Doctor insights on:
Type I Bipolar
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
Functioning: When you had your disability assessment it was determined that the severity of your illness and symptoms at that time would impair you from working. They look at such things as being able to focus for a sustained period of time. Social security does do status checks periodically to see if you are improving and can work. ...Read moreSee 1 more doctor answer
I have type 1 bipolar disorder, i rapid cycle.I haven't slept in 68 hours, is there something i can take OTC ? I can't afford my medications.
Challenging question: It is well-known that insomnia is a trigger for mania and rapid cycling, hence it is important to combat that. Even though sleep md's don't recommend antihistamines for sleep, they can work and are otc. The bigger issues: 1: you need to be working with your md. 2: some drug co's make their products available to you, free of charge-ask your md how. 3: your md may have samples of certain meds. ...Read moreSee 1 more doctor answer
Drs dont agree on what bipolar type I have,seems 2 depend on my mood/behavior when they 1st meet me.Been dx'd w Bipolar I&II,how 2 know who is rite??
Bipolar Disorder: It may be more helpful to confirm diagnosis over a period of time rather than just a snapshot in time when you are first seen. Your ability to provide accurate historic information about your symptoms/ conditions can also impact correctness of diagnosis. ...Read more
I have been diagnosed with add GAD bipolar type I do psychiatrist normally change their minds this often or is he incompetent?
Comorbidity: it is very common to have more than one diagnosis / illness coexisting. Bipolar D/O, anxiety D/O's and ADD are examples. symptoms in Psychiatry overlap and the diagnostician has to be careful . i.e. cognitive problems resulting from both anxiety & Bipolar D/O's, can mimic those of ADD & may lead to a diagnosis of ADD. so careful history taking & examination are essential for accurate diagnosis ...Read more
I have type 2 bipolar disorder and its been unbearable. I'm either depressed or i'm so hyper i'm fighting my brain to calm down. I have no insurance for medicines. What shouldi do?
There are options: This is a great question. There are older, effective medications for bipolar disorder that are much less expensive than the newer ones. Lithium is one example. Alternatively, many pharmaceutical companies have programs to help with the cost of medications that are based on income. Finally, some doctors or clinics have free samples of medications please ask your doctor about these alternatives. ...Read moreSee 2 more doctor answers
Three: Generally there are 3 kinds: bipolar i, bipolar ii and bipolar nos. The difference depends on the symptoms of mania (severe insomnia, extreme energy, racing thoughts, pressured speech, elated and/or irritable moods). In bipolar i the mania lasts 3-4 days or is severe enough to need hospital stay. In ii the mania is called hypomania and is of shorter duration. In nos not all symptoms of mania exist. ...Read moreSee 2 more doctor answers
Very good question: I hope someone can give you a good answer - or better than mine. I see it as evidence that there are problems with the concepts underpinning the diagnosis. Years back manic depression was a diagnosis which was dropped and became much of bipolar ii (not exactly, but close). Bipolar i is hard for some to see as different from major depression. It's likely more modifications will be made to the terms. ...Read moreSee 1 more doctor answer
The symptoms can: actually mellow with age. One, you get used to the sx's and learn to control them better. Two, aging decreases the intensity of lots of things, including BP sx's (I or II). Three, the ability act out extreme mood swings also decreases with age, thus slightly lessening the likelihood of getting into trouble. Find a therapist, no matter what your age. ...Read more
See a Dr: Schedule a visit with a psychiatrist or psychologist to review signs and symptoms. If the disorder is present, treatment options are available. ...Read more
Mood stabilizer: Most common are lithium, depakote, or lamictal. Seroquel and Abilify (aripiprazole) are also used. Many other options if side effects or inadequate response to any of these. Antidepressants may cause mania if given alone without mood stabilizer, but are often given along with a mood stabilizer. Unfortunately all medications have potential side effects and is always risk vs benefit. Compliance is crucial. ...Read moreSee 1 more doctor answer
That depends: If the person is acutely manic than an atypical antipsychotic may be a good choice. Mood stabilizers are helpful for long term treatment. Different people respond better to one drug than another. It is very individual. Many of my patients are happy with Lamictal as well as abilify (aripiprazole). But that doesn't mean they are the best. ...Read more
Bipolar vs Schizoaff: In schizoaffective disorder, the person suffers ongoing psychotic symptoms such as paranoia or delusions whether or not a mood problem is present. However, they can certainly be sick with depression or mania too. In bipolar disorder, mood instability is the main problem. There are no psychotic symptoms unless in an active episode of depression or mania. ...Read moreSee 1 more doctor answer
Seroquel (quetiapine): Seroquel (quetiapine) XR is highly effective in treating the various phases (manic, mixed & depressive) of both Bipolar I & II Disorder. Personally, I have found that Seroquel (quetiapine) works extremely well in patients who also have difficulty sleeping - as it is sedating and should be taken at night. Hope that answers your question and helps! ...Read more
Need more data: Fatty fish, such as salmon, lake trout, albacore tuna, halibut, mackerel and sardines, provide rich amounts of omega-3 fatty acids -- healthy fats that promote positive heart health and brain function. According to research published in "european neuropsychopharmacology" in may 2007, omega-3 fats may also improve symptoms of bipolar mania in children. More research is needed.It has been my clinical observation that in people on antidepressants, blood sugars over 200 can often cause ssri antidepressants he going to to stop working adequately. ...Read more
Maybe: The medications used to treat different types of bipolar disorder are generally the same. The only difference i could see would maybe be the dosage. A person with very mild mood swings would likely be on a lower dose of a medication vs. A severe one. Some medications can also have multiple indications like seroquel, (quetiapine) which can help with schizophrenia, bipolar and depression. ...Read more
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