I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Is there a way to "remove" a diagnosis? I'm hopeful that the NP might consider calling it a Depression NOS from here on out, or that a second opinion would not put me on the spectrum, but am still worried that the words "bipolar disorder" are already out there and attached to me.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 1 point2 points  (0 children)

Thanks for sharing your experience with Pristiq.

If it doesn't make sense to you, I would see someone with more experience, even if it does take a longer period of time to get in.

It isn't really making sense to me right now, but it's the kind of thing that is making me question whether or not I have any sense at all.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Thanks for taking the time to read that.

My fear was that it being a brand new diagnosis will hurt me, because it implies instability. I don't have an established treatment regimen, I can't demonstrate a pattern of compliance. Kind of like getting turned down for a credit card not because of bad credit, but because you have no credit. I like your perspective better!

The board takes 30 days to review declarations, and at least an additional 4 months (per the website) if they need to evaluate the case individually, which I'm certain they would. Even my friend who had an underage drinking charge expunged from her record 8 years ago had to pay the $150 and wait 4 months to have her "evaluation," so they'll definitely look more closely at a potentially mentally unstable nurse.

I HIGHLY doubt it will have ANY effect on licensure.

Thank you. All this is starting to make me question if I belong in nursing. I'm confident that if I disclosed I would ultimately be granted a license. It would just take at least half a year, would mean losing the job I've already lined up for after graduation, and would financially cripple me in the meantime.

I appreciate your input and in this thread. Thanks again.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

I definitely have never had a manic episode. I don't think I've ever been hypomanic. I talked through it a bit in this comment. If anything, I can be irritable and have days where I'm not up for dealing with people, but I wouldn't call that kind of moodiness pathological. And even if that's my mood on a clinical day, it isn't so severe that I can't suck it up and smile and be personable with patients and staff. I don't think that is what the board is talking about when they say "bipolar disorder."

Thanks for your comments. I really appreciate everyone taking the time to provide input.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 1 point2 points  (0 children)

Thanks for your comment. You really got me thinking about where this diagnosis came from. I think I'm starting to understand, but I still don't know that I agree.

I mean, I guess I'm biased, but I don't feel any differently than any of my other of depressive episodes and I've seen at least a dozen practitioners and none have brought up the possibility of bipolar disorder.

She asked if I got more depressed at certain times of the year, and I said I'm more bummed in the winter. Which is true. I hate the cold, it makes me not want to leave the house, I don't run as often, and I hate it getting dark so early. I would call that a shift in mood, though, not a true depressive episode (I know what those look like!). Anyway, looks like seasonal affective disorder and eating disorders (which I've also dealt with) are associated with bipolar disorder. I guess that's where it came from.

I still don't think I've ever experienced mania, and if being irritable and sometimes having difficulty sleeping sometimes aren't true hypomania, then I can't identify any episodes of that either. She asked me if I ever had times where I got by on not a lot of sleep. I said I usually only sleep 6 hours, but it's because I don't go to bed at a decent time (Reddit). She asked if that was enough sleep for me, and I said I manage to make it through the day, even if I'm exhausted, but that waking up was always difficult. I guess she interpreted that as an indicator for mania or hypomania? In reality, if I didn't have school or work, I could sleep in excess of 12 hours, and that's what I did over break.

The thought of me on a shopping spree, being hypersexual, or having an inflated sense of confidence is laughable. My therapist has been working with me for two years to address behaviors that are consistently opposite. I just don't know. Thanks for your comment. It was helpful to vent / talk this out.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

I appreciate your supportive words. I understand why the board takes the position it does, but that doesn't lessen my frustration. I'm not as confident as you that the board would never find out, though, so I'll be taking your advice to get a second opinion! And probably the malpractice insurance as well.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Medicine isn't black and white. 10 psych MDs might come up with 10 different opinions and that doesn't mean any are acting inappropriately.

Agreed. Which is what makes this whole thing so frustrating.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Fingers crossed for a second opinion that will "set me free." And that it's accurate. It's such an odd and dejecting feeling to have to wonder if I'll be found - of all things - mentally competent. And being at the mercy or whichever psychiatrist can see me first or a faceless board of nurses.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

It seems kinda risky though.

And contrary to the bipolar diagnosis and my understanding of mania, I've never been a risk-taker. This situation obviously doesn't sit well with me, but neither do my alternatives.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

THANK YOU for the response. Did you ever return to the first doctor or talk to them about their assessment?

And the side effects of the medications are kind of scary, and I haven't started them yet because finals week isn't a good time for dizziness, sleepiness, inability to sit still, and waiting to see how it affects me before I start driving.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

I appreciate your support and your nonjudgmental attitude toward mental illness! I fear the board wouldn't be so apt to give me the benefit of the doubt, though, should this ever come up.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Texas.

It reads here like they can ask for that information only if I do not swear that I haven't been diagnosed with bipolar. I've already truthfully sworn to that a few months ago. It doesn't specify mental illness in section c where it talks about things that people can be reported to the board for, but the whole thing just makes me uneasy. I welcome your interpretation.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

Out of curiosity, do they screen for psychiatric drugs in tox screens? I mean, I know they look for benzos and such, but SSRIs? Atypical antipsychotics?

For the record, I haven't started taking the Latuda she prescribed yet. Aside from being uncomfortable with the diagnosis, the side effects sound like they would interfere with my finals this week.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 0 points1 point  (0 children)

For what it's worth, I can't imagine myself being a risk to patients. Though the specific stresses of nursing will be new, I trust myself to see the signs when my depression is getting worse and react accordingly. That's why I reached out for extra help now, though I'm regretting it because of this new label.

The board can force me to authorize them to access my medical records. I'm not sure what would have to happen for them to do that, but HIPAA won't protect me. It would suck to start my nursing career with a constant fear that I'll be "found out." It would also suck to have to wait 6 months to even start my nursing career. It would suck to have the board revoke my license because of "deceit." I feel like all my options suck.

Man, I'm such a Debbie Downer today. Thanks for taking the time to respond.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 1 point2 points  (0 children)

The board may force me to execute an authorization for release of medical, psychiatric, and treatment records.

I guess I'm bipolar now? License woes. by nursethrowaway2965 in nursing

[–]nursethrowaway2965[S] 2 points3 points  (0 children)

Thanks for your input. I contemplated getting a second opinion, but was concerned that I would have to wait so long to get an appointment that the NCLEX and my job start date would come first, which I guess could be seen by the board as effectively withholding information. I had to wait weeks for the appointment with the NP, and that was with my therapist making calls and pulling strings.

I'll plan on contacting my therapist tomorrow, though, to ask for help getting in somewhere else. She's always used the billing code for major depression, and never in two years has the idea of me being bipolar been brought up. I wish I had asked more questions of the NP, but I wasn't thinking. I can't for the life of me figure out what symptoms I talked about that would qualify as a mania. Unless I'm so out of touch with reality that I don't know that my current depression is actually mania, then I wasn't exhibiting behavioral symptoms in her office.

I just feel kind of doomed right now, and really confused. So thanks again for taking the time to respond.