Mothering › Forums › Pregnancy and Birth › Postpartum Depression › Where to begin
New Posts  All Forums:Forum Nav:

Where to begin

post #1 of 21
Thread Starter 
Yesterday, no scratch that, the last two weeks have been fairly rocky (as posted somewhat previously), changing meds (repeatedly) just seems to have screwed my wife up, the sleep is not happening, and she was feeling absolutely awful.

So, when she got home from work (feeling absolutely awful) we decided that it was best to goto ER, she had been feeling a little suicidal (more when she has these weird shaky feelings first thing in the morning than during the day). so, 4:45pm there we are at the ER.

7:15pm we finally actually see someone, who just takes a quick sort of "checkpoint" of what's going on, and then says she wants to admit to a room, well, around 10:30pm the "room" finally materializes, and, well, it's a bed, in a corridor, next to the nurses station and the electrical closet... wooo! Fortunately the Doctor came quickly (having taken her meds, my wife starts to be somewhat out of it after 11 or so, so I was anxious that someone see her if possible before then, especially since we'd been there for 6 hours already). Doctor took a quick history and put a "hold" on my wife, kind of wish I'd known what that mean't at the time, although probably wouldn't have been able to do much about it. So, they want to transfer my wife to a psychiatric hospital that's associated, unfortunately the hospital can't figure my wifes insurance, and without that they need two checks for $5000 dollars (total) to cover the first 24 hours, while I'd love to afford it, we just can't. So, they suggest another nearby "county" hospital, god, if only I'd known.

We finally go there and arrive around 4am, it's a mental hospital, a good "old-fashioned" mental hospital, bars on the windows and all that, although I don't think THAT much of it, I'm not allowed to see my wife, she is going to see a doctor, and I should call later to find out how she is.

I get home around 5am, and collapse, I have to get up by 7 to get ready to go get some fillings done (and after that plan to call and see what's what with my wife), 6:50 get a call from the wife, she's been discharged already, well, turns out that if the ER had a competent psychiatrist they probably wouldn't have admitted her in the first place, and CERTAINLY not to where she went, the place was (as I understand it) full of really mental people, I mean people who are taking major drugs (and I don't mean drugs that are prescribed by doctors) she was put into a big room with all the other patients (not sure if they were all just regular patients, new arrivals, or what) and basically told to wait, while apparently the "guards" made snide comments about all the people there.

Anyway, the silver lining (ha) is that the Doctor who did see her in the hospital was apparently really good, he made my wife feel like she was going to get better, he thinks (a somewhat quick assessment) that she probably has Bipolar II (of some level or another) and that this is the down phase, he recommended she go up on Seroquel again and see if that helps some more, and that she is so far removed from the rest of the patients there. He said there was lots of hope for her, the amount of Seroquel she as taking (and responded too) was minor compared to what "normal" patients with Bipolar would take and he firmly believes she will get better. Almost wish that we could get him as her psychiatrist (we'll see), he did cast doubt on the Gabapenten, and seriously cast doubt on her going down on the Seroquel, he feels that once she gets stable (which, it sucks, because she was somewhat stable 2 weeks ago) it would be a question of keeping her stable for at least a year before trying to change the meds around.

Anyway, we'll see what my wifes Doc has to say when she gets back from Vacation, I'm glad she's home, and hopefully we'll put this WAY WAY WAY behind us.

On the one-hand I do wish that they could have REALLY monitored her sleeping (not seen her after she got all of about 2 hours sleep after spending the entire night in the ER) on the other hand, I really don't feel that she NEEDED to be in there, was just more that she was somewhat at the end of the rope, and needed to SEE someone, not just talk to someone.

Advice to ANYONE who feels they might even think about wanting to goto a psyc hospital, check what you can do with your insurance first, because you do NOT want to goto a place where they accept just anyone off the street (especially not at 4am).
post #2 of 21
HI,

Sorry for your ordeal, but in the end, maybe you found a good doctor out of it?

I totally agree with his assessment, based on the fact that 2 different ssri's made her manic. I think that since she was doing so well on the Seroquel, it makes sense to keep her there.

Sometimes it takes 2 or 3 different psychiatrists before you find the right one. Some of them are quite indifferent and very hard to get hold of when you need them, and some of them are very very good. It just takes time to find a good one, and one that "gels" with your personality.

I hope things get better now that she is going up on the Seroquel. It seems to me, that if that was helping in the first place and it's meant for BP, that should have been the diagnosis in the first place. But it's good that she is doing better and that's all that matters.

Thinking of you guys a lot, hope things keep getting better from here.
post #3 of 21
Thread Starter 
Well good news so far, she seemed to sleep pretty well last night (although no big surprise, having REALLY not slept the night before at all) but didn't wake up with the shakes that she's been having for the past week.

She does also feel a little speeded up, which to me says that the mania might be making a bit of a re-appearance, so having more Seroquel seems like a good plan, we'll see what her regular Doc says once she gets back from Vacation, but maybe also see if we can change (not sure if this other Doc does work outside of the Mental Hospital, or anywhere that my wife can easily get to (Hospital was 45 minute drive from our house).
post #4 of 21
I'm so proud of you guys for going in though! That's a huge step. BUT, i am so sorry that you had to go to the county hospital.

I have a feeling though that the doctor is right and that she is bipolar 2. It SUCKS, but once you reach the next better place...back toward level boring normal.... it just keeps getting better.
post #5 of 21
Just wanted to agree with the above and just reiterate my support. I think you guys are on the right track now, it just feels right, from what you have written.
post #6 of 21
Thread Starter 
Thanks Autumn and Mom, we'll see. While Wednesday (first day after ER nightmare) was good, and my wife said she slept fairly well, Thursday wasn't so great (said she only slept really till 2am, and then off and on from then) we'll see how last night went when she gets up. It doesn't help that our little boy has had a fever and molars growing (however, he slept solidly last night, and the fever is gone this morning, so fingers crossed).
post #7 of 21
Thread Starter 
The more things change, the more they stay the same...

God I hate my life!

I don't know what to say really, she slept okay, slept till around 7 when the boy woke, then dozed between then and 9:30 or so, had the "shaky" feeling she seems to have been getting since discontinuing the Paxil, not sure if it's really the paxil, or the increased gabapenten, or the decreased Seroquel (which is now upped again but... what the hell, might be that too). She said it feels like her body is awake, but her mind is still asleep, like she's conciously sleep walking, she hates it, but also feels like she could do anything while in that situation.

No Doctor has yet said they know what it is, we keep going with hope, depressed for a few hours around lunchtime, all she wanted to do was lie on the couch, then tonight was okay until after dinner, when she was once again saying goodbye, to me, to our son, to life in general, saying she was losing her mind (but still cognizent enough to say she doesn't want to go back to any mental hospital and be surrounded by crazies) I want to laugh at the insanity of it all if it wasn't happening to me!

Doctors appointment monday, although since this was the Doctor who said she could go down on the Seroquel, not sure how much faith I now have (although I'm not even sure if going back up WAS the right thing). I'm honestly getting a bit tired of dealing with this, no idea about who to turn to, or where to turn, no idea from day to day if it's going to be a good day, or a horrific day, and more often than not they've been the latter of late, I think she's going to take a medical leave of absense from work, which means she'll be moping around the house all day, feeling sorry for herself and probably making things worse by having LOTS of time to worry about it,

Gah, why can't I restore back to three weeks ago (sorry, I'm a computer nerd, and god how I wish for a restore button in real life right now), things were so good back then, so positive, my god, she was even thinking she might be able to have more kids...

I don't know what to say anymore, I've never really known what to say, but somehow "you'll get better" just doesn't seem to cut it anymore, especially when I've just said perhaps monday we should check into what psyc hospitals her insurance covers (should have done it this past week, but thought we had managed to get past it). *sigh*
post #8 of 21
Hi there,

Was thinking of you guys yesterday, and I'm sorry to hear she had another bad day. It sounds like she keeps cycling. It really sounds like bipolar to me. I really think you should find out which hospital your insurance will work with and have her admitted, so that they can observe her cycling in and out of depression and mania. Plus, you need a break, dad. You really do. All of you need to be able to step back from this situation a bit and reevaluate.

The changes in meds will cause insomnia, jitteriness, heart palipitations, and even rebound depression in some patients. But that is why she NEEDS to be in a hospital right now, to get her past this stage. Any time a person is talking or thinking about suicide, they need to be admitted. She needs this. NOW.

I don't know if I would work with the pdoc you have been going to anymore, since they did not provide help for you while they were on vacation... there should have been another "on call" doc. I don't think this doctor is taking her situation seriously and she needs a doctor who will address this properly. If I were you, I would put a call in to Shoshanna and ask her where to go from here. Your therapist is there for you, and for her. You can always call Shoshanna and talk to her yourself. I would call and ask her what she thinks, based on what happened with the hospital. If your wife is a patient of hers, she should be totally filled in and be able to know exactly what is going on, or she can't help either of you.
post #9 of 21
Thread Starter 
There was an "on call" doctor, and actually his advice ended up being the same as the psyc hospitals advice, just quicker (he gave his before we;d even seen anyone at the ER).

I'll try to find out monday what hospital she can goto, the joy of insurance companies, they aren't open outside regular hours.

The problem with hospitals is the crazy people, while she talks of being suicidal, I'm not sure if she really is, and the doc at the mental health place didn't seem to think so (he let her go after about 2 hours)

Last night was again really bad, she woke at 4:30, and was tired and sleepy, but wide awake, felt like she was sleep walking again, took some Ambien and is sleeping now, god alone knows if that's good or bad...

She is trying to get into see a new psyc doc, but of course that takes time, and all the good ones (from reviews or recommendations) aren't taking new patients...
post #10 of 21
i'm so sorry things are so confusing right now. you are doing everything you can, and all you can do is keep trying and keep demanding the right help for your wife. we're all here to listen and try to help you hang in there.
post #11 of 21
Thread Starter 
Well, another quick update, Doctors appointment on monday was a bust, doctor really didn't seem to listen much, seemed to talk about things that my wife wasn't really feeling (she'd felt really strange and been woken up with a shaking feeling early in the morning, feeling like she was being controlled and wasn't in control of her actions, Doctor talked about how it might have been waking up from REM sleep and being paralyzed because of it, while I appreciate that waking up from deep REM sleep can leave you feeling paralyzed for a bit, "HELLO, My wife didn't ever say she felt paralyzed") anyway, have another Doctors appointment today with a different Doctor, have had enough "mis-steps" that my wife doesn't trust her Doctor, and for a pdoc I think it's critical that she trust the doctor.

Add to that this Doctor seems a bit more positive, or encouraging, old doc was very very clinical.

I hope that this does something, she still seems to have the shaking feeling (sometimes describes it as wanting to shake herself so that it feels right) and it's not at all comfortable for her, to me it sounds a bit like a return to the mania of months ago, but I'm certainly no expert, I just need something so we aren't in the constant "I really just don't want to live like this".

Anyway, fingers crossed.

Oh, the one other thing that I know she gets is these "flashes" she says they are like violent images going through her mind, that are really disturbing, some appear to be about our son, some not, like our son being run over, or her dropping a knife and it hitting, things like that (but she says other disturbing things too) not sure what that's about, but god I hope that someone can stop it. I'm worried about her job (yes, least of our worries in some regards, but if she gets fired, we suddenly start having "money" issues (i.e. not being able to cover the mortgage) while we aren't living paycheck to paycheck, I know that if she lost her job it would add more stress for her, and she'd feel even worse. It's hard, because on the one hand I think she needs to take a medical leave (because she CAN'T do her job, she can't concentrate, and is am emotional wreck) on the other hand, when she's not at work (past two weeks) she basically sits around obsessing about being ill.
post #12 of 21
: Keep looking at different doctors. You are 100% right to think that she needs to trust her doctor. If she doesn't how can she trust what he says is going to help her??

I switched pdocs because mine wasn't listening to me. That's ok!

The visions, pretty "normal" as far as bipolar goes. I haven't talked (personally) to another suffering from BP that hasn't had them. I usually 'see' my kids getting hurt, or somethign happening while we're out. It's how they effect me that matters though. I have to know I am in a little more control than it seems. I WON'T drop the knife on my kid because I won't let myself. I won't run off the road because I can't let myself injure myself or my kids.

Hopefully she can get to the point where they don't totally terrify her. I still 'see' these things, but I am able to not let them bother me, and I am able to push them aside. It takes a while, but she'll get there.
post #13 of 21
I am so happy you guys are trying another doctor! That should help a lot. Sometimes it takes 2 or 3 or 5 before you find the right one for you.

Therapy-wise, how are things going? You know, if Shoshanna is not helping then you need to see someone else. She should be in talk therapy at LEAST once a week. She needs to know that the things she is seeing, the symptoms she is experiencing, are part of her illness and not HER. She needs to know that this is something that can be managed, and that you WILL figure it out.

Ask the new pdoc (IF you like them) to refer you to a therapist. It just seems like you all should have gotten farther in your therapy by now. Is she even still seeing Shoshanna?

Seeing pictures like that in her mind is also symptomatic of OCD. I don't know anything about BP, but I believe Autumnbreeze when she says it is indicative of that as well. If she understands where the visions are coming from, and that lots of other moms have these things as well, she can get a grip on it. She needs to feel more in control of her thoughts. Meds and therapy can help that. The thing is, when you try NOT to think of something, all you do is think about it.

I think that a lot of this has gotten worse from bad advice about meds from a doctor who was not listening. Unfortunately, this happens a lot. See what the new doc says, and hopefully it will help.
post #14 of 21
Finally, I have time to sit down and respond to this thread, I don't think I've responded to you before, fathertryingtohelp, but I have read your posts.

I agree with mom0810, she needs to be in talking therapy, I'm finally in with a good one and it does help, a therapist will be familiar with the main medications and side effects etc and can help sometimes by saying you really need to phone your doctor your meds aren't working etc. If you are really lucky a therapist might even be able to get you in with a doctor they think your wife is suited to even if the doctor is officially full. The same goes the other way, my doctor managed to get me in with my current therapist when I was being bounce around because no one had space.

Where do you live, are you prepared to travel to see a good psych doctor if you could get a recommendation?

Have you considered getting your wife checked out by a sleep specialist? Some sleep disorders are misdiagnosed as mental health problems and whilst I think it very unlikely that she doesn't have some kind of mental health problem, some symptoms do sound like possible sleep related symptoms, a consult with a sleep doctor and a polysomnogram would be a good starting point.

Reading through the posts it really does seem there are issues with mania, yet the doses you mention of medications that might control that seem tiny to me.

Are you working with her primary care doctor? She definitely needs specialist help, but if she's not getting what she needs from them, it can be worth going back to the primary care doctor to see what they suggest.

Good Luck!
post #15 of 21
Thread Starter 
Another update (hope it's okay to just keep updating here, but I figure it keeps it better contained than posting multiple threads) so just another example of why we REALLY didn't like the pdoc she was seeing, on Monday doc also said (in response to my wife generally histerical crying and breaking down) "if you can't see anything good in life, that's just sad" at the time it didn't even register that she could have said that. Afterwards I couldn't believe that any trained doctor COULD say that to someone who obviously does/is suffering from (at least some amount) of depression.

Anyway, Doctors appointment on Thursday (last) went well, seemed a better Doctor, seemed much more sympathetic, diagnosed her as Bipolar (not sure if I or II, but she kept saying mixed modes, and as I understand it mixed modes only happen in I) without any hesitation (totally confident) also recommended a medical leave from work at least for a short time, said that she had been severely under-medicated and that was why this was still there.

Saw a different Doctor friday who said almost exactly the same thing, except that he said she basically hadn't been treated, the doses were too small to really do much, and it's no wonder she felt like hell!

Think we may go with the first until she's back at work, but insurance will cover the second, so may need to switch (second works in same practice as some really well recommended doctors). Both said, it had gotten so bad because no-one had really treated it properly (or at all).

On drugs, she has gone back up on Seroquel (back to 100mg tonight, seems to be fast asleep on the couch as I type this) first said to 100, second to 150, probably going to stick to 100 for at least a little and see, first also recommended trying to move onto Lamictal since that was better in many regards long term, and had less risk of severe side effects (if you don't count a rash that causes death as a severe side effect). Hate the whole side effects thing, as my wife says "it's not much of a choice, go crazy (as she puts it) or take drugs that may kill me or destroy my liver" but, heck, I'll go for living a good long life with any potential issues than having her go crazy.

Anyway, things are (finally) perhaps looking up, if only she sleeps well tonight.
post #16 of 21
Oh, I hope the new doc is as helpful as it's sounding like he might be! I am astounded that the previous doc said something that heartless, even if it was meant to be said in a way to commiserate, that's just not okay. Hang in there, my husband has been an invaluable resource for me when I had to navigate the murky waters of PPD and we've grown closer because of it. Take care of yourself, in any way possible, if there is anyone you trust to take over for a little bit to give yourself some rest. This is incredibly draining for you, and you need to maintain your life and health as well.
post #17 of 21
Thread Starter 
Not really, I'll get through it.

At the minute the hard part seems to be these morning "shakes", both of the Doctors she saw said it was panic attacks, and she should take some medicine for it, but she's very resistant to taking meds (also part of the illness seems to be questioning everything, the minute she felt slightly better she started to question the diagnosis)
post #18 of 21
::

I hope my happiness is not premature, but I think you have finally gotten on the right track. Either doctor is at least taking this seriously, FINALLY!

Your old doctor was awful. I can't believe anyone could even call themselves a psychiatrist and not take something so obvious seriously.

I am so glad you went to new doctors, and truly, either one would be fine. If it were me, I would go with the one your insurance covers, but that's just me.

the meds will not do any damage to her... they are only going to help her be able to live a normal and happy life. How could that be bad? She is going to be so much better now.

I am so so happy and so relieved because I was thinking about you guys a lot.

ETA: I just read your newest post and I agree with you. It's totally normal for someone, once they are on meds and feeling better, to question the diagnosis. SHE MUST STAY ON THE MEDS. NO questions asked. For now, you are in charge of her and YOU must make sure she stays with it. You have seen what happens when you guys are lax on the meds or when she goes down in doses. She needs to do this for herself and for your marriage and your child.
post #19 of 21
Thread Starter 
Yeah, I'll keep her on th meds, unfortunately it's still wobbly right now, for about the past month she's woken up by this shaky feeling first thing in the morning, both of the recent doctors say it's panic attacks, but of course she doesn't believe that, and refuses to take the medicine perscribed. I'm hoping that as we either go higher on Seroquel, or change over to the other medication it might lessen, alternatively I'm not sure if there is anything she could take at night that would stop it from the morning? She does have some Ativan perscribed, but I've got no idea if that would work overnight, or if it's just something to take when she has the attacks (and then, if she does, would it stop her body from having these things long term... who the hell knows).

Anyway, more Doctors appointments Wednesday and Thursday, so hopefully they might help, second part of the appointment with the "Insurance covered" Doctor where he will go over what he thinks for treatment, and then followup with "non-insurance covered" Doctor from there we can try to figure where we go (and with whom, although I'm at least 50% with you on, if they seem the "same" go with the insurance covered Doctor, the one thing I'm not sure about is the non-covered Doctor write a medical leave, so I'm not sure if we should stay with her at least through the end of that (or not)).

Anyway, fun fun fun!
post #20 of 21
I'm no help, but I just wanted to commend you on your love and support for your wife. to you both!
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Postpartum Depression
Mothering › Forums › Pregnancy and Birth › Postpartum Depression › Where to begin