![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Amu on July 14, 2011, at 14:49:37
So basically I'm having trouble figuring out what my disorder is. I've spoken to several doctors about it. I have ADHD-Combined type for sure as well as OCD, but that is not what concerns me. I have other symptoms I thought belonged to a mood disorder, but I'm unsure and so are the doctors I've mentioned it to.
Basically, through out the day, almost every day for the past several years, I'll get random short periods of severe loneliness and sadness, suicidal thoughts, severe hopelessness, it'll last anywhere from a few minutes to a few hours. I thought it is simple and must be Bipolar or Depression, but there are other things too. Sometimes they are random, but they are also caused by the little events. I'll be on my computer at night, feel really lonely and feel like my life sucks and I should die. But then something might happen and I'll get really happy and be fine, I get very excited and very happy really easy too, sometimes I'll think I'm on top of the world and my life is awesome, all of this can happen in the period of one day. The periods of overexcitement and happiness are almost always short, usually a few minutes. I also get periods of severe agitation and irritability on and off.
The reason I have trouble just labelling it "Rapid Bipolar" is because I have this other issue where I have EXTREME sensitivity to what other people say. I'm affected by what people say very easily, I'm also made upset by them but it just affects me in a general way. Sometimes I'll get upset by it, sometimes it just permeates through my mind as if there was no barrier between me and them. Something someone with a complete loss of ego boundary would experience. It could be anything, just talking to people or reading something. If I'm on a forum and someone says something I don't like, instead of just reading it normally and that being the end of it, it'll have a far too unproportional and almost absurd amount of influence on me. I tend to overeact to things people do or say despite knowing it is not logical and without wanting to.
All of the above symptoms are completely resistant to treatment by exercise, yoga, supplements, Cognitive Therapy, Omega 3, SSRIs, lamotrigine, remeron, and abilify. I also have no hormonal imbalances nor thyroid dysfunction.
Any suggestions on medications, diagnosis, and overall advice would be great.
Posted by Phillipa on July 14, 2011, at 22:59:48
In reply to Can't figure out my disorder, posted by Amu on July 14, 2011, at 14:49:37
Layman's diagnosis very sensitive, very reactive, wanting to feel good and getting that from outside not inside. When this doesn't happen you react. So what's the diagnosis? Phillipa
Posted by desolationrower on July 15, 2011, at 21:15:29
In reply to Can't figure out my disorder, posted by Amu on July 14, 2011, at 14:49:37
since you call it ADHD, why have you not tried ADHD meds? Though less effective tahn stimulants, i would try nortryptalin, desipramine, or bupropion, since they are 'on' 24/7 so you don't get mood lability. many people say they feel 'flat' on ADHD meds, which sounds like a plus for you. i don't lash out or whateve,r but that probably relates to my social anxiety. ADHD meds often help impulsiveness/anger etc.
I experience depression a lot like what you describe, though social phobia is prominent for me. Tranylcypromine 'cured' it, and i have not had 'depression' since, and am now taking nortryptaline, which helps with overfocusing on random stuff and procrastination, and is probably helpful in avoiding dysphoric events.
i wouldn't stop the w-3s, yoga, etc.
-d/r
Posted by B2chica on July 18, 2011, at 15:19:34
In reply to Can't figure out my disorder, posted by Amu on July 14, 2011, at 14:49:37
i'd be cautious with jumping into this dx, but is BPD a possibility? this is an axis II dx.
BPD is basically emotion disregulation.and is helped via therapy such as CBT or DBT (marsha linehan) not medications (however most meds that help tend to be anticonvulsants...mood stabilizers)read the symptoms below and i found the NIMH website for you. becareful what you read, there is a lot of negative stuff out there regarding BPD. So read with open mind.
some may fit you, some may not, however remember that with axis II, we all have them to some degree; it is when it starts to negatively impact your life that it becomes a disorder.HTH
b2c.http://www.nimh.nih.gov/health/publications/borderline-personality-disorder-fact-sheet/index.shtml
Symptoms
While a person with depression or bipolar disorder typically endures the same mood for weeks, a person with BPD may experience intense bouts of anger, depression, and anxiety that may last only hours, or at most a day.5 These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.