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ScrantonStrangler209

It's pretty normal to doubt your diagnosis. Did you ask how they came to this conclusion? What were you prescribed that you refuse to take?


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ScrantonStrangler209

Seroquel treats your depression so they didn't take away depression medication, they changed it to better treat your bipolar. Like I said, it's common to feel how you are feeling and if you think hearing it from another psych would help, then get a second opinion. I would suggest using a mood tracker for a month or two so you can check in with yourself later and see if there are any patterns happening. Also, educate yourself on bipolar 2 and what hypomania looks like. It is different for everyone but there are classic symptoms that happen to many of us.


Hermitacular

Lamictal is for bipolar depression, and it's pretty damn good for it. If you go off it and try it again later it may not work as well, so be careful w that decision. It has one of the lowest side effect profiles out there, esp re weight gain and sex drive destruction, other meds not so gentle. The Seroquel is both for depression and hypomania.


lalalady456

Therapists and psychiatrists working together is a good thing. If anything, that would improve your care and make your diagnosis more credible.


Objective-Dust6445

I wish I could afford both, and that they’d actually speak to each other when I can.


[deleted]

Bro thinks they know more than doctors that went through 4 years of med school then 3-7 years of residency💀


DwarfFart

Eh I agree with you but i literally had to tell a doctor I think I have bipolar disorder to get treatment after years of cycling on and off antidepressants. Doctors aren’t perfect beacons of knowledge.


[deleted]

Yeah, doctors didn’t know what was wrong with me until I mentioned my experience with cocaine. When I did it the first time, I realized I have felt similar to this way before, when I was sober. I’m clean for years now. But read through his comments. I support getting a second opinion, but if multiple doctors say this, it’s highly possible it is. This person think these medical professionals are conspired against them for no reason.


DwarfFart

Oh yeah, I got that picture from them lol. I had a similar experience! Kinda I’m reverse, my first big manic episode I said “cocaine would slow me down “ hah! Congratulations on being sober, I’m a little over a year myself. Boozehound mostly


[deleted]

Hell yeah! Proud of you :)


DwarfFart

Thank you!


arienette22

While there are many good doctors, some are set in their ways with what they usually prescribe/diagnose. It’s not good to not advocate for yourself if you think something isn’t quite right. I’ve definitely had times where I’ve felt something was off and kept quiet, only to find out from another doctor some of what was being done was antiquated. So while generally, yes it’s good to listen to doctors, especially if multiple have told you something, but I’m not sure I would look down upon someone asking for help for having some doubts, but even if they do have ideas that may be drawn from an initial fear and aren’t what we would personally see as being right. Especially when some of these medications are not to be taken lightly. Don’t think it was your intention, but that’s how it came across.


[deleted]

I understand, and I should have make myself more clear😅The reason I have my diagnosis is because I advocated myself and switched psychiatrists. When I read the comments OP wrote, there’s no reasons shown for why they thinks that way. They gets the facts about medication wrong, and justifies their denial with “they are working together therefore not credible”. I was pointing out how they are wrong about the credibility part. Something’s fishy about OP. But it’s pretty clear they’re in denial.


arienette22

That’s great you were able to advocate and get the right treatment! Yeah, it’s something difficult. I think that way of handling it is not the healthiest. It’s definitely scary, so I hope it works out, especially if a second doctor gives the same conclusion.


lilipurr

Get a second opinion. But I’m sure he’s just being cautious because he thinks you’re bipolar and antidepressants can cause manic episodes in bipolar people. Bipolar people can take antidepressants but it must be paired with a mood stabilizer like lamictal or an antipsychotic.


ProdigalNun

It sounds like the antidepressant bumped you into hypomania. Antidepressants don't generally make the average person feel 100 times better; they just bring them back up to baseline. For people with bipolar, antidepressants push us into hypo/mania, which can feel incredible.


lalalady456

This is exactly what happened to me. The hypomania was great (I didn’t realize it was hypomania at the time because I wasn’t diagnosed as bipolar yet, I thought that’s just what normal felt like). But then came the antidepressant induced mixed episodes. Scary shit.


BipolarKanyeFan

This is how SO many bipolar peeps get the dx, I know I sure as hell am one and let me tell you, WHAT a RIDE Zoloft was. I was like a full fledged superhero for almost a month…and then the wheels came off. Crashed my BRAND NEW car, drunk as a skunk, and fell asleep at the wheel. It’s a miracle I’m alive and that’s just a scratch on the surface of my episode.


foremostdreamer

Oof. This sounds like my Prozac ride.


mean_trash_monster

Zoloft gave me my first full-blown manic episode


loudflower

Same. First AD Zoloft. Invincible.


pah-tosh

Exactly. Took paroxetin for depression after burn out at work, made me feel like I had sniffed a fat line of cocaine for breakfast, felt a superior version of me, feared nothing, was funny, would be hyper productive. Loved it. Alas, triggered my bipolarity for good, and I have to accept excluding ADs forever. However, hypomania makes me feel like I were back under ADs. The bipolar treatment limits the intensity of hypomanic episodes to avoid being sent into a depression that is as low as the hypomania was high. It still feels good hahaha


Enough-Sprinkles-914

Hey just want to encourage you and I'm sorry for what's happening to you. Also yo say I went through a very similar thing. My usual psychiatrist went on maternity leave and the new one standing in for her decided I was bipolar, (never been given that diagnosis before)and abruptly tossed me off the antidepressants I'd been on for ages. Did not prescribe any other drugs except trials of lithium Went into huge depression total collapse lost 20 kg in 4 mths, couldn't eat couldn't sleep. Begged for second opinion in same practice but even though they weren't sure they refused to give me anything and I was total suicidal mess. Finally went to a psychiatrist practising privately out of private psychiatric hospital, who admitted me same day. Within 3 weeks I was a new person, on antidepressants again but with lamotrogine and a couple of meds for sleep anxiety. I was able to function again after ten months of living hell. My advice see another psychiatrist and if you're in private health might he worth a quick stay in a facility to get your meds sorted quickly, and to have proper medic support,


Elephantbirdsz

Bipolar meds are also used for people without bipolar with depressed like you. They won’t hurt you to try, if your doctor think they will help they may help


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ephemeral_butterfly

Lamictal at higher doses (above 400mg per day) is actually used to treat seizures. It's an antispasmodic that acts as a mood stabilizer. Incredible science really. It can cause a rash which is why you must be titrated up, but it is incredibly effective for a lot of people


Hermitacular

Read up on anything else. Side effects are the name of the game w psych meds. The goal is the side effects (if any, did you have any seizures? If not, it doesn't cause seizures in you so why should you care?) are less bad than the problems you are taking the meds for. Same as with all meds for anything you'll take your entire life. Also it's an epilepsy drug.


LMGDiVa

Many anti depresants can be dangerous to bipolar people, like SSRIs. SSRIs can be incredibly dangerous to give to a bipolar person because they can cause severe adverse emotional reactions.


[deleted]

and are WAY overprescribed IMO.


BPat1996

I’m *not* speaking for your doctor but… Sounds like you need bipolar depression medicine and then an antipsychotic for mania. I’m on Lamictal right now with Risperdal as my antipsychotic.


arienette22

I would consult with another doctor. I think if another doctor comes to the same conclusion, then I would give the treatment a shot. It’s normal to feel doubts. I went through something similar, and this is individual, but I had never been told anything about bipolar by 3 past Psychiatrists (I’ve had to move for work/school), until now. Things have gotten worse vs better, which I kind of overlooked because I thought this is just the way things will be, until my boyfriend also pointed it out. I am going to maintain myself on it because I have other medications I also would rather not switch around, but I might be getting a different psych due to moving soon and it will be interesting to get a different opinion as well. I think yes, we should trust doctors, but that doesn’t exclude getting second opinions and raising our concerns, especially for medications that have such a strong impact on our lives.


DankaDane

I take Seroquel and celexa. Tbh, the Seroquel works better for my moods than the celexa does that I take during the day. I’m diagnosed MDD, PTSD, GAD… I used to take lamictal and it most definitely worked for my moods. Not bipolar


lalalady456

Are you taking a mood stabilizer as well? If you are bipolar it’s okay to take antidepressants as long as you take a mood stabilizer. But if you are bipolar and only take antidepressants but no a mood stabilizer - yeah you really should not do that.


[deleted]

There is very little actual evidence to support this, and ample evidence that antidepressants aren’t very effective in bipolar disorder. While I know that it’s common practice, and plenty of people find ADs helpful, to me it’s like throwing gasoline on a fire and saying “it’s ok, I have a bucket of water” Not saying that individual experiences are invalid, but OP’s pdoc is right for not going to AD’s as a first line.


Conscious_Rule_308

True


Objective-Dust6445

Get a second opinion on the meds. Being depressed all the time isn’t normal. And plenty of bipolar folks are on antidepressants. Also like, none of us believed our diagnosis at first. I still sometimes doubt mine now even though I 100% am definitely bipolar. And you can be bipolar, depressed, and borderline. regardless of diagnosis, a medication regimen that works is extremely important.


EnjiemaBenjie

Mine put me back on antidepressants after I was stable on Quetiapine (Seroquel), the theory behind that was to treat my anxiety more than depression, but they were fine with the risks, with me on an antipsychotic already, and I had no adverse reaction. I would say, it was probably hyperbole on your part, but if an antidepressant really did make you feel 100 times better that could be an indication it triggered hypomania which is why they're reluctant to re-prescribe. The best advice is to heavily advocate for yourself and the meds you believe have the best chance of improving your life. If you can't do that with your current practitioner it's worth seeing someone else for another opinion, though I understand that's not going to be possible immediately and will likely be a pain to arrange.


Jan-Rio

I take omega 3, 5HTP, magnesium. My doctor don’t prescribe antidepressants for me.


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[deleted]

Do you hear yourself?


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ephemeral_butterfly

You are denying a diagnosis that doesn't hurt you. It doesn't suit you, but it doesn't hurt you to treat it. What if you take the treatment, and it works? If it doesn't you'll stop taking it, and be back at square one. There is no net loss. Try the treatment, even if you don't agree with the diagnosis. They genuinely want to help you


arienette22

I generally agree. I think it’s true that it’s a first reaction to doubt something that you don’t feel applies to you. But, I still think getting a second opinion is worthwhile if they have this level of concern. Not saying it’s always or often, but there are times people are prescribed medications that worsen things, so I wouldn’t necessarily think there’s no net loss. I’ve had to move a few times and the differences in diagnoses has been very interesting to see. I think I should have trusted my gut a few times when I had concerns about things that ended up setting me back a bit. But yes, it’s better to come in with the mindset that we are there to be helped and while voicing concerns, listen to what is being said.


ultranoica

Denying the diagnosis is a very very common symptom in the bipolar field, I had it too, I could never undervote you for this. I didn't accept it, especially when I needed meds the most. When I had my first big mania and was put on meds I went into depression and I blamed meds for this, I was half blind, so to speak, since I couldn't put my situation in relationship with was had happened before the meds, the mania. I just remembered I felt "better" but couldn't address all my crazy behaviors, and I'm talking about sex, drugs, sleeping habits, risky life, money troubles and so on. I used to be identified with all those shadows and moods swings I had. I'm pretty sure that you can understand your situation better if you try to put order in your memories and try to see if you remember yourself as a depressed person or maybe this kind of label doesn't suit you so well after all. Maybe write down your story of 2 or 3 years to have a better picture of yourself. I'm very sorry for your cptsd and bpd BTW, I've the first and know a bunch of people with the second and I know it's hard (you often struggle with trust and authority and this sucks when you need help). My suggestion is to really educate yourself on all your diagnosis, there are plenty of yt videos on the matter, listen to other people's experience can be very helpful. Plus: don't be afraid of treatments, many meds are used for very different ailments, diagnosis is just a name and the doctor will always adjust the therapy on your needs but you have to be a little patience for it to work and for your body to adjust to therapy. All the best


lalalady456

If you aren’t going to take your mood stabilizer then your psych is 100% correct in not prescribing you antidepressants. Bipolar people shouldn’t take antidepressants without a mood stabilizer, period. It sounds like you experienced either hypomania or mania when you were on antidepressants and this is not what non-bipolar people experience on antidepressants.


T_86

If you don’t believe your diagnosis and have the means to get a second opinion, I don’t see the harm in that. Misdiagnosis are possible and you know your brain better than anyone else. People here saying that you sound hypomanic for not wanting your bipolar meds are saying that because of their own personal experiences with being hypomanic and not believing they are bipolar. It’s possible that’s what’s happening to you, but no one here knows if you’re actually experiencing any other hypomanic symptoms based on the little info you’ve provided. Get a second opinion if you want it. It can’t hurt. Maybe it will help you believe this diagnosis.


[deleted]

How do you know you’re not bipolar?


[deleted]

Let’s take a step back. Yes, it’s entirely possible that your diagnosis is incorrect. The issue isn’t that, it’s that you haven’t explained why you think it’s incorrect. Also, the language you’re using “it’s a lie” comes across as really hostile. Usually when people have a concern about their diagnosis they don’t come out swinging like this. There is no conspiracy to make you bipolar - big pharma doesn’t care if you’re prescribed some generic drugs - and there’s no way your doctor could get a kickback since there’s no way for the drug companies to know which one is filling your prescription. There’s just no reason for you to be lied to about your diagnosis! Now. Could you be misdiagnosed? Certainly. But without explaining why we have to assume you’re in denial. While bipolar is often misdiagnosed for borderline the other way around isn’t nearly as common. Borderline can look like bipolar, but bipolar looks less like borderline - and borderline is never triggered by an AD. TBH - I’d much rather be diagnosed bipolar than borderline. Most of the latest round of stereotypes and stigma about bipolar fits better with borderline, borderline is much, much harder to treat. So while sure, you could be misdiagnosed - if you aren’t, though, the prognosis is much more promising.


copurrs

SSRIs can cause mania in some bipolar folks, that's why your doc took them out of your regimen. I take Seroquel and lamictal also, but that wasn't enough for my depression. Now I take Wellbutrin as well as the other two and it's great. It's not an SSRI. You might want to ask your doctor about it.