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Doctor insights on: Bipolar Vs Ptsd

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Can ptsd be an underlying cause of bipolar?

Can ptsd be an underlying cause of bipolar?

Contribution: We think most mental illness is caused by both biological vulnerability and environmental factors. Trauma and your reactions to it are certainly part of the picture. Both the ptsd and the mood disorder require attention and treatment. Both are targets of treatment. ...Read more

Dr. Donald Jacobson
770 Doctors shared insights

Manic Depressive Disorder (Definition)

Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more


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How usual is it for someone to be diagnosed with both bipolar disorder and ptsd?

How usual is it for someone to be diagnosed with both bipolar disorder and ptsd?

Comorbidity: Ptsd and bipolar disorder can coexist commonly. A careful comprehensive. Assessment is needed to tease out coexistence of mood disorders ptsd or personality disorder and treatment can be planned accordingly. ...Read more

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How typical is it for someone to be diagnosed with both bipolar disorder and ptsd?

How typical is it for someone to be diagnosed with both bipolar disorder and ptsd?

Not unusual: BPD, like many conditions, is a biological vulnerability that emerges under physiological & emotional stress. PTSD is caused by psychological trauma, a very common risk for everyone. People susceptible to BPD who experience trauma can develop PTSD and BPD often causes risky behavior. PTSD can trigger mania or depression. I've seen many such cases. ...Read more

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In the past my g/f suffered from PTSD, but she's doing real well now. She might also be bipolar, how do I tell for sure? (She is also misophonic.)

In the past my g/f suffered from PTSD, but she's doing real well now. She might also be bipolar, how do I tell for sure? (She is also misophonic.)

PTSD vs Bipolar: Although the two diagnoses can co-exist, you need to have a comprehensive assessment by a psychologist or psychiatrist who is also a trauma expert. Sometimes severe PTSD sx can get misdiagnosed as other disorders. Bipolar is inherited and should have family history. But PTSD always is a result of trauma (trauma is relative to the patient) and the long term answer is expert trauma tx. Bipolar dis ...Read more

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How can I tell the difference between: bpd, bipolar 2, & ptsd?

How can I tell the difference between: bpd, bipolar 2, & ptsd?

PTSD, BIPOLAR, BPD: All conditions share severe anxiety, insomnia, mood swings, impulsivity etc therefore the actual symptoms don't help in the diagnosis. The most valuable piece of information is the natural history of the disease. Bpd patient have history of trauma or abuse early in life like sexual, verbal and physical. Depending on the severity of the trauma ptsd. Therefore all 3 can co-exist. One drug can treat 3. ...Read more

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Can you explain if it's possible for me to have bipolar 1 and ptsd?

Can you explain if it's possible for me to have bipolar 1 and ptsd?

Very common: Depending on the severity of PTSD symptoms, bipolar disorder is a common cold morbid diagnosis. This is especially true for people who have been in combat situations. And evaluation by a psychiatrist who specializes in PTSD can be very helpful in determining if bipolar and PTSD are being experienced concomitantly by the patient. ...Read more

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What do you suggest if I want to stop taking all/some of my meds. Six meds for bipolar, anxiety, add, and ptsd. Thoughts?

What do you suggest if I want to stop taking all/some of my meds. Six meds for bipolar, anxiety, add, and ptsd. Thoughts?

Very worrisome: Discuss with your psychiatrist. However, with this many serious conditions - my guess is that your medications were carefully titrated. There is risk with stopping - there is marked risk with stopping all of them. ...Read more

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How much do I have to pay for someone to get back on my meds for bipolar disorder and ptsd. Do I need the prime membership? Are there extra fees?

How much do I have to pay for someone to get back on my meds for bipolar disorder and ptsd. Do I need the prime membership? Are there extra fees?

Psychiatrist: It is my understanding that on HealthTap, we do not prescribe psychiatric medications. Given the complexity of Bipolar d/o it is best to establish a relationship with a local doctor. Local community health clinics offer services regardless of insurance. ...Read more

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Please help me with fibromyalgia ptsd bipolar and high anxiety?

Please help me with fibromyalgia ptsd bipolar and high anxiety?

This is complex &: The sxs from one condition will intertwine with the others. To treat ptsd & bipolar disorder well- your provider needs a fair amount of experience. Recommend that be your priority. The anxiety is part of your ptsd. Fibromyalgia is associated with depression. It is likely to show some improvement as your psychiatric conditions improve. Aggressive treatment of insomnia is crucial. Take care. ...Read more

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I've heard that ptsd can be mistaken for bipolar ii. Can someone explain me what are the overlapping symptoms?

Ptsd/bp: One can have both conditions-
overlapping sxs including changes in sleep, focus, concentration, irritability, anger/rage.
Substance abuse also often comes along for the ride with both... ...Read more

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I'm bipolar & PTSD. Why is it so easy to go from smiling to wanting to hurt someone? Any little thing sets me off.

I'm bipolar & PTSD. Why is it so easy to go from smiling to wanting to hurt someone? Any little thing sets me off.

See your doctor: What you are describing are mood swings. It is possible to have what is called rapid cycling Bipolar illness. You will need to see your doctor to determine if you have this or if something else is going on. Also, you may want to see a therapist in addition to taking medicine to help you stabilize your symptoms and to improve your quality of life and relationships. ...Read more

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I am bipolar with borderline and ptsd. How can I get out of a relationship that makes me suicidal if my boyfriend is too sick to care for himself?

I am bipolar with borderline and ptsd. How can I get out of a relationship that makes me suicidal if my boyfriend is too sick to care for himself?

Ptsd: Need a therapist with experience in dialectical behavior therapy to help u with boundaries issues and healthy separation. ...Read more

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Why dx'd BPD by new pdoc? Every1 who knows me (7 yr bf, all friends new&old)is baffled. I'm PTSD&Bipolar&USED to self-harm, but many yrs ago. No1 agrees BPD.

Why dx'd BPD by new pdoc? Every1 who knows me (7 yr bf, all friends new&old)is baffled. I'm PTSD&Bipolar&USED to self-harm, but many yrs ago. No1 agrees BPD.

Ask the: Provider who made the diagnosis which criteria were met. Is "pdoc" used as an abbreviation for psychiatrist or primary care physician? It would be best if the diagnosis was made by a psychiatrist or psychologist who has done a careful assessment using DSM criteria. ...Read more

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If u have PTSD&bipolar&used 2 self-injure but haven't in many yrs&dont have any other BPD traits (all friends, family&7yr bf agree)why diagnosis of BPD? Misdx?

If u have PTSD&bipolar&used 2 self-injure but haven't in many yrs&dont have any other BPD traits (all friends, family&7yr bf agree)why diagnosis of BPD? Misdx?

There may be: Significant overlap in symptoms of borderline personality disorder and bipolar disorder. Some doctors might be quick to label some who engages in self-mutilation borderline. However, self- mutilation can occur in other contexts. Comprehensive evaluation is needed to tease these symptoms apart. ...Read more

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I have bipolar 1, anxiety, PTSD, but I also had awful paranoia for years. Where is this coming from? Taking pai test next week to try n find out

I have bipolar 1, anxiety, PTSD, but I also had awful paranoia for years. Where is this coming from? Taking pai test next week to try n find out

Hello: Although paranoia is not a specific criteria for DSM V diagnosis of PTSD - it is not uncommon. Traumatic incident (s) shape development of PTSD and cause one to distrust and fear the world around us. ...Read more

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Very often angry&resentful, bitter, feel rejected. Like this around bf 4 no reason a lot. Have PTSD&bipolar, on 6 best meds so far, go 2 therapy. What now??

Very often angry&resentful, bitter, feel rejected. Like this around bf 4 no reason a lot. Have PTSD&bipolar, on 6 best meds so far, go 2 therapy. What now??

Consider VNS: For refractory depression. Consider other forms of neuromodulation (transcranial magnetic stimulation)
Think outside the box. VNS and Mag Stim are both FDA approved. Keep plugging away. ...Read more

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My 15 month old has an attention span of like 2 seconds and is very mean to other kids her dad has ADHD bipolar and ptsd is the cause for concern?

My 15 month old has an attention span of like 2 seconds and is very mean to other kids her dad has ADHD bipolar and ptsd is the cause for concern?

No, yes, and maybe.: A toddler with short attention is not a concern, but yes a toddler who's mean to others is a problem. Parents with such a child can work with a pediatrician plus learn special parenting skills to get rid of the meanness. A history of psychiatric illness is both bad and good. It's bad to have, but it's good that the illness is known, so parents can try to prevent the child from getting the illness. ...Read more

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Is it possible to be diagnosed with PTSD, paranoia schizophrenia, bipolar disorder, and anxiety at the same time? I am experiencing symptoms of all.

Is it possible to be diagnosed with PTSD, paranoia schizophrenia, bipolar disorder, and anxiety at the same time? I am experiencing symptoms of all.

Multiple diagnoses: It is possible to see 10 different docs and describe the same symptoms and get 10 different diagnoses. But a mature experienced therapist, a trauma expert, would be able to sort through it all. This is critical because otherwise you could end up on too many different drugs and never get better. Many severe trauma experiences can result in symptoms that mimic the other dx, even including hallucina ...Read more

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I have major depression and complex PTSD. Sister w/ schizophrenia & bipolar lives w/ me temporarily. I feel this too unhealthy 4 me to have her here?

I have major depression and complex PTSD. Sister w/ schizophrenia & bipolar lives w/ me temporarily. I feel this too unhealthy 4 me to have her here?

Identify resources: Pleased to hear you recognize personal limits. Would like to know what temporary equates to (a week, month, year?). Suggestion is: 1) identify personal coping resources to manage the situation until resolved, and 2) identify resources (ie, other family, support, or health care providers) that could assist in making plans and resolving the situation. Available for consultation if needed. Be well. ...Read more

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I have bipolar schizophrenia ptsd I was abused/tortured as a child my doctor said that triggered my disorders can they be triggered from environment?

I have bipolar schizophrenia ptsd I was abused/tortured as a child my doctor said that triggered my disorders can they be triggered from environment?

Yes: Yes, but there is usually a genetic connection. Check your family history on both sides of your family. Twin studies have indicated a definite family connection. Most important to take your medications and stay on them. Unfortunately too many people with your medical condition feel better after taking the medications and then stop and have a relapse. Continue your counseling! important! ...Read more

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I was just recently diagnosed with borderline personality disorder. I also have bipolar ptsd OCD and add. What am I to do I have two docs but im scared?

I was just recently diagnosed with borderline personality disorder. I also have bipolar ptsd OCD and add. What am I to do I have two docs but im scared?

Fear not! - try CBT: From your query, it is clear that you are often very distressed and both you and those close to you suffer. It's not the # of docs, but your work-relshp w/ them that will help. Personality Dxs are NOT an additional 'illness' - merely a description. In fact, this must be said of other psych Dxs to a degree. Rather than labels, work to manage behavior/feelings/thoughts thru CBT skills. Best! ...Read more

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I'm bipolar, ptsd, severe anxiety, insomnia.&some diagnosed can't stay awake. I'm in psych meds for it all, is it normal that I'm always suicidal? It's all I want.

I'm bipolar, ptsd, severe anxiety, insomnia.&some diagnosed can't stay awake. I'm in psych meds for it all, is it normal that I'm always suicidal? It's all I want.

Is suicidal normal?: No, being "always suicidal" is definitely not normal. Also, you say you're on psychiatric meds and can't stay awake. It sounds like you may be sedated from the combination of drugs you're on. Please contact your physician about these issues! Also, you may benefit from a special kind of psychotherapy called "dbt" that helps you deal with very strong & painful emotions, in safe & healing ways. ...Read more

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I have ptsd, jme, bipolar II (did have adhd). I have had sexual intrusive thoughts for as long as I can remember. Is it normal?

Not uncommon: One of the symptoms of ptsd is involuntary, intrusive thoughts. Many survivors of trauma have this experience. While intrusive thoughts are a common response to trauma they can be extremely difficult to live with. Please seek a psychologist who is experienced in the treatment of trauma. They could help you process your trauma and give you tools to help with your symptoms. Emdr could help too. ...Read more

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Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Possibility: This sounds like an extremely complex situation that would benefit more from working individually with an experienced psychologist or psychiatrist. However, the mind-body workbook for ptsd by block (s) may be a nice accompaniment to your own more individualized therapy. Good luck to you. ...Read more

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I am on a lot of medications for anxiety depression bipolar ptsd COPD now cholesterol never been tested till now had a uti?

I am on a lot of medications for anxiety depression bipolar ptsd COPD now cholesterol never been tested till now had a uti?

UTI not related.: You can have UTI even if you are not on medications. Usually before starting on medications, your pcp does a batteries of examination which include ekg, chest x-ray, a complete metabolic panel, tsh, t4, CBC and urinalysis as a baseline. Depending on what medications you are put on, there are also tests that need to be done to make sure you are responding to the medications and their effects on you. ...Read more

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I am bipolar 2 with ptsd and have problems sleeping. My doc said I could use melatonin to sleep but have felt depressed after taking it.

I am bipolar 2 with ptsd and have problems sleeping. My doc said I could use melatonin to sleep but have felt depressed after taking it.

PTSD: If this has been a consistent response to melatonin please let your doctor know. It is likely that a medication change will be required. ...Read more

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My psychiatrists differ in diagnoses: bipolar II with gen. Anx disorder, ptsd plus panic - or plain vanilla depression only. Who do I believe?

My psychiatrists differ in diagnoses: bipolar II with gen. Anx disorder, ptsd plus panic - or plain vanilla depression only. Who do I believe?

Collaboration: Collaboration between providers who render care to the same patients is important for the safe practice of medicine. Ensure that your physicians/ providers have releases to discuss your case. Cement this with a verbal request that they discuss your diagnosis & your treatment plan. ...Read more

Dr. Alan Ali
1,763 Doctors shared insights

Bipolar Disorder (Definition)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, ...Read more