Fatigued how do you know if it is a bipolar symptom or something else

Easier said than done, but my therapist once said if you are physically "down," you tend to stay "down." She doesn't mean pull up bootstraps. I was telling her about my lethargy and she suggested I add small bits of movement throughout my day. For example, she'd tell me to set an alarm for 15 minutes and just get up and putter around the house. Run a load of dishes, pay a bill, fold and put away a load of clothes, etc.

Granted, this didn't apply when I was actually sleeping - but it is helpful when I'm awake and I've found her "down" axiom to be true.

I need to go take my vitamin D, too! I hope you feel better soon. xo

Sending you hugs. It's so hard to tell since fatigue can be caused by so many different things. Certainly, Bipolar Depression is one of the causes. Also, I'm wondering, do you think your medication could be a factor? Seroquel can make me fatigued.

You mentioned that you've had your thyroid checked... did your doctor check your iron levels too? I'd ask for a CBC, serum iron, and ferritin. (Chances are if your doc checked your thyroid they already checked these too, but just in case... anemia can make you pretty exhausted. I've been there.)

I think so which is why I talk to my P doc. We are lowering my Latuda 20 mg for now. I had to call later in the month because she would not address in my appointment. Now she's on maternity leave. I am currently looking for a new psychiatrist. I made a call for one that does not accept insurance. I heard she's a really good doctor. I really messed up on the voice message though. I am worried they won't call me back but I'll try back tomorrow if I don't hear from them. I have a feeling there will be a wait list.

Omg...I'm so glad I'm not the only one! Not that I want anyone else to have to go through this but it helps to know other people are working toward a solution as well. I'm in the same boat with working full-time now. Even if I rushed through dinner/exercise/shower routine right after work, I probably would not be able to get 12 hours. I started the exercise and vitamin B and D back up on Sunday night. This morning was still me forcing myself to finish one step after another, but I imagine it will take a little more than two nights. The other thing is something my husband came up with. I was trying to take my medicine 12 hours before I had to get up, but he said I should try taking it as soon as I get home at like 5:15. I don't know how that will leave me for doing my exercise and shower at 8 or 9 at night, but I don't think I'll have to worry about it today. Went to pick him up from work and he says he's going to be a while still. And it's already 5:35 lol.

It's so frustrating when pdoc's go on leave/vacation....I'm almost in the same situation. Definitely keep being persistent. It is a very good idea for you to call again and keep trying. I called one doc today who does not take insurance, and I cannot afford $450 for an eval, but I have another name of someone I can call, or I'll just wait until the 30th when the pdoc comes back. Dealing with wait lists are such a pain too. Hopefully for you there won't be one. I hope you get the help you need soon.