Bipolar Disorder - Why One Medication May Not Work

[@shireenrahimi8212]

I’ve been navigating the mental health system for 12 years now. It took 12 years to get the correct diagnosis. I’ve learned more about my condition in the last few months watch your videos than I have in doctors offices. It’s obvious you do these videos more for passion than clout. I wish young ppl like me found more doctors like you that genuinely want to help guide their patients to the right kind of care. Thank you, Dr. Tracy.

[@Dr.JudeAEMasonMD]

💯 I echo these sentiments exactly.

[@finity9316]

Update on treatment ?

[@shireenrahimi8212]

@@finity9316 I was diagnosed with manic depression, which is technically bipolar type two… I was able to properly break down my symptoms and take control on my narrative without the doctors treating me as a test rat. I’m on Lamictal 400mg but depending on my anxiety - I may take an extra 50mg at night.

[@finity9316]

@@shireenrahimi8212 how has the medication helped I’m currently on a SSRI and don’t feel like it’s helping has it helped your depression, brain fog, concentration, motivation, sleep, confidence ?

[@shireenrahimi8212]

@@finity9316 SSRI’s messed me up big time. I was diagnosed with depression multiple times…. What I learned thanks to Dr. Tracy Mark is that manic depression and things like major depression disorder are NOT the same. Manic depression is a mood disorder, not a depression disorder. One thing we have to remember is that depression, anxiety, and ADHD kinda come with a lot of different disorders. It *feels* like doctors like to start with basic depression diagnosis and treat people like us as test rats. It’s like we’re in this process of trail and error… don’t give up on yourself. Keep going! Keep searching and learning. Another thing I realized was, once I finally got the right medication it didn’t mean all my problems went away. The ruminating thoughts and depression decreased but my brain was sooooo accustomed to PANIC, there was times my brain was like “hmmm I’m not sad but I’m so used to being sad. What do I do??” learning new life skills and re-wiring our brain goes beyond the medication. I personally didn’t have much luck with therapist. I’ve found a lot of comfortable in educating myself and regaining control of my narrative. I was diagnosed in Feb. 2021 but it was only a few months ago where the mixture of the right dose at the right time finally came together. Contact me anytime IG @hypekitty_ I promise it will get better ♥️ just remember it’s all a process and YOU will be your biggest advocate!!!

[@Emma-lk8ut]

such a helpful video. I’m bipolar and I wish doctors explained medication like this. 💖

[@DrTraceyMarks]

Thanks Emma 😊

[@mlalch7026]

I am have been diagnosed bipolar 2. I had never had a manic episode but I can see the period where I felt elated and high self esteem, issues at work, constant arguments bc staff would submit work substandard quality , I felt superior than others in intellectually , my Psychiatrist says these can be manic episodes. I also had family who has passed recently including my mom and a nephew to a drug overdose. It has been si rough. I was in efexxor xr for 9 months I was considered dysthiymoc and with GAD and now I am bipolar. I am so crushed by this diagnosis. I was on abilify for 3 weeks in December and then was switched to seroquel which gave me suicidal thinking and hopelessness as well as lack of appetite. I am at my wits end trying meds. I feel depressed and wake up at 3 am with abilify and have to take xanax to deal with the anxiety, I get nauseous and gag when I get up. I need a med to calm me down too..

[@Marc-lf3xb]

Exactly! Dr. Marks gets a gold star ⭐ for making stuff like this understandable.

[@Dr.JudeAEMasonMD]

@@mlalch7026 I hope you’re doing better, mate.

[@AmockOne]

Hi Emma Im Ammar 😊

[@Lauren-us7ju]

I wish they'd go back to calling bipolar disorder manic depression. It's annoying how people throw the word bipolar around like it's a joke. My bf also has bipolar and he does. I feel like manic depression is a more accurate term for the disorder anyways.

[@DrTraceyMarks]

People do throw around the term bipolar a lot. I did a video talking about the history of the nomenclature going from manic depression to bipolar disorder. You can watch it in this video kzbin.info/www/bejne/aoi7k6mwerGqqZI

[@zyprexamedssucks32]

It doesn't matter how its approached some of my asshole cousins have called me psychotic convinced I'm gonna have another episode soon ect they're just sitting back waiting for it to happen maybe they should be more concerned about thier immature childish bullshit instead 😄😄😄😄

[@kamilhickley2004]

I agree because I definitely deal with manic depression episodes and I have an appointment coming up Tuesday. My boyfriend is growing tired of my craziness, but he is very understanding. My concern was I didn’t want him to think “I’m crazy” and he said “I won’t think that I love you” he’s a keeper we’ve been together for 1 year and 4 months

[@lventer165]

I agree wholeheartedly….

[@mollyanne8342]

We all have different symptoms of different disorders. We are all going to fit in the same box.

[@Kung223]

You are way better at explaining things than my psychiatrist

[@newaddress456]

One reason is she knows more and secondly she takes the time.

[@carolinegemming4230]

Dr Tracey - thank you for informative videos. I’m newly diagnosed with Bipolar 2 (48 years old) and I am able to understand and accept my diagnosis faster because of your help. My best wishes and blessing for you and those you love ❤

[@leonsoul6629]

this is legit the best mental health video ive seen. doctors dont do a good enough job of explaining this. and google is questionable sometimes. thanks for the info

[@momoshiggles3631]

Thank you, thank you, thank you. I just learned so much. You are amazing. Why aren't more doctors like you? They don't educate me with respect. I've gained almost 100 lbs from meds. They don't provide dynamic treatment. You're a gift to the bipolar community. ♥️

[@jeffvarley9792]

I love it how you listed the drugs on the screen. The video was interesting and as usual you were being selfless so thankyou for that. As a whole thankyou for bringing this video to us.

[@DrTraceyMarks]

You’re welcome Jeff. I’m glad it was informative

[@TracvM320]

@Dr. Tracey Marks in case you don’t already know 😂- you are so appreciated. You provide a service that enables people to privately evaluate and then seek help or put fears to rest. I know it’s really not enough to say thank you.. but you have saved me a few times. You have helped me release guilt. And made me realize there are others just like me. I guess what you provide is priceless- it’s called normalcy. I hope you feel very rewarded through your channel. You are one of the few good things on social media. Blessings from one Tracy to another😘

[@dogmonday]

I can so relate!!!! Honestly the thing that has helped me the most is adult children of alcoholics and dysfunctional families. How many of us have had trauma as children, who knows. Man I pray for healing for all.

[@Nancy-ow9wy]

Amen

[@jmitch8483]

Dr. Marks, I can't thank you enough for doing everything you do on this channel. For example, just from this one video you've helped me to understand what has been a mystery to me for many years. My adult daughter has been diagnosed with several mental health illnesses and I recognize some of the medications you talked about that she takes or has taken. You explain things better than anyone and in a way that's easy to remember.

[@Funkbass85]

Dr. Marks, I was recently diagnosed with BP2 after having MDD for the last 3 years, over an existing ADD diagnosis. I just wanted to thank you for your videos. Your videos, and your attention to those who reach out to you, it gives the rest of us hope and empowers us to be able to advocate for ourselves. Because of your videos, I was better equipped to have a dialog with my shrink that eventually led to the BP2 diagnosis. Just, thank you. Not everyone that’s in the medical field should be in the medical field, but it’s clear you’re meant to be!

[@leafyveins4985]

I really appreciate Dr. Marks' approach. She feels quite clinical but not cold at all. She has a warm way about her and the term "nerves of steel" comes to mind. I appreciate the sense of balance here.

[@TheShiningDino]

Your videos have been very helpful for me - I'm trying to support my older sister who has decided to get back into treatment for bipolar because of a depressive episode. She's been struggling with this disorder since I can remember. She's had better and worse years (sometimes being misdiagnosed, sometimes being on medication etc) but this period is especially hard for her being a single mother and having been fired from her dream job almost a year ago. I've talked to her and she agreed to go to her previous psychiatrist with me and possibly start therapy to help with her relationships and routines. I would love to see a video on how loved ones should and shouldn't talk to people with bipolar disorder.

[@Dr.JudeAEMasonMD]

You’re the best kind of sister. God bless you. 🙏🏽

[@CraigAnderson-h2h]

She needs to learn Mindfulness teachings. Realize that she is going to have to live with the cycling, I don't mean to blindly, unconsciously accept it, but the ups and downs will come and go. I've had to deal with this my whole life and I am 77 the keys are acceptance and management.

[@ricardoveiga007]

You are the most charming and persuasive shrink that I've ever known.

[@DrTraceyMarks]

Thank you Ricardo. I never thought of myself as persuasive though 😀

[@ash20453]

Yep she is. I wished before that she was my psych. but I’ve thankfully found a wonderful compassionate well spoken one myself. They’re out there

[@FarnazIransoul]

Dr. Tracey Marks Hello dr. Tracey , it means a lot if you make an educational video about PARKINSON’S Dementia and it’s similar symptoms of delusion and hallucinations and the cognitive problems and differences with schizophrenia and how to know it.. its really an unspoken disorder/ illness ... many thanks!

[@sandywhat2429]

@@FarnazIransoul make a video about misdiagnosis

[@ricardoveiga007]

@@bigcitylittlehomestead It is more than you said. It is having a natural sense of empathy, genuine interest in helping others and high level of verbal intelligence. Perhaps you have the same qualities. So, I would you consider you persuasive and engaging.

[@gagecarty4290]

Bipolar disorder is tricky to treat because of the varying phases and intensity

[@JohnMark-bx1ks]

the manic phase is the easiest; the depression phase is the most difficult especially when u have severe depression phase u r only given few choices

[@lindseymiller6083]

This was so helpful! I was newly diagnosed with BP with comorbid BPD and found that my mood stabilizer helped for a little while then I began constantly swinging from hypomania to depressed sometimes within days. Now I know that I will need something to combat the acute symptoms with the maintenance medication. Thank you so much!

[@claudiameyer5275]

Ty. My daughter has been diagnosed bipolar. She has been suicidal a number of times. Abilify has helped. Prozac made her lose 30 pounds and sleep 18-20 hours/day literally, and made her more depressed. Now she’s only on Abilify. She’s never had mania, only deep depression, so guessing hypomania.hoping Abilify keeps her stable.

[@virginiagirl6628]

Dr. Tracey can you do a video addressing working and bipolar? I am trying to find a job but am afraid I will repeat my pattern of unreliability because I don’t know what mood I will be in. I am on meds after years off because of no insurance. Thank God my community now has community health. But, I am still scared! I really need a job and I want to be a good employee.

[@lv9265]

Seconding this. This is a very important topic!

[@DrTraceyMarks]

Thanks for the suggestion. i’ll see what I can come up with

[@useraccount1087]

Late to the party but I've found something that is working while I work on me. I have Bipolar 1 so it's not that surprising I've had something to the tune of 40-50 jobs in the last 20 years. I've done GrubHub, DoorDash, and UberEats for the last year. I've just started treatment for the disorder and while I get it all sorted working as I do is the best thing I can think of for now. Not having a schedule has it's ups and down, but something it consider. Best wishes.

[@latoyanance3815]

I have the same problem completely stressed out and aggravated at work get mad if people don't speak stat mad all day at work come home aggravated scared to get a job even though I do need a job

[@Kapuadaze1]

Pop

[@Blissfullydull]

Hello Dr Tracey, I've been following your videos and just wanted to say thanks for your kindness, I can see you have a pure heart, my wife's schizofrenic and I suffer from ptsd (former military /cop) God bless you and thank you again.

[@roseskavnak6671]

Try keto

[@a.m.8190]

PA-C, MPH here, new to psychiatric practice. Excellent channel. Subscribed!

[@Imtrying_girl]

I needed this omg. I'm sooo manic right now on my new meds. But it's better than depression I suppose.

[@snoozaroo]

☝lol right?!

[@ChristinaTodd1970]

Sara Weaver , I would give anything to be manic right now. I’ve been depressed for over 12 months.

[@JohnRambo1947-July-6th]

Before i was brain damaged, i was a stable and happy manic. Being manic is great. The only bad thing is depression if you get it.

[@deborahsistare7165]

@@ChristinaTodd1970 I thought it was not good to be manic. I love the manic episodes. I wish I could stay that way. I have been depressed so long. I'm currently taking effexor and klonipin.

[@markheithorn3905]

For me, severe depression is much worse than a full blown manic episode. My 2 manic episoses turned into severe paranoia. Both episodes landed me in a hospital. My mania was put under control quickly with meds. My last depression took over a year before it disappeared. I took a course in Cognitive Behaviour Therapy and recieved R.T.M.S. treatments.(Repetitive Transcranial Magnetic Stimulation). I was put on a number of different meds. I m not sure if any of this helped. Perhaps my Depression just played itself out. If you are in a Depression, it will end eventually. After my last Depression, I completed a W.R.A.P. program. (Wellness Recovery Action Plan). I found it helpful. Hypomania is great while it lasts. Take care everyone.

[@MsGipsigurl]

Im ADHD and bipolar 2, I wish I'd had this information years ago. Diagnosed in 2009 and have been on so many different medications! Just found Abilify works for almost everything, but not deeper depression and am still trying to find the right one for that. This was very helpful! I'm in Canada so I'm not sure if they're all available here but this is a great start. Thank you!!

[@JoeRoganClipsJREC2024]

Depression is such a tricky thing to fix. Theres so many factors it could be anything. It could bc because of an attachment you’re missing, it could be that you’re hungry, it could be a nutrient deficiency like Vit D or Magnesium or B vitamins, it could be certain foods triggering it, it could be that you have an idle mind/no productive distractions, it could be a irregular sleep schedule, literally anything. Its so hard to manage some days. Gotta find the thing that fixes it. For me, I get depressed and panic because I havent eaten or got good sleep.

[@Iftheshoefits82]

I’m rapid cycling bipolar 2 and find Lurasidone (Latuda), significantly lessens my depression cycles. As in I haven’t had a terrible one since I was prescribed it. Prior to that, they were BAD.

[@jamielauro2623]

I tried abilify too but it made me angry and agitated..

[@MsGipsigurl]

Update: since getting my tubes removed, going off birth control and now going into peri-menopause ALL of my bipolar symptoms are better, not gone, but lessened significantly. I still struggle with depression and numbness from time to time but it's all so much more manageable now.

[@KimPosteryournewpenpal]

Thank you for this. I'm always trying to learn more about bipd for my friends to understand them better 🙏 your videos are so easy to digest.

[@DrTraceyMarks]

Very good Kim. What a good friend you are to learn more about your friends illness.😊

[@cee8257]

You're a good friend

[@DustyWahlen]

Thank you for covering all of the medications. 20 years of being a guinea pig and never had anyone explain what I'm taking before. Again, thank you for your videos, you're is the 2nd channel I ever saw on KZbin, many moons ago. 😊

[@momoshiggles3631]

Thank you so much for this video. I've realized that my bipolar is not under control, eventhough I'm on meds. I've been beating myself up for not being "better," but right now I just don't have the right tools to help me

[@carsonelias4594]

Psilocybin saved my life. I was addicted to heroin for 15 years and after Psilocybin treatment I will be 3 years clean in September. I have zero cravings. This is something that truly needs to be more broadly used in addiction treatment.

[@mirabelwatson7863]

Psychedelic’s definitely have potential to deal with mental health symptoms like anxiety and depression, I would like to try them again again but it’s just so hard to source out of there.

[@jorgparker2463]

Yes, bergwilly11_

[@zarkos2313]

@@jorgparker2463is he on Insta ?

[@JamesTaylor-ff4dp]

Shrooms was the best trip I had. It was an amazing experience.

[@Armus187]

bergwilly11_ is the best, he's been my go to for anything psychedelics.

[@happythoughts559]

You have been such a life saver for me. My psychiatrist doesn’t explain anything - just prescribes me meds like candy without really explaining anything. Not to mention that I’m paying $170 out of pocket for 15 minutes of her time. Thanks to you, I’ll be discussing better medication options with her at my next appointment.

[@jbl2270]

I've never come across a video where BD medication was explain so well. Thank you

[@BRMBeeGeesR1]

I agree. I've watched her other video about bipolar. More helpful to me than my own psyschiatrist.

[@ColinCowan]

Yes other professionals tell you nothingof thr drugs the give you and you wonder why you have trouble working and living normal they are a curse CBT and natural ways far better

[@juliedavis6490]

Thank you so much for your videos Dr Marks. Most doctors don’t want you to diagnose yourself online. Your information in conjunction with my psychiatrist and psychologist have taught me so much. You have given me a much clearer insight as to what bipolar disorder is and different options to treat it. This is exactly what needs to be shared in any inpatient or outpatient program. Coloring books are absolutely time wasting and frustrating.

[@frayaannette286]

1 of your videos is more helpful my 3 years of appointments and hospitalization. 🙏

[@glasshalfsunny]

This was SO helpful to me. I am more apt to take meds if I understand WHY or how they work. Thank you so much for this video. :)

[@TheTurtleRage]

This video is so awesome and informative. It’s so nice to have a truly intelligent and well informed Dr. explain things in this much detail.

[@klb9768]

Thank you for your insightful video on the medications and what stage they work best for. Appreciate it!

[@av201]

Thank you for explaining things. It's hopeful that you are here. It's sad that this is all many people have because doctors aren't paid to truly spend time and get to know their patients.

[@HollyLuther-u9z]

This makes sense why I’ve done so well on geodon for parts of my illness and when I’m in a depressive episode it doesn’t seem like I’m on anything for bipolar. I’m calling the doctor I just entered a low and I need help. Thanks for this video.

[@dawnmorants4180]

Thank you so very much for all of the education and resources you provide. Your expertise and kindness is much appreciated.

[@DrTraceyMarks]

Pure welcome Dawn. Happy to be helpful 😊

[@rolitaserenity]

Much needed with everything that is going on here in Lebanon. Thank you ❤️

[@nicolahacking2623]

God bless you all in Lebanon.

[@1blestmomamoe472]

Much LOVE to y’all From Alberta Canada 🇨🇦❣️❤️❣️🇨🇦

[@rolitaserenity]

Maria Tobin thank you so much, extremely appreciated ❤️

[@rolitaserenity]

Nicola Hacking much needed xoxo 💚✨

[@DrTraceyMarks]

Many blessings to you. Hang in there. 👍🏽❤️

[@kathrynrosenthal1832]

Your videos are incredibly helpful for people trying to navigate their mental illness and medications. Thank you so much ✨

[@zoro5035]

I’ve been on lithium and sertraline for years now I’m 26 it’s been a great medication for me, no side effects and symptom free all this time. It’s amazing how well it worked for me.

[@Burevestnik9M730]

Lithium has terrible side effects, no?

[@jessicacereceres6211]

So happy for you, I pray my fiancé is open to meds one day 😢

[@thelostseafarer]

Thank you so much for answering my question in this video! Interesting you brought up rapid cycling - I brought that up to my doctor and he said “it’s just a classification of bipolar disorder, it doesn’t change how we treat it”. But it sounds like, based on what you said, that it might change how the illness is treated. I’ve also brought it up during hospitalizations - because I know I cycle at least four times a year (and have since I was a teenager), and the response I get is nothing - they never think much of it... It’s frustrating. Since reaching out to you, I’ve been taken off rexulti and put on latuda. I was on abilify a couple years ago, and it was the only drug I was on where I saw a big change, but had to go off because of side effects. You brought up abilify a lot in this video - maybe if latuda doesn’t work, it’s something I can revisit. What you said about lamictal is very interesting to me (still on that). I so appreciate you taking the time to make this video! I wish I had a doctor like you!

[@DrTraceyMarks]

You’re so welcome Faith. A retrial of Abilify may be in order perhaps at a lower dose and in combination with the Lamictal. If you took the Abilify in the past with something else that other drug could’ve affected side effects. Also different generic versions can result in different side effects. But let’s see how things work out for you with the Latuda. Best wishes.

[@zusicm9801]

I just got diagnosed with bipolar along with other mental illnesses. I was taking Zoloft but got prescribed lamotrigine and every time at night I’d have panic attacks and would get very emotional to the point of becoming suicidal. My mood would change in a flash and I got this painful mouth sore. So I’m waiting for my psychiatrist to contact me to change my medication :( it could be so tiring at times trying to get better! I pray for all our healings and right medication

[@drinkwalter9346]

I recommend you use psychedelic mushrooms, micro dosing on them has given a clear sight and a calm mind to live everyday gracefully, nature has provided everything we need for every problem we have and psychedelic mushrooms helped me heal from depression also, I get mine from an online vendor that specializes on the trade of psychedelic products

[@venetiakelley]

🙏🏽

[@justinatchison5251]

Boy that was refreshing having someone explain the medication like that. I wish I could send my 28 year Olds records to her. He's going through hell.

[@fujoshidianxia]

Dr. T. I am starting Lamotrigine for maintaince, for the longest time I hesitated to take medication. But after watching your videos and understanding bipolar disorder along with ADHD I have come to terms to try it and hoping it'll help me. Thank you for your education and speaking to us that feel like we are going crazy. 🙏

[@Dashfox102]

I started lamotrigine has it helped you

[@fujoshidianxia]

@@Dashfox102 it really really has. I feel a lot more at ease in general. Like anxiety is not as bad and my mood is much more stable instead of me feeling like I'm on the verge of falling into an episode.

[@christinebrown179]

Lamogitrine saved me ❤

[@rachelolsen6492]

I wished my doctor would tell me this. 25 years and no one explained this to me. Thank you!

[@Tch319]

This video helped us so much in understanding why my son’s doctor wanted to change his medications. Thank you so much.

[@Exodus26.13Pi]

24/7 we love your work. You've talked about eating and mental health but when time allows would you see how "gut health" is significant please? Thank you.

[@DrTraceyMarks]

Yes Hayden that’s a great topic. It’s also a big topic. I thought about making a video about it, but I need to put some thought into how to break it up into digestible bits. No pun intended. 😀

[@leenaa7187]

Thanks a lot dr. Tracey!!!! The worst thing about antipsychotics is that doesn’t just increase your appetite but also makes you crave sweets 😔

[@leenaa7187]

Daniela Lobos Pérez sad to hear that. I wish you the best

[@elwood7512]

You. Are. Awesome. I have a partner that is bipolar and hesitant to take medications. I know medication would help but I have NO RIGHT to keep pushing home to do something he doesn’t want to. But having the information laid out like this could help me plead my case.

[@TemoteControl]

I am same as your partner. My partner makes me feel so bad for not taking meds. So I started it and it sucks but I think it’ll ultimately be the best option - until science has figured out a better way!

[@eldridgebrown3907]

Whoa. Thank you so much for making this. I'm in my mid 50's now, and I was never diagnosed with my Bi-Polar until I was 32. And I didn't get diagnosed with ADHD until last year. I developed Anxiety about 15 years ago with a devastating life event. The great thing about this particular video is that all the meds that you said were the best for dealing with exactly what I'm dealing with were right on the spot. I already thought so. My own psychiatrist is really good. And I do regular therapy as well. For the most part I feel pretty well maintained, but changes happen Not too long ago, I was having a nice, very productive and positive (from my POV) mania wave. I was studying better. Getting a lot of important tasks done, being creative, having great times with friends and then something completely unrelated but very negative happened and I took the A-Train to Crazytown. And I didn't even realize it at the time. The results were very negative. Your info here was extremely helpful. Thank you.

[@kimtodd1803]

This video and many other videos from Dr. Tracey marks is blessing!!! I am learning more than I every have with my psychiatrist in 10 years. I have been on medication from a-z. I have bipolar , depression, personality disorder, ptsd, anxiety. I feel like I am stuck. I have real bad rage n anger breakdowns. I have had problems with age of 3 yrs old. I need more help!

[@pepelatouche6886]

I love the way you explain even for health care provider and also for people with maybe no sot much medical knowledge, you helped me to understand so many thing that I thong I was alone, and thank you for that

[@andyschwartz3669]

Thankyou for this video. My wife has bipolar and she is on seroquel and lithium. For about 13 years now. My wife dont like the weight gain. But I told her that her mental health in more important.

[@ginacheselka6086]

Thank you sooooo much you have helped me soooo much to understand things a lot. I was put on Abilify years ago and gained sixty lounds the psychiatrist said oh it's because you're coming off Vicodin I was like no I've done that before and I've never gained weight like this. I moved back to the state where I lived and I got off of it my doctor saw how much weight I've gained. It definitely doesn't help my depression I didn't respond to antidepressants alone but the weight gain and these Little tremors in my toes I just wasn't worth it. My daughter is dealing with mental illness now she just turned 18 she is mania where she doesn't sleep I'm getting her into outpatient May 16th. When she was in the hospital they gave her a shot of risperdal that lasted 30 days the side effects were nightmarish we were worried thankfully it's all out of her system.

[@maskingtables]

Lithium changed my life. I was always doubting if the pills were working. But when Lithium had its effect on me, it was impossible to doubt. I was unmistakably better and it was very noticeable. I almost cried knowing that this is how I could have been if I had tried it earlier. Almost cried because Lithium doesn't let me cry so...

[@finity9316]

In what ways has it helped and within how long ?

[@iris_nazarena_4882]

@@finity9316 I have Bipolar 2, and basically what Lithium does is create a harder boundary between my highs and lows. I am physically unable to get too depressed. And the thing about crying is totally true. I literally used to cry every day -- no exaggeration. For me, I felt a difference within the first few days. Lithium saved my life.

[@caellumcarl2013]

Been on lithium for a about nearly 2 months I feel it’s only slightly taken the edge off is it normal or do I need i higher dose

[@yadiraperez7451]

Very informative video. Took me about 12 years to get on the right medication that works for me. I still have episodes sometimes, but it’s nothing like it used to be. I feel so much better and normal. I have bipolar disorder and anxiety with panic attacks… I take lexapro and klonopin for my anxiety. I take Gabapentin and topomax for my bipolar disorder. I also am on a very low dose of seroquel.

[@echinascetan4430]

this channel is amazing!!

[@DrTraceyMarks]

Thanks so much Echinas👍🏽

[@JD-rn8er]

Thank you, Dr. Marks. I have not been diagnosed with Bipolar Disorder (I have Anxiety and Chronic Depression), but I’m still able to glean valuable information from your videos regarding my situation. The information you provided on Lithium and Lamictal was very much appreciated as my Dr. is suggesting I try one or the other at this time. Upon researching Lithium, I came across another interesting condition: Tardive Dysphoria. I have been on 10 different SSRI’s for nearly 30 years and am now wondering if I am not dealing with this condition. I will be discussing this further with my Doctor at my next visit. Thanks again!

[@DrTraceyMarks]

I have heard of this phenomenon occurring usually with long-term use of Ssris at high doses. We do use Lamictal and lithium in treating depression. There’s some studies showing benefit of pramipexole as well. I hope the next steps go well

[@JD-rn8er]

Thank you, Dr. Marks. I hope the next steps go well also. The Pramipexole might be something to consider. Thank you for all you do!

[@anthonyderosa7730]

I have just learned I have been suffering from severe bi polar disorder my entire life. Was probably triggered growing up in what I thought was a normal household and learned through therapy it was the opposite. My bipolar brought me to the point of thinking all doctors are evil and medicine doesn't work. My psychiatrist prescribed trileptal. Worked like a charm by the 2nd day. But I struggle making myself to take when I feel better and relapse back on my self medication substance kratom(it got me off of years of severe substance abuse). This is how dangerous being untreated is... I've convinced myself I can self medicate but anything a doctor gives me is going to harm me. People. Please seek treatment before its too late. Im still struggling but I have begun my journey. It's so hard. But I pray for solution.

[@Nancy-ow9wy]

Amen

[@bennettcawley4630]

Thank you for sharing your ability to make things clear and detailed at once. It is very much appreciated.

[@buildgreatproducts4664]

You are the queen of the night! I love your straight forward to the point approach. Definitely going to talk to my doctor about some of your suggestions. You rock!!

[@ETERNALLIFEINELOHIM]

IF ONLY OTHER DRS. WOULD DO THIS FOR THEIR PATIENTS. IF ONLY. THANK YOU SO MUCH!!

[@stuarthirsch]

Thank you for another informative video. A few questions: How can I tell the difference between depression bipolar behavior? What is manic behavior? What about drinking alcohol with antidepressant medications. How can I tell if a person is antidepressant dependent and also alcoholic or has been misdiagnosed depression?

[@SarahZmina]

I started on Lamictal back in February for my bi-polar disorder. Over the last 6 months my doctor increased my dosage of Lamictal from 100mg to 300mg. Looking back now, I had a psychotic break when it was increased to 250mg where I had debilitating anxiety attacks and ended up in a mental ward where I went into mania and had a regressive episode. After I got out of the hospital, he put me on 300mg and my anxiety and depression got so bad that I couldn’t sleep in my own bed or go a day without a depressive meltdown. After discovering myself that the Lamictal was what was making me worse and worse, my doctor has put me on Abilify and I’m staying on the 15mg of Remron. I’m hoping this all works. 🤞🏻🤞🏻

[@alainsibler9135]

I wonder how people can even get at such high doses of lamotrigine. I had the same symptoms (basically reactivation of my debilitating anxiety, insomnia, nightmares) when I only crossed the 100mg mark... it definitely can have some pretty bad psychiatric side effects in sensitive people.

[@roseskavnak6671]

Try keto it works for ALOT of people

[@melodyrogars5409]

Hello Dr. Mark's. What perfect timing you have on this one! My doctor app. Is tomorrow and I want very much to speak to him about adding Vraylar to my lamictal and the other meds I'm on. I've gotten significantly worse in the last few months from my bipolar. I'm in the mixed state and I'm a mess. I appreciate your help and I wish that you were my doctor and could treat me. So, since that's not an option, your videos help me very much. Thanks A lot!!

[@DrTraceyMarks]

Oh this is perfect timing with your appointment tomorrow. Print out the handout and take it with you. Good luck with the appointment I hope it goes well.

Now I'm jealous of the list you made for bipolar!! 😂 Do you have anything like that for BPD and ADHD? And a huge thank you for making your videos so easy to understand!

[@DrTraceyMarks]

Lol. It’s funny I thought to myself where has this list been all my life? I’ve just been going on memory all these years I don’t know why didn’t think earlier put it in to a list form like this. We don’t have a specific medication regimen for BPD. But there are some therapies other than DBT that may be helpful to see like this. There are less nuances to treating ADHD but a similar list may be helpful. I’ll take a look.

[@FLHerbologistLaura]

Same. I'm BPD and ADD

@@DrTraceyMarks you're a rock star! Thanks!! 😘

[@tommacbride3654]

I am fascinated with all of ur lectures. I find myself in a lot of them. Thank you 4 all th time it takes to educate so many people that want to learn. BeWellBeSafe, Cheers!

[@tyssenmarshall4486]

Thank you Dr. Marks! This video has clarified my questions and concerns about my medication management for Bipolar Disorder Type I. I currently take: Subvenite 200mg which is a brand name for Lamitcal, Celexa 20mg, hydroxygine 25 mg and Abilify 10mg. I just started the Abilify a week ago.

[@meemo506]

This was a really good summary of the medications and what they do! I'd seen lamictal described as treating bipolar depression before but it being more of a maintenance drug makes a lot more sense given how many people take it with something else for depression also.

[@DrTraceyMarks]

Yes when I was in residency Lamictal was really being pushed in the direction of treating bipolar depression but the studies just never panned out that way.

[@katyr2382]

Yes I've been on it for 4 months for Bipolar depression but I am still in my 2nd worst depressive episode ever and my doc is insisting i just haven't been taking it long enough yet but from this video I question if it is ever going to lift it to 'middle' zone when Lamictal might actually help

[@Kriti2024]

@@katyr2382 Did lamotrigine work for you? How are you now?

[@JoeRoganClipsJREC2024]

@@katyr2382 pills are never the answer

[@thegreatartiste3598]

@@Kriti2024 Lamotrigine is the generic for the name brand, Lamictal. They are the same medication

[@brentwhitehead3520]

This was extremely helpful to understand which drugs do what in each phase! I was on 6mg Vraylar most of last year until my episodes stopped in December. I continued to take it until March of this year and my sleepiness was HORRIBLE. I had to convince my APN that I wanted to stop it because it was affecting my life too much. I do think it helped but so happy to be off that ($$$) for now and stay on 200mg lamotrigine. Love all your videos.

[@DrTraceyMarks]

Thanks for your input Brent. I have not had much good luck with Vraylar. I’m glad to hear it worked well for you. But I’ve had people feel agitated on it and then I had a couple people feel super tired like you did and they just had to stop it.

[@hoteit54]

Hello Dr Tracey Marks! I've been watching your KZbin videos and I must say they helped me understand better about certain types of mental/mood disorders as well as personality disorders. I have some questions which I'd very much appreciate if you did a video on. In which cases is the ECT used? Is it really beneficial? How bad are it's side effects? I'd also like to know if you've encountered patients who've been through this process and what the outcome was. Thank you so much and I hope you get this message.

[@JaneWilson-s8x]

I diagnosed myself after being treated for depression. It took 15 years to find the right medication. I was almost going to be given electric shock. Serequel saved my life.

[@tamster2k]

You are amazing. I’ve had BPI diagnosis since I was 14 and ADHD since I was 10. 26 years later, I’m learning new things on something I’ve tried my best to educate myself on to care for myself the best way. I wish I could find a psychiatrist like you where I am. I’m just fed the latest drug the rep brings while throwing a fit to stay on Lamictal and Adderall. I’m on Zoloft and I tell them it’s not right for me and my anxiety is sky high. I was on Xanax for 15 + years, taken off it and now I’m given more Zoloft and more Buspar. Which makes me a dizzy and sick.

[@Nancy-pc6sf]

How are you doing now??

[@CraigAnderson-h2h]

My experience in the mental health system extends back to my first stay in a Navy psyche ward in 1972. I know it goes back to the near dark ages in psychiatry and meds. There was only 1 drug, thorazine. It was one size fits all. Then again it seemed that everyone was labelled paranoid schizophrenic as that was kind of the catch all label. My advice, don't get freaked out by the old "One Flew Over the Cuckoos Nest' paranoia. The System is much improved and Nobody is Out to get You or even Control You. The vast majority of Dr. and nurses are there to help, listen and learn...

[@Lazy_Prophet]

Very good video, you break things down so well. I've tried almost every med you listed plus others, its hard to find the right meds when you are co-morbid.

[@LelaBernatova]

Hi, thank you for all you videos! They have all been extremely helpful to me. I just noticed the playlist about women’s mental health and I would like to ask whether you could make an episode about bipolar disorder and motherhood, how to get prepared, meds, pregnancy, post-partum etc. Most of what I’ve heard and read on this topic was quite scary and sometimes even full of myths and prejudices, so I would like to know what are the most fact-based recommendations. Thank you

[@joetitterington1222]

Thank you for this video. It gives me something tangible from a professional to take to my doctor. No Hokum or lavender candles.

[@lavintella]

Thank you so much for this video! It helps me a lot to understand how a family member of mine is not well treated at all for his bipolar disorder I. He's in a mixed mania episode currently and it's very hard.

[@adventureviolet]

I've been searching for a video of yours that mentions seroquel. I'm on 250mg. I did initially notice that I had a hard time waking up when I first started, however, I had a hard time waking up many years before seroquel and my BP1 diagnosis due to ✨trauma✨ growing up. I've gained like 20 pounds since starting it last year but i liked how I feel like myself and not like I'm in sludge.

[@cbcastillo5681]

After my mania episodes it's always followed with depression episodes. Bi polar has affected me most of my young adult life to now. I'm 38 and didn't get diagnosed until I was 35. I attended support groups and iop programs. Having this mental disorder on top of anxiety and adhd has made my life chaotic. But I have hope.

[@saratierney]

Wow this was so informative! Thank you

[@catherinemobbs5916]

My first experience with a psychiatrist was for what I thought was going to be an ADHD evaluation. Instead, he suggested I had bipolar 2 Was it likelihood of CPTSD and probably also had ADHD. But because of the bipolar 2 He wouldn't be able to treat the ADHD yet. I hadn't mentally prepared for this conversation whatsoever. I had no idea. It hit me really really hard in that moment. He was so cold, almost kind of snide. Very unprofessional. When I asked him how the combinations he was suggesting worked, he replied " You won't gain weight from them". I said, despite me being overweight I'm not concerned about that. I want to feel better. I'm trying to ask you the physiology behind the medications and how they interact. He frustratingly said he didn't know that part of it, he just knew what worked and didn't work because that was his job. I felt really cornered and uncomfortable and frustrated. I couldn't process the situation. I started shaking and crying. I asked him if we could just look into ADHD because I really felt like it was the executive dysfunction that was the biggest hurdle in issue in my life. I can handle the depression. For the most part I've gotten better at managing mania as well. I don't make crazy decisions etc. It doesn't affect my relationships in the sense of how I treat people. I'm accountable for my actions etc. He gave me a paper ADHD evaluation that apparently scored pretty dang high on which I knew I would. He seemed really aggravated with me. He said that we could try strattera for the time being and see how it goes. I was so traumatized from this experience I have been rapid cycling ever since with extremely low periods of depression. I've noticed the depression inside it's all time worse a day or two right before my period. I'm literally suicidal. At this point, I'm definitely convinced he was right about the bipolar diagnosis although I wasn't ready to accept it at the time. Especially since his bedside manner was so disgusting. I don't know what to do now. I'm so overwhelmed. I feel like there's no hope. I really appreciate your video but even after watching this I feel like there's no hope for getting better. I have a child. Everything I do is so that her life is better. But she has mental health issues as well and she's only 4. I used to think my reason for staying around was to make sure she had a better life and she had a mom. But after all of this I feel like even worse. Like what's the point. I'm only going to cause her more grief. My dad died. He committed suicide. Runs in the family right? It hurts that he's gone. But honestly, I manage okay. I feel like I would do less damage to her by just not being here. My entire family has severe mental health issues. Her dad's family treats her so good. I don't treat her bad either. I love her to pieces. I do everything I can for her. She's everything to me. But it's not fair to her. For anybody reading this. I'm not going to do anything "bad". I'm just really overwhelmed and feeling quite hopeless.. The more I learn the more hopeless I feel against this. I really wish it was just the ADHD. I was finally starting to feel like I could breathe until this diagnosis. Just being validated regarding executive dysfunction. But now, knowing I can't even treat the ADHD and try to experiment with like 10 different medications... I don't think I can do this.

[@foxemartin]

I can understand the overwhelm! How are you doing now?

[@catherinemobbs5916]

@@foxemartin I remember commenting, but everything was such a blur this night, I couldn't remember where I commented or what I said. Shortly after this, I ended up almost taking my life. Fortunately, I was able to snap out of my spiral long enough to call someone for help and checked into an inpatient mental health facility for almost 2 weeks. I am currently stepping down from a medication for the bipolar and going to try something else. Now that I am coming off the med, I can tell more NOW than when I started just how much I really need to be medicated. Self awareness has been the biggest helper though out this process. I'm not sure if you're asking how I am because this is relatable to you, or just to check in - but if you are struggling, please don't wait to get help. I wish I wouldn't have waited this long.

[@foxemartin]

@@catherinemobbs5916 ​ @Catherine Mobbs It's both relatable and a check-in. I'm glad you're doing better... at the time I commented I was really struggling with ideation and medication. It's definitely not easy to get help with so many hurdles in place in the medical system, but it can be worth the fight.

[@bonniehopkins7511]

Thank you so much for making this video! Very helpful and easy to understand. Also you have beautiful hair!

[@muganyiziwilson-tg7ym]

Thank you so much doctor, you are profoundly intelligent, benevolent and willing to help, blessed are the patients you treat.

[@noxprsn]

Hi Dr. Marks, can you do anything about people who have bipolar and asd together? Do people who have bipolar have a more emotional type of asd?

[@cameronlecoq9815]

What is bipolar depressed type? I am trying to comprehend what it may be to better understand my diagnosis. Thank you for any light you can shed on this subject.

[@stephanievanderpas3606]

I told my doctor on day one that I knew if a medication had major warnings about weight gain, I would become non-compliant so quickly there would be no point in prescribing them. I explained that I was entirely ready for help and was very open to medications but I just know that even in remission, my ED has boundaries. I don't work with physicians who can't accept me knowing that about myself. I think the honesty and transparency is growth, especially because when I have remained compliant, I've stopped eating and it's made the medication less effective. My new doctor heard me, respected me, and has worked with me to find the right meds since this diagnosis, which has also helped in accepting the diagnosis. I worried a lot that being bipolar would mean I couldn't be taken seriously. It's possible.

[@zyprexamedssucks32]

Relax, I'm not taken seriously except from some family, my medical professionals while others are convinced I'm gonna have another episode & screw up bad buy I won't give the selfish pricks the satisfaction & proving them right

[@sloth321]

I'd love to hear your thoughts on psychedelics, particularly LSD and Psilocybin mushrooms

[@AdolGlow]

She has a video on that

[@AmyNoelonDyslexia]

I take Seroquel at night and then my ADHD medication (Ritalin) shortly after I wake up. The ADHD medication helps wake me up and curbs the munchies. I also cut most wheat, dairy, and refined sugar out of my diet to help stay at a healthy weight. Taking these two meds together has changed my life. I no longer have irrational outburst on my family and I am functioning to the level that I am improving my circumstances and quality of life. I feel happier than I ever have.

[@dang7097]

Should have learned this sooner. Thanks Doc

[@robmehlenbacher402]

Awesome way to describe the mechanism of action.

[@francislee7306]

keep up the excellent work 👏 Greetings from Hong Kong ❤️

[@sandywhat2429]

Complex PTSD can very very often be misdiagnosed as Bipolar 2. I was misdiagnosed, mis-drugged, polydrugged. This happens to many people. Once I was put on benzos and antidepressants for anxiety, the symptoms multiplied, so I was put on more and more drugs... I looked and presented more and more ill. This went on for decades. Until I began to wean off all the drugs. All the disorders I was diagnosed with have disappeared. I kid you not. Everything disappeared except for the original issues-- anxiety and undiagnosed CPTSD. CPTSD can very often be misdiagnosed as ADHD as well. Many clinicians get many disorders wrong. ***This is very important*** in answer to the title of this video, why aren't my medications working? You may not have the right diagnosis.

[@JohnRambo1947-July-6th]

That is what psychiatrists are great at. Misdiagnosing and poly drugging people. Some get permanent debilitating side effects. Which is, of course, CNS damage. I am a victim.

[@sandywhat2429]

@@JohnRambo1947-July-6th Yes me too. The prescribing disaster they did with me is a disaster.

[@allisonkeevers6076]

i've been on a mix of drugs for 14yrs, I wasn't diagnosed Bp 2 till age 40. I've taken seroquel as one of my meds the whole time, and yes the weight gain and struggle to be alert or accomplish daily tasks is very real. At least here in Australia my meds are free.

[@agatakusek8771]

Hello! Thank you for videos abt Bipolar. I was diagnosed circa 3 years ago with bipolar 2. I didn't have many hypomanic episodes since then (I guess 3 or 4 only, 1-1.5 week each), but what's interesting for me is recovery after the hypomanic episode. After every hypomanic episode I get supertired, need a lot of sleep (sometimes more than 12 hours) and cannot be as active as usually. This can last months. My doctor said it's normal, because the brain must recover after hyperactivity and the whole body takes a part in the recovery (a bit similar like in epilepsy, just not as extreme and everything takes longer). What do you think about it? Could you make an episode about recovery after mania and hypomania?

[@1danielbadasci]

I was taking Lamotrigine and seriously felt like I was dying it made me have so many highs all this year only taking it from July to December I cried every day on it and now I'm cut off of that medication and got prescribed Depakote. Prayers this is the right medicine.

[@katyr2382]

Same re the crying on Lamotrigine. Multiple times a day which is totally unlike me

[@1danielbadasci]

@@katyr2382Glad I wasn't the only one. Depakote I found out Is like Lamotrigine they said it's like a sister of the medication. I was so scared to take it. I recommended going on prozac because I was crying so much Dr. Claimed for me it wasn't a good idea because they said without a mood stabilizer and just prozac in my system it can make me go in to a deeper depression. I'm on Depakote 2 pills a day 1 in the morning and 1 at night 250MG. I've only been on it for three weeks but the crying thank god is gone. I would watch a sad movie and would wake up crying over it for half of the day.

[@stepheno.2730]

Excellent breakdown Dr. Marks

[@CarterOwenBM248Vlogs]

I know it’s just mania or whatever but my medicine makes every manic episode more potent and strips it from the clarity i got when I was off meds. I now resort to hitting myself in the face and screaming instead of walking with music etc. I’m a crazier person when the mania hits. And I’m tired of it…I can’t do it anymore…I wanna be off my meds so bad but I know that’s bad it’s just sucks :/

[@leenaa7187]

Great video as always Dr. Tracey. Can a medication Seroquel which works for all phases of bipolar disorder stops working suddenly? If yes, why does that happen and how to solve it. Thank you❤️

[@vettejakes]

Thank you for the downloadable chart !

[@DrTraceyMarks]

You’re welcome 😊

[@WeirdAlly27]

Seroquel was keeping me stable for many years until it started giving me a rapid heartbeat 1/2 hour of taking it and I couldn't relax until I passed out. Quit suddenly when I found that one out.