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Q: Relapse of BP
asked by: atomheart on December 28th, 2008
New User
Hi I need help and have nowhere to turn to.

Summary: my mum had a serious case of manic depression for years that involved repeated gruesome suicide attempts, deep depression and delusional megalomania - in a few words we've been through a lot. With therapy she got better and up until recently - 7 years since it all begun- she had gone down to half a pill per day from the 4-5 she used to take and was back to her normal self..

She has been well for over 2 years now but this past month she started exhibiting manic symptoms again mainly hyperactivity, insomnia and grandiose thinking but she's completely unaware of her illogical behaviour and thinks she is having a profound spiritual experience. I tried talking to her about my concerns but she adamantly feels that she is on top of the world and completely in control and that there is no way she is going to get depressed ever again. In general she refuses to hear any advice and becomes very aggressive when contradicted. She is increasingly fascinated by her thought patterns and spends all night writing pages and pages about the mental connections she is making. She thinks they are so fascinating that she has to share them with everyone and expects us to be mesmerised by her 'spiritual' realisations. She also speaks very rapidly and goes into long monologues - she cannot stop talking and is very impressionable. I think these are enough for someone to be diagnosed as at least hypomaniac. Me and my sister are very scared that she is going to relapse into depression and do not know where to turn to. My mum is currently seeing a new age psychologist who is encouraging these 'spiritual' revelations and is against medication.

How do you tell someone who feels on top of the world that they are not well? How do you make them understand when they think they know better than you do? How can we help before it's too late? Can we? Please bear in mind that considering the history, going back into depression could mean suicide for her, so it is imperative that we catch it before it becomes too serious. If anybody has any advice or experience with relapses, it would be greatly appreciated. Thanks.
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JennyRobin
replied on February 15th, 2009
Experienced User
I am Sorrry
Dear Atomheart,

I am very sorry indeed to note that you left this message a while ago and no one has answered you. I consier it to be an important message and one which requries an answer.

Being so long the situation with your mother may have been resolved in some way or the other by this time.

I feel very sorry indeed for all the upset that you and your family are going through. Very hard indeed on you all.

I know it is almost impossible if not impossible to talk any "sence" to a person who appears to me as you describe as being manic.

I would think, that your mum taking herself of the meds is the cause of her current situation seeing it is as bad as it is.
She certainly sounds to be one with Bipolar Disoder who needs to always be medicated in the good and bad times.

By not sleeping your mum can become physically exhaused and this is bad.

If and most likey she has by now, becomse worse (or you could possibly do this while she is in the state that she is in - think that you should) is to suggest to her that she goes to the local doctor or the nearest emergency section of the local hospital. And of course that you or another member of your family will go with her.

The medical people could possbily decide to put her into an institution and get her stable again on medication. If this is the case, do not blame yoursel or feel guilty for it. You would be possibly savihg her life,

I hope that things have worked out by now, or that they are well on their way of being so.

All the best to you,

JennyWren
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atomheart
replied on February 16th, 2009
New User
Hi Jen,

Thanks for your kind reply. In the end we had to call the police to arrest her as she had become extremely dangerous and delusional (had 2 car accidents and almost killed someone) . She was institutionalized for 3 weeks. She has been released recently and she is fine and back on strong medication.

She still does not really realise what happened and although she has accepted to continue the meds on her own accord I think she needs a psychologist that can help her to come to grips with her problem and become more responsible with her pills. I don't really know how to break it to her though, it is such a delicate matter, and the hospital only provides psychiatric support. Any advice on that would be greatly appreciated...

Thanks for the support even if it is so late!

Mark
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JennyRobin
replied on February 16th, 2009
Experienced User
Good
Hello again Atomheart (I think that your heart is bigger than an atom Smile)

I am glad that your mum is now on medication and hope that she continues to keep taking her meds.

You could be very right when you say that she needs a psychologist. And by the sounds of it, she does need to come to grips with her disorder.

I pick up that you are not too sure that she will keep up with her meds.

If she is still seeing a psychartist, he could suggest to her that she sees a psychologist.

While a pshcyologist cannot help a person with Bipolar Disorder when they are in manic phase, they can assist when they are euthymic (steady state, level ie "ordinary"), which is how your mum appears to be at this time.

A thing that some do with Bipolar is to make up a plan as to what the process will be if family, friends, work mates, see changes happening; first symptoms that the person maybe heading for another manic episode with the person with Bipolar.

This plan needs to be agreed with by the person and those who will 'watch' the person with Bipolar.

By the sounds of your mum a plan would be a great help.

Does your family have a general practioner, ie a family doctor? You might like to go and see him and have a talk with him as to the best way to get your mum to see a psychologist. Or is it possible to contact the psychartist that treated her in the hospital, if so seek his advice.

Now the following is just off the top of my head. I am not familar with your mum. Or to be honest do I know what I am talking about. Thus much better to go the doctor route. Rather than what I say.

Maybe you can suggest to her that you and she or another member of your family go with her to a psychologist to set up a plan.

Give her a little more time to adjust to what she has been through recently. But not too much time. I would think a week or so.

Then talk gentley and without any blame to her for her actions (you can regard her actions as belonging to Bipolar Disorder and not your mum - she was not in control). I would let her know that.

I think that she needs to know the danger she put others into. However go carefully with that one. A bit hard for any person to take. But she needs to realise, now she is reasonable that she was a danger to others. And that a plan is necessarily.

Good luck and I hope that your family will not find themselves in this situation again.

Your mother is very lucky to have you,

All the best

JennyRobin
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