Posted by Greg on October 31, 2000, at 11:37:07
In reply to Am I bipolar - difficulty getting diagnosis, posted by Kingfish on October 31, 2000, at 8:48:56
It certainly sounds like it to me. Sounds like classic BP (agitated mania, depression). I am BP II and it took my current pdoc one visit to figure that out. It took my last one a bit longer, but nowhere near a year. I would certainly think that would be ample enough time to make the call, but I could be wrong. Have you asked why he/she is so hesitant to make a firm diagnosis? It sounds like you might be a little med resistant? Maybe that's the reason, just guessing here. Could be the extended bouts of depression too. If you're not satisfied with the care that you're getting from your current pdoc, get a second opinion. If your doc is a good one, he/she will respect your decision. Don't worry about hurting feelings or offending anyone, do what is right for you. I really liked the last guy I was with, but he couldn't figure out what meds to put me on, so I switched. Best decision I ever made.
The type of mania you describe is typical for BP. I don't think there is really any restraints on rapid-cycling. At one point I was cycling in 10-15 minute intervals, you never knew what to expect from me. I am currently taking Zyprexa (25 mgs daily) and Neurontin (900 mgs daily) and I was wondering if you've ever used that combo? It's been a lifesaver for me.
I hope this helps a little. I'm no expert on the subject, but I thought I'd send these random thoughts your way.
> I have been seeing a psyc. for about a year. I really like him, but am having diffculty getting a specific diagnosis from him. Have been on Zyprexa, then Celexa and Neurontin, and now Celexa and Topomax. I have the symptoms of Bipolar Disorder, plus Dissociative Disorder, but they occur within a day or two, so I don't meet the criteria for the specified time-lapse. Depressions actually can last longer, though, up to several months. Also, when I'm in my "manic" state, I am irritable and self-destructive, rather than "elated".
> Has anyone else had trouble getting a diagnosis? Is it possible to cycle between depression and mania within a day or two, or is that just too rapid?