Signs You Have Bipolar Disorder NOT Major Depression

[@viciouslypagan]

This is likely one of the best videos I have seen addressing why a psychiatrist may come to the conclusion if someone is bipolar or not. I feel I have a great psychiatrist but sometimes she is not so eloquent on the matter of her reasoning in treating me with bipolar. I trust her completely but everything you said seemed to give me those “Ohhhh” moments. So thank you. Keep doing what you do!

[@ShrinksInSneakers]

Thanks glad to help, as you can tell I love psychiatry and mental health so I'm always thinking about new ways to think about these disorders. I think you will appreciate some of my upcoming material where I will help people better understand diagnosis. If you haven't subscribed to the channel please do, and let me know what you want to see, I also have daily instagram content @Shrinks_In_Sneakers

[@SpinningClouds]

This has to be so hard for psychiatrists to diagnose since we like the highs or don't see them as a problem. I presented with MDD and then a trial of fluoxetine sent me into a mixed state. It was the scariest and most uncomfortable time. I had an online provider that didn't do a very thorough history (15 minute initial interview). Luckily I found a local psychiatrist that did a 2 hour initial interview and got things stabilized. Thanks for the video!

[@ShrinksInSneakers]

It's never easy but you have to identify these symptoms as manic symptoms are always important. It changes the management significantly and may be the difference between stabilization and readmission to the hospital. I glad this helped, if you haven't subscribed to the channel please do, and spread the word about the community we are building here. I also have daily instagram posts, @Shrinks_In_Sneakers

[@rhondan333]

i have been diagnosed with depression, but i think i may need to be reevaluated, my mother has bipolar disorder, i have struggled with extreme high and lows since i was 14 …. and every time i hit my low point again i always wonder why things get bad when life was feeling so good…thank you for this video

[@djstarr-lowery4047]

I read the previous comments and agree, bipolar is the new buzzword. Having lived with this diagnosis for now 20 one almost 22 years, I (we my family) are very honest and open about the diagnosis. So when my grandson who is now 21, spontaneous preteen and teenage years in school and all the people would say oh he/she is depressed or he/she is bipolar, we have strived and continue to strive to explain the medical "real" definitions of these buzz words. My daughter sent me a plaque that says, "we don't hide crazy we paraded on the front porch and give it a cocktail!" This crazy plaque speaks deeper than its phrase because we are not ashamed of my diagnosis. For those of you who have not found the dark comedy of our diagnosis I ask you to please do so. Because the more we hide the greater stigma. I was happy to hear this man who did not give us foolish cures (if you would just take this supplement, if you would just smile more, if you would just pray more, if you would just rise above your issues; you will be cured.

[@NickArcade]

Would love to see more videos on MAOIs, like Emsam, Nardil, and Parnate! Thanks for all you do.

[@20081980bert]

And Tricyclics too please 🇬🇧

[@ShrinksInSneakers]

Sure, I think the MAOIs are the most effective of the antidepressants. people are really afraid to use them which is unfortunate. The diet restrictions are not that bad for example you can have bottled beer just no tap beer. I will cover these in the near future. If you haven't subscribed, please do, and if you have thank you. I also have daily content on instagram @Shrinks_In_Sneakers

[@ShrinksInSneakers]

@@20081980bert For sure we will cover these

[@yeetlord-to9jr]

@@ShrinksInSneakers how are MAOIs for anhedonia? I've heard anecdotal reports that they actually do help and it's theorized that their significant dopaminergic mechanism might be why. Anhedonia is my biggest symptom and so far has not budged; the only things that work are temporary and detrimental if used regularly (i.e. adderall, kratom and phenibut). It's hell to live with but sometimes I just need a break from it and be able to enjoy things again and those drugs let me do just that. Ideally, a sustainable, effective med like an MAOI that works for anhedonia would be life transforming

[@brigittelee694]

Great video. Thank you for the content

[@sutekh7890]

Me to a tee, doc. I've been wondering lately too if there's any correlation between a higher IQ and the presence of some sort of mood disorder. Many of the bipolar folks in my family and some of my close friends families are extraordinarily intelligent and talented folks but that could just be coincidental in my life. It's been years since I've been on medication (which will be changing soon) but I've been managing with superdosing fish oils which really do help stabilize nerve cell walls. Lots of zinc, magnesium, calcium, potassium, vitamin D and K as well to help this "Long Covid" thing I've had for the last two years which finally seems gone - talk about throwing me into a massively agitated state. Thanks again, duuude. Can't wait for more vids! :)

[@ShrinksInSneakers]

There are so many things to say here, lots of great ideas to talk about. First respect to IQ and intelligence, it's well established that people with bipolar disorder are very creative. There is some benefit to having bipolar and one of the things that is seen is this increase creative expression, think Kanye West here. The other point here is omega-3 fatty acids, I'm getting ready to do a video on Omega-3s and mental health there is some really great data on the benefits of omega-3s. Now that I see there is some interest I will cover this topic for next week. appreciate the love, more to come soon stay tuned

[@NatureHeadSupreme]

Definitely facts you speak of regarding intelligence & out of the box thinking.

[@ashdon8603]

It’s pretty simple to self diagnosed because of the rapped cycle bipolar two disorder hypomania it last for 4 consecutive day’s depression can last 2 weeks or more without a treatment! irreteble mood and impulsiveness shopping sprees and gold direct activities.

[@20081980bert]

7:10 Increased goal activity. Would this mean a Personality Disorder or Bi Polar ??? Great video as always 🇬🇧

[@ShrinksInSneakers]

Bipolar, I'm going to do a video separating borderline and bipolar. The key things I look for in borderline are self injurious behavior and trauma history. For bipolar we look for elevated mood, increased goal directed activity, to make it really simple if you have manic episodes it's NOT borderline PD. Hope this helps clear things up.

[@djstarr-lowery4047]

I have to add (forgive I tend to get wordy when talking about mental health) he speaks of genetics. I can't trace from me to past generations but when my family heard of my diagnosis (or publicly acknowledge my crazy???) they suddenly were open to ask me about their situations as much as their children's situations. My own children and grandchildren (at this point and I hope it will never happen) have no diagnosis but my sisters granddaughter at age 12 had already been hospitalized twice. My cousins daughter was hospitalized for depression they treated her for depression and was hospitalized again and I asked if they had considered a bipolar depressive diagnosis. At this time the medications offered because of that diagnosis have helped her. Mental illness is not like breaking a leg where we know how to set it and for how long to cast it. Mental illness is challenging so that's why I get so insulted with these people jumping on the bandwagon to tell us again if we'd only believe we can be cured. I've stopped looking for a cure and have only sought that which would make me a productive human being.

[@ShrinksInSneakers]

At this time there is no cure for most mental illnesses there are chronic episodic disorders similar to other chronic medical conditions. I think the important point is they can be managed effectively and that management may not be with medication. Hope this helps if you haven't subscribed to the channel please do and spread the word about what we are doing here

[@Nmethyltransferase]

Never prescribe.... A Nude Stabilizer!

[@emm1967]

Would love your take on pts that present atypically. Meaning that mixed presentation of BP I or BP II. Do they have the same response to Antidepressants? I wonder if we miss Dx these pts because they weren’t activated on an antidepressant…yet they struggle to find a treatment to help them

[@ShrinksInSneakers]

The new thinking on major depression with mixed features and for that matter anyone who presents with manic symptoms is antidepressant medications are a bad idea alone without a mood stabilizer or dopamine blocking medication. Most of the literature I've been reading recommend dopamine blocking medications as first line mono therapy in these cases (lurasidone, asenapine, cariprzine, olanzapine, quetiapine and ziprasidone have the most evidence). Other medications like lithium may also be effective in these circumstances but the studies will never be done because it's an old medication and there is no money in it anymore. we can extrapolate from the data that is available and make an educated predication about the benefits of some of the older medications.

[@emm1967]

@@ShrinksInSneakers Thank you for your reply! Do you have any thoughts on using Lamotrigine for a Mixed presentation BiPolar II in a pt who is treatment naive

[@PP-xw1ip]

Hi doctor! :) This video inspired me to suggest a topic for another one. It concerns a controversial diagnosis (not sure if it exists in the DSM anymore) of so called "symple type schizophrenia" where only negative symptoms are present (without any positive symptoms). Is this a real thing? If yes is there any way to differentiate it from non-melancholic depression? Also is there any data on treatments for depression with symptoms akin to the negative ones in schizo (anhedonia, avolition, apathy, flat affect, trouble concentrating and thinking clearly, impaired memory - no sadness or feelings of hopelessnes or guilt present, no "heaviness", no negative thoughts")

[@IndianaRoy]

How can you identify Mania?

[@stevensicherman4101]

What about antidepressants that only work for a short period, bipolar trait ?

[@rubywolf1239]

What if you have both? How do you keep up with the diagnosis. Like asd bpd adhd pstd and bipolar. Can someone have all

[@viciouslypagan]

I like this idea because I have met people with multiple diagnoses for mental disorders and often I wonder if it may only be couple and something was misdiagnosed and the reason their meds aren’t working out is because of the misdiagnosis. Also, tying into this idea is: Do certain medications overlap certain mental disorders and, if so, how do determine which diagnosis is the correct diagnosis?

[@rubywolf1239]

@Vicious my therapist says that ther is a lot of overlap with the symptoms of stated illnesses. I wish there would be some sort of biomarkers. She also says the diagnosis is not as im important if the treatment is similar. I do dbt and it is proven to help not only for bpd so that is covered. The problem is the medication because maybe it could be not the best fit, but maybe it isn't the right medication for that persific illness. Trail and error is really time-consuming and telling doctors maybe it could be a different illness makes me anxious that they think I asked doctor Google