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Doctor insights on: Can Bipolar Symptoms Be Confused With Alcohol Or Drug Abuse

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Dr. Donald Jacobson
766 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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Can alcohol withdraw or abuse cause flu like symptoms?

Can alcohol withdraw or abuse cause flu like symptoms?

Some for both: There are far too many alcohol withdrawal symptoms for me to come close to listing them in 400 words or less. See: http://www.Alcoholwithdrawalsymptoms.Org/ . Please be aware that death is a possible outcome from withdrawal. Alcoholics anonymous is a mainstay for sobriety. ...Read more

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Can a manic episode be triggered by lortab or other narcotic pain medication?

Can  a manic episode be triggered by lortab or other narcotic pain medication?

Possibly...: 1st, make proper dx. Is DX bipolar disorder, where they're r periods of depression and hypomania? Many triggers, prob an internalized experience leading to changes in specific neurotransmitters in specific part of the brain. The one that will recognize the early signs is not person themself, but the professional or family member that knows her/him best. When manic, feels good & stops med-not good! ...Read more

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Been diagnosed with a severe anxiety disorder, hesitant to say that problems started after sexual abuse. Can ptsd and anxiety ever be confused?

Been diagnosed with a severe anxiety disorder, hesitant to say that problems started after sexual abuse. Can ptsd and anxiety ever be confused?

PTSD: Ptsd is a type of anxiety disorder -- a major category of illnesses that also includes panic d/o, ocd, social anxiety d/o, generalized anxiety disorder, and anxiety d/o nos (not otherwise specified), etc. Sometimes it can take time to differentiate a precise diagnosis, but anxiety would be present in all disorders in this group. ...Read more

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Can meditation cause a relapse (headaches or hallucinations), with or without being on medication?

Dr. TRUC DAO Dr. DAO
1 doctor agreed:
Can meditation cause a relapse (headaches or hallucinations), with or without being on medication?

Meditation mental : Meditation can help in many cases to resolve depression or other mental problems. Many of my patients did get off medications while many need to continue both modalities. Talk to your doctor to be sure and safe. Meditation = self hypnotism, and can be very powerful depending on how well you were trained in it. Avoid to make decisions without your doc's advice. ...Read more

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Is it dangerous take drugs (amphetamine or ketamine) and anti-depression (sertraline)? Sometimes with alcohol. What can happen ?

Is it dangerous take drugs (amphetamine or ketamine) and anti-depression (sertraline)? Sometimes with alcohol. What can happen ?

Very dangerous: It is very dangerous to take street drugs with sertraline. One example is that amphetamines can sometimes make it easier for a person to have a seizure and this can become even easier when you combine them with sertraline. Many other possible drug interactions can occur and alcohol can worsen them. One question is what is causing you to take amphetamines and ketamine? Please seek help for this. ...Read more

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Can my psychosis, severe depression, and anxiety be linked to hashimotos disease? Symptoms not better with meds (synthroid (thyroxine) or anti-anxiety/depressents

Can my psychosis, severe depression, and anxiety be linked to hashimotos disease? Symptoms not better with meds (synthroid (thyroxine) or anti-anxiety/depressents

Problems: 1: You need to have your doctor refer you to a Psychologist to overcome your depression. You may need to be referred to a Neurologist. Your primary doctor must evaluate you regarding your Hashimoto's. ...Read more

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How dangerous really is it to mix seroquel (quetiapine) with alcohol ? Valium with alcohol? Or both pills with alcohol? I'm finding very mixed answers. Mydrsaysno!

How dangerous really is it to mix seroquel (quetiapine) with alcohol ? Valium with alcohol? Or both pills with alcohol? I'm finding very mixed answers. Mydrsaysno!

No: Your doctor is correct, the best answer is no. Alcohol, seroquel (quetiapine) and valium all can be quite sedating. Combining them can have an additive effect leading to increased sedation and impaired ability to function. Combining alcohol and valium is especially dangerous since they work on the same receptors in the brain. In sufficient quantities this runs the risk of respiratory depression and death. ...Read more

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Are sedatitive medication or drugs classed as "hypnotics" a problem when taken with ethanol?

Are sedatitive medication or drugs classed as "hypnotics" a problem when taken with ethanol?

Interact: Alcohol and sedative hypnotics can have additive effects. This can increase the risk of respiratory depression, motor abnormalities, poor judgement, low blood pressure, balance problems, etc ... And, oh yeah, risk of death. They are not to be mixed. ...Read more

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Can a person be too young to have problems with drug addiction and alcoholism?

Can a person be too young to have problems with drug addiction and alcoholism?

Early Alcoholism: Definitely not. In fact, the younger one begins drinking, the worse his/her prognosis is for later alcoholism and recovery. Part of the concern is that younger drinkers' (i.e. - preteens or adolescents) brain development is stunted by substance use. A second concern is that young people who abuse alcohol learn to depend on it in social situations, etc. That they are still learning to navigate. ...Read more

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What is the pharmacists role in dealing with addictive drugs or drugs that might be abused or misprescribed?

What is the pharmacists role in dealing with addictive drugs or drugs that might be abused or misprescribed?

Educate: Pharmacist can alert and educate bothpatient and physician on addiction and abuse. Pharmacist also work with insurance company regarding patients habit of doctor shopping by alerting all physician regarding duplicate prescriptions. ...Read more

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What can cause mdd with feat.Phsyco? No drug abuse. Thanks.

What can cause mdd with feat.Phsyco? No drug abuse. Thanks.

Neurochemicals: Neurochemical changes in the brain. Psychotic features are usually seen with severe major depression or sometimes with bipolar disorder. ...Read more

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Is it possible for alcohol withdrawal or abuse cause flu like symptoms?

Is it possible for alcohol withdrawal or abuse cause flu like symptoms?

Yes: It may feel like one has the flu when experiencing what are known as withdrawal symptoms. Usually, one has to drink every day for at least one month, before they would have withdrawal symptoms after abruptly stopping. More over, the most severe kinds of withdrawal from alcohol can involve the person having a seizure, which can be dangerous as it can cause a person to stop breathing. ...Read more

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What prescription medicines or illicit drugs can cause a fever if stopped or withdrawn?

What prescription medicines or illicit drugs can cause a fever if stopped or withdrawn?

None I know of.: I am not aware of any drugs that will cause significant change in temperature if stopped. Some stimulants can raise temperature mildly while under influence. ...Read more

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Trifluoperazine - can it be for anxiety or just schizophrenia?

Trifluoperazine - can it be for anxiety or just schizophrenia?

Can Help Anxiety: This medicine can help symptoms of anxiety. However, there are other medications that are helpful for anxiety which have much less long-term risk. ...Read more

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Could racing thoughts and frequent mood swings be signs of a bipolar disorder or they can be signs of depression as well?

Could racing thoughts and frequent mood swings be signs of a bipolar disorder or they can be signs of depression as well?

Sxs: Racing thoughts and frequent mood swings might be seen with hypomania or mania related to bipolar disorder. It may be due to anxiety or an anxious depression. Certain drugs & medications can cause these symptoms. Mood swings are more prominent in some personality disorder. If you are experiencing these sxs - an comprehensive psychological assessment can help delineat the cause. Take care. ...Read more

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What medication can help with ativan (lorazepam) withdrawal symptoms either inpatient or outpatient?

What medication can help with ativan (lorazepam) withdrawal symptoms either inpatient or outpatient?

See below: Gabapentin, and Depakote are helpful and commonly used. Many docs will use other psych meds like risperdal, seroquel (quetiapine) an d the like but these have lots of side effects. I usually substitute a long acting agent such as Librium or Phenobarbital and lower the dose is a stepwise fashion. ...Read more

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Can a lot of stress cause major depression or amphetamine abuse for someone who is bipolar and on meds for it?

Not exactly: Stress does not cause major depression or amphetamine abuse, but bipolar people can become depressed, & amphetamine abuse can destabilize someone with bipolar disorder. Often substance abuse leads to disrupted sleep cycles, & forgetting to take mood stabilizing medications -- thus worsening the illness. Recovery programs for drug abuse and talk therapy to learn to deal with life stresses, help. ...Read more

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Can a bad combination of psychiatric medications cause a bipolar patient to become manic? The meds are an anti-psychotic, an antidepressant, & a mood stablilizer.

Can a bad combination of psychiatric medications cause a bipolar patient to become manic? The meds are an anti-psychotic, an antidepressant, & a mood stablilizer.

Meds & mania: While antidepressants alone can trigger mania, usually antipsychotic medications and mood stabilizers are not only protective, but are the treatments for mania. Of course, i don't have the doses prescribed. Sometimes a person has a particularly severe natural mood swing and baseline meds need to be adjusted. The faster your psychiatrist knows about this, the faster she can act. Communicate asap. ...Read more

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Please tell me, could a perceptual disorder be treated with ADHD medication?

Please tell me, could a perceptual disorder be treated with ADHD medication?

Perceptual disorder: Is characterized by impaired ability to perceive the nature of objects or concepts through use of the sense organs (vision, hearing, touch, smell, taste, proprioception (unconscious perception of movement and spatial orientation arising from stimuli within the body itself), vestibular system (balance and spatial orientation). Specific impairments require evaluation and treatment. Best regards. ...Read more

Dr. Alan Ali
1,759 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


Dr. Vasu Brown
303 doctors shared insights

Drug Addiction (Definition)

Drug addiction is a compulsive physical or psychological ...Read more