View Full Version : bipolar questions


karbouris
02-20-15, 05:11 PM
I have two questions, 1. Can you simply suffer from unrelenting agitation and restlessness and be bipolar? I dont have manic episodes unless im on a antidepressant/stimulant combo. 2. If youre properly medicated for bipolar will you still become Manic?

Abi
02-20-15, 07:45 PM
1. Yes, likely bipolar 2 or some form of bipolar NOS.
2. Yes, absolutely.

sarahsweets
02-21-15, 05:58 AM
The lovey thing with bipolar is that you can become manic with or without meds.

InvitroCanibal
02-21-15, 04:59 PM
1.Yes
2.It depends on how severe your symptoms are, how far along you are in your illness. The gap between the two states gets farther and farther apart without treatment to the point where med management becomes more and more difficult.

http://www.ncbi.nlm.nih.gov/pubmed/14677087

http://www.ncbi.nlm.nih.gov/pubmed/12071508

Meds for bipolar are mainly categorized into two groups, anti manics and maintenance meds. Maintenance meds keep the disorder in remission but do not neccessarily prevent manic or depressive episodes. They can reduce the cyto toxic effects of these two states so the disorder does not proggress further. They usually have very specific levels that almost all bipolar individuals rest at for therapeutic benefit. This can be lamotrigine at respectively, 200-300mgs or lithium at blood levels .6/ml to 1.5/ml


http://www.ncbi.nlm.nih.gov/pubmed/16050919

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2655087/

http://www.ncbi.nlm.nih.gov/pubmed/18271901

Then there are the anti manics which reduce and prevent mania and those have to be taylored to a patients needs. Though lithium can reduce mania, it isnt very good at it by itself without reaching the near toxic 1.5/ml range.

http://www.ncbi.nlm.nih.gov/pubmed/8067959

Sodium valproate in conjunction with lithium seem to work very well together as a conjoined treatment and is often the go to med combo for mania and often maintinance as well. The second would be seroquel as it helps bipolar manics sleep which is critical to recovery. http://www.ncbi.nlm.nih.gov/pubmed/23300133

Unfortunately the depression side of bipolar has often gotten little attention till recently when latuda came on the market and was approved for it. The cost of latuda and compounding anti manics side effects are the only downsides to latuda as it generally seems to work well from what i've read and personal experience.

http://www.ncbi.nlm.nih.gov/m/pubmed/16038597/

All in all, the meds are challenging and bipolar is a terrifying disorder to everyone. I can see why you would want to be skeptical and see nothing wrong with that. However, you should truly look at your situation, ask your doc how he came to that diagnosis and if he has any studies you could read. Try to understand what is being seen and identify if the conclusions you have about your states and your life are valid.

It isn't that an individual should self diagnose, but you already received a diagnosis, you are now faced with the skepticism, fear and emotional justification that comes with that diagnosis where you must truly decide if the "shoe fits." No one can force you to take meds long term or get treatment so ultimately you have to decide how you want to face this and what you need to know or see before you accept such a tough diagnosis.

http://onlinelibrary.wiley.com/doi/10.1111/j.1369-7625.2009.00541.x/abstract;jsessionid=0B11A97A47B3D2C42878A1A926FE8F FA.f01t02?deniedAccessCustomisedMessage=&userIsAuthenticated=false


I will say you are on a time crunch though in the long term because Bipolar can be neuro-degenerative.

If left untreated over the course of many years, it will become more difficult to treat.


http://www.ncbi.nlm.nih.gov/pubmed/22187647

Many elderly formerly thought to have senile dementia are now discovered to possess the final stages of bipolar. The gap between their states are extreme and their cognitive abilities change drastically.

http://www.ncbi.nlm.nih.gov/pubmed/17296540

karbouris
02-21-15, 06:23 PM
Im diagnosed with bipolar II. My doctor is also expkoring the possibilty I might have aspergers. But I just dont have manic episodes. I am just super agitated and restless.

karbouris
02-21-15, 06:24 PM
When I was on tegratol, my agitation went away.

karbouris
02-21-15, 06:26 PM
Tegratol is about the only thing that works for me as far as a mood stablizer goes.

karbouris
02-21-15, 06:27 PM
I cant handle antipsychotics anymore, they make me shake real bad.

BellaVita
02-21-15, 06:28 PM
Im diagnosed with bipolar II. My doctor is also expkoring the possibilty I might have aspergers. But I just dont have manic episodes. I am just super agitated and restless.

In females with Asperger's it is common that they are misdiagnosed with Bipolar.

I was diagnosed with "mild bipolar" but now I think it's actually Asperger's.

karbouris
02-21-15, 06:36 PM
What does undiagnosed aspergers look like?

BellaVita
02-21-15, 07:50 PM
What does undiagnosed aspergers look like?

I'm not sure what you mean by this question.

Here is a helpful picture that contains information of Asperger's in females:
http://www.help4aspergers.com/pb/wp_a58d4f6a/images/img244154ad237783e339.JPG

I also see in your sig that you suspect Borderline. Lots of Aspie females are misdiagnosed with Borderline too.

Hope that helps. :)

karbouris
02-21-15, 08:23 PM
I guess Im trying to look for something I can relate to. Like a story of someone with Aspergers. I dont have meltdowns.

fracturedstory
02-21-15, 11:18 PM
When I was yet to be diagnosed with AS I was struggling to get a job, didn't get why no one would hire me after an interview. I had extreme social anxiety; I would freeze up in my brain when wanting to join in with conversations with friends. I had meltdowns as a kid but got in so trouble for them that I learned to suppress them.
I've always had intense focus on narrow interests, more than other kids and even as an adult I was the same way. I also had my routines and very particular ways of doing things. My empathy was low, many people thought of me as rude or selfish but I couldn't see it.

I left lonely that I couldn't have a conversation with anyone, that my own interests were made fun of, that I was an easy target for bullying by siblings and their friends. I kind of felt like I had no future and parents and teachers always re-confirmed that for me.

I'd bury myself in my interests to feel joy again.

A bit of a sad story huh?

BellaVita
02-21-15, 11:50 PM
When I was yet to be diagnosed with AS I was struggling to get a job, didn't get why no one would hire me after an interview. I had extreme social anxiety; I would freeze up in my brain when wanting to join in with conversations with friends. I had meltdowns as a kid but got in so trouble for them that I learned to suppress them.
I've always had intense focus on narrow interests, more than other kids and even as an adult I was the same way. I also had my routines and very particular ways of doing things. My empathy was low, many people thought of me as rude or selfish but I couldn't see it.

I left lonely that I couldn't have a conversation with anyone, that my own interests were made fun of, that I was an easy target for bullying by siblings and their friends. I kind of felt like I had no future and parents and teachers always re-confirmed that for me.

I'd bury myself in my interests to feel joy again.

A bit of a sad story huh?

Interests are the reasons for existence.

InvitroCanibal
02-22-15, 12:21 AM
Tegratol is about the only thing that works for me as far as a mood stablizer goes.

That makes sense as it is commonly used for bipolar. I personally do well on lamotrigine. To be honest, I think it is more about finding the right meds as opposed to finding the right disorder.

It may rain when the streets are wet but just because the streets are wet doesn't mean it rained, so, keep looking to understand and identify your symptoms and go with what works for you.

Thanks

sarahsweets
02-22-15, 07:48 AM
I thought the same thing until I tried Geodon. Its an atypical antipsychoctic and although the name and class of the drug sounds scarey, it saved my life.


I cant handle antipsychotics anymore, they make me shake real bad.

karbouris
02-22-15, 10:29 AM
I Havent update my signature, but I was on geodon for almost years in 2008_2-009. I was intensely agitated, manic and anxious on it. It was not a good drug for me. Seroquel worked great, but when I retried it, it disnkt i I started shaking really bad lip smacking etc. I took just Ritalin for awhile and seemed to do.ok. but while my moods were a smidge were more stable I gained 10,000 in debt from college loans and moved a lot. I started seeing Eugene in late 2012. He kept me on ritalin and put me on paxil. I got pregnant the first time. He after my pregnancy he put me on Lamictil and Ritalin. I played with lamictik lamictil for about a year before he put me on Ritalin and catapress and dropped the lamixtil because I just woulfbt take it . I took the combo for teo months worked great. The catapress nuked the borderline switch but the side effects were too much. He finally just broke down and asked what I wanted to take lol. I told him celexa worked just as good, without the side effects abd sthat based on my own research tegratol should work good. So he perscribed it.

InvitroCanibal
02-23-15, 02:42 AM
Have you identified what aspects of bipolar do not fit your symptoms?

karbouris
02-23-15, 10:16 AM
No but ill try to give a general overview here.im overstimulated by people. Large or small groups, I become intensely agitated because I find trying to have a conversation, watch what im saying, not be offensive, and trying to understand their body language sends me into overload. I understand body language but cant understand why people are feeling the way they are. It makes me moody. It takes me 5-10 exrra seconds to understand what you are saying. I have an obsession with Josh Turner, just the music tho. Not the person lol. Person of Interest, and Medical science. My physch has told me that I know more about medication than he does. And in tge evenings I become bored and agitated if I havent gotten out of the house that day.

gnbeg
03-24-15, 06:53 PM
I have two questions, 1. Can you simply suffer from unrelenting agitation and restlessness and be bipolar? I dont have manic episodes unless im on a antidepressant/stimulant combo. 2. If youre properly medicated for bipolar will you still become Manic?

Yup. For me, mania and depression can be accompanied by agitation. I'm pretty much restless 24/7. And, antidepressants can definitely increase likelihood of going manic. Was warned by my p-doc and sure enough, manic after going on buproprian.

And finally, yes. Still cycle, properly medicated or not.