Bipolar Disorder and Schizophrenia Part Two
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- čas přidán 23. 07. 2024
- See part one: • Bipolar Disorder and S...
In Part Two, Bethany Yeiser (CURESZ President) interviews Dr. Henry Nasrallah (CURESZ Scientific Director) about the similarities and differences between bipolar disorder and schizophrenia. Abnormalities in the brain in bipolar disorder and schizophrenia are discussed, as well as biomarkers in schizophrenia and bipolar disorder.
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How do you manage to stay so slim on clozapine? Are you taking something to counteract the horrible metabolic syndrome it causes. It would be really helpful if you could let us know what medication, if any, you are taking to combat the horrific weight gain caused by clozapine, since many people with schizophrenia refuse to take it because of this. Is it metformin?
Thankyou Bethany wonderful to hear this and the Doctors explanation was excellent .Two questions.I am interested in the Doctors experience with CBT and other mind training regimens and non drug therapies.(this does not mean I am against medication at all.).just how does a holistic approach work out for outcomes? as well does neuroplasticity enter the scientific communities peer reviewed studies and what successes have been found with rebuilding damaged brain cells with these therapies?..Please keep posting videos!
Hello, I assume that Dr. Nasrallah speaks arabic...
Dr. I know it's not possible to give medical advice online; but hear me out:
I'm a 22 y/o male, from Saudi Arabia, I myself thought that I might have some form of a mood disorder back in 2016 when I first got into college (it was tough, I was very indecisive between engineering and medicine); that went on for a very long time until I got into medicine (did fairly good first semester, but I felt overwhelmed at the time; it cause me severe anxiety, I was able to think clearly; I kind of had insight back then)... then I started getting more stressed and overwhelmed...
Went to a clinic for me thinking I might be having a lung infection (due to possible mold in my apartment; I was very very critical, I was going with that possibility after researching it and finding that it can cause mood issues after chronic exposure to mold; but I also thought of depression as a possibility at the side; went to a clinic and the nurse "spotted" that I might be having symptoms preceding a depressive episode...
Was referred to a psych "hospital"; stated my history and symptoms, and was prescribed fluoxtine 20mg + mirtazpine 30mg had severe strange side-effects for 3 weeks before stopping the combination...
My head just felt very very strange afterward, like a war broke out inside my head and the opposite sides spared no effort trying to destroy the other side; killing my brain in the process... it felt like my CSF was turned into gasoline and set on fire (I felt burning sensation, pins and needels inside my head; and that before the severe migraine and the horrendous (what I assume was a tonic awake painful convulsion; I felt something pulsating inside my head then when it was over I had anhedonia, I couldn't feel pleasurable things, it just wasn't registering inside my head, and I never felt the same afterwards. Then I had another "seizure".....
I went to one neurologist after all of this, when I felt I was very weird and spacy kind of. My memory was kind of shot, but the main thing I noticed after all of that was I was unable to semse time... like the area in my brain that's supposed to sync-in with reality was destroyed... I would just sit there and not feel time... before I would dread charging the phone because it took a long time; now (the same phone; same charging time) I plug it in; kind of forget about it; and vwala, an hour has passed and the phone went from 5% to 80-90% and I didn't feel it.
And I don't have the fear anymore, the fear that would drive me to do things, at least the ability to sense it so gone... and I would not care at all about anything related to my success in college or anything; unless reminded about it, then I would have "care about it" then it becomes a hassle to even put effort into caring. It's like I have little sense of emotions, and i do things (i.e. studying purposely; not out of fear or enjoyment or interest)...
That's bad for me; and that has got my father and my mother very very mad at me (with college and life responsibilities in general [they call me out for lack of planning and care nearly all the time]). I used to be a very quite kid, never talk with my parents alot (e.g. express my emotions) but I cared inside; just kept things inside. But after what occurred I was almost kind of not like my old me inside (apathy, anhedonia, I feel though I can't connect with my family, I feel in a state of mind that has gotten stuck and I can't change it); and my lack of expression previously lead to me not having a base-line for others to compare and contrast me (before and after) which makes it harder for me to genuinely express how I'm feeling right now; kind of like muted inside; like something has gone inside my head and checked the emotional Centers inside my brain. And my sleep has changed, and my head feels like I "can't think"; like "metacognition" is not there...
When things got bad (when I felt the left side of my head was slowing down rapidly [10 months ago] is when i went to a neurologist).
I since was reading more and more about mental illness (now I'm worried about being slightly towards schizophrenia symptoms-wise [I don't see or hear things that aren't there, but I feel kind of out of it?; as if not in reality but I'm still here, making me feel like I'm on an edge before getting severe psychosis).
I kept lots of details regarding SSRI side-effects I had in those 3 weeks to no make this a very long read; but I guess it has turned to be a VERY LONG READ :)
I'm very sorry for this long rant; And if you've reached this thanks for taking the time to read this, because you really cared or was a bit curious, and thank you, THANK YOU; THANK YOU! FOR THAT...
Edit: Yes, i forgot, what should I do now, should I go see a psychiatrist or a neurologist (I did an EEG 10 months ago, and it showed slight abnormality for which I was prescribed VA 100mg twice a day + 50mg sertraline; which I didn't take).
Before all of that psychotherapy might've helped,but not after all the damage I think medications is my best-worst choice; but I'm afraid since I don't know what to do + i feel very very guilty for getting on the SSRIs in the first place :(
Do you have any specific questions to ask that I can send to a doctor?
Salaams. The side effects that you're describing are not unusual for the SSRI class of drugs. The seizures are more unusual, but it's certainly possible that SSRIs or mirtazapine could have played a role in inducing them. As far as nervousness and indecisiveness -- that's common college student stuff. Psychotherapy probably will be helpful with the anhedonia and avolition -- these aren't generally considered symptoms of psychosis, unless the psychiatrist is an adherent of the "Moscow school". If you're looking for someone more local -- and depending where in KSA you are -- check out a guy called Mohammed Al Suwaidan in Kuwait.
Please name long acting injection for schizophrenia
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