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Topic : 08/01 Extreme Highs and Lows

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Created on : Friday, March 03, 2006, 12:43:32 pm
Author : DrPhilBoard1

(Original Air Date: 03/07/06) Dr. Phil explores the ups and downs of bipolar disorder. This illness takes its victims on an emotional rollercoaster ride -- from elation to extreme irritability, intense rage, or devastating depression. First, Cathy was diagnosed with Bipolar II, 10 years ago and claims she goes from zero to psycho in 15 seconds. Dr. Phil takes a look at the toll her disorder takes on her two boys, and brings the family together for a dramatic moment of emotional healing. Then, during various manic episodes, Fred has stolen a taxi, crashed into a Starbucks, and climbed to the top of a church. He hears voices and believes that movie stars like Denzel Washington and Robert De Niro are talking to him through their movies. Still, Fred thinks he’s ready to move out of his parents’ house and live on his own for good … but should his family let him? Talk about the show here.

 

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March 8, 2006, 2:11 pm PST

Thanks, Dr. Phil

I was so glad for the show on bipolar disorder.  I am struggling with a manic episode right now and am in the midst of a med change.  I felt that Dr. Phil was sensitive to the suffering that we who have this disorder experience.  There are a lot of misperceptions floating around, and Dr. Phil made short work of many of them.  When I watched the experiences of the first guest and her children, I was in tears.  I pray she finds the help she needs to manage her symptoms better.
 
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March 8, 2006, 2:14 pm PST

03/07 Extreme Highs and Lows

I was diagnosed Bipolar II in 2000 and recently switched meds from one that did nothing for me what-so-ever to a new one (not FDA approved, but then who cares about them) that has worked wonders for me.  I have not been hospitalized in over 5 years and am doing very well indeed. 

  

My biggest two hurdles are family and friends and money.  I never disclose that I have this illness because the first thing people think is that I am a raving lunatic about to ax murder them...which is not true at all.  This is how the media portrays us on the news and in films.  Family and friends that should know better will ask (and the kindly intent is there) every single day..."how are you today?"...or if I am happy about something, suddenly I am "manic"...or if I get the lest bit upset about my taxes or a news story...I'm manic...i can't have one single "normal" emotion...everything I do is "Bipolar this or Bipolar that"... 

  

The other part is money...I had my own business and that is now gone because nobody would insure me...I am now on disability and that is quite difficult to survive on...because i use to earn over $90,000 a year and I worked for 25 years I do OK by SSA but, it's still not a great deal and was recently turned down by Medicaid because it was too much...try getting meds on that...but I survive because that is what you must do...i just am glad there are others who understand...i wish Dr. Phil would do a show on some of these other issues...like not talking down to people...hate that...i have a 174 IQ...don't treat me like an idiot because I have a mental illness... 

  

A final note for anyone reading this...a book that might help... 

  

"The Bipolar Disorder, Survival Guide" David J. Miklowitz, PhD 

  

...this book has been amazingly helpful to me on all levels...thanks for listening everyone! 

 
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March 8, 2006, 2:14 pm PST

Medication

Quote From: tkrn97

I was so happy Dr Phil was able to shed light on this disease.  I was diagnosed with this illness 4 years ago, after the birth of my third son.  I believe I have suffered with this problem since adolescence but was simply labeled as a moody person.  Since being diagnosed, by a wonderful psychiatrist, I have been on sooo many medications.  

  

 My psychiatrist is very current and knowledgeable regarding all meds, both new and old, used to treat this illness.   I do still suffer from highs and lows but my physician is usually able to bring me down from an extreme high or help pull me out of an extreme low.   I say usually because my success is often associated with my compliance with medications.  Like many other people who suffer from bipolar type II, when I start feeling good, I feel that medications are no longer required.  I have been hospitalized 4 times in the past 4 years.   

  

Unlike Cathy, on the show, my angry outburst are not expressed outwardly to others but internalized and result in self harm.  Although I must admit I have smashed many things around the house during my rages.  I am currently on seroquel which seems to be keeping my moods stable, but I do have a problem.  

  

I will be getting pregnant within the next two months (by ivf) and am worried about how this will affect my illness.  My psychiatrist is not too happy about my decision to have another child but I have three sons and desperately want a girl.  Prior to my last visit with my psychiatrist two weeks ago, I was taking CYMBALTA, TOPOMAX, and SEROQUEL.  I stopped the cymbalta and topomax in order to clean out my system before getting pregnant.   My psychiatrist advised me to keep taking the seroquel while I was pregnant, despite it being a CLASS C medication.  He feels this possible risks to the fetus are less than the risk I pose to myself when off medications.  From past experiences, when I am off medications my cycling becomes out of control.  I do not want to continue taking this medication because of its unknown effects on a developing fetus.  There are not many options for different medications as I have tried most of the drugs and seem to have success only with seroquel or cymbalta.    

  

Does anyone have any suggestions. At this point I I am going to stop taking the seroquel, take my chances and hope for the best. 

I am not a doctor but I have used my share of meds and I know SEROQUEL is a heavy duty medication and It also causes major weight gain!  Ask your doctor about Trazadone.  

  

I would also commet on your decision to get pregnant . How long have you been stable? Why in the world would you ,with your disorder even think of having another baby to take care of?? I can understand why your psychiatrist is not too happy . I had 2 children and my son has ADHD (he is 20 now)  It took everything I had to raise him.  It was very difficult. What if one of your son's develops a disorder and becomes a challenging child? 

  

I would just like you to think about how you are going to handle taking care of your kids when you are Manic or in a major depression?  Who will be there for them? I am not sure how old your children are but throwing your life to wind and hoping for the best says to me you need to stay on your medication and forget having another baby just because YOU want a girl.?? 

 
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March 8, 2006, 2:29 pm PST

03/07 Extreme Highs and Lows

  I am a daughter,sister,aunt and mother to those with the illness. I would say yes, it's in the genes! I have concern that the majority of the veiwers who don't have a clue about the illness go away with the impression that these are what all bipolar people are like. There is such a range, even in my own family. I would like to share a website that I found most helpful. It is by a man named David Moyer, author of "A Four Generation Bipolar Odyssey". He is a retired Lt. Col. of the U.S.Air Force a licensed social worker and a Board Certified Diplomate with a 28 year career as a therapist and mental health administrator. He's family has been touch by the illness, now 4 generations. He has done an amazing job with this book and the reseach into it. Rather then seeing it as a "mental disorder" he sees it as a central nervious disorder. He also explores a lot of other areas that affect the brain like lymes desease, foods,mercury ect. There are alot of things to consider, he also explores some alternative treatment. This book has been a blessing to me, hope you get one. dave@bipolarodyssey.com   May God Bless You All Mother M 

 
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March 8, 2006, 2:45 pm PST

Brain imaging

The only thing I really found interesting and useful for me as a person with Bipolar is the brain imaging. I wish I could have that done, I wonder how much is costs. Wouldn't it be nice to have that kind of technology available for everyone going through this? It would have eliminated all of those years in my early twenties trying every mediation possible including drugs and acholol just to shut my brain off. Finally 8 years later I found the right combo of meds that don't zone me out with little side effects. But I would still today like to do that brain imaging thing.
 
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March 8, 2006, 3:02 pm PST

some good sites to start at...

Quote From: serenity06

I am a single mother of 3 kids... ages 6, 10, and 17. My 10 year old son is finally in the process of being treated for a "mood disorder", but we are still in the trial and error process of properly diagnosing  "what" exactly he has. The more I study bipolar, the more I believe this is what my son has. He has tried prozac, wellbutrin, zyprexa, and the latest was Depakote. His psychiatrist and counselor have taken him off the Depakote just recently, as this aggravated his symptoms of out of control anger episodes and extreme irritability. I am working with the psychiatrist and his counselor, but am also trying to learn and research as much as I can on my own. This " disorder " truly is tearing my family apart. I am extremely worried and scared for my son, as nothing has seem to help as of yet. I would be eternally gratefull for any suggestions of the best web sites to go to to further research this disease and it's related disorders. Thank you so much for anything anyone may have to offer!!!

hey there - here are some good places to start reading about bipolar disorder: 

  

www.dbsalliance.org - depression and bipolar support alliance 

www.nami.org - national alliance for the mentally ill 

www.psycheducation.org - a Dr.'s site (Oregon) 

www.healthyplace.org - collection of information on several mental illnesses - the bipolar community has a support link with several articles for family members 

  

i think it is a great idea to learn as much as you can about bipolar and other mental illnesses.  As the "observer", you may identify symptoms and the triggers before your son does.  it may take quite awhile of trying different med combinations before finding the one that helps him the most.  But at least you will have some info and support as to what to do in the meantime (My husband was diagnosed in December with bipolar II disorder and we are in the "med" search as well).  hope you find some of this helpful!  :) 

 
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March 8, 2006, 3:36 pm PST

Medication

I've been diagnosed with bi-polar for about 2 years now.  I'm getting very frustrated because we haven't found a medication routine that has worked for me.  Things will work ok for a while and then I seem to crash or develop some side effect.  It makes me want to quit, I know that's not what is best, but right now I'm not taking enough medication to keep me level so I'm full of anxiety and a little paranoid making life very difficult.  We are gradually trying to increase a medication but I'm feeling anxious until I reach that level.  How long does it take to find a good medication routine?  Maybe I have the wrong Dr?  I like him real well, but I just want to feel better.  Any advice would be appreciated Thanks.
 
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March 8, 2006, 3:37 pm PST

Unsure

I was somewhat surprised about Cathy on this show.  The reason why?? That is because if one of the people that Cathy knew would have asked the questions that Dr. Phil would have she would have gone off.  So, why did she not on this show.  I believe that if she was Bi-Polar she would have had some sort of reaction as she does her sons.  I am not stating that she is not Bi-Polar but I do believe that a camera in front of you with millions of people watching would have easily set her off.  Can someone explain this??? And, how can social services or her x-husbands leave her with two teen age sons?? Would it not be better to have them taken out of the home NOW!!!! They do not need to endure any of this, if the x-husbands left, what, they don't care about the kids they made.  Get real this is a true sham!!!!! No parent who acts like this should have the kids.  Ship them off to the dads or foster care if the dad cannot raise the child.      
 
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March 8, 2006, 3:42 pm PST

03/07 Extreme Highs and Lows

Quote From: lbhat67

 I only know from my experiences.  I love my husband with my entire being.  I respect and admire him.  I have been bipolar since I was 12.  I am now 39.  I have had many affairs.  Do I try to hurt my husband  on purpose?  Absolutely not!  Do I care if I "catch" something?  Not at the time of the indiscretion.  I care about how that person makes me feel just at that moment. There are no fears of unpleasant consequences, reckless enthusiams takes over.  I have no conscience about it.  I hate that.  I have lied for years.  I continue to lie.  I can't hurt him like this.  He only  knows about 2 of my affairs (one in '95 in which I became pregnant and one in '97 in which I became pregnant).
 I would like to recommend a book or at least take a quote from the book, "Bipolar Disorder-A Guide for Patients and Families"  by Francis Mark Mondimore, M.D.
Here is a quote... "The feelings of exuberance and overconfidence that characterize mania can lead to several pattens of behavior typical of the manic state:  spending sprees, sexual promiscuity, and overuse of alcohol and other intoxicating substances....Increased sexual feelings can lead to affairs or promiscuity, actions that can be life-threatening."
I am sorry for what I have done.  If I could change it I would.  I can't.  I just want to feel normal again. 
lbhat

  

I MYSELF AM ON THE OTHER SIDE OF THIS STORY - MY HUSBAND WAS ACTUALLY DIAGNOSESD WITH BIPOLAR DISORDER ALONG WITH A COUPLE OF OTHER THINGS!  WE HAVE BEEN MARRIED NOW FOR 13 YEARS - MISERABLE YEARS!  I NEW SOMETHING WASNT RIGHT EARLY ON, BUT WASNT SURE WHAT, BUT BY THE TIME I FIGURED IT OUT AND TRIED TO GET OUT, I ENDED UP PREGNANT, SO NOT HAVING A FATHER AROUND I MARRIED HIM TO TRY TO HAVE A FAMILY WITH OUR SON!  THERE WASNT A YEAR THAT WENT BY THAT I DIDNT WANT TO LEAVE AND WOULD TELL MY SELF, AFTER THE HOLIDAY , OKAY AFTER TBALL , AND SO ON AND SO ON UNTIL IT IS 13 YEARS LATER WITH ANOTHER CHILD.  WE HAVE GAINED NOTHING OVER THE YEARS BECAUSE OF HIS ILLNESS, THE SPUR OF THE MOMENT SPENDING SPREES, THE SEXUAL PROMISCUITY, ETC.  A FEW YEARS IN I TOLD HIM TO SEE  A DR OR I WAS LEAVING BECAUSE I HAD READ SOMETHING ABOUT THIS DIDORDER AND HE EVERY SYMPTOM -  SO HE HAS BEEN ON ZOLOFT FOR SEVERAL YEARS UNTIL HE HAD A TOTAL BREAKDOWN 2 YEARS AGO - PRIOR TO THAT HE WAS ABLE TO HOLD DOWN A JOB WITH THE POSTAL SERVICE FOR ALMOST 10 YEARS.  BUT IF I HAD LEFT HE WOULD HAVE QUIT WITHOUT EVEN THINKING TWICE ABOUT IT'!  I STRONGLY BELIEVE HE WANTS HIS FAMILY TOGETHER AND CANT STAND THE THOUGHT OF NOT HAVING IT, BUT I ALSO BELIEVE HE HONESTLY BACK THEN BELIEVED WHAT EVER HE TOLD HIMSELF AT THE TIME !  ALTHOUGH HE HAS NOT CHEATED ON IN OVER 4 YEARS I AQUIRED A HERPES FROM HIM LAST YEAR!  SINCE HE HAD HIS BREAKDOWN OVER 2 YRS AGO, HE IS CURRENLY ON RETIREMENT DISABILITY FROM THE POST OFFICE AND SOCIAL SECURITY DISABILITY!  HE HAS NOT HARDLY LEFT THE HOUSE - I CANT GET HIM OUT OF THE HOUSE - HE HAS NEVER HAD ANY KIND OF RELATIONSHIP WITH A FRIEND,  BUT WHEN HE DOES FIND SOMEONE - IT IS OVER WITH IN A FEW WEEKS - I FEEL LIKE HE HAS NOBODY, HIS DAD IS AN ALCHOLIC AND HIS MOTHER IS IN DENIAL AND VERY NEGATIVE AS HE IS.  I HAVE HIM SITUATED TO GO OUT ON HIS OWN I  JUST CANT GET HIM TO THERAPY!  I GOT HIM A BOAT, FOUR WHEELER - HIS TRUCK AND I JUST WANT OUT - OUR 13 YR OLD I PRAY DONT HAVE BP, BUT HE IS ACTING SO MUCH LIKE HIM - I HAVE TO SAVE HIM - THAT LIFE IS NOT SUPPOSE TO BE LIKE THIS - I WANT HIM TO KNOW WHAT A RELATIONSHIP IS ABOUT!  MY SON CANT HARDLY STAND HIM BUT HE DOESNT WANT ME TO LEAVE!  I FEEL LIKE I HAVE RAISED ANOTHER KID AND IT IS TIME FOR ME TO MOVE ON!  I AM NOW GOING TO NURSING SCHOOL AND PREPARING TO TAKE CARE OF ME AND MY KIDS, BUT HE CANT FACE IT OR DOESNT WANT TO!  NOW I WOULD LIKE FOR HIM TO FIND SOMEONE!   

JUST A NOTE EVERY TIME HE CHEATED HE HAD TOLD THEM A DIFFERENT STORY - BUT HE ALWAYS WANTED TO STAY AND THREATENED TO KILL HIMSELF AND HE IS ONE TO INVOLVE THE KIDS WITHOUT THINKING ABOUT THEM - AND I TRY SO HARD TO PROTECT THEM, I GUESS I FELT LIKE IF I STAYED I COULD PROTECT THEM BETTER THAN HAVING TO LET HIM HAVE THEM BY HIMSELF.  AND THEN AGAIN I KNEW IF HE HAD TO MAKE AN EFFORT TO HAVE A RELATIONSHIP WITH HIS CHILDREN HE WOULDNT AND I DIDNT WANT MY KIDS TO FEEL LIKE I DID ABOUT MY DAD!  ANYWAY, I GUESS IM JUST SAYING ALTHOUGH SOME THINGS ARE DIFFERENT NOW, IF I HAD IT TO DO OVER I WOULD LET HIM SELF DESTRUCT AND LEFT AT THE FIRST SIGNS!  SORRY!  THAT IS JUST ME!  I KNOW EVERY SITUATION IS DIFFERENT!  GOD BLESS AND GOOD LUCK! 

 
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March 8, 2006, 3:47 pm PST

I always knew I was different

Quote From: understand

How did you come to realize you were Bipolar ?  Did you come by it yourself or did your family help you....it seems like famliy support is critical in most cases?  Thanks and Good Luck

I always knew I was different but I didn't know why.  I had severe mood swings as a teenager, with tons of energy at night.  I would wake up exhausted, like I had never slept.  I sought out a variety of psychs.  Depending on my mood at the consultation, that was what was focused on. 

I was misdiagnosed for years.  I was given medication to curtail the symptom displayed. 

Example, if I displayed excessive nervousness, I was given anti-anxiety medication.  My mood swings were never addressed.  And the medication did nothing to calm me down. 

In 1999, I was 36.  I had a breakdown and attempted suicide.  I was hospitalized and finally diagnosed with Bipolar.  I am very happy with my diagnosis.  Now I take the correct medication, see a psych regularly, and attend out-patient supprt groups when I start to slip. 

I am fortunate to live in a community in Canada that offers a variety of services from several mental health agencies. 

My family had nothing to do with helping me.  I left home at 18 and I never really had healthy relationships with either parent or sibling.  My mom wants to have more involvment in my life. When I am well, she nags at me to find work, date more, etc.  When I am not well she wants to speak to all my health care providers for more info.  (In Canada, she can't discuss my health with any doctor without my consent).  I find that she can be quite controlling so I keep her at arms length. 

I think family support is important, especially for young people.   But the family must take the time to understand the illness.  Each person with Bipolar is unique.  How we behave when we are not well can't be found in a pamphlet.   Family needs to offer encouragment but has to stop babying and/or thinking they know best.  Bipolars gain an illness, they don't lose their IQ. 

I hope this helps.  All the best, c_y_wallac   

 
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