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Discussion Starter · #1 ·
Hi everybody,<br><br>
I have my first visit with an actual mental healthcare professional this Friday. I've been dealing with long cycles of depression, and what I can only describe of shorter manic states, since I was about 14, and bulimia/binge eating and purging since I was 16 (am now 25). At 17 I was prescribed Paxil by my nurse practicioner, which they, I guess, didn't know had the effect of increasing thoughts of suicide in teenagers. Needless to say, after several months of feeling worse than ever, I went off the meds. Counseling at the time was also very unsuccessful. I started to abuse alcohol. I have since overcome that, but the bulimia still lingers on. Neither my parents nor my family doctor ever took the issue seriously, and, as a young person, I adopted their attitude -- I thought of myself "weird," at best, or just a bad person, at worst.<br><br>
Now I'm married and it's been getting much, much worse. Thoughts of suicide, talking about it, etc. My moods are rapid cycling -- I can shift between a state of near-euphoria to a state of depression which can leave me almost unable to talk (unless it's to say something terrible to my poor DH) in what feels like minutes. After having my DS (now over a year and a half old), I've been stuck in this really, really low place. I love him dearly, and realize things need to change to make his life (and my DH's) better. My DH's father is bipolar, so DH has been prompting me to see a professional for a long time, as he is familiar with mental healthcare. I saw my family doctor a couple of months ago (again, I know, stupid) and he gave me Wellbutrin and Prozac, which had a temporary effect of some kind (at first they actually gave me panic attacks, after which he reduced the dose), but after about 2 weeks things started getting even worse. Instead of feeling either extremely good or bad, I just felt either numb or bad, and worst of all, I've been really terrible to DH and impatient with DS.<br><br>
So, I'm finally seeing someone on Friday, and I was wondering if anyone can give me any idea what to expect/tips for getting through it. I have a really hard time talking about and being honest about the severity of my problems (face to face is so much more intimidating to me than the anonymity of the internet).<br><br>
Thanks so much for your time.
 

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Why don't you print this off and have your new doc read it? That would at least be a way to break the ice, so to speak, and help you get your issues across.
 

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A lot of antidepressants are contra-indicated for bipolar, as they can lead to manic episodes and/or make manic episodes worse. It's important that your doctor understands you get manic episodes, and not "just" depression.<br><br>
It might help to write down what you want to share with the doctor, in case you're too shy to actually speak about it. You could read it to the dr or just hand it to him/her to read if it's too much to even read it out loud.<br><br>
I don't know if you're still breastfeeding your toddler, but if you are, it's important to know that many (though not all) psych meds are safe for nursing babies. Lots of doctors (psychiatrists included) are unfamiliar with medicine safety in nursing moms, and will counsel women to wean before taking meds, even if there's no need for it. If you walk out of there with a prescription and instructions to wean before taking the meds, come here and share the drug name- somebody on here can look up the medication in Dr. Hale's book and tell you if it's a safe choice or not.<br><br>
The "proper procedure" is to start by taking meds that are safe for the baby, and only consider weaning if the "safe meds" aren't effective for you. There are some women who do, indeed, need medications that arent' safe for nursing children.
 

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I agree with Ruth. Be careful with the meds for Bipolar. My husband was diagnosed as Depressed in May and put on Cymbalta. Uh, wrong med for what he really has. Then in June he had suicidal thoughts and was prepared to kill himself right before I stopped him. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Well after the ER and Lockdown he was diagnosed as Bipolar II. Right now he is on three different medications (Celexa, Invega and Lamcital).<br><br>
I am pretty new to the mental health scene. But from what I have read most BP people are on a mix of medications. Mood stabilizers and anti-depresents. Being on just one can throw a BP person off.
 

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OP, I just re-read your last paragraph. You kind of sound like my husband. He sugar coats everything. To the point of driving me up the wall. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue"> I think its because he just doesn't want to talk about it.
 

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Discussion Starter · #6 ·
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<div>Originally Posted by <strong>Ruthla</strong> <a href="/community/forum/post/14749555"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I don't know if you're still breastfeeding your toddler, but if you are, it's important to know that many (though not all) psych meds are safe for nursing babies. Lots of doctors (psychiatrists included) are unfamiliar with medicine safety in nursing moms, and will counsel women to wean before taking meds, even if there's no need for it. If you walk out of there with a prescription and instructions to wean before taking the meds, come here and share the drug name- somebody on here can look up the medication in Dr. Hale's book and tell you if it's a safe choice or not.<br><br>
The "proper procedure" is to start by taking meds that are safe for the baby, and only consider weaning if the "safe meds" aren't effective for you. There are some women who do, indeed, need medications that arent' safe for nursing children.</div>
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Unfortunately, when my family doc put me on Wellbutrin/Prozac, I weaned my DS who was around 18/19 mos at the time on his direction. Thankfully DS wasn't actually too upset by the transition. I didn't have insurance at the time and we're on a very limited budget, so I didn't really have the option of seeing a specialist then anyway, but I still regret not questioning that advice.<br><br>
Fujiko - I will probably use your suggestion of writing down what needs to be said. Hopefully once the ice is broken, I will open up. I think most often I'm terrified of being rejected or belittled for being unable to control myself/be responsible/etc, and although I know in my rational mind that a doctor is there to help, I can get locked up inside my "emotional" mind too tightly to get past it.<br><br>
Katwrangler - I'm sorry to hear about your husband's struggle with meds. :/ But I am very glad you were there for him, even though I'm sure it must have been very difficult for you (I know being there for me, though its something he's totally committed to, is hard on my husband)-- thank you for sharing. And the sugarcoating, at least for me, is definitely a defense mechanism -- both to downplay the gravity of the situation and to avoid painful subject matter. When I'm thinking straight I can see that, but when I'm not, it's something I do mechanically. I've actually gotten into arguments with my husband about "downplaying" different symptoms/behaviors, and it's not until later (sometimes much later) that I can see that he was right.<br><br>
Again, thanks to you all -- it's nice to have a place to talk this out and learn from others.
 
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