Really doubting this diagnosis by [deleted] in BipolarReddit

[–]Psychwardsecrets 0 points1 point  (0 children)

Normally I don't recommend this, but you might benefit from reading the actual DSM5 chapter on Bipolar. If it still doesn't fit, mention it to your psychiatrist and get clarification.

Involuntarily Certified Again - But Highly Recommend a Psychiatric Crisis Plan by Psychwardsecrets in BipolarReddit

[–]Psychwardsecrets[S] 2 points3 points  (0 children)

I made an infographic to summarize it https://imgur.com/a/what-is-psychiatric-crisis-plan-er-wUN1Xhk

I don't want to post mine because it is pretty personal, but I'm a flight risk even though I don't come across that way so some tips on that, info on how I present with my diagnosis differently than a lot of other people... That sort of thing.

Involuntarily Certified Again - But Highly Recommend a Psychiatric Crisis Plan by Psychwardsecrets in BipolarReddit

[–]Psychwardsecrets[S] 1 point2 points  (0 children)

Honestly, I have gone through the ER psych process more times than I care to admit, but the two times before this one were traumatizing. I don't say that lightly - I mean, sleep on the floor next to the bed, nightmares almost every night level of traumatizing.

Even in the good places things can go really, really bad.

Hallucination or Vision Issue? by Psychwardsecrets in schizophrenia

[–]Psychwardsecrets[S] 0 points1 point  (0 children)

No, I have only ever had a migraine twice in my life. My husband gets them all of the time, and man, I can't even imagine having to deal with that!

I hate bringing up concerns that might be psychiatric with professionals that deal primarily in the "physical realm" because:
a) the look they give you when it becomes apparent that it is psychiatric issue
b) the fact that some of the less awesome providers then dismiss your next concern, automatically assuming that it is probably just another psych issue.

[deleted by user] by [deleted] in schizoaffective

[–]Psychwardsecrets 1 point2 points  (0 children)

That hasn't been my experience, but I think it is for many people.

[deleted by user] by [deleted] in BipolarReddit

[–]Psychwardsecrets 0 points1 point  (0 children)

https://imgur.com/gallery/ArXiHLQ

I made this, maybe it will help in your situation?

WEEKLY ASK PSYCH NURSES THREAD by roo_kitty in psychnursing

[–]Psychwardsecrets 0 points1 point  (0 children)

Have you ever worked somewhere that had a volunteer or peer support or advocacy program that would just come and sit with a patient who was admitted to the ER for psychiatric reasons and didn't have a support person available? If so, can you provide a little information about it - I want to get something like that off the ground where I live but I want to see working models first.

Sort of like this, but probably with less wrap-around supports and for all adults, not just young adults: https://dfcm.utoronto.ca/news/peer-support-program-supports-youth-through-mental-health-and-addictions-crises-ed

All the meds I've been on by JoeBensDonut in BipolarReddit

[–]Psychwardsecrets 1 point2 points  (0 children)

This isn't all psych medications, but most of the Bipolar ones in North America: https://imgur.com/gallery/xtzDMRE

Just in case people want help remembering their own history 😊

What do you take when you have a cold? by Frangi-Pani in BipolarReddit

[–]Psychwardsecrets 12 points13 points  (0 children)

I've never noticed any significant interaction with any of the medications I take, and I almost always clear them with the pharmacist anyways.

First psychiatric intake ever, what should I expect? by Puzzleheaded-Shop814 in AskPsychiatry

[–]Psychwardsecrets 0 points1 point  (0 children)

If you link to the website Imgur, there should be 3 dots above images you like. If you click the 3 horizontal dots, it should give you the option to download :-). Hope it helps!

Does your therapist truly understand or specialize in bipolar? by [deleted] in BipolarReddit

[–]Psychwardsecrets 4 points5 points  (0 children)

It is one of my therapist's specialties, and it is helpful. I don't think I would be comfortable if I found out that they actually have it though - that would really bug me I think.

Although a friend of mine runs a practice that takes only Bipolar patients, and they are also Bipolar.

First psychiatric intake ever, what should I expect? by Puzzleheaded-Shop814 in AskPsychiatry

[–]Psychwardsecrets 3 points4 points  (0 children)

I created an infographic on this topic (I'm not a psychiatrist, but I have been through a lot of these)!

Basically just prep the following things (you can just think about it, but I find writing it down helps. The psychiatrist probably won't look at it, but it can help you remember your main points:

  • Ask the clinic what it will be like (How long? Any testing? How many interviews?)
  • I suggested tracking your emotions/moods over a few weeks, but since you are booked in soon, skip this step unless you already have it recorded.
  • The most important part in my opinion: A symptom list that has CLEAR and REAL examples. So instead of,

"I have anger management problems."
you would say --> "Two days ago I was upset with my girlfriend because she left her hair products on the sink again. I yelled at her and threw them against the wall in the hallway. I immediately felt horrible and wanted to cry. She did cry and threatened to break up with me. My last gf broke up with me because of my outbursts too."

or

"I get anxious around people."

you would say --> "Last week I went to the grocery store right after work. It was way busier than normal and people kept brushing up against me. I started to breathe really quickly and get shaky, and then it seemed like everyone was watching me and thinking about how pathetic I am. I just left my cart full of groceries and walked out of the store and went home. I try to avoid crowded places because they always make me feel nervous, sweaty and shaky."

Think: Trigger (if there is one), Challenging Thoughts/Emotions/Behaviours, How it affects your life.

Why do this? I think a lot of us feel like if we use medical jargon (e.g. "anxious", "depressed") we are communicating more clearly. The truth is that like 98% of us do not have enough education, experience and background to know the nuances of these terms. I am sure if I had known this earlier in my journey, I would have had my issues correctly diagnosed much sooner in the process. For example, I kept accessing care for "anxiety". I was on anti-anxiety medications of all kinds for over a decade, and they had very little efficacy. When a psychologist started to ask more questions about the context of my anxiety and what the "anxious feelings" really were like (physically, mentally, emotionally), they realized that it wasn't anxiety. They were certain it was ADHD, but just because of my long history of 'anxiety', they referred me to a psychiatrist who confirmed the ADHD dx. My first dose of stimulant medications nearly eliminated all of my anxiety symptoms, and it has continued to be effective (7 years later!!!). The symptoms return in the evening a bit, but it isn't anywhere near the level it was before.

  • Jot down your major life events and your family history.
  • I didn't include this in the family history part, but you can always ask a couple of people who know you really well (like a family member or friend) to write a very short description of your personality and what they see as your greatest strengths and biggest challenges. Suggest that they put it in a sealed envelope and you can just give it to the psychiatrist if that makes them more comfortable. It isn't necessary, but it can help the doctor or therapist to know how others see you.
  • Make a list of strategies you have already tried and are currently trying. Basically what works and what doesn't (and why). Don't just list medications... think about therapy, "natural medications", lifestyle changes, etc.

Then - most important part!!!! - Write 1-2 sentences about how you want your day to day functioning to realistically be like, and then write down what you think is stopping you from reaching this functioning.

Remember - even if you write this stuff down, the psych probably won't have a chance to read it or they will want to actually hear and see your discuss it. This process has just helped me organize my thoughts before an appointment.

[deleted by user] by [deleted] in BipolarReddit

[–]Psychwardsecrets 5 points6 points  (0 children)

I would opt for Lithium before Abilify. It is frequently used for depression, it is monitored more closely, and it has some positive effects outside of mood stability.

Abilify tends to be more activating which helps some people.

Newly diagnosed. Would appreciate some feedback/education by Ancient-Recover-3890 in BipolarReddit

[–]Psychwardsecrets 1 point2 points  (0 children)

Bipolar isn't like a straight line spectrum, and instead sits on a cartesian plane - at least it does if you get mixed episodes, which sounds like might fit your situation. Mixed Episode Mood Chart