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Mental Health > Bipolar Disorder Forum > BiPolar II or Cyclothymia
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Q: BiPolar II or Cyclothymia
asked by: eccentricnotinsane on May 19th, 2009
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Been preliminarily diagnosed (by GP - awaiting psychiatrist assessment) with one of these and put on mood stabilisers. I think I've been misdiagnosed but when I imlpied this to my GP he just said "it sounds to me like you're having mixed episodes" and seemed adament.

Here's a list of stuff that's happened to me:

Under 10 years of age:
- hallucinations

11 - 18 years of age:
- bouts of violence (strangling friends out of curiousity and hitting people out of rage, trashing rooms at school)
- catatonic (?) episodes (best way I can describe it)
- eating disorders
- self harm and hitting my head against walls
- running away
- severe depressive state.
- some hyperactivity but NO feelings of euphoria I remember.

18 years of age:
- rapidly cycling moods from euphoria (intense feelings of joy - would laugh and smile almost uncontrollably, everything looked/smelt/felt beautiful, become fiaxted on aesthetically pleasing things like trees and jewellery.) for a couple of hours at most swinging immediately to intense depression.
- bingeing alcohol, drugs, food "to knock me out" at night time.

19 years of age:
- extreme stress and anxiety ending in agoraphobia.
- restlessness
- extreme social phobia.
- irrational fears
- lots of energy and very good concentration/drive
- ability to work 16 hours a day
- "Epithanies" - have to get up at night to write poems that just "appear in my mind" - making quick connections in complex theoretical material I was studying at the time but speed was dizzying and couldn't stop thinking about it (ie. in shower etc.)
- doing a lot of projects at once.

20 - 22 years of age:
- some euphoria similar to when 18 but instead of enjoying it I feel like I'm going crazy. - only for a couple of hours
- extreme insomnia
- restlessness (can't feel comfortable unless I'm moving - ie. shaking my leg)
- difficulty in concentrating
- extreme hypersomnia (miss out whole days)
- inability to function at work etc. - can't wake in the morning/severe panic attacks/don't feel like I care about anything anymore and don't feel that consequences are important.
- can't keep up with life/no motivation - don't wash frequently enough, don't clean house, don't go outside, live off take-aways, don't want to see people
- extremely obsessive.
- some experiences of racing thoughts or too many ideas - too many to keep up with - feel as if I want to "get off the treadmill" - upsetting and frustrating - lasts maybe a day or two but no longer.
- catatonic episodes

The vast majority of my symptoms have been prolonged and very distruptive anxiety and depression. Grew quickly in confidence once I was put on antidepressants when I was 19 but didn't enjoy some of the "high" feelings. Only lasted 6 months before I fell into a bad depression which has lasted since then. Have never taken a risk in my life, never feel like I have a good self-esteem, never overly-sociable, not particularly impulsive (except if under stress)

Just wanted to know if bipolar people feel this way or not or recognise my history (as my illness constantly changes) because to me it all just sounds like anxiety/depression. I see no evidence of bipolar and don't want to be misdiagnosed.

Thanks.
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harleyquinn229
replied on May 24th, 2009
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ok
go look up the DSM-IV-TR symptoms for "major depressive episode", and then for "dysthymia". If your depressive symptoms more commonly are like a major depressive episode, you have bipolar ii, if you are more like dysthymia, you have cyclothymia. I am not a psychologist, though, just someone familiar with diagnostic criteria. you need to be evaluated by a professional. some other possibilities seem to include schizoaffective disorder, which is like mild schizophrenia paired with mood-disorder symptoms.
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Users who thank harleyquinn229 for this post: eccentricnotinsane 
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eccentricnotinsane
replied on May 24th, 2009
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I've looked at these before. The only mild part of my condition would be my higher moods I'm afraid (And I hesitate to call them episodes because I think they're probably just a figment of depression and anxiety). Definitely majoy depressive but I actually don't think I have either of the conditions in the title. Behaviourally I am now fine. The vast majority of people have no idea I'm ill and are surprised to hear my past (if I choose to share). Particularly the violence as this would seem contrary to my character. I'm thinking now that I am just depressed as first thought and am awaiting psych assessment to rule bipolar out (now more to prove this to my GP than to myself!)

Just hope they don't take me off mood stabilisers because they're great!
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eccentricnotinsane
replied on May 24th, 2009
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One more thing...

I may be the only one that thinks this but I wonder whether changes in my condition (particularly violence) were actually CAUSED by SSRIs. They've never agreed with me, providing short relief at most but mostly just causing a change in personality. I think I was on Seroxat (Paroxetine? Seroxetine? Can't remember) when I was suddenly violent. This was about a year before the drug guidelines were changed and limited after peop[le on it had become violent/self-harming/suicidal/homicidal. I definitely changed on it.
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harleyquinn229
replied on May 24th, 2009
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SSRIs
Paroxetine=paxil? Is that it?

I know that Lexapro made me really mean...like screaming and yelling at my husband when inside I didn't really "want to"...so I understand completely.

I don't know. You need to go to a mental health practitioner and make it very clear that "I think I have ______ can you look into this for me?"
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eccentricnotinsane
replied on May 24th, 2009
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Ah no. Not Paxil. It must have been seroxetine. It became very controversial a few years back due to people's violent reactions when taking them. In my experience it puts you on such a plateau that you can't feel anything anymore. I think that just made me feel so frustrated and locked in I'd do anything to feel. It's revealing that when I strangled my friend and she was screaming I felt nothing about it at all. No guilt, no excitement, it was almost sort of boring. This is so far out of character for me (who normally suffers from terrible guilt and embarrasment over the smallest misdemeanour) I'm leaning towards blaming it on the drugs. Though obviously it's impossible to know if it was those or just a symptom of my depression.
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eccentricnotinsane
replied on May 24th, 2009
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Oh yeah, and as for telling proffessionals what I think I have, they disagree. I'm sure I'm unipolar but my GP thinks I'm bipolar. Then again my psychotherapist thinks I'm unipolar too. But he's not the one that prescribes me drugs! Awaiting an appointment with a psychiatrist to get another opinion. I don't want to be misdiagnosed. I think bipolarity is overdiagnosed these days. I actually feel guilty for being given a label that refers to a serious illness because I feel that bipolar sufferers are in a worse position than me and I wouldn't want to identify myself falsely with them if I'm not in as much pain. It feels insensitive somehow.
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