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Re: Recurrent unipolar vs bipolar » akc

Posted by Elizabeth on August 17, 2001, at 3:36:20

In reply to Re: Recurrent unipolar vs bipolar [long] » Elizabeth, posted by akc on August 15, 2001, at 19:18:48

> I shared this with my pdoc today. She to wanted to know your training! One thing I like about my doctor is that she is willing to respect a layperson's ability to learn.

That's very cool! Tell her that my training is in theoretical mathematics, please. (It's true. Topology and differential geometry.)

> A lot of what you have shared here fits me. I experienced a lot of trauma as a child -- mainly physical and emotional.

I'm sure that contributed to the syndrome.

> Starting at 11 until 3 years ago, I abused alcohol -- it definitely was a way I tried to self-medicate.

I think there are two kinds of addicts: self-medicators (usually alcohol or opiates) and thrill-seekers (usually cocaine or amphetamines). I'm sure there are some people who fit both descriptions. Also, self-medication can become thrill-seeking in the sense that once you discover there's a drug that not only alleviates your distress but also produces soaring euphoria, the euphoria can be quite compelling. At the same time, thrill-seekers can become self-medicators when they start needing their drug of choice to fend off withdrawal symptoms.

> Since giving up the alcohol, and hopefully up till this past February, I turned to cutting as a way to cope. I have also punched walls and done other self-injurous behavior.

So, what you need is ways to cope (probably including medication of some sort) that don't have harmful effects!

> Two bar exams and two extreme difficulties getting admitted to the state bars (involved hearings, etc. due to my mental illness).

I think that's a travesty. They shouldn't discriminate like that.

> She would diagnosis me as Bipolar II, PTSD, and chemically dependent, I think.

Seems like a reasonable DSM-IV description of the syndrome that I believe represents a different kind of mood disorder.

> My current meds are: Lithium 300 mg am, 600 mg pm
> Effexor XR 75 mg am
> Seroquel 200 mg, 2x a day
> Topamax 75 mg, 2x a day
> and Trazadone 50 to 150 mg as needed for sleep (currently taking 50 due to the latest episode).

What do you feel that each of these medications is doing for you?

-elizabeth


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poster:Elizabeth thread:74539
URL: http://www.dr-bob.org/babble/20010814/msgs/75357.html