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Bipolar Disorder Community
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915369 tn?1355318410

Apparently I'm manic?

Well I had a psychiatrist appointment yesterday and my girlfriend tagged along. After they spoke for a bit they both told me that they thought I was manic, I knew I had moments of being manic in the past couple months since I started on antidepressants but they're telling me I've been manic the whole past months. News to me.

Anyways my psychiatrist halved the dose on my antidepressant and told my girlfriend that if in two weeks I wasn't any better for her to just take them away from me. This has me worried, I'm scarred to death of being depressed again, but on the other hand my doctor told me that if I stayed manic too long I'd probably end up in the hospital anyways, which isn't much better.

Anyways my question is, should I expect the mania to actually go away because she's taking the antidepressants away? And if so should I be worried about getting depressed?
And now I'm also wondering, HOW CAN YOU TELL WHEN YOU'RE MANIC? I keep trying and trying and reading countless books and webpages to figure out mania, but I can still never see it in myself unless someone points it out, and even then that's only when I'm hypomanic. I just don't get it, you'd think it'd be bloody obvious right?
7 Responses
1100992 tn?1262360816
Maybe not...

I only know that I'm in a good mood when hypo/manic.  Or if I'm depressed, it doesn't really register with me how bad it is until it passes and I am more normal. Only then do I get how bad I was.
1167245 tn?1353882100
A lot of times with mania, there's a loss of insight that happens, making it difficult to see yourself and your actions as being manic. If both your girlfriend and your psychiatrist have agreed that they believe you're in a manic state right now, it's probably likely that you are; however, this doesn't always mean that you're going to be able to see it for yourself right now. Everyone experiences mania differently, so it's normal that you're having problems seeing yourself in a simple list of symptoms found in manic episodes. It might be helpful to ask your doctor exactly why he/she feels you're in a manic episode, and to ask for the specific details and symptoms to be explained to you. You can also ask your girlfriend what things she has been noticing about your behavior that suggests you're manic.

Are you on a mood stabilizer in addition to the antidepressant? In my personal experience, my doctors have taken me completely off of antidepressants cold turkey when hypomania/ rapid cycling were induced, but your doctor may feel confident that you can all work to get a handle on your mood while still taking the AD. In treating bipolar disorder, it's really important to achieve and maintain stability first, because this sets the foundation. It might be worthwhile to also ask your doctor why he/she has decided to just halve the AD dose instead of removing it entirely to figure out what their plan of attack is for you.

Just because you're now experiencing mania, and your AD dose is being lowered, does not necessarily mean that you're going to become depressed. It seems like you're lucky to have both a doctor and a girlfriend who are keeping a close eye out for you, and hopefully you will all be able to work together to make sure you can get stabilized without going too manic or falling back into depression. Good luck, I know it's confusing!
Avatar universal
Psychosis and mania have some things in common like a loss of insight in the throes of them both.  Only thing you can really do is rely on other people you trust who have good judgment to tell you when you're manic and/or psychotic.
574118 tn?1305138884
no it isn't bloody obvious that you are manic. it's very difficult to judge exactly. but the proverb says: "the one whose tongue is stung by the hot soup will blow into the yogurt" meaning to make sure the yogurt is not as hot as the soup. i.e. a bad experience will make you very cautious to the extent that you want to make sure that the yogurt which is cold is not hot.

so, of course you may not be that manic but your girlfriend and pdoc don't want to take the risk, and surely not your girlfriend !!

your epival if i remember i.e. your valproex is pulling you down but will not help in the depression side. indeed once you are completely out of your mania you may revert to the other side like all of us do incidentally. so you don't want that to happen. but again no guarantee that it won't, because this is unfortunsately the bloody disease, otherwise all of us would have sorted things out easily. my opinion you should stop taking AD's anyway but how to get off the depression, is by taking another MS like lamictal. or to increase the dose of your depakote to cover up the AD

this illness is difficult !!
952564 tn?1268372247
Well, I know when I'm hypomanic because I talk faster, or I can't wait for people to stop talking and I interrupt them constantly. I feel like my insides are trying to crawl out through my skin. I can't concentrate long enough to read an article or a post in a form. I can watch t.v. okay, though, maybe because it's moving. I get frustrated and irritated really easily. My heart feels like it is pounding in my chest. My thoughts are racing and sometimes going so fast I can't keep up with them and it's just noise in my head. I want to shake my arms (sounds weird, but true,) due to feeling aggitated. And I feel like screaming because it feels like I'm losing my mind, spiraling out of control. I rock, I pace, and fidget, and if at my computer I like to open can close windows over and over again. I can't focus on things for long. And although I'm full of energy I can't seem to do anything productive. I just want to either go for a 100 mile jog or curl up in a ball on the floor and cry. I also have trouble spelling and dialing phone numbers (due to racing thoughts, I'm guessing.) I get easily confused and I have a hard time making decisions, even simple ones.

Also, I have a funny pressure in my head that goes away when all these other things stop.

Anyway.... I know that's a lot but normally I'm pretty laid back and I like to read and I'm a calm person. That and the actual physical sensations I get are what clue me in that something is wrong.

What I don't realize at the time, though is how bad it is. I never see hwo bad I was doing until I come out of it.
915369 tn?1355318410
I'm sitting in tim hortons holding back tears and I just realized maybe something is wrong? I'm scarred to death that someone has been following me trying to steal my mind, I'm 100km from my home I can't sit still I can't stop talking, I'm being told I'm not making sense and it just occured to me that my girlfriend and doctor are right, maybe I am manic.

I'm accepting that, but I have no idea what to do about it though
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