Yesterday was a massive mania day for me. I woke up in a great mood, which is unusual because I am not a morning person. I had maybe 4 hours of sleep, but I felt wide awake. During my normal morning routine, I felt hyper, ready to go, and way positive about everything. At work, I was getting a lot done and felt good about that. There were several times throughout the day that I felt like I was on speed pills. I was shaking at times due to hyperness. I was awake until almost midnight (thanks to a super long Daytona race) but never once felt tired.

Today, I am pretty much the same. I am not quite as hyper and feel like I can take on half the world instead of the whole world.........but still "up" nonetheless. I am really liking this feeling. But at the same time, I am so scared of the pending crash. I normally don't feel this up for this long. My up times are usually only a few hours....maybe a day. But never two days. When I crash from my highs, its usually pretty bad. Which is why I am so scared now. I have an appointment with a new psych doctor tonight and I am very excited about that. I am really hoping he can help me more than anyone else has in the past.

My questions are many. Do I tell him everything tonight? Do I ease into all my crazyness? Should I tell him about my recent high and my fear of crashing? I never know where to start, how to start, how much information to give right away, etc. I know I have to be totally open and honest in order for him to be able to help me, but do I start off telling him everything? I am thinking of writing down all my concerns and issues to take with me and giving that to him as a starting point. What do you think? Help!!!!

[BuggsBunny]

Since he is a new pdoc, it may not be possible to start with the high and see what he can do with that. He's most likely going to want some background on your meds, your cycle, how bad it gets on either end, etc, before he goes off and starts prescribing things. But it definitely needs to be addressed during this first appointment, before you crash.

Or, you can hand him your list of concerns and put the MANIC!!! at the very top. I wouldn't put a lot on the list, you don't want to overwhelm him on the first go-round.

Personally, I'd save the list until after I got to know the pdoc, when I'd know if he would respond positively or negatively to such a list. You could just make a short list for yourself, and check it to make sure everything is covered. I haven't had a doc get mad at me for that. But it's not likely you are going to get all your concerns addressed in the first appointment.