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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 9, 2006, 4:10 pm PST

Lamictal is a life saver!

Quote From: bipolaroso

I too was taking Lamictal and it helped so much! I am glad to see someone else who takes this medicine is doing well with it! I quit taking it cause my Doctors office would not see me no more cause I missed to many appointments. I do miss feeling good. I have 3 small children & sometimes I feel like I am letting them down. Just make sure your hubby contuines to take the meds. It really truely is a way to make life easier!

Hi  

  

I have been on Lamictal since November when I was Baker Acted, long story. It has helped me so much as I was coming off of Effexor. I need to change medicines every few years as they quit working. But this has been by far the most helpful I feel like a "normal" person. I have always taken anti-depressants, Ativan and now Cymbalta and Lamictal and Im doing so good. Im thankful for the change...I did write a letter to Dr. Phil regarding my dissatisfaction with the show. It was bent toward the worst cases and should have contained more stable patients as well... 

 

 
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March 9, 2006, 4:18 pm PST

He mattered to me

  

As I watched this show on people who suffer with bipolar disorder, my heart went out to the sister who looked out for her brother at the expense of her own husband and family.  

I lost the love of my life, my husband of  33 yrs., to suicide as the result of this devastating illness. I do not feel any anger towards him like alot of people do in situations like this, but I am very angry at the so called "health professionals" who I put too much trust and confidence in with my husband's life. You see, I am a nurse and really believed that he was getting the best of care because I always gave my patients the very best care and just assumed my profession would not let him down. How stupid of me! When I look back and see how my husband was treated so poorly by the VA doctors and nurses, it makes me feel so betrayed. I read his medical records and the untruths were mind boggling, now I know why he just gave up, he did not feel he had any hope for the future.  

My husband served his country in the US Army in the Viet Nam War and deserved to be treated professionally and respectfully. Instead he felt no one there really cared what he was feeling and he was given generic meds that were not working and conflicted with other meds he took for hypertension and diabetes( which he developed after exposure to agent orange in Viet Nam). I loved him with all of my heart and soul and tried so hard to keep him from harming himself. He was in and out of " behavioral units" at local hospitals three times for attempts to kill himself. He was never kept at any of these hospitals for any longer than 3 days because that is all medicare would allow in private hospitals and the VA never thought he needed to be admitted for his bipolar and now he is dead. When I tried to contact the mental health nurse practioner who saw him last before he died, she finally called me back after I left messages for several days. When I told her what had happened and wanted to know some answers to some questions I had, all she said to me was " you know as well as I did that he was going to kill himself eventually". I was hurt and stunned that I was not even given an ounce of sympathy and then told basically that I needed to get over it.....so what and no big surprise? 

Well, he was my husband, my best friend, my sons father and HE MATTERED TO ME! My heart is forever broken and my life shattered, every day is a struggle for me now and I re-live finding him when I came home from work ...dead for over 6 hrs. I ran to him, the nurse in me thinking that I could save him, but when I touched his face and arms, they were so cold...... no one will ever know what I felt at that moment, and I continue to feel it every day. He was worth everything to me, even my own life if I could have given him that choice. 

I feel totally numb and just go through the motions of the day, trying to move around the huge hole his death has left behind. 

I wish He had been able to receive the kind of support and help this family has from devoted people like Dr. Phil, maybe he would be alive today. 

 
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March 9, 2006, 4:27 pm PST

Further thoughts

Quote From: understand

My ex husband is bipolar and despite severe psychotic delusions where everyone tells him he has breaks from reality he thinks he's fine....His parents eventually chalked it up to personality traits and accept his lack of dealing with anything in his life...he has been clinically diagnosed several times, but he cannot face reality and his parents, whom he lives with, will not force him to get help so he remains untreated and is missing  out on his children's lives .....I was hoping in most bipolar cases, the loss of family and everything else would make the bipolar person get help or perhaps his parents could force him....I feel badly that it can't be easier to get bipolars help, because from reading the messages posted it seems like a livable life can be obtained with proper medicine? That's why I asked you if you had family support or did you come to recognize it on your own....Thanks again for your responce

I am sorry to hear about your ex husband.  I have never had to deal with a family member's mental health so I can't say I truly understand what you have/are going through.  However, I certainly have compassion for you and your children.  I am going to toss two ideas around and you decide if either fits.  Perhaps one or the other might give you a new perspective as to why your ex husband, and his family, won't comply with the neccessary therapy he needs. 

Was your ex husband raised by a family that believes mental illness occures in another's family, but never theirs?  Do they act like ostriches - their comfort zone is having their heads in the sand.  What they don't see does not exist.  Or, are they quite religious? 

I have known Bipolars that did not get support from their families.  Their illness's were not accepted  

by their families.  It was as if they were viewed as being defective.  Their parents would have prefered a brain tumour diagnosis over Bipolar Disorder. 

The other idea I came up with was involving religion.  You would be amazed how many people I have known that stop taking their meds because they or their family said God would not approve. They believe that God will save them and make them healthy.  Think of Tom Cruise and his attitude toward psychiatry and Scientology.  If your ex husband was raised in an environment that held any of the views mentioned, he will not be encouraged to seek proper therapy.  When I am not well, I can sink deep into a depression or high into mania.  I know I am not well, but there is something seductive about losing control.  I go to my psych and he can see instantly that I need help.  Your ex husband needs someone in his family to get him to a doctor for help.  Would having a heart to heart with them/him and discussing my idea(s) help? 

With the right meds, a Bipolar can live a good life.  I compare Bipolar to having arthritis or cardiac problems.  I have limitations, and I am not as successful as I could have been.  However, I live independently, and within my means. I consider myself retired, so I pursue hobbies now instead of the corporate ladder.  

A lot of the medications have side affects.  Some are quite tolerable while others are awful.  Sometimes impotence can occure, so men quite the meds right away.  Some meds cause excessive hunger.  It is a struggle not to put on weight.  I have put on 30+ pounds.  I hate buying plus size clothes, and being rejected by men.  But what is the alternative?  Dr Phil never talked about side affects and why people go off of medication.  This could be a show in itself. 

You mentioned the word "force".  In Canada, a person can be admitted to hospital for up to 72 hours if 1) He is a threat to another - such as verbal threats or physically assault  2) he is a threat to himself - such as suicide attempt  3) he is incapable of taking care of himself and the neglect is causing him harm - such as an anorexic person or an elderly person with Alzheimers.  This is where medicine can conflict with the legal system.  The admitting physician must truly believe the individual needs to be in the hospital because it is similar to arresting someone and keeping them in a holding cell for 3 days.   I mentioned in an earlier email that if an individual is 16 or older, no matter how much the family/spouse wants info, they can not receive it unless the patient gives consent.  I have heard that some states will give info to families without patient consent. 

I have written a lot of information.  I hope it helps you.  I check the message board occaisionally.  If you would like to share any more thoughts, I'll get back to you.   c_y_wallac 

  

 
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March 9, 2006, 4:36 pm PST

03/07 Extreme Highs and Lows

Quote From: who_am_i

I am the mother of an 8 year old son who was diagnosed at the age of 5 with BiPolar.  His current dx is BiPolar I with ADHD.  He sometimes has hears voices and has hallucinations and during those times his dx changes to Bipolar I with psychotic features and ADHD.  I knew by the age of 2/3 there was something wrong.  It is so hard to diagnose and it takes excellent professionals and lots of time.  The first book I was introduced to is, "The Bipolar Child".  I also found a support group through www.bpkids.org where you can be placed with other parents who are experiencing similar situations.  If you suspect your child is Bipolar, seek help immediately.  Do not let the psychiatrist and psychologist run over you and if you don't feel you have a good match, search all providers.  I drive close to 100 miles one way for my son's psychiatrist.  Do not allow your child to be overmedicated.  Some of the symptoms of EOBP (Early Onset Bipolar Disorder) can be similar to ADHD and a lot of children are mis-diagnosed.  One of the best ways to tell the difference is that most kids with Bipolar cannot tollerate ADHD stimulant medications, they only aggrivate symptoms and make matters worse.  My son is currently in RTC (Residential Treatment Center) where he has been for one year now.  They do behavior modifications and he gets daily group therapy, weekly one-on-one therapy and at least monthly visits with a psychiatrist.  His main problems are in the classroom right now and he is being evaluated for learning disabilities (dyslexia).  This could be compounding his symptoms.  He should be home with me this summer and back in regular ed school in the Fall.  My best advice is to find a psychiatrist who is willing to spend a great deal of time with you and your child, educate yourself, become your child's advocate, request testing, make sure your child is not overmedicated, be prepared to face many highs and lows, beware of a full moon, and strive to be the best parent you can be...
 
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March 9, 2006, 4:39 pm PST

03/07 Extreme Highs and Lows

Quote From: who_am_i

I am the mother of an 8 year old son who was diagnosed at the age of 5 with BiPolar.  His current dx is BiPolar I with ADHD.  He sometimes has hears voices and has hallucinations and during those times his dx changes to Bipolar I with psychotic features and ADHD.  I knew by the age of 2/3 there was something wrong.  It is so hard to diagnose and it takes excellent professionals and lots of time.  The first book I was introduced to is, "The Bipolar Child".  I also found a support group through www.bpkids.org where you can be placed with other parents who are experiencing similar situations.  If you suspect your child is Bipolar, seek help immediately.  Do not let the psychiatrist and psychologist run over you and if you don't feel you have a good match, search all providers.  I drive close to 100 miles one way for my son's psychiatrist.  Do not allow your child to be overmedicated.  Some of the symptoms of EOBP (Early Onset Bipolar Disorder) can be similar to ADHD and a lot of children are mis-diagnosed.  One of the best ways to tell the difference is that most kids with Bipolar cannot tollerate ADHD stimulant medications, they only aggrivate symptoms and make matters worse.  My son is currently in RTC (Residential Treatment Center) where he has been for one year now.  They do behavior modifications and he gets daily group therapy, weekly one-on-one therapy and at least monthly visits with a psychiatrist.  His main problems are in the classroom right now and he is being evaluated for learning disabilities (dyslexia).  This could be compounding his symptoms.  He should be home with me this summer and back in regular ed school in the Fall.  My best advice is to find a psychiatrist who is willing to spend a great deal of time with you and your child, educate yourself, become your child's advocate, request testing, make sure your child is not overmedicated, be prepared to face many highs and lows, beware of a full moon, and strive to be the best parent you can be...
 
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March 9, 2006, 4:40 pm PST

look for help....

Quote From: reena9

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.
i, too, was very interested in these tests.  i went to the link for the company wand was dismayed to see they were in co and ca.  then i started researching it on the net and i found out the tests has been out for a few years.  i looked for sites in my home state and only turned up 2, a distance away from me.  i called a local large teaching hospital and spoke to the people in nuclear imaging.  they knew exactly what i was referring to.  all i need is a prescription from my doctor, and if there is a documented need for the test, medicare will pay for it.  i don't know about private insurance, but it seems to me, since it is an fda approved diagnostic test, they should cover it.  i hope this helps.  God bless.
 
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March 9, 2006, 4:46 pm PST

i have a question for you? my daughter was also diagnosed with adhd bef we learned she was bipolar. she was on concerta which made her more irratable, but when we took her off it she could not focus and had 2 be told litterly 10 times to do something. if

Quote From: who_am_i

I am the mother of an 8 year old son who was diagnosed at the age of 5 with BiPolar.  His current dx is BiPolar I with ADHD.  He sometimes has hears voices and has hallucinations and during those times his dx changes to Bipolar I with psychotic features and ADHD.  I knew by the age of 2/3 there was something wrong.  It is so hard to diagnose and it takes excellent professionals and lots of time.  The first book I was introduced to is, "The Bipolar Child".  I also found a support group through www.bpkids.org where you can be placed with other parents who are experiencing similar situations.  If you suspect your child is Bipolar, seek help immediately.  Do not let the psychiatrist and psychologist run over you and if you don't feel you have a good match, search all providers.  I drive close to 100 miles one way for my son's psychiatrist.  Do not allow your child to be overmedicated.  Some of the symptoms of EOBP (Early Onset Bipolar Disorder) can be similar to ADHD and a lot of children are mis-diagnosed.  One of the best ways to tell the difference is that most kids with Bipolar cannot tollerate ADHD stimulant medications, they only aggrivate symptoms and make matters worse.  My son is currently in RTC (Residential Treatment Center) where he has been for one year now.  They do behavior modifications and he gets daily group therapy, weekly one-on-one therapy and at least monthly visits with a psychiatrist.  His main problems are in the classroom right now and he is being evaluated for learning disabilities (dyslexia).  This could be compounding his symptoms.  He should be home with me this summer and back in regular ed school in the Fall.  My best advice is to find a psychiatrist who is willing to spend a great deal of time with you and your child, educate yourself, become your child's advocate, request testing, make sure your child is not overmedicated, be prepared to face many highs and lows, beware of a full moon, and strive to be the best parent you can be...
 
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March 9, 2006, 6:03 pm PST

Borderline, bipolar and the brain

Quote From: lkavale

I am 45 and have bipolar and borderline pd plus a few other diagnosis...I would be thrilled if dr phill did a show on borderline and the first to line up to be on it. I have undermined more relationships due to my borderline behavios than can be imagine... so now I find myself living alone because no one can get close to me emotionally...i don't let them. I have the rage that is associated with oth illneeses but my is focused inward...so when I get angry and can't deal..since I never learned how to as a child...I cut myself to let the pain out...

I think many people who are bipolar also have borderline personaltiy disorder. I have been labeled with both disorders.  One doctor calls borderline by a new name Dyslimbia.  Many studies have shown that the limbic part of the brain is not working well.  This is the part of the brain which helps us connect with other people and deal with emotions, but when it is not working right people have trouble connecting with others.  The bipolar brain often has trouble with the limbic system, temporal lobe area and many times the frontal lobes as well as other areas.  Many people I know have both borderline and bipolar disorder especially those who cycle very rapidly.  I wish that more people would understand that mental illness is a problem with the brain not just angry people.   I really liked about the brain scans.  I would like to know more about the brain connection and help others to understand that I have a real medical problem with my brain not just a problem with my personality. I want people to understand this is a brain disorder not a problem with a personality.   I like my personality because I am creative, compassionate, caring, researcher and teacher, but then I get strange violent thoughts which are totally against who I am.  When I am on my medications these violent thoughts go away which shows it must be something wrong with my brain not my personality. 

  

Safariman 

 
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March 9, 2006, 6:35 pm PST

03/07 Extreme Highs and Lows

Quote From: hurtsobad

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.?? 

Why not think of having another child. 

  

I just had my second and I have a 2 year old.  I am doing great and I am a great Mom.  Why do you think that those of us with BP are any less capable.  My psychiatrist and OBGYN closely monitored both pregnancies.  I hardly through my life to the wind.  I am sure that if you bothered to take the time to educate yourself a bit you would find that there are many options for BP women who want children and many different treatment plans.  My children and I are healthy and happy. 

  

Comments such as yours contribute to the negative and inncurate stereotypes that exist in our society about mental illness.  I am not only a Mom, but held down a very responsible proffesional job that I just left to be at home full time, have 2 graduate degrees and am a very "normal" person. 

  

I have BP I am not BP.  It is just an illness that needs to be manged.  It does not rule my life. 

  

I went off my meds during both pregnancies and was fine, but I had meds that I could take if I needed them. 

  

I have to laugh when I hear comments like "how would you handle a crisis with your kids?"  I handle crisis better than all of my "normal" friends because I have had to deal with so much.   

  

I have been on seroquel for 8 years and it is a great drug for BP.     

 
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March 9, 2006, 6:52 pm PST

Bi-Polar (Manic-Depressive) Husband

I am a 62 year old female, married to a 68 year old male who was diagnosed 20 years ago as manic-depressive (bi-polar).  When I met him, he was on Lithium, now he is on Prozac.  He is now retired, but when we met he was on disability from the company he worked for.  He was into drugs and was treated for alcoholism and coming out of a divorce situation when we met.  So I should have known what I was in for.  I am a college graduate with a Master's Degree and was coming out of a divorce situation myself.  I should have been smarter, but I wasn't.  We have been together since 1982.  His 2 brothers and his son have been diagnosed with the same illness.  He has 3 children and I have 2 from our previous marriages.  We also have grandchildren.  I am retired myself now as well.  About 10 years ago, he had a stroke and is paralyzed on his right side.  He also has a very selfish, self-absorbed personality.  Everything is always about him.  His mother and brothers have this same type of  "it's all about me" personality.  I have never written something like this before so some of this is easy some of it is hard and complicated.  Living with this disorder and the other complications of his life are very, very hard for me.  I think the medication he is on only masks his disorder because every day is a battle with him.  The smallest thing sets him off - from my touching something of his, to not having meals ready or the right kind of food.  There are so many things that set him off.  The sad part of it is he does not see that he is being irrational and blames me for everything that goes wrong.  He spends money like crazy.  You cannot stop him.  And then blames the bills on me.  I am not even sure where I am headed in writing this.  I really want to leave, but at my age and stage and he has all the money, I can't imagine I could make ends meet out in the world.  My children want me to leave and I talk to them about the situation.  His children just avoid doing anything to upset him.  I guess I will just leave this at that.  It just feels good to put some of this in writing.  Even my being on the computer upsets him.  He is not violent but quite verbally abuses.  He does not see that he is.  I have tried to get him into counseling, but he says he does not want to rehash his life story.  I threaten to leave and he calms down somewhat and then an hour later something will set him off.  It's crazy.  I just do not know what to do.  Thanks for listening. 

  

 
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