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Bipolar II

Minuend

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Generally I would advice getting a second opinion (from your own). There are various mental and physical conditions that have overlapping symptoms. Personality, stress, environment, physical illnesses/ problems etc are stuff that can make your symptoms more atypical for what the cause of the problem is.
 

Reluctantly

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outtacuriosity,

Why do you think you have it? And what do you think caused it?
 

BrainVessel

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outtacuriosity,

Why do you think you have it? And what do you think caused it?

Most of the time my mind will be racing with ideas and I'll be OK but then I'll start to slip into this stagnant mental state without doing anything different and it'll feel like withdrawing from a drug. I'll then start getting really restless(heart-racing, can't focus on anything, running around trying to look for something, I'm not really sure what) or a strong sense of doom mized with hopefullness that renders me unable to do anything and I can either get really uncharacteristically weepy or apathetic.
Such fluctuations can happen between a few weeks or 5 times a day.
I have "why did I do that, I hardly remember making that decision" moments quite often as well.

I'm not really sure what caused it. Probably feeling isolated in my views or something.
 

BrainVessel

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Generally I would advice getting a second opinion (from your own). There are various mental and physical conditions that have overlapping symptoms. Personality, stress, environment, physical illnesses/ problems etc are stuff that can make your symptoms more atypical for what the cause of the problem is.

I've been considering going to a psychiatrist for a while just to see what's up with me(I don't know if I would be willing to try medication or therapy) but I'm still a minor and my parents are (ISTP father, ESFJ mother)hardcore conspiratorial conservatives who believe that mental illnesses are just scapegoats and such and if I asked I'd probably get a lecture or a heart-to-heart that would just overwhelm me with frustration and I'd be worse off than before.
I've done the extent of what I've found, like taking online tests and doing extensive research even though it's unreliable, kinda why I came here.
 

computerhxr

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You are holding on to conflicting beliefs. Left brain, vs. right brain.

As a technique, I use anchoring to anchor ideas to tasks in a list. Once you get them down on paper, you can stop thinking about them. You know that you can always get back to that list and explore your ideas and beliefs individually, instead of having them buzz around in your head.

Also, look into DBT. Or find a therapist that does DBT because it works on Bi-Polar really well. I wrote a post about this earlier...

Schizophrenia is an expression of Bi-Polar. If you balance the poles, then you can solve your cognitive dissonance.

To me it sounds like you are experiencing cognitive dissonance. Your internal self is not aligned with your external observations. You have conflicted beliefs and your subconscious is bringing it to your conscious attention for analytical review. As an introvert, you use your internal voice as a dominant validation mechanism (or BS detector). Cognitive dissonance is a result of detecting BS, and it's your bodies natural defense system. You are comparing external stimuli with your most trusted internal advisor.

When this is extreme, and you're very isolated; then you can develop more symptoms of Schizophrenia. People with Schizophrenia have extreme and conflicting beliefs because of trauma and abuse. If you have Schizophrenia and it doesn't negatively affect your life then it isn't a problem. There are many effective Schizophrenics and you wouldn't even know the difference because they would never admit it.

The onset of Schizophrenia can be triggered in your mid-20's by a stressful situation. It can be gradual so if you are concerned you should seek help early so that it doesn't cause relationship problems.

You want to replicate the feeling of confidence because it releases endorphines into your system. This feeling is the same as nervousness, and excitement. Feel good about yourself and reflect on the situation. Positive affirmations are a good way to anchor a feeling to a memory so that you remember it the next time you have the same feeling. It's like flagging to the feeling so that you can understand it better the next time that you experience the same situation by comparison. You can program yourself and others using affirmations and anchoring practically and in a positive way.

Modern therapy techniques are able to treat Schizophrenia successfully. Dialectical Behavior Therapy (DBT) is a great example.

http://www.nami.org/Content/Navigat...pports/Dialectical_Behavior_Therapy_(DBT).htm

Be true to yourself.
 

Yellow

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Generally I would advice getting a second opinion (from your own). There are various mental and physical conditions that have overlapping symptoms. Personality, stress, environment, physical illnesses/ problems etc are stuff that can make your symptoms more atypical for what the cause of the problem is.

What Minuend said. If you are concerned about your parents' feelings on the matter, then I would assume you are still in school. If you can't see your family doctor without your parent's presence, then maybe you can look for resources through your school. Most middle and high schools (at least in the US and Canada, I don't know where you are from) have counselors with some mental health experience who may at least help you with a referral.


...Schizophrenia is an expression of Bi-Polar. If you balance the poles, then you can solve your cognitive dissonance.
I'm sorry, but what? While some of the more extreme symptoms of some bipolar spectrum disorders can resemble some symptoms of schizophrenia, they are very different illnesses. One is not an expression of another.
 

computerhxr

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I'm sorry, but what? While some of the more extreme symptoms of some bipolar spectrum disorders can resemble some symptoms of schizophrenia, they are very different illnesses. One is not an expression of another.

Greek roots skhizein ("to split") and phrēn ("mind").

Schizophrenia and bipolar disorder share medications. Five of the current atypical antipsychotics originally approved to treat schizophrenia are now also approved as treatment for acute mania. Two of them are even approved as maintenance treatments for bipolar disorder. The fact that these two diseases are helped by some of the same pharmacological treatments indicates that they may have similar pathophysiology causing the symptoms.

The positive symptoms of schizophrenia can look like the symptoms in about 50% of manic episodes, especially those with psychotic features.

The negative symptoms of schizophrenia can closely resemble the symptoms of a depressive episode.

The two disorders share abnormalities in some of the same neurotransmitter systems.

We can use an analogy from physics to examine the categorical vs. dimensional approach question. When asked whether light is a wave or a particle, a physicist will correctly answer: "it is both". However, depending on what question we are trying to answer, it can be more helpful to emphasize one model (wave or particle characteristics) over the other. If we can hold on to two different ways of looking at the same thing, we may be able to get more information. Similarly with psychiatric diagnoses, depending on what we are trying to do, it can be more helpful at times to approach diagnoses categorically (as separate entities) and at other times dimensionally (as a spectrum).

ref: http://schizophrenia.com/stanfordtalks/diffdiag.html

e.g. a multi-dimensional expression of a split mind.

Either way... See a psychologist or a therapist to get help instead of soliciting advice from a forum.
 

Yellow

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Schizophrenia and bipolar disorder share medications. Five of the current atypical antipsychotics originally approved to treat schizophrenia are now also approved as treatment for acute mania. Two of them are even approved as maintenance treatments for bipolar disorder. The fact that these two diseases are helped by some of the same pharmacological treatments indicates that they may have similar pathophysiology causing the symptoms.

The positive symptoms of schizophrenia can look like the symptoms in about 50% of manic episodes, especially those with psychotic features.

The negative symptoms of schizophrenia can closely resemble the symptoms of a depressive episode.

The two disorders share abnormalities in some of the same neurotransmitter systems.

Similar is not the same. The two diseases have observably different physical traits in the brain (as well as several symptoms with no real overlap).

http://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.163.3.478
http://www.eurekaselect.com/76300/article
http://www.biologicalpsychiatryjournal.com/article/S0006-3223(96)00373-3/abstract (abstract only, sorry)

While they can both bring on episodes of psychosis, this only indicates that the brain may react predictably to certain types imbalances, not that they have the same root cause.

http://archpsyc.jamanetwork.com/article.aspx?articleid=481668

As far as medication goes, while our anti-psychotics are better than nothing in some cases, they are still blunt weapons. They act to calm/sedate the psychosis, but they don't actually treat the disease. So yes, it makes sense that one medication can help ease the symptoms of both. However, there are countless medications that treat several diseases, also bluntly, and we do not claim those disease are the same (e.g. strep throat and syphilis can both be treated with penicillin).
 

allgoodthings

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Let me be the one to tell you, I decided to go into therapy for similar symptoms, but I had hallucinations and delusions as well, not to the extent where I didn't know who I was though. I could not be immediately diagnosed with bipolar 1 because I didn't have mania, so I just went to endless therapy sessions, and 8 months later I have a 2500$ bill to pay off, and still haven't received a diagnosis. Call me an asshole, but I have seen 3 different therapists and a two people who administer psychological testing, and none of them seem to have any insight when it comes to abnormal psychology. It takes sooooo much time to make them understand the things you are experiencing and it's beyond pointless. You can just as quickly go to your family doctor and ask about anti depressants of anti anxiety medications, without the wasting time in endless sessions. (If you need them) I wouldn't recommend meds though unless you're desperate.

If you think about the process of therapy, go if you have some for of trauma and need to talk about it, but if you just want a diagnosis, I'd say skip it. You will essentially just feed them information, to have them pull out a book and match you to a disorder. You could do that much on your own. I don't mean self diagnosis, just understand your symptoms, and spend sometime researching natural or easy ways to improve them.

Also dropping names, one thing that helped me so much in self understanding was a guy on youtube named Richie his youtube channel is SPARTANLIFECOACH and he basically makes all of these wonderful videos on understanding your own reactions in relation to psychological trauma and anxiey and such. Wow this was poorly explained, but yeah try to get through a few of his videos they are very interesting.

Start here maybe?

https://www.youtube.com/watch?v=R0k5DvjiRNU

https://www.youtube.com/watch?v=ws6uTDeWp4o


Hope this helps! :o
 

QuickTwist

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If you have Bipolar, you need to get professional help. Get a diagnosis done. No one wants to be told they have a mental illness, but its not something that goes away on its own in 99% of people. You have not been Court ordered to take medication or been to the hospital for erratic behavior so you might not need medication, but at least see a doctor.
 

Object

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Diagnosed with BP 2. I don't even know if I have it.

Medication makes me good. I never liked my psychologist so it didn't help much.

Go see the doc.
 

Teffnology

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I just found this thread and I have a lot to say on the matter. I will start with my diagnosis, if you want to read in the spoiler. Your symptoms could be greatly different but from what I have found the medications prescribed for DSM IV Bipolar II are generally geared toward the depressive symptoms. The atypical anti-psychoticts are what are used to throttle signs of HYPOMANIA or everything described in the symptoms of Bipolar I mania, EXCEPT delusions or loss of touch with reality to an extreme level. This is where Schizophrenia and Bipolar I share a common ground, loss of touch with reality. Hypomania coupled with clinical depression is what distinguishes Bipolar II from I, this was a change in the DSM IV from III.


I have been diagnosed using the DSM IV as having Bipolar II Depression. I exhibit symptoms of hypomania (increased energy, rate of speech, grandiosity, lack of long term decision making, poor financial moves/large purchases without becoming delusional or full-on mania) as well as exhibiting clinical depressive symptoms including suicidal ideation.

I go for months in both aspects of the spectrum without approaching the other, some days I exhibit both of the polarities in the same day. Also, generally I have found when I have a purpose in life, I go for stretches of time without feeling either of the polarities and am comfortably able to reside in the middle, I guess this is what is considered normal.

I embrace my hypomania and find that the pharmaceuticals prescribed completely eliminate this awesome (in a controlled environment with obvious boundaries in place) side effect. It is the source of my creativity and have always produced my best work when in a hypomanic state. I share this complaint with a vast majority of the Bipolar II community so far as I have read.

In regards to the depressive symptoms, having outlets for the stresses in life is invaluable and my now extreme introversion has only contributed to this effect. I have been making attempts to reach out and find like minded individuals in whom I can find inspiration, i.e. mentors or role models. This forum has helped immensely in this category.

I also am experimenting with supplementation with fish oil and other mood altering herbs to help regulate my shifts in temperament. Mind-body exercise is next on my list of exploration and have found that sleep patterns and more importantly circadian rhythms and exposure to light have profound impacts on my symptoms.

Alcohol is not good and my temperament is extremely sensitive to this poisons allure. If I am able to keep my consumption in moderation that is a different story but to quote Frank the Tank from Old School "... once it hits your lips its so good!".

Ganja just mellows me out but can heighten anxiety or depression if that is the frame of mind I am in when inhaling/digesting. If I think happy thoughts or put on an absorbing movie then my high has a very balancing effect and brings me back to center. Having an addictive personality is my own worst enemy here however as I constantly desire to be centered via a high and can have expectation gaps when i don't get what I was looking for and spiral into a depressive state.
 

onesteptwostep

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if you're not having maina episodes you probably don't have bipolar. bipolar/schizophrenia usually takes you over like a storm. you won't really have the metal capacity to self diagnose yourself. but um... "I'll then start getting really restless(heart-racing, can't focus on anything, running around trying to look for something, I'm not really sure what)"

yeah that's how my episode started. this is somewhat of an old thread... is TC ok?
 

StevenM

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I know someone with bi-polar.

When manic, it's described by the person as feeling really really really really really really good. Nothing to stop you. Usually having impulses, and seeing no real reason not to follow them through. A nurse told me a story of someone driving for 2 weeks for just the sole reason of petting an exotic animal.

It's a complete mystery to the manic why people are now all of a sudden very indifferent, and bewildered. Anger and irritation arise, and with the lack of impulse control, it can get out of hand.

Usually, there is no time for sleep. Not with all the billions of ambitions and goals and things that you want to do.

I guess it would be like knowing you just won a billion dollars.
 

StevenM

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Most of the time my mind will be racing with ideas and I'll be OK but then I'll start to slip into this stagnant mental state without doing anything different and it'll feel like withdrawing from a drug. I'll then start getting really restless(heart-racing, can't focus on anything, running around trying to look for something, I'm not really sure what) or a strong sense of doom mized with hopefullness that renders me unable to do anything and I can either get really uncharacteristically weepy or apathetic.

Sounds similar to me going to have a panic attack.

Limbs start going numb. Heart bangs and skips beats. Extreme tunnel vision. Feeling faint.

And then I can't help myself from going completely irrational in my head. It's very convincing that I'm going through an emergency crisis.

During panic, it's natural for the mind to catastrophize like crazy. I'll be sure that I'm going to have a heart attack, or stroke out. I'm going to pass out and faint. I've got blood blockages.

And there is no other feeling than the feeling like you're going crazy. It must be schizophrenia. It must be Bi-polar. A flood of intrusive thoughts and images pop up automatically. I pace back and forth frantically holding my head, because it's gonna explode. What if I had an aneurysm? Sometimes I seem to float right out of my body, or everything seems like it was all just a movie, and the film is now running out. And now for sure, I know I'm going to die.

It has to be the most uncomfortable, yet benign and natural experience a person can go through. Because even though it can be quite intense, there is hardly any chance of anything actually dangerous happening.

It's just pure fight/flight adrenaline.
 

Teffnology

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Sounds similar to me going to have a panic attack.

It has to be the most uncomfortable, yet benign and natural experience a person can go through. Because even though it can be quite intense, there is hardly any chance of anything actually dangerous happening.

It's just pure fight/flight adrenaline.

Having spent the past 2 Valentine's Days (2014, 2013) in a psych ward. Please reconsider your last sentence. That may be the case for you but HARDLY ANY CHANCE OF ANYTHING ACTUALLY DANGEROUS HAPPENING?!?!?!?!

I don't want to get into a symptom diagnosis battle but anxiety is very much apart of Bipolar II and the anxiety aspect is actually what can lead to something dangerous happening. The ward is full of people that did something stupid, dangerous, and/or harmful to theselves or others as a result of some form of anxiety.

You made a vast generalization based upon your own experience and have underestimated the range of possibilities such a disorder can have on a person. Anxiety coupled with any other mental health issue is a recipe for disaster in a lot of people. Knowing how you respond to certain stimuli or triggers is the main factor in staying in remission.
 

StevenM

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That may be the case for you but HARDLY ANY CHANCE OF ANYTHING ACTUALLY DANGEROUS HAPPENING?!?!?!?!

I was referring to panic-attacks (by themselves) not causing heart-attacks, strokes, fainting, or even actually losing control of your mind. Probably the only thing they cause is a very concerned trip to the hospital.

However, I can see bi-polar (again as it's own diagnosis) causing an individual lots of harm.

I didn't considered the different kinds of bi-polar, or it being co-morbid with anxiety though. Or that anxiety is actually a large factor of bi-polar. I apologize.
 

Teffnology

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My bad too I misinterpreted your words. I made an assumption that you were making an association.

I just found this video that is pretty relevant and interesting.

He talks about gene envrionment interactions and basically how mental illness is both a product of our genomes and environment equally. With genome testing becoming more common I am interested to see more studies on this area of research but he provides some interesting examples starting at about the 12 minute mark.



Genius, Mental Illness and Everything in Between: Dr. Lamont Tang at TED...:http://youtu.be/jjzFmR5lai0
 

Vion

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It sounds to me like you don't recognize the potency of the things you imbibe. Evidence of this fact is that you listed none as possible factors. Oooh guilty guilty, but I could solve all of your problems. Even so I doubt you would respect my methods, and you would just go back to your old habits. Maybe I should just sit here and watch you squirm in panic lol!

You must commit yourself to trade me something of great sentimental worth for information to resolve this conflict, final offer.
 

Teffnology

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It sounds to me like you don't recognize the potency of the things you imbibe. Evidence of this fact is that you listed none as possible factors. Oooh guilty guilty, but I could solve all of your problems. Even so I doubt you would respect my methods, and you would just go back to your old habits. Maybe I should just sit here and watch you squirm in panic lol!

You must commit yourself to trade me something of great sentimental worth for information to resolve this conflict, final offer.

Not sure if you are referring to myself or OP...

If by the use of Sailor Jerry and THC, you are referring to potency of things I imbide, that is my version of self medicating. I did talk about them being factors and how they contribute to my symptoms but if you watched the video it talks about the NATURE aspect of mental illness and how to separate it from NUTURE.

When circumstances in my life aren't utter first world hell I quite enjoy my "condition" or problem as you put it. If I have A single drink once or twice a week my brain chemistry can handle that appropriately. Cannabis is vastly misunderstood by the greater psychological community because of over a century's worth of propaganda against it.

@Valentas even posted a study about Cannabis Oil and its unmatched levels of concentrated antioxidants that anhiliate cancer cells.

The speaker mentions cannabis use in teenagers and it's correlation to increased susceptibility to mental illness later in life. In this regard my mom smoked pot while my brother and I were both in our respective wombs so my addiction didn't spring out of thin air. I didn't begin regular use until 19 and every Psychologist I have encountered gave me the same canned lines about it. How about we instead talk about the Tom Clacy novel of side effects that comes with the various psych meds they commonly prescribe that the general public can afford.

If I am being honest. Life without cannabis wouldn't be a life at all. So yes I would likely reject your method unless you were to empirically prove to me that I would be better off using it, taking into account quality of life not just "improved health". Natural antidepressants are all around us and freely available. Diet, exercise, sunlight, wanted conversation, intimacy, etc. I think I'll find what works best for me. Hypomania is a gift and bouts of depression are the price I have to pay for it.
 

QuickTwist

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If you have Bipolar, you need to get professional help. Get a diagnosis done. No one wants to be told they have a mental illness, but its not something that goes away on its own in 99% of people. You have not been Court ordered to take medication or been to the hospital for erratic behavior so you might not need medication, but at least see a doctor.

Can't edit my post for some reason. Meant to say Mental illness rarely if ever goes away on its own... That is all.
 
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I'm diagnosed and medicated for bi-polar type II (along with generalized anxiety/social anxiety).

If you believe you might be bi-polar, see a psychiatrist; and bring a friend or family member that cares about you and can give the doctor 3rd party perspective on your mood changes/phases.

Family/friend will really help the doctor determine what is actually an issue, versus just in your head hypochondriac style.

Your normal general practictioner is not usually educated enough in mental illness to diagnose/treat anything but anxiety/minor depression; so go to the specialist.

I didn't have the desire to read through all the above posts (feeling lazy), but if you have any questions for me about bi-polar let me know. Runs in my family, and it's been a pain in my ass for 15 years.

What I did read though:

I know someone with bi-polar.

When manic, it's described by the person as feeling really really really really really really good. Nothing to stop you. Usually having impulses, and seeing no real reason not to follow them through.

Sounds more like hypomania.

A nurse told me a story of someone driving for 2 weeks for just the sole reason of petting an exotic animal.

This sounds like hypermania o_O... I've never done something that extreme, but I don't get hypermania unless I have caffeine. Caffeine is the devil for bi-polar.... makes hypomania happen at first which is awesome and amazing, but then hypermania rears it's ugly head and I say really mean things to friends/family. Not fun.

It's a complete mystery to the manic why people are now all of a sudden very indifferent, and bewildered. Anger and irritation arise, and with the lack of impulse control, it can get out of hand.

Anger/irritation induced by mania, is more hypermanic.

Usually, there is no time for sleep. Not with all the billions of ambitions and goals and things that you want to do.

No time for sleep? I guess, more like "I'm not finished reading/coding/whatever right now, I'm almost done *5 hours later*..... wait.... how did I start there and end up here *continues reading*".

if you're not having maina episodes you probably don't have bipolar. bipolar/schizophrenia usually takes you over like a storm. you won't really have the metal capacity to self diagnose yourself.

Teenage years, and late 20s are hell (times bipolar hits hardest according to my psychiatrist and things went to hell around my 29th birthday); but it's not uncommon for non-severe depression to not even be recognized as depression and for hypomania to be completely ignored as a symptom (due to it being a "good thing" generally... if people can keep up with you).
 

Teffnology

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Having my ex-wife in a joint session is what allowed my treatment team to gain the most accurate diagnosis. Before this time I had been hospitalized twice and diagnosed with clinical depression, without her insights on my behavior and shifts in mood when I wasn't fully depressed, I would not have received a proper diagnosis.

Honestly everyone stands to benefit from a psychiatric evaluation administered by a professional, verbalizing symptoms and patterns you reccognize is invaluable just by identifying and recognizing them. What you do with that evaluation is entirely subjective. Finding nonpartisan research of various treatment methods is quite elusive. The psychiatric pharmaceutical industry certainly needs to examined and reevaluated.

I would like to discuss the meds they commonly prescribe for this condition. Possibly here or on its own thread. In my experience the side-effects of the various medications available to me were far more detrimental to my physiological health than any symptoms exhibited by my condition. If I were to continue taking "the most commonly prescribed medication specifically formulated for Bipolar II treatment" distributed by Lilly commonly known as Symbyax, I would have a 75% likelihood of developing Type 2 Diabetes, as well as significant increased risk for: hypertension, heart disease, stroke, anneurisms, alzheimers, and a litany of other FATAL conditions.

Not to mention the unpleasant minor side effects that made life uncomfortable such as: restless leg syndrome, insatiable hunger, increased need for sleep (both in length and frequency), occasional insomnia, impaired ability to make logical connections, found it difficult to emote normally or "Prozac hypnosis" I have heard it called, sexual impotence, loss of libido, and also I fucking gained 25 pounds in 2 months (ectomorph who can't gain weight to save his life naturally)! The doctor SAID it was because of the overeating but when I did my own research found that part of chemical process of the drug is to drastically slow down the metabolism.

Also the generics for most of these drugs have a substantial drop off in effectiveness. The only real treatment I would consider viable long term is Lamatogrine aka an anti-convulsant by design that happens to treat Bipolar II pretty well. The downsides being that it is the relative new kid on the block and it has a magic pill persona. It is very expensive and that is unlikely to change due to its multi-faceted usage and relative age on the market.

EDIT: Oh ya, small caveat with the above, when introducing it into your system there is a decent chance of developing a fatal rash. Yup that's right a pill that can cause a rash that can kill you. Also if the levels of this drug fall below a certain level during the course of use, for instance you missed a pill or two on a consistent basis, then the rash can develop that way too.

All these drugs do is mitigate the symptoms, they don't stop them they just slow them down. Once they stop slowing down the symptoms then more medicine is prescribed or a different medicine is used. The "treatment" of this condition does nothing to actually treat the illness but rather mask the symptoms. Kind of a microcosm of western medicine.
 
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Lamictal (LamoTRIgine) was a miracle drug for me. They put me on depakote when I was younger; lamictal more recently. And holy crap the difference in my thought processes is obvious, and much calmer.
 

Teffnology

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I seriously wish I had access to Lamictal. Insurance doesn't pay for it. The generic verison is not nearly as effective or stable. Everything I have read on the name brand Lamictal sounds amazing but the cost is prohibitive for me and a majority of the under insured.

Did you or anyone you know have issues with that deadly rash? Actual death statistics are hard to find but just that it is potentially fatal if untended to. I am terrible when it comes to missing a dose on occasion and doing so on Lamictal would send me into a hypochondriac frenzy thinking I would get the rash.

I have been using diet, exercise, sleep regulation, and fish oil to keep my depression in check. Hypomania is sprinkled in there at random every once in a while to varying degrees. Only had 1 hypermanic episode and could laregly be attributed to external circumstances. Only 25.5 years old though so as you say I have something to look forward to in the future.
 
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Rash is supposedly pretty rare or caused by jumping straight to a high dose or resuming a high dose after 2 weeks of not taking it. I had no issues at all when my doctor tapered me up to 200mg.

Also I use the generic form. Very rarely is there going to be an actual difference between generic and brand name. Usually extended release type medications are most affected I believe. Since they rely on the molecular bonds and pill structure to dissolve over time, which can vary by manufacturer even if the active ingredient is identical.

Generic form costs me $5 for 30 days.
 

Teffnology

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Thank you for that. I have been meaning to get someone's first hand account on it's effectiveness and implementation for some time now.

I also read that the doasge is generally kept within the same range and there is less tinkering involved in the maintenance aspect in comparison to lithium, depakote, and a-typical anti-psychotics.

Hopefully I can get some reasonable insurance before my late 20's.

Do you know anyone personally that has found success with non-medicated approaches?
 
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Do you know anyone personally that has found success with non-medicated approaches?

Non medical approaches only really treat issues caused by abuse or psychological trauma. If there is something physically wrong with your brain, you need medication. You can learn coping skills and how to identify symptoms and adjust your behavior to not let them negatively impact your life, but the depression, mania, etc will still be present. I learned to treat depression as a delusion and it's become more of an annoyance now because I don't have the energy to get out of bed and do anything.

Physical causes require physical remedies. You wouldn't treat high blood pressure with talk therapy, you would take beta blockers or blood thinners.

Mental illness is no different, it just affects our brain.

If words or events caused the illness, words and events can fix the illness. Otherwise, use medication basically. Unless of course words and events triggered a latent condition, then medication is still required.
 
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Depakote's method of action is gabanergic by the way. Lamictal is a sodium ion channel blocker. While I'm unsure if the analogy is correct, sodium ion channel blockers I'm familiar with are topical anesthetics like benzocaine. It interrupts and slows down communication in the brain. So I call it a topical anesthetic for the brain :).

Positive side effects by the way have included no longer being a picky eater, music that used to grate my ears sounds much more tolerable, and in general overwhelming stimuli of all types are no longer uncomfortably overwhelming. Hence miracle drug for me!
 

Teffnology

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I respect that stance and know that ideally I would be on a regulatory medication.

Under current circumstances, the medicine available to me and my current level of insurance presents more trouble than it is worth. The various side effects of the medication make me worse off than the symptoms of BP II.

In the video I posted above in the spolier feature, the speaker talks about various levels of nature and nuture in regards to mental illness. Pretty sure I qualify for both so true casuality is hard to pin down.

You have helped me reaffirm the trade-off concept I have adopted. In that, which price are you willing to pay and at what costs. Dance with the devil and ride the unmedicated roller coaster by keeping certain personal boundries in place OR deal with the unpleasantness that the medication comes along with in exchange for the lessening of BP II symptoms.

For you it doesn't sound like Lamictal has any trade-off at all. For someone in my present circumstances it is not even a possibility yet, and I haven't found anything else in the same ballpark. So until the price drops or I get better insurance then I feel like I am better off without the guinea pig process of medication doasage trial and error.
 
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Behavioral healthcare is unfortunately very under appreciated by the general population and not well supported by instances.

I'm serious though, generic Lamictal is $5 without insurance. The drug is a decade old I believe. Latuda and Abilify are $700 and $900 respectively and that's a freaking tragedy.
 

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maybe i'm ruining this thread with navelgazing but this illness profile kind of explains my troubles. basically i'm caught in a limbo of either "everything sucks, the idea of anything being worthwhile is a joke, i'll spend my time rotting away" or "everything is teeming brilliance, the world is in my head, i can do anything but doing is superfluous". neither state is conducive to getting stuff done in my life, although the latter usually spawns some creative burst.

the former is predominant, persisting for weeks, sometimes even months on end in blurred apathy while the latter happens occasionally (once a month-ish), lasting 3-5(-7) days during which i'll have 0-3 hours of sleep per 24h and time of day fades away. i get more outgoing, argumentative and convinced of my views. also more mentally flexible and with less rumination. during depression, i sleep 10 hours and i sometimes eat compulsively until my belly is sore.

my first hypomania (if that's what it is) occurred 4.5 years ago and was one of the more intense and exciting ones, with nearly exclusively pleasurable symptoms. i would sleep 4 hours every other day for a week and spend all my time pondering philosophical topics with rich yield of insight and convergence, counseling people online for hours on end, enjoying the outdoors for the first time since forever, etc. no drugs were involved for at least a month leading up to that. depression has been going on for 10 years. i am now 25.

does this ring true to those of you with confirmed diagnosis?
 
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Biggest indicator of depression that you can easily identify in your own behaviors is anhedonia. Once I stop playing computer games, I know I'm getting depressed. I don't even have the energy to do something fun that I normally want to do, and doing it doesn't give me any enjoyment. That's anhedonia.

You do describe a hypomanic phase pretty well, except the "doing is superfluous" aspect. I never feel that way, but I will get some engrossed in researching something that I don't actually do anything with it.
 

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Biggest indicator of depression that you can easily identify in your own behaviors is anhedonia. Once I stop playing computer games, I know I'm getting depressed. I don't even have the energy to do something fun that I normally want to do, and doing it doesn't give me any enjoyment. That's anhedonia.

You do describe a hypomanic phase pretty well, except the "doing is superfluous" aspect. I never feel that way, but I will get some engrossed in researching something that I don't actually do anything with it.

you're right it's a good indicator. anhedonia devours me during depression. as a person i am deeply passionate about writing, music and drawing. i seldom do it though, feeling so useless and surrendering at every moment.

it's a matter of definitions. by "doing" i mean fully realizing visions, completing analysis, finishing projects or making advancements in practical autonomy. i am not passive during these "hypomanic" phases though: i read a lot, discover new music, improvise music, talk more with friends and family etc. however the major difference versus depressive phase is confidence in daring to think big new thoughts instead of rejecting them for various reasons, and a heightened intuitive confidence too. mental thrust.
 

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I identify with a lot of what you describe @Brontosaurie. You more or less described how I felt for the past 5 years in the going back and forth with confidence of ideas and plans waxing and waning. The sleep cycle, voracious reading, obsession over hobbies, and sociability when hypomanic ring very true for me.

Anhedonia is the only true sign that I am dealing with chemical or clinical depression and not simply just being down about something related to circumstances. Also I sleep for 10-12 hours at a minimum when here in this end of the spectrum. The ONLY thing I want to do is lie in bed and sleep or put on some mindless show or movie and lay there the rest of the day.

You have at least matched enough symptoms to get an evaluation IMO.

@Aetherius Rimor I did some searches for prices about generic lamictal and the cheapest I found was $8 a pill after a rebate at Walmart without insurance with the average being $75+ a pill at other pharmacies. I haven't looked into ordering from Canada or Mexico but I am weary of that in the first place.

Your statement about generics in relation to time release and proprietary chemical blends made me reevaluate my stance, on generic lamictal, but I have read studies on this effect in other BP II drugs. If you are taking the generic and it works then I am willing to listen. If it is not too personal do you mind telling me who your legal drug dealer is?

If $5-$8 per pill was the range I would consider it but $150-$240 for a month supply is more than I typically spend on food for a month. The age on market I was referring to was its use as a Bipolar II treatment being fairly recent.

Funny thing about Abilify is my insurance does carry that one, figure that one out, and I was on it for a month before Symbyax. Total zombie syndrome, I couldn't function on the lowest doasge of it. It felt like I had narcolepsy.
 
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