. My son was sleeping 7 hours (in his first 2 weeks home) and I was sleeping 1. This went on for 5 months until I was referred to my first psych dr. Over the years lithium did not work well for me, and in 1995 I was put on depakote, which calmed the mania and calmed me period (helping my sleep). The sleep never got much better until 1999 when I was put on Remeron (has a huge sleep component to it). So between that and the depakote, I've been highly functional and have a really good job (exec asst) that I love. My boss of 7 years doesn't have a clue that I'm bipolar. To address the anxiety ... I went through a stretch in my mid-late 30's (I'm now 48) where I was missing alot of work (and therefore losing alot of jobs). At the time, no one EVER mentioned anxiety to me. In 2001 I came to my current psych dr. She said, "Has anyone ever asked you if what you're feeling when you can't go into work is REALLY mania, or is it anxiety?" Wow, a light went on. So, she treated me with effexor (an antidepressant that helps with anxiety) and I took it for about 4 years ... broke the habit of me missing work and being anxious. I've been off of it for a long time now and my only meds are the depakote, remeron and klonapin at night as needed. So hang in there ... things will get better. I still have episodes of insomnia, but mostly now it's because I'm going through perimenopause (near the end of that) and working with my GYN dr. to take prometrium (bio-identical progesterone), which also calms me down and helps my sleep. Life is good, and it's gotten WAY better for me over the years once they found the right "mix" of drugs for me. Also, exercise helps alot. I walk about 4-5 miles each weekend day. I'd like to do that more, as I'm sure that would also help the insomnia. Not enough hours in the day

 
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