What is bipolar spectrum? Will it become bipolar 1 or bipolar 2?
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- čas přidán 21. 04. 2020
- Today's video is about bipolar spectrum illness and is based on a viewer question from Saddam. He asks if his diagnosis of bipolar spectrum will later become bipolar 1 or bipolar 2 disorder.
The short answer is that here in the US bipolar spectrum is not an official term. However, it is debated by researchers and clinicians as to whether bipolar disorder and depression really should be considered one bipolar spectrum illness and not be separate diagnoses.
In this video I give the history of bipolar disorder and how it evolved from being manic depressive insanity, to separate diagnoses of major depression and bipolar disorder. Many people believe we should rename both illnesses bipolar spectrum to include other conditions such as:
Recurrent severe depression with psychosis
Depression mixed with manic symptoms
Cyclothymia
Antidepressant induced mania
Anxious depression
Atypical depression
Other videos referenced in this video
Video about Treatment Resistant Depression • What is Treatment Resi...
Video explaining mania and hypomania • How To Tell what Mani...
Video on psychotic depression • 3 Ways ADHD Makes You ...
Bipolar playlist • All Things Bipolar Dis...
Depression playlist • All Things Major Depre...
References for further study
Ghaemi SN. Bipolar spectrum: a review of the concept and a vision for the future. Psychiatry Investig. 2013;10(3):218-224.
Mondimore FM. Kraepelin and manic-depressive insanity: an historical perspective. Int Rev Psychiatry. 2005;17(1):49-52.
Trede K, Salvatore P, Baethge C, Gerhard A, Maggini C, Baldessarini RJ. Manic-depressive illness: evolution in Kraepelin's Textbook, 1883-1926. Harv Rev Psychiatry. 2005;13(3):155-178.
Singh T, Williams K. Atypical depression. Psychiatry (Edgmont). 2006;3(4):33-39.
Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
You’re part of the reason I sought psychiatric care and got my diagnosis of Bipolar 2. I love this channel and all you do!
Oh awesome Shannon.!! I’m so happy to hear that. Thanks for letting me know. You be well and take care of yourself.😊👍🏽❤️
@drtraceymarks. Yes Same with me. Although I almost gave up HOPE trying, Was diagnosed with depression few years back used almost all SSRI Available I'm my country and almost all antipsychotics. Dealt with severe side effects some hasn't gone away till today e.g vivid dreams/nightmares. I even did ECT.
QUICK QUESTION CAN YOU USE MUSHROOMS WHILE BP2 MEDICATIONS
I've lost everything over 4 years of my life just living like a statue.
attempted suicide two months ago. Glad I survived. Thought I had treatment resistant depression (the health sector in my country is just so poor) I just found out I have bipolar but they won't say which is it because they don't know yet. But from countless of your videos I've been learning from over the years I'll say it's bipolar 2.
Now on paxil and sodium valporate
6 weeks on it.feel flat a bit, anxious a bit, tired but kinda normal. Unlike before while antidepressants alone shoots me to hypomanic for a weeks or days followed by depression.
70 percent of other mood stabilizers you mentioned in your videos is not available in my country. Especially the best once.
@@DrTraceyMarksplease check my reply to this original comment i forgot to tag you in my original reply. Love from Nigeria
I personally don’t like bipolar spectrum. I have bipolar I disorder, and I already feel like people don’t realize the seriousness of the condition already when I say “I have bipolar disorder”. They don’t see the mania, the psychoses, the hospitalizations. They picture someone who is a bit up and down but nonetheless is pretty typical. I feel like I need to go into personal detail just to get across that the illness has been a significant barrier to me. If I said I had schizophrenia, people view it completely differently even though I’ve had some of the same outcomes as someone with schizophrenia. I think doing such a broad categories of “bipolar spectrum” would add even further confusion of what the trying to articulate what the experience is like.
I have Bipolar 1. My feeling of how serious it is constantly changes. It is very serious and has hurt my life, my kids lives, and my husband's life. But I often come around to thinking it's better than major depression.
Agreed.
I feel like what you're talking about wouldn't be the fault of bipolar being a spectrum, but about the medical system and society being violently ableisy against you. Some who think their symptoms aren't severe enough to qualify for being diagnosed with bipolar could still suffer in their daily life. They shouldn't lose out on the care they need, because it may be more complicated for you personally
I have bipolar 2, but I can relate. Just as people don't see your mania, they didn't see me completely neglect my hygiene and relationships when I went into a months-long depression, they don't see the years of medication adjustment and the crazy ups and downs, and the terrible choices I made when hypomanic. I think the current terminology is perfectly fine
I feel this SO MUCH. Especially the “oh I’m unique, I have fast-cycling bipolar…it’s the rarest of bipolars…” stfu 😑 everyone says theyre bipolar nowadays, it’s like the garbage can diagnosis when they someone doesn’t respond well to an antidepressant.
Which completely undermines ppl that actually are severely bipolar. I’m disabled, literally like SSI, because of this. I can’t work, I can’t be consistent, I have no close friends, I hurt my family at times, I harm myself in every way… if I say I’m bipolar, so many ppl are like “omg me tooo” or “then take your meds, you’ll be fine” or they see it like adhd, something you can just push through (not well, but still).
It’s just not like that for me…1/4 of the time I feel sorta capable…the rest is varying stages of mania and psychosis. You can’t just go about your business like that lol it’s insanity…
I’ve been struggling to figure out if I’m bipolar, or have borderline personality disorder. I’m currently on high doses of mood stabilizers and antidepressants. My dad was “up and down” his entire life and my mother and I called it cycles. I never thought much into it until he committed suicide a few years ago. I’m a lot like my dad and a month before his suicide I remember telling him how to manage the “cycles” and to remember that the depression would pass. Both of us would always go through phases and obsess about whatever we were getting into at that time, but the interest always faded. Both of us have/had extreme, hard to control anger and impulsivity. However, both have had fear of abandonment. I’ve become worried about whether or not I will inevitably meet the same fate as my father and if my life will ever stabilize.
Ur dad didn't take therapy or meds ?
I feel suicidal since two years I am bipolar in manic episode I spend a lot ..flight of ideas, racing thoughts, I wish there was a cure.
I can't say about your case, but for what it's worth, one may have both bipolar disorder and borderline, indeed it is not uncommon.
I'm so sorry for your loss. I hope you find the help you need and find stability in your life. Best wishes.
you may have adhd , just an idea.
Doc you are doing so much more for us, iam pray to God for all your goodness, you stay healthy always. Doc you are best
Thanks a lot Ram! I appreciate you.
Doc. You are the best 🧡
i agree 💕
What I appreciate about you is your empathy and respect for mental illness.
Tracy, you probably already are, but you should be SO proud of yourself. I've watched your videos over the last several years and they've helped me incredible amounts. The same goes for all of the other tens of not hundreds of other people that you've helped. You have a gift. You are precious. A healer. Thank you. 🙏
Thank you, Dr. Tracey! You inspire me to want to pursue my degree in psychology. I believe people can help themselves when they understand themselves.
Going through many mental issues and your videos help me not feel like I'm crazy or something is wrong with me. Your videos have helped me so much thank you! You shine a light on mental health and we need more people who are as passionate about helping mental illness's patients as you are. Thank you Dr.Tracey. I wish I could have you as my psychiatrist.
You're the best doctor ever! I wish more doctors in the mental field followed your example. Your videos have been tremendously helpful to me. If only you were my therapist!
You’re videos have been so helpful. I was diagnosed with depression. Then a couple years later Major depression & Generalised anxiety. Then a couple of years with treatment resistant depression. And now finally at age 26 after trying a mood stabiliser after thing I could be on the bipolar spectrum; this are looking up! Your videos are so informative and makes me understand why my psychiatrist has taken the steps she has.
Thanks for demystfying mental health. All you have to do is ask if you need help. Visit your doctor first - they can help relieve you symptoms and give you some reassurance that it's OK not to be able to copy with any situation.
It may not solve your problems, but it's a start.
This has personally helped a lot since COVID. We've all had a lot to copy with recently.
Thanks Tracey
While I'm excited for you to have gained such a broad audience, I"m so sorry for you that you've done so many videos on bipolar disorder. and from countries with different medical practices. Your bipolar playlist/series covers SO MUCH and it seems like the questions just keep coming! I hope this hasn't become burdensome for you and you manage to find something joyful about continuing to talk about this. Be safe!
I just love your show/you! Very easy on my ears, I also love your teaching skills. I am 77 an looking forward to a lot more of your shows. Be well, be safe, Cheers!
Protect this woman at all costs
Thank you Dr Mark's. You're a very compassionate person and I find comfort by listening to your videos as it helps me deal with my mental health. 🙂
Thanks so much Tom. I’m so glad I can serve that purpose of providing comfort for you. Take care. 😊🤗
once again another great informative straight talking video from Dr T.Marks ..oh btw, love your necklace
Hoodooray I concur
Thanks a lot Hoodooray and John!
So I have been diagnosed with bipolar type II since 2016 and the meds helped me. I believe my ADHD still affects me in my progress and I know there is comorbidity. I would love to see a video about bipolar disorder & ADHD comorbidity.
Thank you for helping broaden people's knowledge. It helps me begin to articulate what I need to when it comes to my mental health.
Keep going Doc. Tracy. And be safe and take care.
Hi Dr. Thankyou for the representation. I found it interesting and watched it twice, back to back. I always look forward to your vids 😁.
You are amazing at making a complex topic simpler
Your programmes are great for explaining to other people near me what is going on in my life.
Thank you.
I really like your new lighting. It’s must softer on you.
Thanks Admin. I've had this lighting set up for a while now (maybe a year), but I recently changed how I did the color grading. That might be what you notice. I appreciate your feedback though. I don't get many comments on the technical aspects of my videos so thanks, good to know.
Dr. Tracey Marks I agree with Admin
Thanks for your wonderful work, Dr. Tracey! Greetings from Peru.
Thank you Dr Tracey for covering this difficult topic. I have still to have a basic understanding.
Thank you Dr Mark's. My diagnosis is bipolar spectrum and OCD . I enjoy your videos as you make them interesting and informative . I find your videos very comforting . Have an awesome day !
I’m so happy I found your videos. Thank you for doing what you’re doing!
Extremely well said. Thank you, doctor.
Thank you, Dr. Tracey. This is such a great video.
The link to the video on psychotic depression actually links to the video titled "3 Ways ADHD Makes You Think About Yourself".
I also wanted to thank you for the videos on bipolar disorder. It's helped me come to terms with my diagnosis.
I'm greatful for your brilliance ownr Dr.Tracy
Thank you. This really helps me navigate all my diagnoses.
Human mind is incredibly complex it's no surprise to me the wide variety of clinical mental illness from A to Z. I saw it on Wikipedia it was disturbing! Very much admire people such as yourself who make this world a better place
Thanks so much! You’re right brain is very complex and there’s a lot of nuances to sorting out the various mental conditions.
This makes a lot of sense! Thank you!
I love your videos. And I love that you did one on bipolar spectrum.
I’ve been reading work by James Phelps and Nasir Ghaemi, and their work resonates with my experience so much.
I don’t have obvious cycles of hypomania, just a few features, and sometimes only for 1-2 days when I do have more features. But I do have recurrent depression, that co-occurs with anxiety, oscillation between hypersomnia and insomnia, agitation, extreme dysphoria, and some atypical symptoms. I’ve been on a lot of different antidepressants, and I’ve never done particular well on them. Also, I once had a clear hypomanic episode while on nefrazodone decades ago, but it never happened again on any of my other antidepressants. So that doesn’t qualify for bipolar based on the DSM, either. Antidepressants just make me... agitated and dysphoric.
I recently had a mood stabilizer added to my antidepressant and it’s made a world of difference. I’m not out of the woods completely, but lamotrigine has definitely made an impact.
I really feel like for a lot of us there is more to depression than just depression. Even though we aren’t clearly bipolar (or even bipolar-NOS) based on DSM criteria, it’s something that looks and acts bipolar-like. It’s frustrating that it’s taken me decades to finally be put on a mood stabilizer, but it gives me hope that there is a whole set of new tools and meds available to me now.
Thanks again for your clear, science-based videos!
Thank u Dr.Tracey for what u do🙏🏼 u really help a lot with my anxiety and panic disorder.
So glad to hear! Take care of yourself. 🙂
@@DrTraceyMarks god bless u u are my saviour
omg thank you so much! I'm currently overwhelmed with the level of gratefulness, yet simultaneously frutration; it's hard to hold tears back...
at the age of 25 I've essentially lost hope for any psychiatrist being great without greatness (meaning condescension)
I've been proofen wrong today!
please, to any weird reader who might read, excuse my confusing english
Love what you’re teaching! Dr. Marks, I have a loved one in DIP, I believe, and the psychosis is something I’m not sure how to deal with. You say no argument will change they’re mind and it’s been that way all winter. She thinks people are out to destroy her house and her, it’s so bad. Do you do teleconference, zoom, Skype sessions? I trust you. I’m at my wits end. She is seeing and hearing things so bad and she don’t even get it they are not there. It’s the most insidious thing on earth to deal with..
Thank you Dr. Marks! You are great and oh so informative. I love watching your videos on bipolar disorder. You probably won’t see this comment, but I hope you create a video about how to calm down mania in between doctor’s visits. My psychiatrist prescribed seroquel and zyprexa to address the mania, and I’m becoming more stable...but it still flares up and I’ve been a train wreck. I don’t want to bother any of my providers over the weekend, and would rather calm down on my own if I can. It’s turning out to be very hard though. This is harder than I thought and exhausting! 😔
Doc. Whatever you discuss in video is very true
Thanks for a great informative video.
Ty, Dr. Marks for your explanation and knowledge of mental illness. I am a NP student/advanced practice mental/public health nurse. I can appreciate your knowledge on mental health. Plz keep do8ng what you do. Ty.
Doc. I care for you more. Doc. You keep producing more and more videos, about all pyschiatric conditions.
Yes, that's what my channel is about. Thanks for watching.
Very informative video. Thank you, Dr Marks.
Anh Mai I concur
You are welcome!
Hi Dr Marks, I've been following your channel for quite a while now; they're super helpful and clear. I wonder if you could go into treatment-resistance for bipolar 2? Your video on treatment-resistance is mostly about unipolar depression, and so I would like to know whether the criteria for treatment-resistance for bipolar 2 are the same/similar. Thank you so much!
Hi! I believe at 8:57 you meant to say "antidepressant alone". Love the videos! Very helpful
Awesome video! However I am distracted by how GORGEOUS your hair is
Thanks for your videos. They are helpful.
You're welcome Summer Breeze. 👍🙂
Thank you Dr Tracy for this video
You're welcome Abigail.
I'm so gratefull of her work
Thanks so much Rafael! 🤗
Hi Dr. Marks! I love your videos. I’ve been prescribed a lot of meds for a long time, and I just recently looked up what they’re all for. I am feeling very drugged and not very treated, if that makes sense. So yesterday, I had the opportunity to see a new prescriber for the first time, and she agreed to start tapering me off Topamax because she couldn’t understand why I was on it. I feel like this is a huge step in the right direction. I feel like I’m taking my health in my own hands for the first time in a long time. 😊
Oh that's great Jen. Sometimes doctors can keep adding medications and all the combinations can make you feel worse in the end. I'm glad your new doctor is up for trimming away meds that may not be doing much positive for you. I hope it goes well for you.
I don’t have a bipolar diagnosis. I originally had dysthymia for years, and then I suddenly had a major depressive episode in my late 20s. My first major depressive episode was when I was 15. But I think I have atypical depression, because my mood improves if a bad situation improves. I told this to my psychiatrist, but she’s not super enthusiastic about trying to make a diagnosis after seeing me as a patient for several years. It’s a bit weird that the practitioners of my clinic have this hesitancy to reevaluate a patient they’ve seen for years.
Hi doctor thanks very good job keep it up lovely 🙏🙏
Hi Dr. Marks! Could you do a video about the different features that can show up with bipolar disorder? For example, when someone has bipolar 1 disorder with psychotic features or mixed features? Why do these features occur in the first place? Also, why do some bipolar people only get manic episodes but never have a depression? Hope to hear from you!
Love to know more on anxious depression. What it looks like and how people we experience
For me my experience has been feeling so depressed, like my limbs are weighted down that it takes an enormous amount of effort to do anything and then at the same time, feeling so restless that it's physically painful to even sit still for a minute. However I'm not sure wether it was an anxious depression or I had a "mixed state" episode as it may be possible I have bipolar according to my psychiatrist .
love you and thanks for sharing and i hope you had a happy easter :)
Thanks so much Mack Fam. I did have a good Easter. It wasn’t The big celebration that it usually is for us though because of the pandemic. I hope you had a good Easter too and are staying well. 😊😷❤️
Dear Dr. Marks, I have just discovered your videos a week or so ago, and first of all, thank you so much for doing this and taking the time to discuss mental health and in the end, just plain health. I have soooooo many questions because I'm basically a mess......but my pressing inquiry has to do with personality, recently I discovered the term "ambivert" referring to a middle ground between extro- and intro- vert, which brings me to my question, Can one person have a neutral, middle or centered (don't know how to name it he he) personality?, where he/she is not one end or the other of a type of personality, it's like a having both of worlds, it's not a personality that is strongly marked, it's more balanced when it comes to feelings, skills, thoughts, actions, desires and decisions. It's never black or white, nor one end or the other, it's basically in the middle. Hope my question makes sense and sorry for the loooooong rambling, this is my first time commenting on your channel....
Hi Doc,
Can you make a video explaining main differences between schizoaffective disorder and bipolar with psychotic features.
I don't really like the concept of a 'bipolar spectrum'. Think it would cause a lot of unnecessary confusion for patients and clinicians in an already complicated field.
I agree - I don't "diagnose" people with this. I have used the language and explain what I mean by it when I do use it. But I do think using it as a diagnosis is a set up for many people thinking they have bipolar d/o when they don't.
Dr. Tracey Marks Same, but I do like the framework of a spectrum. It better includes those who don’t always meet traditional criteria. I think there are some troubling flaws in how we have isolated diagnoses from each other when they really are more connected.
Brave Starr I think it would clear up a lot more confusion than it could cause down the road. I know more people who benefit from a spectrum model than who would not.
I think it clumps too much together. I would think it would prevent people from getting clarity on what they have and how best to treat it.
@@DrTraceyMarks please help. Can someone cycle thru bipolar manic & depressive states in a matter of hours, every week?
If a person is exhausted & mostly bedridden for days, then gets a bit of energy, feels better & is able to get up out of bed, shower & maybe go out to the store, then they start to burn out & have to come home & collapse back in bed, for days to week. Sleep doesn't bring the energy back. It takes days off sleep, rest, doing nothing.
Then eventually after three, four, five days or more of rest, there's a much wanted three or four hour span of energy again.
The cycle repeats. Overdo it, collapse, overdo it, collapse.
Energy is always early evening or at night +5 p.m. to 10 p.m.. Never in the morning or early afternoon. When the energy is there, of course I'd feel better. When no energy, it is depressing & feel hopeless & powerless.
Does this sound like bipolar disorder?
ME/CFS has been suggested. (ME/CFS often has a period of exhaustion after "over-doing it". And "over doing it" may be not really doing that much, compared to what others can do.)
The level of exhaustion varies between individuals. Some are only somewhat affected &
others are disabled by it.
Thank you for the history lesson.I agree with Brave Starr though
You're welcome Mary. Brave Starr makes a good point. I think if we reverted to this terminology, "everyone" with any kind of elevated mood or irritability could consider themselves bipolar. Because in this case, even agitated depression or depression with anxiety would be considered bipolar spectrum.
Thanks for your wonderful channel and videos. If one has faced severe depression more than once over the last decade, and the treatment were not effective, and once having antidepressant which initiated a manic period, what would be the best diagnose?
i love her she makes me cry in her videos
Hello Dr. Marks. Your videos are amazing! I started to develop symptoms that I was on the bipolar spectrum when I was 14. I had the suicidal thoughts, the increase in goal directed activity, severe shifts in my mood, crying, etc. Even though I went to several therapists, I didn't get the diagnosis of bipolar type 2 until I was 28 sadly. I really wish I knew I was bipolar sooner or at least have known that I had a suspected mood disorder. Mental illness definitely runs in my family. Have you ever diagnosed someone with bipolar type 1, 2 or 3 when they were minors?
Fascinating bit of history into psychiatry! You always have interesting videos thank you so much!
i love your videos!!
Thanks a lot Martin 🙂👍
Dr. Tracey I was diagnosed with bi-polar depression and my healthy state improved a lot with treatment/medicine....I never had hallucinations (hearing voices and such stuff ) but what I've been realizing from time to time are scatttered thought. I also have a diagnostic as borderline....but I really would like to know if scattered thoughts make part of Bi-polar disorder....or this kind of condition is maybe associated to schizotypical disorders....I'm really confused....
Thank you.
Dr Marks,
How are you doing during this pandemic.? I am getting quite bored but enjoying it. Very interesting video very good topic of discussion anything about bipolar I am interested in. I don’t know if it’s good news but I am trying Vraylar 1.5 tonight for the first time I don’t know is it better or worse than Latuda will find out I’ll let you know on a future video. Take care and be safe.
General repair
You be safe too. I have some colleagues who have used Vraylar a lot, I still haven’t had much success with it. Some people got agitated and some were super tired all day long even when they took the 1.5 every other day. I don’t want to discourage you from taking it you need to follow your doctor‘s lead. but just telling you what my experience has been. I would like to know how it works for you.
Recovery options for any mental health disorder is a topic that includes various avenues of therapy some grounded in science while others involve non traditional remedies. Could you do a series on coping or healing from mental health distress?
Dr Tracey thank you for what you do. I would like to ask if Epilim is a mood stabiliser or not. I am writing from South Africa and my son was diagnosed with Bipolar disorder (1) I say 1 because of my own observations from listening to videos as I wanted to understand this a bit better. Thank you.
Yvonne Benjamin
Are you able to do a video of the differences between mdd with mixed features vs bipolar 2? I seem to currently be somewhere in the middle
Dear Dr Marks. Thank you so much for your work. Your videos help so much. My own therapist is a bit...well...he said I am bipolar than I am not. Everything is confusing. Thank you so much. Greetings from Germany.
So maybe for him it’s a terminology thing too. 😊 you’re welcome and I’m glad my videos are helpful.
@@DrTraceyMarks but if you are diagnosed as bipolar and are given specific drugs for that, such as lithium, can that not be very dangerous??
Love you Tracy
Hey, Dr. Marks. A little over 2y ago I was diagnosed with bipolar 2 disorder after a long depressive episode + SSRI's = hypomania. Since then I've been on Lithium + Lamictal and life's been great. I've had 2 depressive episodes post my diagnosis but no hypomania whatsoever. Can someone have bipolar 2 with just one antidepressant-induced hypomanic episode?
could you go deeper on the treatment-resistant depression topic? It's been my case for years
Hi Dr. Marks! I've had very severe OCD, depression, PTSD, and anxiety for many years and have not had a very strong response from the SSRIs and augmenting medications. I do have an anxious, obsessive, and depressive temperament, but I don't know if that means there's hypomania in there too. At what point does someone's "jitteriness" and anxiousness" actually be considered subclinical hypomania? That's a fine line that's never been clear to me. Only one in the 10 clinicians I've worked with over 25 years has suggested that I might have subclinical cyclothymia. Its an interesting question, but I just don't see the episodic fluctuations that you see with someone with these mixed states. I probably have anxious depression and severe OCD, PTSD, and that's it. Lots of stuff!
Oh god! I’m scared I might have bipolar disorder spectrum, but I will be getting diagnosed soon. I have a parent that could potentially has on diagnosed bipolar disorder due to trauma of having a child. But for awhile I thought I had bipolar disorder 2 and severe depression, and have had hypomania episodes but it has been perceived more positively from others, however I have had a possibility of a manic episode in front of others particularly when substance is involved. Thank you for this video it made me realise a few things.
after watching all these , i feel like to take a notes classify everything u talk about and re diagnose myself what i am going through. any how thanks a lot u r god sent. can u tell adhd can cause irritablity and excessive anger how to manage please marks please make a video
on how to focus with adhd and i have to tell u r videos benefitted me a lot
i am trying to stop my anger ,, concentrate on positive things .with optimism
focus these all are because understanding what is happening in me ;that too by u r videos
thanks a lot ..love u love u alot
Thanks Priyanka I have your question down. I’ll see what I can come up with.
Hi Dr. M, this might sound off subject for you to discuss, but could you explain how psychology and therapy techniques intermingle with mental illness. It gets really confusing, esp regarding personality disorders. I understand that there are the neurotransmitters and medications that can help mental illness (key word illness) but then there's the adjunct CBT or talk therapy to help things along. How do u embrace it all yet tease out the separateness?
In UK we use the ICD so term bipolar spectrum disorder (and clinical notes add code for current mood state ) I have only had it been used when bipolarity, yes including cyclothymia but not aware of it used with the other dx. But some people still refer to the types 1 and 2 as it can help to see why we don't have the same patterns of symptoms, but spectrum covers the idea that we don't all fit neatly in boxes, and that can move along it. (rather than like the diabetes types that are totally different processes and not a spectrum)
Hi Dr. Tracey. I have bipolar 2. In the past, my hypomanic episodes have immediately followed my episodes of severe depression. Can I expect this pattern to continue? If I know that hypomania will likely follow when I'm dealing with a depressive episode, I think I can be more prepared and attentive to the warning signs that hypomania may be imminent. Thank you!
Psychology rocks!
Great video Doc!
@Dr. Tracey Marks could you make a video on a fixed mindset i have been on so many meds but have not really helped I don't think any meds are going to help when you have a made up mind like I will be like this forever I like fixing computers and when I look at something broken I see it different and think its possible I wish i had that out look on my mental health I spoke to my diabetic psychiatrist yesterday and we was talking about starting agomelatine I had a blood test yesterday and she wants to look at my bloods by Thursday before prescribing it.
I was recently diagnosed with schizoaffective disorder. I was wondering, (on the bipolar side) is there a term for someone who regularly has episodes of mania and hypomania, without any depression?
Manic depressive Insanity. How Dr's view mental illness has made great strides, thank knowledge for that. The Insane Asylum is where bipolar ppl such as myself would be chillin at just a few decades back. Subjected to electric shock treatment, & if they thought symptoms were more serious, a lobotomy would've been performed. Scary!
Hi Dr Tracey. I am having a tough time right now with my illness and getting control of it. Yesterday I was heavily depressed struggling to get out of bed, then in the evening it switched up with me speeding up then hardly getting any sleep last night. Today I'm in a hypomanic state. It's a difficult situation because of the lockdown so I can't go to see my doctor. I am uncomfortable with speaking to her on the phone because I am quite paranoid. Do you have any advice because I feel like I don't have full control right now? I am taking seroquel, effexor and mirtazapine.
thanks Dr.
Can you touch on documenting affect and mood please..
Hi Dr. Tracy , thanks a lot for all of your efforts, your videos have been extremely helpful.
I have a question regarding sleep and dreaming
As a person diagnosed with bipolar type 2 since 8 years ago, having sleeping issues is something I got used to. However lately, sleeping time has become such a stressful thing because while it takes me a lot of time to fall asleep I start having dreams minutes after I close my eyes; while still awake. and it's not hallucinations like. I understand that dreams only occur during REM sleep which takes place at the deepest stage of a sleep cycle, and that's why I'm worried. I would really appreciate it if you could provide an explanation as to whether it's something I should worry about or not.
I forgot to mention that I have been taking zolpidem for over a year now. I developed a tolerance at first, for which I had to take a higher dose than what was prescribed, but I have been slowly cutting it down and now I'm back to taking the normal dose. Still, I would like to reach a point where I don't need to take it at all to fall asleep, but the issue mentioned above is not helping. especially because those dreams are not pleasant ones.
are you able to do a video on Cyclothermia..?
Hi dr.Tracey, I'm Esya from Indonesia. On this January I was diagnosed Bipolar with Hypomania and deprresion symptomps. It takes about 3 months to admit that Iam Bipolar after diagnosed. And I never take the medicine till now because I'm scared of getting addict with it. But, I realized without moodstabilizer, the symptoms of Hypomania always occures in my self frequently, almost every month eventhough it only happened 4 days, a week or even 2 weeks. Before I went to psychiatrist this year, I experienced my first deprresion followed by mania episode at 27 years old, and now I'm 32. That means I was Bipolar for 5 years, I lost my interest on working, career and being jobless now, I also have some difficulties to make a friend with new people or failed to make a relationship with a man that I loved.I strugling a lot with Ups and Downs on my mood disorder.
I also confused, because in my family there is nobody have bipolar symptomps like I did (Not even my parents, grand ma, or uncle and cousin). I'm the first person who experienced this.The question is, Does Bipolar can be happened 100% only by environtmental factor? and not because of inheritability.
And if I discipline to consume my medicine, can I be the gud person like I used to be? I really wanna fix the chaotic that I've made and forgetting my traumatic moment in the past...
Can you give the explanation to the viewers how moodstabilizer and antidepresant working in our brain :)
Thank you for the insgiht you've shared for this video
love from Jakarta
Hi Eysa. Thanks for watching from Jakarta 10,000 miles away! Bipolar disorder can occur spontaneously in someone without having relatives who had it. We don’t know exactly why it occurs. I have several patients who have been stable on medications for years. Usually what happens is they spend several years on and off medications just like you did and that’s when they don’t do well. Then once they got on a good regimen that they can tolerate side effect-wise, they stayed on it and stayed stable. Stable though means a dip in mood up or down in which case I sometimes may tweak the medicine or not.
Social rhythm therapy and using blue light blocking glasses in the evenings are good ways to maintain stability as well. I talk about some of these things in this video czcams.com/video/awPP5YrVGyY/video.html
and this video talks in more detail about dark therapy czcams.com/video/NvMPxstv8hs/video.html
Hi dr. Tracy Marks, I love your videos and they have helped me understand a lot about my bipolar disorder. Ive been through a hypo-/manic episode this winter with hallucinations. I had a suspicion that I might have been pregnant during the start of the mania. I google mania and pregnancy and I found information that stated that pregnancy homromes can start a depressive or manic episode. Can you explain how hormones and bipolar episodes correlate?
Hi Sidse. That’s a little too much to explain in a comment. It’s complicated. Suffice it to say though hormones can possibly trigger more instability or switching from one episode to the next regardless of the starting episode. It’s not One Direction. The best thing to do is consult with a psychiatrist about whether you should take medication during pregnancy. The answer is not the same for everyone.
The DSM appears to be moving more and more in the direction of the spectrum framework. Not exactly in the way you present it, but in the sense that one may have overlapping symptoms of depression and (normally) hypomania, often at the same time or as officially called "mixed states", but without meeting official criteria for bipolar.
The hypomania part is usually dysphoric rather than euphoric, presenting with agitation, anxiety and irritability. The recurrence of depression in spite of continued treatment, and most importantly, the worsening of the overall condition of the patient over time, tends to guide treatment in the direction of mood stabilizers or combination strategies instead of antidepressant monotherapy, to which this set of patients respond best.
Thank you for all the great information I just wonder if bipolar condition can be change to become normal one day? And what happens if I stop taking my medicine that I take for 3 years
Thank u doc for this incredible channel! i have a question that has been worrying me for some time now. I have heard that the human brain STILL not fully developed until the ages 25/30, so my question is can antidepressants affect the development of the brain negatively? i am 22 yo and have been on antidepressants for two years. Thanks a lot
This would be a good video topic!
It would have been good to see an answer to this
top video greetings from england
Thanks!
You’re welcome and thank You! 🙏🏽❤️
could you make a video about coping with the bipolar crash from mania
I think "bipolar spectrum" would describe me rather well...as someone with reacuring depressions and mild what might be hypomania (I've been diagnosed with bipolar 2), but mostly is just creative productivity, racing thoughts and insomnia, but I don't have bad impulsivity and pretty often it is still mixed with some depressive symptoms and feeling inspired rather than supereuphoric. I personally feel like bipolar illness spectrum should have reacuring non situational drepression with a bit of "something else" and or mixed symptoms under it. After all things like "irritability" are rather subjective on a spectrum things in real life. For example from my life I become more than normal anxious about strangers in my personal space like a person sitting next to me on a bus, but I don't like snap at people so are internal experiences that don't show much on the outside "irritable" enough to count. Or a person a might have 3 out of 4 required symptoms of a diagnoses, but they might affect their life badly or a person b who has mildly all symptoms, but is high functional so is person a) "healthy" or only having "a mild" illness compared to person b? Or person having 6 symptoms where a lot of stuff amounts to a whole lot of "straws on a camels back.
Can you do a video on bipolar disorder and effects of estrogen . Can hormone replacement therapy at menopause help or aggrevate symptoms?
Is it common for diagnoses to change based on the DSM edition? Under the DSM IV, I was Bipolar 1 because I had mixed episodes, but I believe, under DSM V, mixed episodes are allowed in Bipolar 2. Though I was hospitalized for my mixed episode, so maybe I am still Bipolar 1.