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.
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 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
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.
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.
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?
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.
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.
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.
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 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
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
Can you do a video on bipolar disorder and borderline personality disorder when they present together?
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.
I wish every psychiatrist I've ever worked with had watched this video.
Love this. Thank you!!
Appreciate the video!
Thanks.can you please tell us about what software you use for these videos?
Learned a lot and easy to remember 💕
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
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
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.
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.
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?
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.
The drastic changes in energy are the biggest indicator of a bipolar episode
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.
Your videos are so helpful. Thanks so much for producing them.
You are welcome! Glad that they are helpful.
Williams Betty Harris John Walker Betty
what are the side effects of lithium use over a long period of time?
Very nicely pictured and explained…thank you very much doc!
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.
so glad I found your channel.Amazing videos.Keep up the good work
MANIA = the perfect American
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 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
So helpful! Thanks for making these!!!
I have a combination of Bipolar Disorder and Parkinson's Disease. Medications are very different for me.
Making me fall in love with psychiatry 😅
Thank you so much for the sharing these kind of videos . i appreciate you sir
You also need to explain dysthymia.
Hypomania is not pleasant or comfortable, not anymore at least.
Thank You great video ☺️
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:))
Best video's , Tnx Doc
😄😄😄😁😁
Thanks a ton
this was super awesome
Thank you
You're welcome!
love what you do
EMDR has been shown to be beneficial to sufferers of Bipolar disorder 😌
Thank you so much
You're welcome!
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
Drugs are evil no weed no cigarettes no psych drugs no crack no meth no sodomy no gambling no stealing
Being on drugs and taking more drugs blind leading the blind
Drug dealers arent victims they cowards
Prozac happy pill idolatry
Ritalin is sorcery