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Dr. Mark
Dr. Mark, Board Certified Physician
Category: Medical
Satisfied Customers: 8923
Experience:  board certified internal medicine
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I think I have bipolar. Can you help with this? Yes I have,

Customer Question

Hi, I think I have bipolar. Can you help with this?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes I have, I'm waiting to see the psychiatrist for the 4th time as all meds previously prescribed aren't working
JA: What medications do you take daily? Are you allergic to any medications?
Customer: Not allergic I take lamotrigine for epilepsy I have personality disorder And I think bipolar I'm out of control I need help
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: That I'm trying.
Submitted: 20 days ago.
Category: Medical
Customer: replied 20 days ago.
I've been diagnosed with personality disorder but I'm adamant I have bipolar. I match more than all the criteria. I need help with this urgently
Expert:  Dr. Mark replied 20 days ago.
Hi. I’m Dr. Mark. I’m a board certified physician and happy to assist you. I’m sorry your dealing with this problem. Have you been evaluated by a psychiatrist?
Customer: replied 20 days ago.
I have
Expert:  Dr. Mark replied 20 days ago.
the psychiatrist said you don’t have bipolar?
Customer: replied 20 days ago.
No, they diagnosed me with personality disorder and tried that 1st. Told me they think it may be bipolar.
Customer: replied 20 days ago.
I've just paid for a phonecall and didn't realise I had?
Expert:  Dr. Mark replied 20 days ago.
Do you have any of these symptoms?
Bipolar disorder is characterised by extreme mood swings. These can range from extreme highs (mania) to extreme lows (depression).Episodes of mania and depression often last for several weeks or months.DepressionDuring a period of depression, your symptoms may include:feeling sad, hopeless or irritable most of the time
lacking energy
difficulty concentrating and remembering things
loss of interest in everyday activities
feelings of emptiness or worthlessness
feelings of guilt and despair
feeling pessimistic about everything
self-doubt
being delusional, having hallucinations and disturbed or illogical thinking
lack of appetite
difficulty sleeping
waking up early
suicidal thoughts
ManiaThe manic phase of bipolar disorder may include:feeling very happy, elated or overjoyed
talking very quickly
feeling full of energy
feeling self-important
feeling full of great new ideas and having important plans
being easily distracted
being easily irritated or agitated
being delusional, having hallucinations and disturbed or illogical thinking
not feeling like sleeping
not eating
doing things that often have disastrous consequences – such as spending large sums of money on expensive and sometimes unaffordable items
making decisions or saying things that are out of character and that others see as being risky or harmful
Expert:  Dr. Mark replied 20 days ago.
Bipolar is a clinical diagnosis. If it’s suspected by your symptoms then it would be treated.
Customer: replied 20 days ago.
Mainly all of them. I don't have suicidal thoughts though
Customer: replied 20 days ago.
I can't cope with it anymore.
Am I going to be refunded for the phonecall.
Expert:  Dr. Mark replied 20 days ago.
I hope the next psychiatrist can help you. Contact customer service for billing questions and a refund.
Customer: replied 20 days ago.
what do u think it is?
Expert:  Dr. Mark replied 20 days ago.
If you have many of the symptoms I mentioned then you probably due have bipolar and should be treated. Started on lithium
Expert:  Dr. Mark replied 20 days ago.
Getting an accurate diagnosis is the first step in your bipolar disorder treatment. And it isn’t always easy. The mood swings of bipolar disorder can be difficult to distinguish from other problems such as major depression, ADHD, and borderline personality disorder. For many people with bipolar disorder, it takes time and numerous doctor visits before the problem is correctly identified and treated.
Customer: replied 20 days ago.
How do I get started on lithium tho? Will I be OK with that while taking lamotrigine for epilepsy?
Customer: replied 20 days ago.
To which I have had.
Expert:  Dr. Mark replied 20 days ago.
The psychiatrist will evaluate you dor the most appropriate medication for bipolar.
Expert:  Dr. Mark replied 20 days ago.
A number of medications are used to treat bipolar disorder. The types and doses of medications prescribed are based on your particular symptoms.Medications may include:Mood stabilizers. You'll typically need mood-stabilizing medication to control manic or hypomanic episodes. Examples of mood stabilizers include lithium (Lithobid), valproic acid (Depakene), divalproex sodium (Depakote), carbamazepine (Tegretol, Equetro, others) and lamotrigine (Lamictal).
Antipsychotics. If symptoms of depression or mania persist in spite of treatment with other medications, adding an antipsychotic drug such as olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel), aripiprazole (Abilify), ziprasidone (Geodon), lurasidone (Latuda) or asenapine (Saphris) may help. Your doctor may prescribe some of these medications alone or along with a mood stabilizer.
Antidepressants. Your doctor may add an antidepressant to help manage depression. Because an antidepressant can sometimes trigger a manic episode, it's usually prescribed along with a mood stabilizer or antipsychotic.
Antidepressant-antipsychotic. The medication Symbyax combines the antidepressant fluoxetine and the antipsychotic olanzapine. It works as a depression treatment and a mood stabilizer.
Anti-anxiety medications. Benzodiazepines may help with anxiety and improve sleep, but are usually used on a short-term basis.
Customer: replied 20 days ago.
Im on lamical due to epilepsy
Expert:  Dr. Mark replied 20 days ago.
They should add another medication for bipolar.
Customer: replied 20 days ago.
They tried. Duloxitine, metazipine etc.. don't work
Expert:  Dr. Mark replied 20 days ago.
They need to try lithium.
Customer: replied 20 days ago.
But can I if I already take lamical?
Expert:  Dr. Mark replied 20 days ago.
Customer: replied 20 days ago.
Ok so I've got more hope with this? What does lithium do? Will it help?
Expert:  Dr. Mark replied 20 days ago.
It’s a mood stabilizer.
Expert:  Dr. Mark replied 20 days ago.
It should help.
Customer: replied 20 days ago.
But my GP states because I'm already on lamical for epilepsy, I can't take another mood stabiliser etc so they try giving me anti depressants. They don't work.
Expert:  Dr. Mark replied 20 days ago.
They can be taken together. There’s no interaction.