1. Ketamine therapy is out because it’s highly addictive and I want less problems in my life than that would cause. Yes I’m in therapy and talk therapy doesn’t work. I’ve had 4 therapists in 10 years and it’s gone nowhere. Like I’ve said in a previous comment, I want results not medications.

  2. Have you done Dialectical Behavioral Therapy?

  3. We’ve tried everything. My therapist (the 4th I’ve kept with) told me that I’ve intrenched it in so deeply into my personality that it won’t come out without a TON of work that I’m just not emotionally equipped to do. One of the first things she make a comment about is that I have learned to dodge anything that I can get away with. I remember her saying that (up to that point) I’d only given her a handful of straight answers and anything else I met with sarcasm and dismissal. We actually took a month break to see if I wanted to have someone to vent to long term, so I’ve kept going ever sense.

  4. You sound really self aware in terms of how aspects of your personality are preventing recovery, so that is a good first sign - assuming you don't use it as an excuse, I suppose.

  5. I feel like when people discuss "high-functioning" they are referring to people who can maintain a job and family life in spite of suffering severe symptoms. So they might be in the depths of depression, but still showing up for work most of the time. Or they might be extremely manic, but they are working 22 hour shifts with fierce intensity.

  6. I read this somewhere: When you are hypomanic your friends and family will ask what is going on with you. When you are manic, a complete stranger will ask and be concerned about your behavior.

  7. It depends on the severity of the mania and whether the focus is more on stopping a current episode or preventing another occurrence.

  8. Rapid cycling still requires that the minimum duration of an episode be met, which is 4 days for hypomania, generally 7 days for mania, and I think 2 weeks for depression.

  9. It's actually expected for some medications. What looks like the intact pill is likely what's leftover from the extended release mechanism.

  10. Would this be the case for a Clozapine pill? It looked like this -

  11. Because it triggers me. My perpetrators were mostly men. I have thought about it before. And the thought of talking about my abuse with a male therapist makes me nauseous.

  12. If you were able to get past the initial anxiety of having a male therapist, it might actually be helpful to work with a male. They could show you that men can be trusted and reliable - not necessarily abusive and manipulative.

  13. I didn't think it was considered ethical to be someone's individual therapist AND their couples therapist.

  14. I wouldn't do a bulleted list. Pick one or two problems and focus on those, e.g., "obsessive-compulsive symptoms, concentration difficulty." That's just an example. Use your own words but put only a couple down. You can talk about the rest in person.

  15. Agreed on skipping the bulleted list. I would focus more on functioning and less on behaviors/symptoms. We all do strange things, but it isn't an issue until it interferes with our daily functioning. So what is it that you are prevented from doing because of your symptoms/behaviors?

  16. I would focus more on functioning and less on behaviors/symptoms. We all do strange things, but it isn't an issue until it interferes with our daily functioning. So what is it that you are prevented from doing because of your symptoms/behaviors?

  17. my mom and i see the same therapist so my mom would tell her for sure. but if not for that, idk honestly.

  18. I didn't think it was legal to have the same therapist as a family member.

  19. Quite a few medications for Bipolar have this as a side effect. It is why I will never go on Lamictal again.

  20. what province are you in? I'm in Ontario and I haven't been able to find a single clinic that is covered by OHIP.

  21. TMS is only covered for major depression in Alberta. I have Bipolar so had to go private for that.

  22. What you describe sounds more like emotional dysregulation versus bipolar mood episodes, especially given the triggers. Emotional dysregulation is common in bipolar but more indicative of BPD or even ADHD.

  23. I am curious about your thoughts on Antipsychotics, DryOwl. I have always been under the impression that, when prescribed appropriately, they improve cognitive functioning. My personal experience certainly matches this. Perhaps a psychiatrist can comment on this?

  24. I think a lot of people confuse emotional dysregulation with Bipolar disorder. They think people with Bipolar have these sudden mood swings all day long.

  25. I wouldn't say that it has any "purpose". It is a condition that tends to appear after one reaches the age of reproduction, so the genetic component of the condition continues to pass on. Also, I am fairly certain that most people with Bipolar survive - I think it is like 80% or something.

  26. Play a board game, but not for therapeutic reasons. I would enjoy the joking and the friendly competition. It gets tiring being the vulnerable one and it would be nice to show the side of me that is fun and enjoyable to be around.

  27. As for the pronous, I would keep doing what you are doing, although writing a concise and polite email to the supervisor of the clinic about their general policy in that area might enact some change.

  28. Bring some games, maybe he likes chess or card games Tell him what new things happened at home and ask about what activities he likes there. maybe he does crafts etc

  29. This. Bring cards. I found that they really helped with the awkward inpatient visits.

  30. Keep in mind that Lithium levels are easily affected by many things. So today your level might be a bit low.

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