How would I know if I am bipolar?

Hi everyone, back on this forum for a question and I figured why not ask people that deal with it daily.

Well, I went through a psychotic episode 4 years ago and my brain has been doing a great job in healing.

BUT. Ever since i’ve been stable which has been the whole 4 years since, I have bouts of extreme goofiness. I act childish alot, have hyper-sexuality, I have a very hard time waking up in the morning. But the reason im back on here is because ive been having alot of self realization lately.

I act very irritable and get very annoyed very easily. My mom will try to have a normal coversation with me and if she talks to much I zone out and start thinking about what I want to think about basically ignoring her just because I dont care to hear or care for what shes saying. And sometimes I think to myself and realize before all of what I went through i would have never acted that way.

Really the only thing I long for is actively loving people and having fun with people and here I am at the same time actively ignoring them…

I was diagnosed as Schizo-Affective recently… I tried a mood stabilizer for like two days, years ago, and my pdoc said if the difference wasnt night and day in those two days then im not bi polar.

What do you all think? Will give more info if it will help.

Honestly these doctors don’t have a clue when it comes to these diagnoses.
It really doesn’t make a difference whether you call it schizoaffective or bipolar, as long as the treatments are working.
I’m in the same situation as you.
My PhD therapist believes that my diagnosis is bipolar type 1 and my psychiatrist is leaning towards schizoaffective disorder, but she has admitted to me that she is confused.

My diagnosis with the Hospital doctors was schizoaffective disorder.

It really depends on which doctor you see at the time.

The stigma against bipolar is much less.

1 Like

@Wave, But if you are schizo-affective should you just be on an AP? Or an AP and a mood stabilizer…

Don’t get me wrong im not in a bad place… Its just in my nature to alway’s wanna be in a better place. And im wondering if a mood stabilizer would benefit me.

Yes, an AP and a mood stabilizer is usually the way to go when it comes to treating SZA bipolar type symptoms and bipolar with psychotic features

1 Like

I don’t have schizoaffective or bipolar but APs are used as mood stabilizers more widely than they are used to treat psychosis.

Do you still have highs and lows?

@Wave, as much as I love my psychiatrist, and as highly regarded as he is… It’s very hard not to question him at times…

I’m very surprised he wouldnt put me on a mood stabilizer… I plan on discussing this with him next time I go…

Though I will admit its going to be hard to tell someone that knows so much more than me, that I dont agree with them… Lol

1 Like

Although APs can treat mood symptoms, many people need a mood stabilizer as well.
I’m on both.

@TomCat, I would say I definitely have highs and lows… But it seems so normal to me… It really is hard for me to tell because its not very obvious…

The way I would describe it is that I work myself up almost in an excited manor (almost always for attention) and then drift back down into a mellow state.

But this has been daily for years. And I have never had a problem sleeping so it seems no manic episodes.

1 Like

Meds take time to kick in properly. It’s ridiculous that they would say two days is enough time.

i would ask to try Depakote or something similar. It can’t hurt to try.

@ZombiePupper, completely agree, just odd coming from a dr. Who is head of our local mental hospital and owns 2 practicing locations…

Both in large areas… It just seems logical he would have to know this considering how renown he is…

I mean, in hospitals they’ll change meds rapidly if they don’t see changes, but still, sometimes it takes time for real, noticeable effects to happen.

@TomCat, I would give anything a shot if it helped. Just trying to avoid anything with weight gain… Which, from the little bit of reading ive done, seems like it might be hard to.

@ZombiePupper, that’s actually very true… And everyone reacts differently to medications… Just because it worked for one person in two to 3 days doesnt mean it will me… Plus he practices at a mental hospital so maybe thats what he’s used to doing. Good thought (: that didnt even cross my mind.

1 Like

Depakote is a very effective med, but its also a big weight gaining med.
I’m currently taking it.

Most antipsychotics also act as mood stabilizers. I have an unspecified mood disorder, but it’s not very severe. My antipsychotic takes care of the majority of my mood swings on it’s own. I don’t like to overmedicate, so I always advocate for the lowest effective dose that keeps you happy. If you’re in a good spot with few side effects, I don’t really understand why you want to change things.

2 Likes

@Wave, Yeahhh ive got to avoid that then. I was very self concious when I gained weight on respiridal.

1 Like

You can ask your doctor about Tegretol or Lamictal - they are both basically weight neutral.

1 Like

@Ninjastar, I just know that the me i’ve been acting isnt the me I was before the illness. And I just feel like I cant settle. Plus, im not completely sure my ap acts as a mood stabilizer. Im on Prolixin which is an old school ap so im not sure if it works for bipolar.

1 Like

@Wave I will put that in my notes and talk to my doc next time I see him. Thank you for that :slight_smile:

1 Like