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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by gilmourr on May 30, 2013, at 0:51:06
So someone recently brought up I might be BP2. When my disorder started 2 years ago I was only depressed severely with insomnia and racing thoughts and some agitation (bitting all the skin off my fingers causing them to bleed)
Before developing depression I had these symptoms..
just looking at bipolar 2 though, it's like I've got most of these
- narcissism
- no need to sleep
- increased talkativeness (except when I'm in a major depression)
- distractability (can never do work at home, only at the library)
- psychomotor agitation (severe cases, the motions may become harmful to the individual, such as ripping, tearing or chewing at the skin around one's fingernails until bleeding which I do regularly)
So is it possible I'm BP2? I've never been psychotic I'm certain. I have mood swings on Nardil it works sometimes and other times I swing hard. Maybe lithium would fix it. I can't use lamictal.
Posted by SLS on May 30, 2013, at 5:55:09
In reply to I might be BP 2. What to use with Nardil., posted by gilmourr on May 30, 2013, at 0:51:06
> Maybe lithium would fix it.
That's a great thought. In addition, Trileptal might be worth trying with or without lithium, especially if impulse control is an issue.
You can also use an antipsychotic with antidepressant properties in addition to a mood stabilizer.
Abilify
Asenapine
Latuda
Geodon
Seroquel
- Scott
Posted by SLS on May 30, 2013, at 6:21:06
In reply to Re: I might be BP 2. What to use with Nardil. » gilmourr, posted by SLS on May 30, 2013, at 5:55:09
> > Maybe lithium would fix it.
>
> That's a great thought. In addition, Trileptal might be worth trying with or without lithium, especially if impulse control is an issue.
>
> You can also use an antipsychotic with antidepressant properties in addition to a mood stabilizer.
>
> Abilify
> Asenapine
> Latuda
> Geodon
> SeroquelAsenapine = Saphris
- Scott
Posted by gilmourr on May 30, 2013, at 14:01:14
In reply to Re: I might be BP 2. What to use with Nardil. » gilmourr, posted by SLS on May 30, 2013, at 5:55:09
> > Maybe lithium would fix it.
>
> That's a great thought. In addition, Trileptal might be worth trying with or without lithium, especially if impulse control is an issue.
>
> You can also use an antipsychotic with antidepressant properties in addition to a mood stabilizer.
>
> Abilify
> Asenapine
> Latuda
> Geodon
> Seroquel
>
>
> - ScottScott, you've always been pretty informed with meds/journals and information, I was wondering if you could just give me your opinion. Does this look more like unipolar depression or bipolar 2.
Before my disorder
- Went to bed at 2,3 am most nights, except when I was working which would be 12, 1 am
- hyper at night, very energetic at night usually, dancing around and playing pc games hard. Morning was a struggle since I was super tired from late nights.
- Agitation maybe? I bite my nails really hard to the point where all my fingers bleed. That's
- No racing thoughts, or I can't recall any.
- Was always distracted from school with personal business project outside of school until university.
- Not angry like ever.
- Narcisstic
- Distracted a lot (only can do work at library)
- Hypersexual (but this might just be a 16-19 year old male)AFTER DISORDER BEGAN
- Depressed all the time, no peaks ever except on antidepressants and those weren't even close to being considered "peaks"
- Still biting my fingers till they bleed
- Narcisstic still somehow and confident
- Racing thoughts but went away after 4 months or so once I started AD's
- Insomniac all the time 2-4 am bed times
- Still not angry1. What seems more likely? MDD or BP2
2. If you were a doctor or if this were you, how would you treat it? Only meds that have worked on me have been nardil, mirtazapine and zoloft. All for depression except nardil which has been for both (anxiety too) but gives me mood swings while the others do not.
Thank you for any help.
Posted by SLS on May 30, 2013, at 14:42:35
In reply to Re: I might be BP 2. What to use with Nardil., posted by gilmourr on May 30, 2013, at 14:01:14
I'm on my way out the door, but the thought crossed my mind that you may have both BD 2 and ADHD. These two disorders occur comorbidly in young people. I'm not well-versed in personality disorders, so I can't comment on the narcissism issue.
- Scott
Posted by polarbear206 on May 30, 2013, at 18:00:43
In reply to Re: I might be BP 2. What to use with Nardil., posted by gilmourr on May 30, 2013, at 14:01:14
Classic Bipolar 2. IMO.
Posted by SLS on May 30, 2013, at 22:29:11
In reply to Re: I might be BP 2. What to use with Nardil., posted by gilmourr on May 30, 2013, at 14:01:14
Hi G.
I'm not so sure about the ADHD thing, but it might be interesting for you to take a look at this:
http://psychcentral.com/addquiz.htm
- Scott
Posted by gilmourr on June 3, 2013, at 21:33:22
In reply to Re: I might be BP 2. What to use with Nardil. » gilmourr, posted by SLS on May 30, 2013, at 22:29:11
> Hi G.
>
> I'm not so sure about the ADHD thing, but it might be interesting for you to take a look at this:
>
> http://psychcentral.com/addquiz.htm
>
>
> - ScottIt says I have major adhd, but really how correct can that be? For instance, I've been able to pull off considerably decent grades at uni before all of this disorder crap. But then again I was only able to get work done on the 10th floor of my library in complete silence with no distractions like computers or anything. I really need to be in utter silence.
Posted by SLS on June 3, 2013, at 23:05:09
In reply to Re: I might be BP 2. What to use with Nardil., posted by gilmourr on June 3, 2013, at 21:33:22
> > Hi G.
> >
> > I'm not so sure about the ADHD thing, but it might be interesting for you to take a look at this:
> >
> > http://psychcentral.com/addquiz.htm
> It says I have major adhd, but really how correct can that be?I don't think that you can use the results from that simple symptom inventory as a reliable measure of ADHD. I thought that taking the test might help to *exclude* ADHD as a contributor to your condition. Even for seasoned professionals, it is often difficult to tease out a differential diagnosis between ADHD and affective disorders, especially bipolar disorder. This becomes much more difficult when these disorders are comorbid. That you scored as having ADHD on this test does not guarantee that you have it. Indeed, depression alone can seriously impair one's ability to concentrate.
I would suggest that you act under the presumption that you do not have ADHD. However, I think you should ask your doctor to consider this possibility if he has not done so already.
- Scott
This is the end of the thread.
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