[Icare dixit]

Do you think GAD is a useful diagnosis together with BP?

Do you think a high comorbidity is problematic? Can such problems be treated in isolation? Are some BP-comorbid disorders treatable without treating the BP first? Are there differences between a "pure" anxiety or neurodevelopmental disorder and one together with BP (or SZ)?

I don't know what warrants a separate diagnosis, if anything.

I had OCD, for example, but it was caused by hallucinations. Treating those left me with OCD, but it wasn't very self-sustaining and didn't take much effort to overcome. Should that have been diagnosed? I was diagnosed with anxiety disorder NOS, but it was based on delusions. Same question.

[gayleggg]

I think GAD is a useful co-diagnosis with BP. It acknowledges the indication that there are two problems to deal with. I think you have to treat both together to be really successful in recovery.

[Icare dixit]

But would it be something provisional until the BP is treated to make sure it's not delusional? Maybe GAD is not the best example, but definitely some anxiety disorders can be based on delusions or hallucinations. But maybe it could be an example where it's not verifiable without BP treatment, would you say?

[Anrea]

I am diagnosed with: BP, BPD, GAD and also have undiagnosed ED.

I appreciated the separate diagnosis. Understanding the different responses I have helps me to feel I have a handle on how best to proceed. I treat myself like pieces of a pie. Each slice comes from a different place within. Mostly, I just go about my days until something extra stands out as extreme, abnormal or an indicator of change. Then I try to understand which part of me it is coming from to avoid it developing into something worse.

Examples:
Unreasonable anxiety worsening to the point I change my breathing and start creating a still environment - I might take a PRN of hydroxyzine (Ararax) if I cannot mentally tell myself I am beginning high anxiety, and try to use mental or physical ways to control it.

I am outside and notice I have started a third project, or I am sitting in the yard thinking about how the trees are real beings who are aware of me and I am at one with the universe around me and God has a special target just for me, and theories of existence are........ OOOH, I am beginning the delusional part of bipolar, I need to try to get it in check, and try to focus on doing normal things, and call crisis line or my Dr if it is bad, or take an extra bipolar medication if it is really bad.

I am sooo sad. Sigh. I have messed up soo much in my life. Blah, Blah, Blah... OH! I am depressed. Well, depression isn't really being sad I have concluded. Depression in my opinion is actually my internal, subconscious will to live not working. Depression feels like a cat about to die - and I just want to crawl away and die - BUT, I know I don't want to die, so instead I wait it out if I can't work through it and ignore it. If needed, call crisis line, or Dr. or take an extra oxcarbezepine (trileptal) and hydroxyzine (Ararax). I take the Atarax for my anxiety because depression scares me and causes anxiety to heighten.

Delusional thinking - I have had so much crazy thoughts and things in my life, and they never got me anywhere except sad and failing. I am done with it. If crazy stuff starts happening, I just get pissed. You know? If there is a God or w/e - they don't need to judge me if I don't pay attention to their big messages, and I am never going to write that great novel that will open up the worlds mind to a new view because guess what - I never have. I am a genius that will die unknown. I know I am inconsistent and eff w/e makes me think it is my obligation to become more. If shadows become things I just get pissed and try to ignore them, if I get scared I tell my husband to be with me for awhile. If needed I call crisis line, or Dr. I take an extra perphenazine (trilafon) when I start feeling delusions.

My eating problem. I haven't fully addressed this with my Dr.'s. and I am still trying to understand it while abuse it a little to contain my weight.

Basically I am still processing what seems to come from a trigger (BPD, GAD, ED) and what happens out of the blue (BP, GAD, ED). It is hard for me to know where things come from, but knowing does help me to understand how to respond.

I cannot treat my different issues generically. I need to know what is happening to me to know which direction to respond. When I take a PRN of a med, I do so with my Dr.s knowledge. I handle my illnesses as professionally as I can. I document daily my symptoms.

Handling myself is a daily task. It is my job. A Dr. once asked me, "How much time does it take out of your day". I looked at him slightly aghast. "Always. Every minute". Because for us, it is any and every minute that our minds might start in some direction that needs to be led back to balance. For me, multiple diagnosis helps. I was once BP without GAD for many years. They are separate.

Attached is a pie I made for my comp desktop. It helps me to understand where my crazy of the day might be coming from. Expectation is: action caused by ideas from parent, but not chosen knowingly. I don't know where expectation comes from within me, but it can cause triggers that can set off GAD and BPD. So, I need to know if I am feeling like something is coming from some preconceived idea of who I am supposed to be or act like.

[pirilin]

I have a comorbidity. Every time I get hyper, I get horny as hell. What is the diagnostic doctor dixit.

[raspberrytorte]

I Know for certain that my anxiety comes first before anything. It's my constant. I think it's good to treat bp and anxiety together obviously. But I also feel that if I could find a doctor who would treat my anxiety first, I would feel a lot better. I also was diagnosed anxiety NOS.

[Icare dixit]

Originally Posted by pirilin

I have a comorbidity. Every time I get hyper, I get horny as hell. What is the diagnostic doctor dixit.

Some fixation with some psychosexual development stage. I forgot which, but bluebicycle must know. She's seriously fixated. I mean, you're a man and they always get stuck at some immature stage, but blue...

I know it has something to do with your mother.

I wanted to ask the eternal spirit of Sigmund Freud, but he was snorting cocaine as usual.

Who needs cocaine to become delusional!?

Did you know they used to think crazy was contagious?

First you have the cemetery then the nuthouse. All that suicide prevention is self-serving. We'd be too close.

[Icare dixit]

Originally Posted by raspberrytorte

I Know for certain that my anxiety comes first before anything. It's my constant. I think it's good to treat bp and anxiety together obviously. But I also feel that if I could find a doctor who would treat my anxiety first, I would feel a lot better. I also was diagnosed anxiety NOS.

I'm too. Just means "I don't know..."

We all have anxiety, we need it. Of course if it makes us delusional, there's more anxiety, whether it's mania or non-affective.

So it could be your sensitivity to anxiety or really self-perpetuating and -supporting anxiety.

But the "obsession" could be with losing control. We all need to learn to give away control just enough to have more control.

They are a toxic mix, obviously.

[Icare dixit]

Originally Posted by Anrea

I am diagnosed with: BP, BPD, GAD and also have undiagnosed ED.

I appreciated the separate diagnosis. Understanding the different responses I have helps me to feel I have a handle on how best to proceed. I treat myself like pieces of a pie. Each slice comes from a different place within. Mostly, I just go about my days until something extra stands out as extreme, abnormal or an indicator of change. Then I try to understand which part of me it is coming from to avoid it developing into something worse.

Examples:
Unreasonable anxiety worsening to the point I change my breathing and start creating a still environment - I might take a PRN of hydroxyzine (Ararax) if I cannot mentally tell myself I am beginning high anxiety, and try to use mental or physical ways to control it.

I am outside and notice I have started a third project, or I am sitting in the yard thinking about how the trees are real beings who are aware of me and I am at one with the universe around me and God has a special target just for me, and theories of existence are........ OOOH, I am beginning the delusional part of bipolar, I need to try to get it in check, and try to focus on doing normal things, and call crisis line or my Dr if it is bad, or take an extra bipolar medication if it is really bad.

I am sooo sad. Sigh. I have messed up soo much in my life. Blah, Blah, Blah... OH! I am depressed. Well, depression isn't really being sad I have concluded. Depression in my opinion is actually my internal, subconscious will to live not working. Depression feels like a cat about to die - and I just want to crawl away and die - BUT, I know I don't want to die, so instead I wait it out if I can't work through it and ignore it. If needed, call crisis line, or Dr. or take an extra oxcarbezepine (trileptal) and hydroxyzine (Ararax). I take the Atarax for my anxiety because depression scares me and causes anxiety to heighten.

Delusional thinking - I have had so much crazy thoughts and things in my life, and they never got me anywhere except sad and failing. I am done with it. If crazy stuff starts happening, I just get pissed. You know? If there is a God or w/e - they don't need to judge me if I don't pay attention to their big messages, and I am never going to write that great novel that will open up the worlds mind to a new view because guess what - I never have. I am a genius that will die unknown. I know I am inconsistent and eff w/e makes me think it is my obligation to become more. If shadows become things I just get pissed and try to ignore them, if I get scared I tell my husband to be with me for awhile. If needed I call crisis line, or Dr. I take an extra perphenazine (trilafon) when I start feeling delusions.

My eating problem. I haven't fully addressed this with my Dr.'s. and I am still trying to understand it while abuse it a little to contain my weight.

Basically I am still processing what seems to come from a trigger (BPD, GAD, ED) and what happens out of the blue (BP, GAD, ED). It is hard for me to know where things come from, but knowing does help me to understand how to respond.

I cannot treat my different issues generically. I need to know what is happening to me to know which direction to respond. When I take a PRN of a med, I do so with my Dr.s knowledge. I handle my illnesses as professionally as I can. I document daily my symptoms.

Handling myself is a daily task. It is my job. A Dr. once asked me, "How much time does it take out of your day". I looked at him slightly aghast. "Always. Every minute". Because for us, it is any and every minute that our minds might start in some direction that needs to be led back to balance. For me, multiple diagnosis helps. I was once BP without GAD for many years. They are separate.

Attached is a pie I made for my comp desktop. It helps me to understand where my crazy of the day might be coming from. Expectation is: action caused by ideas from parent, but not chosen knowingly. I don't know where expectation comes from within me, but it can cause triggers that can set off GAD and BPD. So, I need to know if I am feeling like something is coming from some preconceived idea of who I am supposed to be or act like.

Interesting.

I see how it can be separate (and I know, having had OCD symptoms). The root cause of my anxiety was delusional, but it was self-sustaining like any anxiety disorder (symptoms). I was never diagnosed OCD because it was too mild, but it was OCD-like.

But it probably interacts less with BP in some (severe) cases of self-sustaining anxiety. I don't have that. So for me theirs really nothing (left) to treat separately as far as anxiety disorders go.

But I think we all have the expectations problem. Of course it can be very important or lesser important factor, but without expectations we would be very normal or SZ (depending on whether mania (or depression) becomes delusional quickly or not: some need lots of anxiety for not living up to expectations).

Delusions aren't meaningless. Why not try to write that novel? Of course if that's not what you wanna focus on do something else. But actually doing something with one thing you focused on while manic/psychotic might be worth pursuing further. Just more rationally. You may fear mania but it doesn't mean all you did is useless. You can't do it all. And much was probably useless anyway, but not necessarily everything.

[Icare dixit]

The pie idea is also nice.

Maybe expectations is mostly a borderline personality thing. I don't know. It's good to know though. But my therapist has abandoned me before the first meeting. Just kidding: she is on sick leave. What do you think?

[Anrea]

Originally Posted by Icare dixit

The pie idea is also nice.

Maybe expectations is mostly a borderline personality thing. I don't know. It's good to know though. But my therapist has abandoned me before the first meeting. Just kidding: she is on sick leave. What do you think?

What do I think? Umm...

[pirilin]

Originally Posted by Icare dixit

Some fixation with some psychosexual development stage. I forgot which, but bluebicycle must know. She's seriously fixated. I mean, you're a man and they always get stuck at some immature stage, but blue...

I know it has something to do with your mother.

I wanted to ask the eternal spirit of Sigmund Freud, but he was snorting cocaine as usual.

Who needs cocaine to become delusional!?

Did you know they used to think crazy was contagious?

First you have the cemetery then the nuthouse. All that suicide prevention is self-serving. We'd be too close.

Cocaine doesn't make you delusional. Unless you're snorting pure PCP. Or have being doing it for days.
It's a mood enhancer. If you're pissed, don't do it. It also makes you sharp.
Whatever is impossible without it, becomes possible right away.
That's what I have read.

[Icare dixit]

Originally Posted by pirilin

Cocaine doesn't make you delusional. Unless you're snorting pure PCP. Or have being doing it for days.
It's a mood enhancer. If you're pissed, don't do it. It also makes you sharp.
Whatever is impossible without it, becomes possible right away.
That's what I have read.

Impossible becomes possible, but no delusion?

Of course it's delusional. You can't possibly actually feel good about being a banker, right? They made the possible impossible alright. Just an example.

[cincidak]

I have comorbid illnesses. I'm bipolar 1, agoraphobic, ocd, and gad. My doctor treated them separately, and together, lol. I take two antipsychotics for the mania, a mood stabilizer, and a low dose antidepressant. Surprisingly the antidepressant, and the antipsychotics seem to have relieved the bulk of my anxiety, and ocd, along with my manic symptoms. I'm stable. No one is more surprised than I am,lol.

Sent from my SM-T550 using Tapatalk

[Icare dixit]

Originally Posted by Anrea

What do I think? Umm...

I think it's rejection, but rejection and expectations go together, right?

It's expecting expectations and rejection and living in fear of rejection except when you ignore it.

Isn't that also part of BP? It's just less episodic and abrupt with a borderline personality. Or isn't it part of BP?

If anyone knows, please tell me.

[Anrea]

Originally Posted by Icare dixit

I think it's rejection, but rejection and expectations go together, right?

It's expecting expectations and rejection and living in fear of rejection except when you ignore it.

Isn't that also part of BP? It's just less episodic and abrupt with a borderline personality. Or isn't it part of BP?

If anyone knows, please tell me.

It sounds like Borderline Personality Disorder. BP and BPD have very similar symptoms. I have both.

[Icare dixit]

Originally Posted by Anrea

It sounds like Borderline Personality Disorder. BP and BPD have very similar symptoms. I have both.

I have both as well. That's why I ask: I don't know how much of it is my personality and how much BP.

Can you tell?

Or are you saying it's really just a borderline personality?

[Anrea]

Originally Posted by Icare dixit

I have both as well. That's why I ask: I don't know how much of it is my personality and how much BP.

Can you tell?

Or are you saying it's really just a borderline personality?

Well, I can only guess.

But people with bipolar have no triggers that cause their changes, also - they don't necessarily have rejection issues. In my opinion, that part is coming from your BPD. I kind of discounted my BPD, and focused so much on my bipolar, but in learning more and watching myself, I find I am much more regularly effected by my BPD. My bipolar I consider to be the cause of my delusions (like yesterday seeing a ghost, or when I feel like trees are giving me messages), my depression and mania (and what comes with mania). My BPD comes on when triggered, in social situations, in fears wrapped up in emotions, in how I interact etc. It can cause me to obsess, or get delusional in looking at patters, or the radio is choosing songs as a way to indicate the direction I am too take in life.

So, figuring out which is which is an ongoing process - but remembering trigger vs no trigger is a key. Also, BP cannot be cured, its a brain thing, but BPD can be overcome.

So much of our identity is created while the disorder is being created it is hard to tell where we start and the disorder starts.