Doctor insights on:
Why Bipolar People Are Nice Then Mean
I don't: There are two reasons to give medications in bipolar patients. One is to alleviate current symptoms and the second is to diminish the risk of symptoms worsening over time. Untreated patients with bipolar disorder tend to experience progressive worsening of the severity of their depression over time. The only medications fda approved for the depression symptoms are lamictal, seroquel XR and symbyax (fluoxetine and olanzapine). ...Read more
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
Thin vs mentally ill: Not all skinny people are anorexic. Anorexia nervosa is a mental illness in which a person starves themself because no matter how much weight they lose, they still believe they are fat and think they will only feel better about themself if they lose more weight. Anorexia should be diagnosed by a physician and treated by a team of doctors, therapists and nutritionists at a specialized center. ...Read more
Codependent: Anyone who is codependent is excessively reliant on the opinion or choices of others and can't make his/her own choices after reflection on what others think. A healthy goal is to be "interdependent." The focus of decision-making shifts back and forth depending on the situation. Thus, we help one another. ...Read moreSee 1 more doctor answer
People are different: Personality formation is a very complex thing. Inherited traits combine with what people learn from others over their entire life as well as impacts from the environment. Also, personality disorders are difficult to diagnose with certainty. It can help describe a person, but don't put too much confidence in such labels. ...Read moreSee 1 more doctor answer
Why do some people get emotional/upset/grumpy (aka"hangry") when they are hungry? Is there a scientific explanation for that?
Yes: The long answer is complicated but the short is running low on fuel. Your engine is stalling, running rough, etc. Blood sugar levels directly impact the brain and those states you name are how it acts in response. It's very real and while some can 'control' what shows - it's still happening inside. ...Read moreSee 1 more doctor answer
Why do some transgender people regret transition? Were they misdiagnosed? What percentage of transgender people does that happen to?
Few Studies and...: ... it's complicated 2 interpret findings. There r significant obstacles 2 social transition & especially 2 obtaining any gender affirming medical treatments -hormones & surgery. Even the cost of a legal name change is unaffordable 4 some. 4those w/insurance, few plans yet cover gender-affirming medical treatments. Trans* individuals face extreme discrimination & social rejection. ...Read moreSee 1 more doctor answer
For people who are bipolar, what is it called when you feel depressed and hypomanic/manic at the same time?
Mixed Episode: A mixed state or episode is when depressive ; manic or hypomanic symptoms are experienced together. ...Read more
What solution is there for depressive people who think a lot of negative stuff and thinks that no one likes them which makes them feel lonely.
Do people take test to know that they have bipolar disorder? I sometimes feel happy or depressed with unknown reason. Also think too much can't sleep
Best Dr. Diagnoses: There are some Questionnaires that patients can fill out, but the true diagnosis is best made by a one on one examination form a trained Psychiatrist. See the attached link for a PDf questionnaire that may aide some providers in the diagnosis. http://www.dbsalliance.org/pdfs/MDQ.pdf ...Read moreSee 1 more doctor answer
How come kids don't snore but adults do? What changes happen to make us snore and why are some people louder than others?
Kids do snore too: But reasons for snoring in kids are bit different, although overweight/obesity with more fat deposition in the neck area is the main reason adults snore, in kids this is less common than enlarged adenoids that can block the airways partially and cause snoring. Either way, weight reduction if overweight/obese at any age is needed to control snoring together with treating the enlarged adenoids ...Read more
If you think people can read your mind somtimes or perfectly decipher you like your weaknesses does that mean you are paranoid schizophrenic?
Psychiatric consult : A diagnosis of Schizophrenia requires multiple symptoms such as changes in mood , social interactions , sleep patterns, personal hygiene, and thought patterns. Believing that others can read your mind must be frightening ; while not a diagnostic indicator of paranoid schizophrenia, a psychiatric consultation can help you identify the cause of these feelings, and identify appropriate treatment ...Read moreSee 1 more doctor answer
Why am I labeled as unhappy for not wanting to conform to what other's view as "normal". What's wrong with avoiding people? Most are mean and immature
Am I unhappy: Enjoying to do solo activities does not mean one is unhappy. If one had been social but now is more withdrawn and isolative to the point that it is interfering with their daily functioning and relationships with others then this could be a symptom of a Depressive Disorder, there are other symptoms such as problems with sleep, appetite, energy, concentration and mood that would be affected also. ...Read more
Is schizoaffective disorder when you think other people are talking about you or saying things under their breath about you? But no hallucinations
No...maybe paranoia?: Look up schizoaffective disorder in the dsm-v (diagnostic and statistical manual of the american psychiatric association) as it give a a more complete explanation/description... But briefly, that patient has a mixture of mood disorder, usually depression, with some components of thought disorder, which could be anything from hallucinations, delusions or simply incoherence. ...Read more
An exhausting "ride": Generally, people dealing with bipolar disorder cycle through biologically driven periods of clinical depression and mania. When going through a manic episode they typically have endless energy-may be up for days, engage in reckless behavior (wild shopping sprees, drug/alcohol binges, risky sex, etc.) , poor judgment, and their mood swings from irritable/angry to elated/euphoric. ...Read more
Maybe they are: I imagine you're referring to romantic relationships? Some people just don't like being alone. Actually, we're all "in relationship" all the time, even if not in the outer world. We all have holograms of important others inside us, where we continue to relate to them. We can even mistake new people for the images we carry -- a sure path to disappointment. Best to let the new person be new! ...Read moreSee 1 more doctor answer
Bipolar disorder : Some folks who had the episodic illness can have some sense of the phase of depression or mania starting usually there are red flags like sleep changes increases irritability intense emotional responses and lot more depending on individuals and course of illness.Mostly family members if observant can see the mood fluctuations coming always consult your psychiatrist may need med adjustment. ...Read moreSee 1 more doctor answer
If they get really stressed out, or very depressed, they see and hear people that don't actually exist. What's wrong with her?
See below: It doesn't matter if you are referring to yourself or someone else, the person should seek help as soon as possible. See a trained mental health specialist. Sometimes sleep disturbance and drug intoxication can cause hallucinations. The symptoms may improve w/ treatment of the depression. A sleep study may be helpful & drug rehab may also be needed if alcohol use affects other areas of life. ...Read moreSee 1 more doctor answer
Yes and no: In a depressive state someone with bipolar disorder may actually be under-emotional. In a manic state or hypo manic state the person may simply show more signs of energy without necessarily being overly emotional. On the other hand we have all seen people in depression and mania who exhibit over emotionality. ...Read more
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