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just dx with bipolar...still nursing, please help  

post #1 of 7
Thread Starter 
I am 9mo pp with my dd. I started therapy a couple weeks ago for crippling depression-I was thinking ppd, but the psychologists think bipolar II intensified by ppd. I am in and out of depression frequently, I am so worn out from these drastic mood changes. I feel like this dx is messing with my mind...like just thinking about being bipolar makes me feel on the verge of insanity!!! I am very anxious today, i feel like i can barely contain myself....very irritable. who am i? i mean- if reading 6 books at once or spending 2 days straight tackling some intriguing project is the bipolar-not me, then who am i??? ugh. i really dont know what to do! i am still nursing and i refused meds but i know i need them. i really feel like i am drowning! why do they just jump to that? couldnt it be just ppd? hypothyroidism?

any advice is greatly appreciated.
post #2 of 7


Bipolar II

why do they just jump to that? couldnt it be just ppd? hypothyroidism? Those are excellent questions, and you need to ask the psychologist that. You can certainly have ppd concurrent with pbII, in fact bp moms have a much higher rate of ppd than the rest of the population. The bp simply magnifies the ppd. Did you have a thyroid blood test done? Negative for hypothyroidism? Check it off your list. The pdoc should clearly explain the criteria for ppd, bpII and hypothyroidism and explain why you belong on the bp spectrum. Yes, bipolar is the ailment du jour. It's imperative you understand what the doctor said about you.

I feel like this dx is messing with my mind...like just thinking about being bipolar makes me feel on the verge of insanity!!! I am very anxious today, i feel like i can barely contain myself....very irritable.

Some people feel a sense of relief when they're diagnosed, some feel shame, confusion, anger. They go through stages of morning, for the loss of their old identity. Either way, it simply take time to get used to the idea of having this disorder. Again, talk to your pdoc about this next time you meet.


who am i? i mean- if reading 6 books at once or spending 2 days straight tackling some intriguing project is the bipolar-not me, then who am i???

Oh my word, I so understand your dilemma. Who am I?? is the question at the center of philosophy and existentialism. This is THE rub for people with bipolar. Some of the world's most brilliant and creative people had bipolar. I certainly haven't answered that question for myself.

But the problem is when, during the 2 day marathon project session you become horrible to live with. Or afterwards. There is ALWAYS the crash. Hyper irritability is frequently how pbII mania manifests. How do you treat your family, including your baby? In the end, philosophical questions don't matter if you are horrible to live with and are suffocating under an ocean of depression.

Medication and nursing: well, you know how it goes. Only you can decide what's best for you. Get yourself to a psychiatrist (an MD) and ask if there are any mood stabilizers that are appropriate for nursing mothers to use. One thing you can do that makes a huge difference is to get a good night's sleep. That's very hard to do when you are night nursing. If you still are, consider stopping it. It is so important for you to get 6 -7 hours of uninterrupted sleep at a time, day after day. And your sleep is not uninterrupted when your has to reattach throughout the night, wiggling, turning over, grabbing, what not. Do NOT compare yourself to other moms. Everyone has different sleep needs.

Bipolar is one of those diagnoses you just don't mess with. It has a higher rate of suicide than just plain depression. Sometimes manic episodes happen together with depressed episodes ('mixed state', common in bpII). Think about how you feel when your mania is manifesting as irritability. Add to that crushing depression It's a recipe for disaster. This happened to me a few times. I didn't want to live anymore and I wanted to crawl out of my skin. We didn't have a gun in the house. That's the only reason I'm alive today.

I urge you to find a good psychiatrist. Medication and therapy together can be miraculous.
post #3 of 7
Thread Starter 
journeymom thank you so much for your reply-it was really helpful.
When the therapist first mentioned the dx it totally freaked me out and made me feel 'defective'. But in a way I am slightly relieved. I have read so many self help books- tried so many things and nothing works. So in a way realizing that there is a reason that I am struggling, not that I am just weak, is a relief. Jeeze, I'm just wondering if I'll be able to have more children? And I am terrified that the meds will change me. I do thrive off of reading about philosophy, social injustice etc. the therapist thought I should put those issues aside for awhile. I find that almost impossible. I understand the reasoning- I AM getting really upset and preoccupied with politics, feminism, racism, etc....but shouldn't we all? I am just so afraid that they will put me on meds and I will be like evertyone else. I am very creative and passionate, eccentric -I am just afraid i will loose myself. BUT the depression/irritability is out of control. My anxiety is out of control-last night I thought I was going to freak out at the therapist office-just spontaneously combust or something- but then i wonder if just being there, at a mental health facility, makes me feel unstable. Today I feel somewhat normal though. these moods are SO confusing!!!! ugh...I could go on and on- and I probably am not making sense. I feel like everything is just a blur.

thanks for reading
post #4 of 7
You're not weak, it's not a character issue. By the time I was diagnosed I'd been banging my head against a wall for years. It was a huge relief to understand that I wasn't weak or inherently immoral.

The anecdotal evidence that I see proven over and over and OVER again here at MDC is that early motherhood is one of the most challenging things women experience in their whole lives. Sleep deprivation is guaranteed. Everyone needs sleep, but if you're a little to the left of center on the mood spectrum, then things like sleep deprivation, ppd, and the enormous challenges parenting present are just amplified by bipolar disorder. My bipolar was a liability most when the kids were littler and we'd just moved into this house. I was so extremely irritable and unhappy all the time that I wanted to shake my kids and smack them for the slightest provocation. Sounds like you don't respond to stress this way, which is excellent.

BUT- I do miss parts of the old me. I had mental energy and I had dreams and goals that I don't currently have.

Now that my kids are 12 y.o. and 8 y.o., and aren't so physically demanding or needy, perhaps I can start cutting back on the amount of medication I've been taking. I'm getting a hold on this house and I feel like I've been learning from the medication. I took Depakot for 6 years. I learned a lot about how to respond rationally when I'm cycling through extreme moods. I learned from the experience that the medication provided. I had no idea what calm looked like.

There are serious pros and cons to taking medication. The depakot turned down the mood swings drastically. So I didn't get manically angry, and I didn't get killer depressed. I also didn't feel that wonderful euphoria that I love. : I didn't 'feel' as much of anything. It was a relief for a long time, but I'm ready to get my emotions back. I think I'll handle it better than when the kids were little. It is a trade. I'm willing to take back my nuttiness in order to get my emotional energy back.

My point being that if you choose to take medication perhaps you won't have to take it forever.
post #5 of 7
I just want to chime in that my DH has BP2, and what you described sounds totally BP2 to me.

I recommend that you find a Pdoc that specializes in pregnacy and postpartum depression and mental illness. They will be the most knowledgeable about drug safety while nursing and (in the future) during pregnancy.

Also, find a DBSA spport group in your area. DH and I attend regular meetings (almost every week) and we love it. It has been a major help!

Quote:
I AM getting really upset and preoccupied with politics, feminism, racism, etc....but shouldn't we all?
Yes, but not at the expense of your life, family, mental health, etc.

I think DH misses a certain amount of his obsessive energy, but I know he doesn't miss the crippling depression. It's a trade-off.

Good Luck!
--LEE
post #6 of 7
Thread Starter 
Quote:
Originally Posted by leewd View Post
I just want to chime in that my DH has BP2, and what you described sounds totally BP2 to me.

I recommend that you find a Pdoc that specializes in pregnacy and postpartum depression and mental illness. They will be the most knowledgeable about drug safety while nursing and (in the future) during pregnancy.

Also, find a DBSA spport group in your area. DH and I attend regular meetings (almost every week) and we love it. It has been a major help!


Yes, but not at the expense of your life, family, mental health, etc.

I think DH misses a certain amount of his obsessive energy, but I know he doesn't miss the crippling depression. It's a trade-off.

Good Luck!
--LEE
thanks for the link-I found a support group in my area
post #7 of 7
: It's a real slap in the face to suddenly have that "label" but I promise you are still 'you'. But you have an 'illness'.

Honestly I try not to think of myself as mentally ill because I'm not sick.

It's hard enough being a mom, it's hard enough being depressed, it's hard enough being manic. Add all three together, and it's really damn frusterating!!!

I have been taking Lamictal since this summer (it is NOT ok for breastfeeding) and have really had more benefit from it than any other anti-depressant.

The Lexapro worked for a while, but then it crapped out on me. I started taking Wellbutrin, but had the nasty side effect of aggression!! Well, I'm playing the "single parent role" so I called my pdoc (psychiatrist) to up my appointment, and she took me off the Wellbutrin, and kept me on the lamictal.

If I recall correctly, Depakote is 'safe' for breastfeeding, and can be an effective mood stabilizer.

Some bipolar type 2's respond best to just a mood stabilizer, and some need an anti depressant.

I'm actually fairly stable, but have been noticing an increase in paranoia recently, and some 'mixed episodes' which I'm really starting to hate.

My next appointment isn't until April (doesn't mean I can't move it) and I'm really not looking to do a med switch when I am in the process of trying to sell my house and move 400 miles.

PM me anytime you feel you need some support, I can listen pretty well
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