I saw a shrink yesterday. All i could do was laugh even though it wasnt funny and just awkward. He said it was mania, thank God he didnt think i was drunk
Mental energy mostly. To worry, be irritated, etc. I perceived a deep misunderstanding of the hypo/manic state of being. Granted, it's definitely an elevation in mood but with an impulsive, scattered, overactive mind, happiness can stay at arm's length. Just as anyone else who identifies with thought.
Clearly presented. Thank you. As a retired psychiatrist, I like to bring up some words of caution. Because of the availability of medications for the treatment of Bipolar Affective Disorder compared to the lack of specific medication for Dissociative Identity Disorder, this may lead to the clinicians' bias in over-diagnosing Bipolar and forget the diagnosis of Dissociative Identity Disorder. In fact I have discovered many such cases of patients referred to me by my peers. Also, I was not excepted from committing the sane mistake which was only discovered on reviewing the old medical files.
Great videos. They are helping me understand what might have happened almost 30 years ago when I was wrongfully diagnosed with schizophrenia. Only to find out I was bi-polar type 1. But now it seem I'm type 1 with psychosis. I have audio hallucinations, but I can tell they come from within my head. They are always disturbing, but are loudest when I am not on medication and in a depressed state. During my initial diagnosis I was experiencing rapid cycling, I interpreted the voices as deamons, and had tried to take my life a second time. I was 16 at the time and was afraid some of what I told my therapist would get back to my parents. Thus I was very reluctant to elaborate on my symptoms. It was trail and error unfortunately, at least 30% my fault, to getting me the correct diagnosis.
Thank you so much for your videos. I'm not a student anywhere close to this field but having BPD, it helps understand myself more and understand the people that I meet and live with during hospitalizations alot easier. I have to say, the one thing that really helped me focus on therapy is lithium. I had to cancel mutiple dpt therapy plans due to suicidal episodes, and lithium helps me stay a little more on the safe side and concentrate on myself. I really hope more practicing doctors consider medication that is not typically given to a patient with the exact disorder. Of course, starting lithium was done in a psychiatric closed hospital to monitor me. It wasn't a reckless experiment.
If you have bipolar and accept that you have bipolar and take your meds, I just want to say, you're fantastic, and your family and friends appreciate you!
During my 38 years of phychatric life sleep deprivatin i experienced throughout these years followd depressive episode still haunting me I experined many occatins of hypomania
I was at one time diagnosed as bipolar, among other things at other times. About a year or so ago, I got a word from the Lord that I have phenylketonuria. I thought this was odd because I knew they test for that when someone is a baby. So I got tested by an endocrinologist. He told me I would need to be anywhere on a low-to-high number range on a spectrum in order to have it. The test came back saying I was at the very lowest base number for having it, but the doctor still didn't give me a diagnosis, instead he said: "you don't have it", and blew it off. Later I thought about it and realized this is probably also what they did when I tested similar as an infant and just neglected to tell my family there might be a problem. I would spend years getting EKGs, seeing psychiatrists and such all because I didn't know I likely had a metabolic condition that didn't allow me to have as many neurotransmitters as other people, dealing with insomnia, depression, mania, and other issues.
@@KateLate____ that's great, except as I've indicated the test result came back at the entry level for a diagnosis. stigma that clouds objectivity is another problem with the psychiatric industry.
@@pragmaticmusing6923I'd suggest you get the genetic test for PKU and then you will know for sure. So the lord came to you and told you your diagnosis? Are you feeling better whilst eating a low phenylalanine diet.
@@KateLate____ more like someone who receives words of knowledge, from God, gave me that insight. I've noticed at times my body odor or urine can sometimes have a musty quality, which before learning about all of this I thought was odd. I would get headaches from food sensitivities usually chemicals but this obviously has nothing or little to do with protein or amino acids. taking tyrosine has no affect on me, which gives some backing to the idea that my body doesn't use it at the rate that it should. I think if I did have PKU this would be the reason psychiatric medcations weren't really able to help much, because essentially the medicine is asking the body to write checks it can't cash, when it's already been doing that more or less.
Can the patient self observe? I think I saw one commenter was able to notice that their sleeping horus were reduced, hence they must be manic. However they could not sense they were speaking fast or were otherwise manic or delusional.
@@KateLate____I’m type 2 so have only experienced hypomania. Sleep is the biggest indicator, I will literally sleep for as little as 2 hours and feel energetic. The fast and pressured talking just feels normal in an episode, it’s so hard to explain. Hope that helps.
Thanks! If a patient develops mania after starting an antidepressant, this would be classified as a substance induced mood disorder. Only if the manic state persisted after the drug had worn off or if it recurred when the patient is off the drug would a primary bipolar disorder be diagnosed. In general, the risk of manic switches from antidepressants is fairly small! The main exception to this are antidepressants that have a strong norepinephrine boosting effect. More common serotonin specific antidepressants have a negligible risk of manic switches.
When you say the risk is fairly small to switch, do you mean fairly small among all people, or fairly small among those with bipolar disorder? What percent do you estimate out of those that “switch” are not bipolar and have a purely substance induced mood disorder? In other words how predictive is having a manic episode from an antidepressant for going on to have bipolar disorder?
Hey, I'm bipolar type 2, but I've experienced a mixed state before that only lasted a few hours. I'm sure I've felt it before, though I wouldn't have identified it as such because I didn't know I was bipolar. I also feel hypomanic wayyy more often than I feel depressed. I've never experienced full blown mania, as far as I know anyway. I also often get thoughts that I'm better than the people around me in some way. Could I be type 1? After listening to this video, I'm unsure. I'm not on any medication because I don't like feeling like a robot, or having to try a million different meds with different side effects over months at a time to figure out which one will work. Additionally, I've also been diagnosed with autism, adhd, and an anxiety disorder. I'm unsure if I'm type 1 or if those symptoms could be explained by one of my other diagnoses
MSW student here. As far as I know to really be diagnosed with BD1 you would have needed to be hospitalized for a manic episode. If you've never been hospitalized you wouldn't have BD1. It's also important to note that personality traits such as grandiosity don't necessarily imply a personality disorder but its worth a self-assessment.
@@elem3ntkid respectfully- but how does you being a student in a masters program for social work give you the ability to diagnose or even have an opinion on a psychiatric condition that you typically have to go to medical school to be able to do? Please explain that because I would genuinely like to know.
@@merkloe2635 sure, I think anyone can have an opinion, so nobody needs to justify that, but I work directly with people that experience mental illness and bipolar disorder isn't necessarily uncommon in the people I work with. We (I) have to use the DSM5 and are even required to diagnose people when officially licensed or working in a clinical setting. I do agree with you, it's not exactly easy to identify whether someone has a mental illness or not over a RUclips comment, but they seem to be genuine about their comment and I gave them a genuine response.
This is so helpful. A loved one has just been diagnosed, and it's so scary tying to work out why they're talking fast and spending all their money and making delusional plans, and very mad at us for questioning them or encouraging them to think rationally. Of course I understand now that this is all part of the disorder.
I have a question. Once in the psych ward there was a girl who is bipolar and she complained about her emotions being heightened. Does that go with the symptoms?
Everything is heightened colors are brighter music is better you hate people with all your heart and love others just as relentlessly I've had points where I was crying knowing I was in a manic episode and was going to regret the things I did but kept going because there's no feeling like it it's like ur brain is giving you drugs all the time i could relate this to an addict I felt very in control and out of control at the same time
How can you distinguish whether a patient has developed Akathisia over time ( weeks) from the anti psychotic medication (and cant sit still or sleep due to this) or if he / she, still has these symptoms due to the anti psychotic dose or type not being correct.
I'm bipolar type 2 and I felt this was pretty accurate. I pretty much experience all the symptoms he described for mania except wayyyy lessened because I only experience hypomania due to being type 2
I saw a shrink yesterday. All i could do was laugh even though it wasnt funny and just awkward. He said it was mania, thank God he didnt think i was drunk
Thank you for your helpful videos! Just to reiterate: Mania is not happiness, it is out of control energy!
What a great way to put it thank you
Mental energy mostly. To worry, be irritated, etc. I perceived a deep misunderstanding of the hypo/manic state of being. Granted, it's definitely an elevation in mood but with an impulsive, scattered, overactive mind, happiness can stay at arm's length. Just as anyone else who identifies with thought.
Clearly presented. Thank you.
As a retired psychiatrist, I like to bring up some words of caution. Because of the availability of medications for the treatment of Bipolar Affective Disorder compared to the lack of specific medication for Dissociative Identity Disorder, this may lead to the clinicians' bias in over-diagnosing Bipolar and forget the diagnosis of Dissociative Identity Disorder. In fact I have discovered many such cases of patients referred to me by my peers. Also, I was not excepted from committing the sane mistake which was only discovered on reviewing the old medical files.
Can you do a video on bipolar disorder and borderline personality disorder when they present together?
Great videos. They are helping me understand what might have happened almost 30 years ago when I was wrongfully diagnosed with schizophrenia. Only to find out I was bi-polar type 1. But now it seem I'm type 1 with psychosis. I have audio hallucinations, but I can tell they come from within my head. They are always disturbing, but are loudest when I am not on medication and in a depressed state. During my initial diagnosis I was experiencing rapid cycling, I interpreted the voices as deamons, and had tried to take my life a second time. I was 16 at the time and was afraid some of what I told my therapist would get back to my parents. Thus I was very reluctant to elaborate on my symptoms. It was trail and error unfortunately, at least 30% my fault, to getting me the correct diagnosis.
Thank you so much for your videos. I'm not a student anywhere close to this field but having BPD, it helps understand myself more and understand the people that I meet and live with during hospitalizations alot easier. I have to say, the one thing that really helped me focus on therapy is lithium. I had to cancel mutiple dpt therapy plans due to suicidal episodes, and lithium helps me stay a little more on the safe side and concentrate on myself. I really hope more practicing doctors consider medication that is not typically given to a patient with the exact disorder. Of course, starting lithium was done in a psychiatric closed hospital to monitor me. It wasn't a reckless experiment.
If you have bipolar and accept that you have bipolar and take your meds, I just want to say, you're fantastic, and your family and friends appreciate you!
Your videos are so helpful. Thanks so much for producing them.
You are welcome! Glad that they are helpful.
so glad I found your channel.Amazing videos.Keep up the good work
The mnemonics are making it easier to understand
During my 38 years of phychatric life sleep deprivatin i experienced throughout these years followd depressive episode still haunting me I experined many occatins of hypomania
I was at one time diagnosed as bipolar, among other things at other times. About a year or so ago, I got a word from the Lord that I have phenylketonuria. I thought this was odd because I knew they test for that when someone is a baby. So I got tested by an endocrinologist. He told me I would need to be anywhere on a low-to-high number range on a spectrum in order to have it. The test came back saying I was at the very lowest base number for having it, but the doctor still didn't give me a diagnosis, instead he said: "you don't have it", and blew it off. Later I thought about it and realized this is probably also what they did when I tested similar as an infant and just neglected to tell my family there might be a problem. I would spend years getting EKGs, seeing psychiatrists and such all because I didn't know I likely had a metabolic condition that didn't allow me to have as many neurotransmitters as other people, dealing with insomnia, depression, mania, and other issues.
Thu sounds like a delusion, present in bipolar.
@@KateLate____ that's great, except as I've indicated the test result came back at the entry level for a diagnosis. stigma that clouds objectivity is another problem with the psychiatric industry.
@@pragmaticmusing6923I'd suggest you get the genetic test for PKU and then you will know for sure.
So the lord came to you and told you your diagnosis?
Are you feeling better whilst eating a low phenylalanine diet.
@@KateLate____ more like someone who receives words of knowledge, from God, gave me that insight.
I've noticed at times my body odor or urine can sometimes have a musty quality, which before learning about all of this I thought was odd. I would get headaches from food sensitivities usually chemicals but this obviously has nothing or little to do with protein or amino acids. taking tyrosine has no affect on me, which gives some backing to the idea that my body doesn't use it at the rate that it should. I think if I did have PKU this would be the reason psychiatric medcations weren't really able to help much, because essentially the medicine is asking the body to write checks it can't cash, when it's already been doing that more or less.
The drastic changes in energy are the biggest indicator of a bipolar episode
Can the patient self observe? I think I saw one commenter was able to notice that their sleeping horus were reduced, hence they must be manic. However they could not sense they were speaking fast or were otherwise manic or delusional.
@@KateLate____I’m type 2 so have only experienced hypomania. Sleep is the biggest indicator, I will literally sleep for as little as 2 hours and feel energetic. The fast and pressured talking just feels normal in an episode, it’s so hard to explain. Hope that helps.
Thank you so much for the sharing these kind of videos . i appreciate you sir
So helpful! Thanks for making these!!!
Very nicely pictured and explained…thank you very much doc!
I wish every psychiatrist I've ever worked with had watched this video.
You also need to explain dysthymia.
Lovely video, if a patient developed mania after starting an antidepressant, will that qualify them as bipolar?
Thanks! If a patient develops mania after starting an antidepressant, this would be classified as a substance induced mood disorder. Only if the manic state persisted after the drug had worn off or if it recurred when the patient is off the drug would a primary bipolar disorder be diagnosed. In general, the risk of manic switches from antidepressants is fairly small! The main exception to this are antidepressants that have a strong norepinephrine boosting effect. More common serotonin specific antidepressants have a negligible risk of manic switches.
When you say the risk is fairly small to switch, do you mean fairly small among all people, or fairly small among those with bipolar disorder? What percent do you estimate out of those that “switch” are not bipolar and have a purely substance induced mood disorder? In other words how predictive is having a manic episode from an antidepressant for going on to have bipolar disorder?
Love this. Thank you!!
what are the side effects of lithium use over a long period of time?
Appreciate the video!
Thanks.can you please tell us about what software you use for these videos?
Thank You great video ☺️
this was super awesome
Thanks a ton
Thank you
You're welcome!
Hey, I'm bipolar type 2, but I've experienced a mixed state before that only lasted a few hours. I'm sure I've felt it before, though I wouldn't have identified it as such because I didn't know I was bipolar. I also feel hypomanic wayyy more often than I feel depressed. I've never experienced full blown mania, as far as I know anyway. I also often get thoughts that I'm better than the people around me in some way. Could I be type 1? After listening to this video, I'm unsure. I'm not on any medication because I don't like feeling like a robot, or having to try a million different meds with different side effects over months at a time to figure out which one will work. Additionally, I've also been diagnosed with autism, adhd, and an anxiety disorder. I'm unsure if I'm type 1 or if those symptoms could be explained by one of my other diagnoses
MSW student here. As far as I know to really be diagnosed with BD1 you would have needed to be hospitalized for a manic episode. If you've never been hospitalized you wouldn't have BD1. It's also important to note that personality traits such as grandiosity don't necessarily imply a personality disorder but its worth a self-assessment.
@@elem3ntkid respectfully- but how does you being a student in a masters program for social work give you the ability to diagnose or even have an opinion on a psychiatric condition that you typically have to go to medical school to be able to do? Please explain that because I would genuinely like to know.
@@merkloe2635 sure, I think anyone can have an opinion, so nobody needs to justify that, but I work directly with people that experience mental illness and bipolar disorder isn't necessarily uncommon in the people I work with. We (I) have to use the DSM5 and are even required to diagnose people when officially licensed or working in a clinical setting. I do agree with you, it's not exactly easy to identify whether someone has a mental illness or not over a RUclips comment, but they seem to be genuine about their comment and I gave them a genuine response.
Hospitalization isn’t necessary for diagnosis, disregard anything that person said.
I have been following you and liking your posts. Forgive if I don’t comment often.
Just listened to szoid do they get angry like borderline
Learned a lot and easy to remember 💕
Best video's , Tnx Doc
I have a combination of Bipolar Disorder and Parkinson's Disease. Medications are very different for me.
This is so helpful. A loved one has just been diagnosed, and it's so scary tying to work out why they're talking fast and spending all their money and making delusional plans, and very mad at us for questioning them or encouraging them to think rationally. Of course I understand now that this is all part of the disorder.
Making me fall in love with psychiatry 😅
love what you do
I have a question. Once in the psych ward there was a girl who is bipolar and she complained about her emotions being heightened. Does that go with the symptoms?
Everything is heightened colors are brighter music is better you hate people with all your heart and love others just as relentlessly I've had points where I was crying knowing I was in a manic episode and was going to regret the things I did but kept going because there's no feeling like it it's like ur brain is giving you drugs all the time i could relate this to an addict I felt very in control and out of control at the same time
@@ellacoburn1261 thank you for your answer and i hope youre doing better now:))
How can you distinguish whether a patient has developed Akathisia over time ( weeks) from the anti psychotic medication (and cant sit still or sleep due to this) or if he / she, still has these symptoms due to the anti psychotic dose or type not being correct.
Maybe tardive dyskinesia
Thank you so much
You're welcome!
EMDR has been shown to be beneficial to sufferers of Bipolar disorder 😌
Hypomania is not pleasant or comfortable, not anymore at least.
MANIA = the perfect American
Brown William Young Jose Hall Jennifer
Williams Betty Harris John Walker Betty
Not at all happy with the description of bipolar disorder. Muddled up
Can you give an explanation as to what he got wrong in his description of the disorder?
I'm bipolar type 2 and I felt this was pretty accurate. I pretty much experience all the symptoms he described for mania except wayyyy lessened because I only experience hypomania due to being type 2
😄😄😄😁😁
Harris Paul Harris Anthony Robinson Daniel