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what is the most typical manifestation of this disoreder

my freind is highly proud and will not admit that his mood changes from moment to moment, from completely confrontational to a pleasant, laughter, etc.
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Avatar universal
Trust me, I understand all to well what it's like to be Bipolar - I have been BP since childhood and there is no "typical" bp.  Rapid cycling can happen within moments and last days or a day.  

I understand that depression and mania happen regardless and this is something that I have tried to explain to my family, and it's hard to explain that.  A person can have by all appearances every reason to be happen and sink into depression.  There are triggers, however, that we all have at times.  

We, on this forum, have to maintain an understanding that we are not psychiatrists, merely participants in the disease and we can all learn from experience, and we shouldn't presume to diagnose a person in any regard - that's why we have pdocs.  

There is no right or wrong in being BP - there is just "is".    
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Avatar universal
That is not a typical presentation of bipolar. In fact, it's such a rare presentation that I really wouldn't consider it.

Some people are just emotionally reactive. Common to popular misconception, being bipolar DOES NOT make you emotionally reactive. Depression and mania comes on despite whatever is going on in the person's life. Even if the person just got married to the love of their life, they can still have depression. Even if their new spouse dies the next day they could still be manic.

Also, mood episodes typically last for MONTHS, not minutes. There is such a thing as ultraidian cycling bipolar, but it is exceptionally rare, and if this person had it, I doubt they'd be well enough to work.

Moment-to-moment reactive moods is more likely a symptoms a Borderline Personality... though I still think the diagnosis for this person is "normal" and that you are looking for a reason to discount their opinion.
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Avatar universal
Hey!  Great post.  I am a suicide survivor, also.  I guess on 2 levels - myself and my friend.  When I attempted, it was actually an non-conscious thing.  I just started swallowing pills - I even went so far to use phengran (up the bum) so I couldn't throw up anything.  I could think THAT far, but not well enough to really realize what I was doing.  

A few - and VERY few of my close friends know of my attempt, and as time goes on maybe I will let more know, but maybe not.  My best friend found me 2 days after the initial attempt.  I was completely out of it - but I survived.  My pdoc said I took enough to kill an elephant - but it didn't.   I couldn't walk, I talked with a slur (I was convinced that I had a stroke), and just sick as a dog.  I begged him to not take me to the hospital so he didn't - in hindsight, we should have gone.

I wanted to go and talk to Darryl one more time.  He and I talked about so much and my life was going to Hell even without his suicide, so I NEEDED him.  He wasn't there.  I NEEDED him - he wasn't there.    
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354604 tn?1328552066
I'd think that talking about suicide might lessen the pain, but then again it might just make it easier to settle in the black abyss. Most people are afraid to talk about suicide; it's too intense, but I'm a "suicide survivor" (my step dad of 34 years suicided 9/15/93). And that's a real *****. I too plummeted in to the then worst depression of my life. If it weren't for becoming preganant about 3 months later, I Never would have snapped out of it. With the pregnancy, I had a direct loving outlet for some real positive energy. I was "forced" into turning my back on the incredible pain that was 24/7. Cowgirl I went through the very same emotions you described!! And some people are so ignorant or stupid... 30-days after my Dad's death some thought I should be 'getting over it'. It only made my depression worse. Then in the past year+ I've had a closer look at the depths of depression through the lense of despair, and seeming futility. It really *****. I've gotten so tired of being a pharmaceutical guiney pig, especially when nothing worked.
Delusion cry and whine all you want to; I'm surprised the doc's don't take you seriously. There are idiots everywhere I guess. For me, I've found that I don't even begin to come out of 'it' until I spill my guts to someone, even someone anonmymous. I've used the 800# crisis lines... I just keep calling until I reach someone that Has Time for me. Getting help is no easy task, and the coping and functioning skills of a depressed person are already low! It's so messed up ~ with the MH system at the Top of That pile.

Surviving someone's suicide is harder than I ever could have imagined! My Dad had had multiple attempts that I didn't know about until long after he completed his suicide. I blamed myself for years and it's only been recently that I'm not in a depression around his suicide anniversary date.

I talk about being "stuck on this rock" but have never given much thought to a plan to check out ~ yes, off this rock. And I'm not going to apologize for being an intense person. I've been through too much to care more about what others think than what I really need. It's like the whole big dog thing ~ ifs ya don like me the way I am get off a my porch! Joke 'em if they cant give a ****. There are plenty of people on this rock willing to be real ~ and are not afraid of or intimidated by the intensity that comes with the truth, even when it's just our own reality. Ignorance should be painful for more people...
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539694 tn?1434565947
Some days i want to just kill myself and the urge sometimes feels uncontrollable im crippled i carnt move or speak to anyone or even be around them when im like that i carnt even cry i just switch off like a robot whos just had the batteries yanked out its arse.

Some days i'll whine and cry to people i trust and it makes me feel pathetic and weak and i get paranoid they think im attention seeking... i guess other times im frustrated and i just get sarcastic about it and it sometimes makes me feel a little better. When i smile and do a subtle laugh when i tell the doctor how i tried killing myself they dont take me seriously because its not the normal manner a depressed person would conduct themself in. I reach out for help in both these ways and neither has ever really worked.

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Avatar universal
I know I joked about suicide a lot with my friends before I attempted.  Only you know if you are considering the method - but you need to talk to the health care nurse about this.  At the time, I wouldn't discuss this with anyone who could/would do anything about it.

Being someone that went to a funeral to a VERY close friend who shot himself and died from suicide, I understand the dragging.  I wish I could have dragged him in there.   I just didn't know he was suicidal at the time - thought he was good.  He talked a lot like Delusion about it in a joking manner months before his death.  His death was a contributing factor in my longest manic/depressive cycle in my life and in my mind, I actually believed (during a psychotic break) that if I died, I could go talk to him again.  I miss him still today.  I cry when I talk of him and can't imagine getting older and  him not being there, but I realize now that he was ill, too, and he made his choice (whether conscious decision or not) and none of us close to him would have known.  In the weeks prior to the suicide he was as happy as he could be - after working with the "out of the darkenss" suicide prevention group and Hospice, we know now that it's the calmness, a lot of the time, that comes from their decision to end it all.  

SO, Delusion, you worry me just like you always have.  We can't drag your a**, so you better not do something WE are going to regret.  

Hang in there.  It took me 20+ years to get the proper care that I desperately needed.

Rach
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539694 tn?1434565947
Suicidal ideation ah how i chuckled at that one...by checking out do you mean how i would do it? lol cheers for the encouragement there, who knows more pills this time? more vodka? perhaps both just to be sure? hell mabye i can even stop being a ***** and get my hands dirty a bit
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354604 tn?1328552066
"happy go lucky methods" ~ that is such an appropriate phrase for what I've experienced trying to find HELP in the mh community!
It's really hard trying to get your needs met dealing with bpd, depression, ptsd, etc.!!!
But I have found that with depression and trauma anyway, we can lead ourselves to our best solutions ~ it's just finding competent, human, practitioners that takes so much time. So ~ for any one dealing with these issues, don't give up! Keep asking and looking for help until you get the answers that WILL Work For You!

And as for the "dragging their *** to a doctor"??? Better To Drag There *** to a Medical Center than to be identifying them at the morgue.
Intervene by all means ~ the life you save may be your own.
Delusion you've touched on some suicidal ideation a couple of times... hope you're hanging in there. Do you have a plan for checking out?
Just keep reaching out and jumping through all the hoops with medical care and so many appointments and keep seeking your own solution! Best Regards ~
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539694 tn?1434565947
Actually saw him again today, im afraid im a disease again yay :) **** everybody
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Avatar universal
Hang in there and give them a chance.  Stress to them your concerns with your treatment and what you expect to happen.  

I wasn't happy with the "happy go lucky" methods my therapist was using recently and I told him I wanted to delve into deep issues.  He understood and we started that.  I think a lot of time they are afraid to upset us like we are little china dolls.

It's good to see the mental health nurse treating you like a human.  It's nice to be a person and not a disease, huh!

Rach  
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539694 tn?1434565947
They are ******* me around im just liasing with a 'mental health nurse' once a week just to make sure i dont kill myself while the two therapist decide what to do. Quite touching they feel they have to look after me or mabye they get sued if i snuff who knows?

The mental health nurse is a guy and seems pretty cool, i told him the therapist thought i was bipolar and he said ''that **** is great but i live in the real world i just see ????'' lol my name.. which made me feel a bit better. If they keep ******* me around though im going to leave.
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Avatar universal
Very true.  I still can't believe what all you had to do to get into see someone!  GOOD GRIEF!

How is it going by the way?
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539694 tn?1434565947
Yes but the NHS is **** we must remember this, hopefully our friend here is american and wont have that problem :)
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Avatar universal
Dragging someone to a doctor won't get them help.  He has to be ready and understand something's wrong.  If he isn't a danger to himself or others, going won't do much good.  

Delusion, you know with the problems you had getting help, it's not that easy.  It should be, but it isn't.

It sounds like he might be suffering from something that only a doctor can help - but he has to participate in the recovery.
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539694 tn?1434565947
If you are genuinely concerned, drag his sorry *** down to the nearest surgery to have him accessed. Does he get depressed?
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Avatar universal
If your friend will not acknowledge his mood swings then there is little you can really do.

If you can have another chat with him and offer to go and see his Dr with him then maybe he can move forward.

Only a psychiatrist can determine whether or not someone has BP or any other mental illness.

Good luck
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Avatar universal
Most of us don't realize that we have the extremes until we spin out of control and something happens that makes us realize it.  BP is typically an extreme high and an extreme low.  It's marked with grandiose visions of ourselves (can save the world, etc.), ideas that we have to act upon (such as projects that never get finished, etc.,), also violence at times, excessive spending, rapid speech, it varies with each person.  The depressive side is can't get out of bed, thoughts of suicide (most BPs have at least one suicide attempt), feelings of being worthless, unreasonable thoughts of doom.  

I would say that if his moods are changing from moment to moment, he might have BP, but very well could have something else.  The best avenue is to have him go to the doctor for help, but to realize that you can't force him to do so.  Perhaps to discuss things that you have noticed but in a non-confrontational way.

When you say moment to moment is it really a short period of time?  What kind of occurences have happened in his life that you feel were a result of his behavior.

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