Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phl
Can i ask your first name?
Nice to meet you
You are 100% correct
This is classic bipolar disorder
you need to see a psychiatrist and get this treated accurately
you need meds for sure
I recommend lamotrigine as a first line drug
it works well
are you there Jess?
sorry I needed the toilet
are you sure it's bipolar? I've seen a GP and she says she wasn't sure
Yes, I'm positive
It's either bipolar 1 or 2 but its bipolar
you have classic symptoms
I first thought it could be when my anti depressants weren't doing much for me
anti depressants are actually dangerous in bipolar because they can trigger manic
you need a mood stabilizer or which lamictal is one
I had the dose doubled and ever since I've been struggling to sleep and often wanted to get up and do random things, like get on a train somewhere, weird stuff like that
see that is exactly what I said
what med and what dose?
sertraline 100mg a day
okay this is dangerous to take with bipolar
Ive only had one period of time where I was overly happy in the last 6 months and over productive, its mostly been low mood and dangerous thoughts
one manic episode makes you bipolar
any more questions for me?
yeah I'm just thinking, what classes as a manic episode?
exactly what you said
increased need for sex
lack of sleep
is it possible to also feel depressed alone with those symptoms?
Oh I'm sorry
I didn't understand your question
I meant no it is not
those are not signs of depression
Trust me Jess.
you have bipolar. There is no gray area
this one is black and white
I find the most obvious thing is wanting to spend money on stuff to make myself feel better. then increased need for sex and the major lack of sleep. then there's the sucidal thoughts and wanting to cut myself. lately I feel all of those things are mixed. and its like mania and depression at once
that is because of the sertraline
you need to ask your doctor to cut back the dose
and get with a psychiatrist ASAP
is it possible to live a normal life with bipolar disorder?
but only with medicine
I have a friend who was recently diagnosed with it - she says its a life long thing?
sometimes it gets better with time
only time will tell
was this helpful?
yeah I'm just trying to think if I have anymore questions before I leave you
what kind of things will a psychiatrist do to test for bipolar?
just take a history
trust me this one is easy to diagnose
do you know what's frustrating?
I'm at the end of my degree where I most need to be focused
I'm sorry Jess
Just get the help you need and you will make it through
not your fault
I want to thank you for being there
its 2:30am, didn't think I would have someone to talk to, let alone a dr
you're welcome :)
I'm happy to help :)
It's only 9 pm where I am so it works perfect!
I'll do as you advise and try get myself booked in with a psychiatrist
I'm in Sheffield, uk
Michigan, United States
would you mind rating me positive before leaving Jess?
I wouldn't mind at all
one more thing
do people with bipolar continue to experience episodes once on medication?
the medicine controls it
or does is just depend on the individual
thank you again
you're welcome Jess
have a great night
thanks, ***** *****
I just want to say thanks so much for your help. I'm still struggling with my illness but I went back to my doctor and they have now referred me to see a psychiatrist. I feel this is a positive step forward and I will finally get the right help. I've struggled for years with my moods and emotions and now finally I will get the right help and I feel talking to you gave me the push I needed to tell my doctor more about my symptoms and how I was feeling. I will come to you again if I am in need. Keep helping others the way you do. =)