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  1. #11

    Re: Bipolar I Disorder versus Bipolar II Disorder

    And, I guess some might argue that my "normal" time wasn't that normal. I didn't hallucinate or have any psychosis, but I certainly over-achieved and managed to maintain a very busy lifestyle.

    I could acheive so much. I actually miss those times and wonder if I will ever return them.

  2. #12

    Re: Bipolar I Disorder versus Bipolar II Disorder

    If there has never been even a single hypomanic or manic episode, then the diagnosis would be Major Depressive Disorder, Recurrent.

  3. #13

    Re: Bipolar I Disorder versus Bipolar II Disorder

    What constitutes a hypomanic episode?

    edit:
    I just found this from HealthyPlace.com

    A. A distinct period of persistently elevated, expansive; or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual nondepressed mood.

    B. During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree:

    1. inflated self-esteem or grandiosity

    2. decreased need for sleep (e.g., feels rested after only 3 hours of sleep)

    3. more talkative than usual or pressure to keep talking

    4. flight of ideas or subjective experience that thoughts are racing

    5. distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)

    6. increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation

    7. excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., the person engages in unrestrained buying sprees, sexual indiscretions, or foolish business investments)


    C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.

    D. The disturbance in mood and the change in functioning are observable by others.

    E. The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features.

    F. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).

    Note: Hypomanic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should not count toward a diagnosis of Bipolar II Disorder.
    Last edited by healthbound; September 18th, 2006 at 02:37 AM. Reason: Answered my own question

  4. #14

    Re: Bipolar I Disorder versus Bipolar II Disorder

    Yes. And note this part:

    F. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication, or other treatment) or a general medical condition (e.g., hyperthyroidism).

  5. #15

    Re: Bipolar I Disorder versus Bipolar II Disorder

    Heh heh...I know...I saw it thanks.

  6. #16

    Re: Bipolar I Disorder versus Bipolar II Disorder

    You or someone you know has hyperthyroid? One of my best friends had, I think, "hypothyroid" -- whichever one makes you slow down and lose your hair and start talking like you're drunk all the time. We all thought it was just the way he was. Then they gave him some medication, and his energy returned to normal level. That was about 10 years ago. Now he's actually rather high-energy, in general.

  7. #17

    Re: Bipolar I Disorder versus Bipolar II Disorder

    I recently had blood taken showing that I have hyperthyroidism. I've definitely been showing signs of it recently but after reading the symptoms could have sworn I had hypothyroidism over the past 2 years.

    I guess it just goes to show how much crossover there is when it comes to a certain set of symptoms.

    The weird thing is that I got my thyroid tested on August 1 and it showed that I was in the normal range. But, I'd already started feeling symptoms that might indicated hyperthyroidism. I just thought I was finally coming out of my depression. And that may still be. I quit using a medication that I was on for over a decade a couple of months ago and it seems I've had a few symptoms become noticible since then. I've read that the medication I was on could mask some of them...so, who knows. I also got off all of the sedating drugs I was on a few months back and am only on 300mg/day of effexor now. So that could also be contributing to my recent mood changes.

    I definitely have been feeling better ---my mind seems to be working again, I'm planning and doing things that will effect my future (instead of acting as if there will be no future), and I have energy. BUT I'm still sleeping A LOT, but I'm also drinking A LOT. I'm acting very "extreme" and am certainly engaging in many activities that are dangerous and destructive. This is concerning especially since it seems to be getting to the point where I'm not caring as much about whether my son is home or not (ie: I will drink after he goes to sleep) which is VERY out of charecter for me.

    And while I just slept for a day, night and day, I feel pretty shaky and "speedy" right now.

    Bizarro. Anway, I'm just about to make an appointment with my GP. I'll see what he says (I was going to see him Friday, but didn't).

  8. #18

    Re: Bipolar I Disorder versus Bipolar II Disorder

    HB, your thyroid has probably been alternating between hypothyroidism and hyperthyroidism for a few years. That is usually the case by the time someone is diagnosed. The thyroid basically tries to regulate itself initially by "speeding up" and then "slowing down", which is one of the reasons that thyroid function should be tested whenever bipolar disorder is suspected.

    It is also common in women who have been pregnant.

  9. #19

    Re: Bipolar I Disorder versus Bipolar II Disorder

    HB, your thyroid has probably been alternating between hypothyroidism and hyperthyroidism for a few years.
    Well, actually that would make perfect sense becuase I feel like I've had more HYPOthyroid symptoms over the past 2 years. Although there are a few times I've felt like this over the past 2 years, but only for about 1-2 months at a time. I just equated it with anxiety --especially because I felt a lump in my throat and sometimes felt like I was choking. Maybe it is my thyroid gland though?

    Anyway, there has absolutly been a distinct difference in the way I've been feeling and acting withing the last couple of months. I've been very impulsive and drinking lots with little concern for consequences.

    I'm also still waiting for an appointment with a otoligist/neurologist because I have tinnitus and I'm feeling pressure inside my head. I thought I remembered reading that the thyroid is somehow connected to the hypothalamus, pituitary, serotonin and norepinephrine. Maybe the tinnitus and head pressure are connected.

  10. #20

    Re: Bipolar I Disorder versus Bipolar II Disorder

    Quote Originally Posted by healthbound View Post
    I could acheive so much. I actually miss those times and wonder if I will ever return to them.
    What I've noticed for myself is that, in slowing down, I actually accomplish more. But it can't just be a total slow-down, without faith or confidence. It has to have faith and confidence, otherwise it's just a burn-out. And there has to be self-care, and the love of that.

    In speeding up (which has been my usual tendency), I tend to scatter my energies, and accomplish less, though I'm functioning at a faster pace. So I don't know if that will help or not. I've spoken with friends of mine who are in 12-Step programs such as AA who report the same phenomenon.

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