I was BP-NOS for two years. I asked my pdoc several times which flavor he thought I had, and he would not be pinned down. I don't blame him, my symptoms were all over the place and although I had episodes that should have defined it (in my opinion), he just wouldn't budge on the NOS diagnosis.
The game changed when I was hospitalized and three different psychiatrists said I had bipolar 1. Weird that it came in the middle of a depressive episode, but evidently they saw something in my chart that made them think that; maybe it was the crazy manic overspending (spent my family into bankruptcy x 2) and paranoid delusions. Oh, and there was the psychotic thing where I saw cats running under the linen supply cart in the ER. Now my own pdoc uses the same diagnosis on my paperwork, so bipolar 1 I shall remain. It's OK though, at least I have a definitive diagnosis and don't feel like I'm in limbo anymore.
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DX: Bipolar 1
Anxiety
Tardive dyskinesia
Mild cognitive impairment
RX: Celexa 20 mg
Gabapentin 1200 mg
Geodon 40 mg AM, 60 mg PM
Klonopin 0.5 mg PRN
Lamictal 500 mg
Levothyroxine 125 mcg (rx'd for depression)
Trazodone 150 mg
Zyprexa 7.5 mg
Please come visit me @ http://bpnurse.com
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