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[quote="angelalala"][i]-It's also worth noting that, as an adolescent I was put on prozac (for the OCD elements of my AS I think) and suffered no manic effects, that I can recall anyway. In fact, it improved a lot of my symptoms. Does this rule out bipolar disorder? [/i] Not at all. Some drs use antidepressants in treatment for bipolar during depressive phases (actually, many use them all the time, which is a whole other issue that I don't agree with, particularly in Bipolar II d/o). Also: "that I can recall" may be key, since a lot of people with mania/hypomania lack insight.[/quote]
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<table border="0" cellpadding="3" cellspacing="1" width="100%" class="forumline"> <tr> <th class="thCornerL" width="22%" height="26">Author</th> <th class="thCornerR">Message</th> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Mon May 20, 2013 3:01 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>Raziel wrote:</b></span></td> </tr> <tr> <td class="quote"> <br />How often to you cycle when you speak about rapid cycling? <br />Because I think I develeped rapid cycling, but my cycles still last several weeks at the moment.</td> </tr></table><span class="postbody"> <br /> <br />It's difficult for me to describe because I think I'm dealing with many lengths of time, and cycles within cycles. I'm going through a depressive period. It's been pretty bad in the last four months. From my mood chart I seem to be changing daily. Off meds I seem to have longer lasting periods. I can be hypomanic over days and then cycle between one mood into another over minutes and seconds. <br /> <br />But with the meds it's hard to tell. Any of my level and motivated moods are on medication. I need to start charting only when I'm not on medication, but then, I forget. I didn't chart any of the hypomania I felt yesterday and then because of the stupid things I said I turned to regret, anger and finally depression. <br /> <br />Sometimes the symptoms will take away the meds effectiveness too. I can have a week and a half of barely feeling the meds because of hypomania. They tend to work better for depression. <br /> <br />I need to get better at keeping track of my moods.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>sunshower</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Fri May 17, 2013 9:00 pm<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">rapid cycling is 4+ episodes a year, ultra rapid cycling is days, ultra ultra rapid/ultradian cycling is more than one episode in a day. I tend to shift between ultra rapid and ultradian.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>Raziel</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Fri May 17, 2013 3:07 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>realityocean wrote:</b></span></td> </tr> <tr> <td class="quote">hey pensive <br />for some reason the powers that be claim to have witnessed me in the throws of mania after undergoing several bouts of ect. psychosis was put into the mix via subjective statements from my wife. when the bp dx was made i wasn't in a fit state to query it. for 14 years i believed i was stable due to lithium, now would seem it did wonders for my depression which didn't respond to anti d's. i just went along with the dx until a few weeks ago when my new pdoc questioned it. now seems i might have an asd whilst suffering non-responsive depression and anxiety. <br />so there you have it, thats how i was bp 1 for 14 years? have to say that i too find it hard to believe they could have gotten me so wrong!!!</td> </tr></table><span class="postbody"> <br />Thanks for clearing that up. <br /> <br />I think I have bipolar 1 with rapid cycling. I don't even want to admit to delusions because I don't think they are. I do have hallucinations though but they are not as prominent. <br /> <br />I'm trying to look for triggers to my rapid cycling but I'm finding it difficult. I can kind of stop it if I don't begin arguing or if I notice that I'm simply arguing because something triggered a mood and then I just pull away from it. I think the usual triggers could set off both.</td> </tr></table><span class="postbody"> <br /> <br />How often to you cycle when you speak about rapid cycling? <br />Because I think I develeped rapid cycling, but my cycles still last several weeks at the moment.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Fri May 17, 2013 1:12 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>realityocean wrote:</b></span></td> </tr> <tr> <td class="quote">hey pensive <br />for some reason the powers that be claim to have witnessed me in the throws of mania after undergoing several bouts of ect. psychosis was put into the mix via subjective statements from my wife. when the bp dx was made i wasn't in a fit state to query it. for 14 years i believed i was stable due to lithium, now would seem it did wonders for my depression which didn't respond to anti d's. i just went along with the dx until a few weeks ago when my new pdoc questioned it. now seems i might have an asd whilst suffering non-responsive depression and anxiety. <br />so there you have it, thats how i was bp 1 for 14 years? have to say that i too find it hard to believe they could have gotten me so wrong!!!</td> </tr></table><span class="postbody"> <br />Thanks for clearing that up. <br /> <br />I think I have bipolar 1 with rapid cycling. I don't even want to admit to delusions because I don't think they are. I do have hallucinations though but they are not as prominent. <br /> <br />I'm trying to look for triggers to my rapid cycling but I'm finding it difficult. I can kind of stop it if I don't begin arguing or if I notice that I'm simply arguing because something triggered a mood and then I just pull away from it. I think the usual triggers could set off both.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>realityocean</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 14, 2013 3:44 pm<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">hey pensive <br />for some reason the powers that be claim to have witnessed me in the throws of mania after undergoing several bouts of ect. psychosis was put into the mix via subjective statements from my wife. when the bp dx was made i wasn't in a fit state to query it. for 14 years i believed i was stable due to lithium, now would seem it did wonders for my depression which didn't respond to anti d's. i just went along with the dx until a few weeks ago when my new pdoc questioned it. now seems i might have an asd whilst suffering non-responsive depression and anxiety. <br />so there you have it, thats how i was bp 1 for 14 years? have to say that i too find it hard to believe they could have gotten me so wrong!!!</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Mon May 13, 2013 2:23 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>realityocean wrote:</b></span></td> </tr> <tr> <td class="quote">i am at this time battling to come to terms with a massive change in my life. <br />14 years ago i was dianosed with bipolar 1, my pdoc has been conducting dianostic interviews for the past month and yesterday he overturned my bipolar dx, seems he is placing me in the autism spectrum. 56 years and trying to come to terms with this, does explain a lot, far more than a dx for bp ever did. <br />i don't think for one minute that my experience is unique but i am hoping it will help me to share it with others who may know how i might get through the transition from bp to aspie.</td> </tr></table><span class="postbody"> <br />Interesting misdiagnosis to get. I always thought BP1 is when you have full mania and delusions. I'm unsure how a doctor could mistake an ASD for that. Maybe I just have a limited view of BP1.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>realityocean</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Thu May 09, 2013 4:35 pm<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">i am at this time battling to come to terms with a massive change in my life. <br />14 years ago i was dianosed with bipolar 1, my pdoc has been conducting dianostic interviews for the past month and yesterday he overturned my bipolar dx, seems he is placing me in the autism spectrum. 56 years and trying to come to terms with this, does explain a lot, far more than a dx for bp ever did. <br />i don't think for one minute that my experience is unique but i am hoping it will help me to share it with others who may know how i might get through the transition from bp to aspie.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>Raziel</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 6:31 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote">PTSD probably doesn't come with hypomania though? Although I used to think I got so stressed by something that I'd have a seizure then I'd be hyperactive the next day. More than my usual amount. I'd blurt things out that were rude and people would laugh. I'd have a lack of awareness and not have any interest in what people say. It could related to the seizure. I'm just not sure now. <br /> <br />I don't need to have a seizure for that to happen though. I can wake up like that or it'll just hit me, usually in the early evening. There's a lot more of it without meds unless I'm depressed. I could start out one morning depressed and then be hyper by the evening and vice versa. <br /> <br />I don't know if it is PTSD as my psychiatrist didn't even do any assessment to find out. I've always been afraid of people. When I was 14 a drunk came into the house and since then I've been afraid to answer the door on my own. For the first 5-6 months I felt safe for the first time in my new town. Then one night when I was experiencing some lack of self esteem socially the next day I pretty much wanted to walk in the middle of the road to die. I was severely depressed and walked in the rain home. Tried to take a shortcut and almost got mugged by people I knew beat someone up for their money. I saw it on the news the day before. <br /> <br />I mean I got the flashbacks badly for a few months. They come back from time to time but aren't as clear. I've had nightmares since the drunk man came into my home. <br /> <br />News stories can trigger the anxiety but sometimes I wonder if my usual fear was just made worse.</td> </tr></table><span class="postbody"> <br /> <br />No, PTSD doesn't go along with hypomania, but with moodswings who are very common in PTSD patients and can look very simmilar to Bipolar sometimes, that's why it is difficult to sort things out especially when you aren't a clear cut case. <br />When you aren't sure, the best thing you can do is to get a second opinion.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 6:22 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody">PTSD probably doesn't come with hypomania though? Although I used to think I got so stressed by something that I'd have a seizure then I'd be hyperactive the next day. More than my usual amount. I'd blurt things out that were rude and people would laugh. I'd have a lack of awareness and not have any interest in what people say. It could related to the seizure. I'm just not sure now. <br /> <br />I don't need to have a seizure for that to happen though. I can wake up like that or it'll just hit me, usually in the early evening. There's a lot more of it without meds unless I'm depressed. I could start out one morning depressed and then be hyper by the evening and vice versa. <br /> <br />I don't know if it is PTSD as my psychiatrist didn't even do any assessment to find out. I've always been afraid of people. When I was 14 a drunk came into the house and since then I've been afraid to answer the door on my own. For the first 5-6 months I felt safe for the first time in my new town. Then one night when I was experiencing some lack of self esteem socially the next day I pretty much wanted to walk in the middle of the road to die. I was severely depressed and walked in the rain home. Tried to take a shortcut and almost got mugged by people I knew beat someone up for their money. I saw it on the news the day before. <br /> <br />I mean I got the flashbacks badly for a few months. They come back from time to time but aren't as clear. I've had nightmares since the drunk man came into my home. <br /> <br />News stories can trigger the anxiety but sometimes I wonder if my usual fear was just made worse.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>Raziel</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 5:36 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>sunshower wrote:</b></span></td> </tr> <tr> <td class="quote">In terms of whether you have Bipolar or not I don't know, Raziel makes a good point about PTSD - as it is not something I am familiar with I can't comment on that.</td> </tr></table><span class="postbody"> <br /> <br />Here I found that about the differences of Bipolar and PTSD <img src="modules/Forums/images/smiles/icon_biggrin.gif" alt="Very Happy" border="0" /> : <br /><a href="http://www.bipolarworld.net/Phelps/ph_2002/ph836.htm" rel="nofollow" target="_blank">http://www.bipolarworld.net/Phelps/ph_2002/ph836.htm</a> <br /> <br />My experience with PTSD is, that it get's highly complicated when you have other psychiatric comorbidities to work things out, so long the PTSD hasn't come to rest. PTSD can also mimic a whole bunch of other disorders in my experience, but also cause new once or worsen them. So treating the PTSD is very important, but when there is a bipolar suspicion, I would suggest mood stabalizers. <br /> <br /></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>sunshower wrote:</b></span></td> </tr> <tr> <td class="quote">The problem with seeing a standard GP about this stuff is they generally aren't sufficiently experienced in bipolar to be able to recognize more unusual cases or cases in people with a lot of comorbid conditions.</td> </tr></table><span class="postbody"> <br /> <br />I'm totally used to that, that psychiatrists who aren't that experiences don't even have a clue what's going on and usually are not even close. <img src="modules/Forums/images/smiles/icon_eek.gif" alt="Shocked" border="0" /> <br />The mix symptoms and tell me I would have symptoms I don't and so on. <img src="modules/Forums/images/smiles/icon_confused.gif" alt="Confused" border="0" /> <br />I'm not 100% certain about everything I have (or might have), but at least I developed a pretty good clue in what directions it might go and also spotting if the psychiatrists talking to me has at lest some knowledge or not. <img src="modules/Forums/images/smiles/icon_lol.gif" alt="Laughing" border="0" /> <br />I'm by my new psychiatrist since approx. 3/4 year and since that time I'm out of the traumatic environment and mostly calm. The old psychiatrist didn't even belief me and everything is a mess and in the end when she found out that I could be right, she freaked out and kicked me out and even told me that she didn't thought it would be necessery to read old diagnostic reports about me. <img src="modules/Forums/images/smiles/icon_eek.gif" alt="Shocked" border="0" /> <br /> <img src="modules/Forums/images/smiles/icon_mad.gif" alt="Mad" border="0" /> <br /> <br />So, when things might get worse, I might also go to a bipolar specialist, but other than that I'm doing better now (not totally fine) and I guess that's the most important thing for now. Also that I calm down further and rest from the PTSD. Especially psychiatrists can trigger my PTSD very easily (my trauma happened in the psych ward, were they didn't wanted to let me go out and I freaked out because of being claustrophobic and they didn't belief me and just continued to keep me locked. <img src="modules/Forums/images/smiles/icon_eek.gif" alt="Shocked" border="0" /> ). That's why I'm clad that it works so well with my new psychiatrist at the moment. I have a big trust issue with psychiatrists and so on since then.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>sunshower</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 3:53 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>sunshower wrote:</b></span></td> </tr> <tr> <td class="quote"> <br />Some of what you're saying is similar to my experience. The problem with having multiple conditions is that your symptoms interact and thus present differently to standard, meaning you often get misdiagnosed or don't get diagnosed with something you do have. <br /> <br />I have ADHD and Bipolar and I can't function without ritalin, however ritalin triggers hypomanic symptoms in me (to resolve this I'm also on mood stabilizing medication and my ritalin dosage is low and slow release - making it less likely to trigger me). With ritalin if it is setting off mood symptoms the last thing you want to do is increase the dosage. Best thing is to reduce it to the absolute minimum you are able to take and still function. slow release instead of standard is also a really good option because it enters your system more gradually. I'm on 10mg a day currently, which is a quarter of standard dosage, but any more than that triggers me. <br /> <br />In terms of whether you have Bipolar or not I don't know, Raziel makes a good point about PTSD - as it is not something I am familiar with I can't comment on that. However, a lot of what you're saying sounds ominous to me/rings a lot of bells with me. When my cycling got faster and more severe I experienced an absolute mishmash of symptoms kind of like how you described. I also get things like derealization (where the external world seems unreal). The problem with seeing a standard GP about this stuff is they generally aren't sufficiently experienced in bipolar to be able to recognize more unusual cases or cases in people with a lot of comorbid conditions. To get an accurate and specific diagnosis I saw a bipolar specialist (the GP thought I was depressed, the first psyc thought I was depressed until I had a manic sort of seizure when I started taking anti-depressants (physical movement so extreme I had to be restrained)), then bipolar 2, but she didn't pick up on the rapid cycling and mixed symptoms, second psyc thought bipolar was a misdiagnosis, stuck me on antidepressants again, changed her mind but was so confused felt she couldn't help me and so sent me to the bipolar specialist, currently diagnosed with bipolar 1 ultradian/ultra rapid cycling. <br /> <br />Getting sidetracked but my point is you need to find someone who specializes in bipolar if your symptom presentation is abnormal/unusual. They're more likely to be able to determine whether bipolar is behind it or not because they have more experience in the field. <br /> <br />Sometimes the elation builds up so extreme in me (or did, when I wasn't effectively medicated) it causes me to feel like I might have a heart attack, hands shaking, heart bursting out of my chest sort of thing. I experienced "manic seizures" whenever I took any form of anti-depressant medication, or too high a dose of ritalin or other ADHD drugs. Generally the "seizure" would start with part of my body, like my hand or fingers, tapping faster and faster, and it would gradually spread over my whole body until I was moving out of control. Sometimes I was able to stop the "seizure" before it spread to my whole body by lying very very still and trying to stop the involuntary movement. Active movement speeds up and intensifies the "seizure" (makes it worse). The first "seizure" I had I didn't know this, so I started deliberately pacing about (thinking it would calm me down) and I ended up laughing uncontrollably as well, and then having ecolalia (repeating words over and over without being able to control what my mouth is doing) while simultaneously having different parts of my body spasm out of control. My parents held me down but I kept hitting myself as well.</td> </tr></table><span class="postbody"> <br /> <br />Manic seizures sound like what happens when I exercise or just dance around. It's like I can't stop stop moving. The last time it happened I ended up laughing and hitting my head. This was on a day I wasn't medicated. <br /> <br />I usually take 10mg Ritalin IR so it's probably not the best. I can sometimes get appetite suppression so I keep the dose low. It has a calming effect which is a relief but I tend to get overstimulated on a low dose, just because of hormones interfering in PMDD. Those times I took a higher dose I didn't get that. But I don't think I'll take anything higher than 15mg a day. Sometimes I can't even make my own meals without Ritalin so I take a low 5mg dose. <br /> <br />Last month I think I was hyper for a week and a half despite taking Ritalin. It was really hard to stay on task. Then it was gone. I got some really depressive symptoms and the environment around me wasn't helping. Another friendship lost when I realised how nasty they were so it wasn't a complete loss. There had been a couple of people I got into arguments with that ended my relationship with them or risked the relationship and there was no reason to. My BP II/ADHD friend and I got into some serious blood baths (verbally) before she got on the right medication. The last time I got into a disagreement it was with someone I didn't want to lose so I just got as far away from them while I was like that. <br /> <br />Thanks for your post. I guess I should look up some bipolar specialists in my area.</td> </tr></table><span class="postbody"> <br /> <br />Well I call them "manic seizures" for want of a better word. Not really sure how else to describe them. I'm on ritalin LA as well (I think we're taking the same amount of the same med haha), but the other drugs I'm on (epilim, seroquel, lamictal, etc) help regulate the effect of it. Definitely good to get on a mood stabilizer for symptoms like those you describe. The main two are valproate (epilim) and lithium, but valproate tends to be more effective than lithium for rapid cycling. I tried lithium and it didn't work on me.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 2:49 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>sunshower wrote:</b></span></td> </tr> <tr> <td class="quote"> <br />Some of what you're saying is similar to my experience. The problem with having multiple conditions is that your symptoms interact and thus present differently to standard, meaning you often get misdiagnosed or don't get diagnosed with something you do have. <br /> <br />I have ADHD and Bipolar and I can't function without ritalin, however ritalin triggers hypomanic symptoms in me (to resolve this I'm also on mood stabilizing medication and my ritalin dosage is low and slow release - making it less likely to trigger me). With ritalin if it is setting off mood symptoms the last thing you want to do is increase the dosage. Best thing is to reduce it to the absolute minimum you are able to take and still function. slow release instead of standard is also a really good option because it enters your system more gradually. I'm on 10mg a day currently, which is a quarter of standard dosage, but any more than that triggers me. <br /> <br />In terms of whether you have Bipolar or not I don't know, Raziel makes a good point about PTSD - as it is not something I am familiar with I can't comment on that. However, a lot of what you're saying sounds ominous to me/rings a lot of bells with me. When my cycling got faster and more severe I experienced an absolute mishmash of symptoms kind of like how you described. I also get things like derealization (where the external world seems unreal). The problem with seeing a standard GP about this stuff is they generally aren't sufficiently experienced in bipolar to be able to recognize more unusual cases or cases in people with a lot of comorbid conditions. To get an accurate and specific diagnosis I saw a bipolar specialist (the GP thought I was depressed, the first psyc thought I was depressed until I had a manic sort of seizure when I started taking anti-depressants (physical movement so extreme I had to be restrained)), then bipolar 2, but she didn't pick up on the rapid cycling and mixed symptoms, second psyc thought bipolar was a misdiagnosis, stuck me on antidepressants again, changed her mind but was so confused felt she couldn't help me and so sent me to the bipolar specialist, currently diagnosed with bipolar 1 ultradian/ultra rapid cycling. <br /> <br />Getting sidetracked but my point is you need to find someone who specializes in bipolar if your symptom presentation is abnormal/unusual. They're more likely to be able to determine whether bipolar is behind it or not because they have more experience in the field. <br /> <br />Sometimes the elation builds up so extreme in me (or did, when I wasn't effectively medicated) it causes me to feel like I might have a heart attack, hands shaking, heart bursting out of my chest sort of thing. I experienced "manic seizures" whenever I took any form of anti-depressant medication, or too high a dose of ritalin or other ADHD drugs. Generally the "seizure" would start with part of my body, like my hand or fingers, tapping faster and faster, and it would gradually spread over my whole body until I was moving out of control. Sometimes I was able to stop the "seizure" before it spread to my whole body by lying very very still and trying to stop the involuntary movement. Active movement speeds up and intensifies the "seizure" (makes it worse). The first "seizure" I had I didn't know this, so I started deliberately pacing about (thinking it would calm me down) and I ended up laughing uncontrollably as well, and then having ecolalia (repeating words over and over without being able to control what my mouth is doing) while simultaneously having different parts of my body spasm out of control. My parents held me down but I kept hitting myself as well.</td> </tr></table><span class="postbody"> <br /> <br />Manic seizures sound like what happens when I exercise or just dance around. It's like I can't stop stop moving. The last time it happened I ended up laughing and hitting my head. This was on a day I wasn't medicated. <br /> <br />I usually take 10mg Ritalin IR so it's probably not the best. I can sometimes get appetite suppression so I keep the dose low. It has a calming effect which is a relief but I tend to get overstimulated on a low dose, just because of hormones interfering in PMDD. Those times I took a higher dose I didn't get that. But I don't think I'll take anything higher than 15mg a day. Sometimes I can't even make my own meals without Ritalin so I take a low 5mg dose. <br /> <br />Last month I think I was hyper for a week and a half despite taking Ritalin. It was really hard to stay on task. Then it was gone. I got some really depressive symptoms and the environment around me wasn't helping. Another friendship lost when I realised how nasty they were so it wasn't a complete loss. There had been a couple of people I got into arguments with that ended my relationship with them or risked the relationship and there was no reason to. My BP II/ADHD friend and I got into some serious blood baths (verbally) before she got on the right medication. The last time I got into a disagreement it was with someone I didn't want to lose so I just got as far away from them while I was like that. <br /> <br />Thanks for your post. I guess I should look up some bipolar specialists in my area.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>sunshower</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 2:10 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>Raziel wrote:</b></span></td> </tr> <tr> <td class="quote"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote">Thanks. I've had PMDD before PTSD. It's a menstrual mood disorder. I don't know if it's just that and PTSD or it's getting worse. <br /> <br />I don't think my PTSD is that bad. I seem to had have it really intensely at first (flashbacks/paranoid anxiety) then for 3 months I was fine, then after a pretty tough two PMDD cycles it came back, and I haven't seemed to have a break from PMDD yet. I've noticed for about 4 months I've been falling into depressive states and have struggled creatively since last December. I seem to go through creative slumps. Mid last year I seemed to be doing pretty well. I'm not sure how bad my anxiety is. I don't feel that afraid right now. Haven't had nightmares or flashbacks. Been hyper for most of the day. <br /> <br />This is going to be very hard to work out. I just have a feeling my doctor has already decided it's not bipolar. He said maybe you are but then maybe not. He didn't know, just thought I needed structure and to be a part of some social group.</td> </tr></table><span class="postbody"> <br /> <br />I can understand that, but on the other hand I'm certain when you show clear Bipolar symptoms like mania, you'll get diagnosed with. <br />Other than that you propably have to wait until your PTSD has come to rest for a while until you'll be sure what other comorbidities you might have.</td> </tr></table><span class="postbody"> <br /> <br />I guess I'll have to wait and see. I'm dreading what's going happen if this does get much worse. My PMDD started up again, whatever that means. It never left me. I might wait until it's supposed to be over the next time. It's so hard to control without medication. I could up my Ritalin dose but who knows what that will do to me. <br /> <br />Some good news though is I'm getting back into my writing. I'm struggling though. I have to take breaks because the words won't come because I'm tired or whatever. I get a feeling like I should just give up which I'm trying to fight against. My main character's personality is more like what I'm going through. It's good therapy, at least.</td> </tr></table><span class="postbody"> <br /> <br />Some of what you're saying is similar to my experience. The problem with having multiple conditions is that your symptoms interact and thus present differently to standard, meaning you often get misdiagnosed or don't get diagnosed with something you do have. <br /> <br />I have ADHD and Bipolar and I can't function without ritalin, however ritalin triggers hypomanic symptoms in me (to resolve this I'm also on mood stabilizing medication and my ritalin dosage is low and slow release - making it less likely to trigger me). With ritalin if it is setting off mood symptoms the last thing you want to do is increase the dosage. Best thing is to reduce it to the absolute minimum you are able to take and still function. slow release instead of standard is also a really good option because it enters your system more gradually. I'm on 10mg a day currently, which is a quarter of standard dosage, but any more than that triggers me. <br /> <br />In terms of whether you have Bipolar or not I don't know, Raziel makes a good point about PTSD - as it is not something I am familiar with I can't comment on that. However, a lot of what you're saying sounds ominous to me/rings a lot of bells with me. When my cycling got faster and more severe I experienced an absolute mishmash of symptoms kind of like how you described. I also get things like derealization (where the external world seems unreal). The problem with seeing a standard GP about this stuff is they generally aren't sufficiently experienced in bipolar to be able to recognize more unusual cases or cases in people with a lot of comorbid conditions. To get an accurate and specific diagnosis I saw a bipolar specialist (the GP thought I was depressed, the first psyc thought I was depressed until I had a manic sort of seizure when I started taking anti-depressants (physical movement so extreme I had to be restrained)), then bipolar 2, but she didn't pick up on the rapid cycling and mixed symptoms, second psyc thought bipolar was a misdiagnosis, stuck me on antidepressants again, changed her mind but was so confused felt she couldn't help me and so sent me to the bipolar specialist, currently diagnosed with bipolar 1 ultradian/ultra rapid cycling. <br /> <br />Getting sidetracked but my point is you need to find someone who specializes in bipolar if your symptom presentation is abnormal/unusual. They're more likely to be able to determine whether bipolar is behind it or not because they have more experience in the field. <br /> <br />Sometimes the elation builds up so extreme in me (or did, when I wasn't effectively medicated) it causes me to feel like I might have a heart attack, hands shaking, heart bursting out of my chest sort of thing. I experienced "manic seizures" whenever I took any form of anti-depressant medication, or too high a dose of ritalin or other ADHD drugs. Generally the "seizure" would start with part of my body, like my hand or fingers, tapping faster and faster, and it would gradually spread over my whole body until I was moving out of control. Sometimes I was able to stop the "seizure" before it spread to my whole body by lying very very still and trying to stop the involuntary movement. Active movement speeds up and intensifies the "seizure" (makes it worse). The first "seizure" I had I didn't know this, so I started deliberately pacing about (thinking it would calm me down) and I ended up laughing uncontrollably as well, and then having ecolalia (repeating words over and over without being able to control what my mouth is doing) while simultaneously having different parts of my body spasm out of control. My parents held me down but I kept hitting myself as well.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row2"><span class="name"><a name=""></a><b>sunshower</b></span></td> <td class="row2" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 1:46 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>Otherside wrote:</b></span></td> </tr> <tr> <td class="quote">I have bipolar type II, rapid cycling, mixed states. UKs kinda by so great with mental health treatment, so it took me a long time to get admitted into the system. By that time I had already made two suicide attempts and overdosed more times than I could count on anti-anxiety pills. I ended up in ER before anyone took me seriously. I still don't know what Im supposed to do. II was told by someone I was expierencing "normal issues that everyone has". Which was bullshit . <br /> <br />I'm now seeing a psychiatrist every few months or so, Im on the waiting list to receive therapy, and CMHT (community mental health team) are seeing me every so often. Amazingly, they listened when I told them I couldn't go four months without incident (such as another suicidal one, or starting to overdose again) let alone stable. I didn't expect them too. I never expect them too anymore. <br /> <br />I more stable than I was, but I don't know how long that will last. As I saw on a poster at the hospital today, my mood is "more boom and bust than the economy" (that was a weird poster).</td> </tr></table><span class="postbody"> <br /> <br />That must have been extremely frustrating for you. I've been told that about having "normal issues" so many times in my life, it's so annoying. If you're having trouble with suicide attempts and that sort of thing surely you should be seeing a psychiatrist more regularly than every few months?? Is it that you can't afford it? (it's not subsidized for you?)</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> <tr> <td width="22%" align="left" valign="top" class="row1"><span class="name"><a name=""></a><b>pensieve</b></span></td> <td class="row1" height="28" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="100%"><img src="http://cdn.wrongplanet.net/modules/Forums/templates/subSilver/images/icon_minipost.gif" width="12" height="9" alt="Post" title="Post" border="0" /><span class="postdetails">Posted: Tue May 07, 2013 12:58 am<span class="gen"> </span> Post subject: </span></td> </tr> <tr> <td colspan="2"><hr /></td> </tr> <tr> <td colspan="2"><span class="postbody"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>Raziel wrote:</b></span></td> </tr> <tr> <td class="quote"></span><table width="90%" cellspacing="1" cellpadding="3" border="0" align="center"><tr> <td><span class="genmed"><b>pensieve wrote:</b></span></td> </tr> <tr> <td class="quote">Thanks. I've had PMDD before PTSD. It's a menstrual mood disorder. I don't know if it's just that and PTSD or it's getting worse. <br /> <br />I don't think my PTSD is that bad. I seem to had have it really intensely at first (flashbacks/paranoid anxiety) then for 3 months I was fine, then after a pretty tough two PMDD cycles it came back, and I haven't seemed to have a break from PMDD yet. I've noticed for about 4 months I've been falling into depressive states and have struggled creatively since last December. I seem to go through creative slumps. Mid last year I seemed to be doing pretty well. I'm not sure how bad my anxiety is. I don't feel that afraid right now. Haven't had nightmares or flashbacks. Been hyper for most of the day. <br /> <br />This is going to be very hard to work out. I just have a feeling my doctor has already decided it's not bipolar. He said maybe you are but then maybe not. He didn't know, just thought I needed structure and to be a part of some social group.</td> </tr></table><span class="postbody"> <br /> <br />I can understand that, but on the other hand I'm certain when you show clear Bipolar symptoms like mania, you'll get diagnosed with. <br />Other than that you propably have to wait until your PTSD has come to rest for a while until you'll be sure what other comorbidities you might have.</td> </tr></table><span class="postbody"> <br /> <br />I guess I'll have to wait and see. I'm dreading what's going happen if this does get much worse. My PMDD started up again, whatever that means. It never left me. I might wait until it's supposed to be over the next time. It's so hard to control without medication. I could up my Ritalin dose but who knows what that will do to me. <br /> <br />Some good news though is I'm getting back into my writing. I'm struggling though. I have to take breaks because the words won't come because I'm tired or whatever. I get a feeling like I should just give up which I'm trying to fight against. My main character's personality is more like what I'm going through. It's good therapy, at least.</span></td> </tr> </table></td> </tr> <tr> <td colspan="2" height="1" class="spaceRow"><img src="modules/Forums/templates/subSilver/images/spacer.gif" alt="" width="1" height="1" /></td> </tr> </table>
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