BloatedGuppy said:
If it's not too personal a question, do you mind if I ask what your symptoms are and how confident you are in your diagnosis?
I've had a front row seat to the mental health system in my country, and a mis-diagnosis of bi-polar when someone has depressive or anxiety disorders is disturbingly commonplace. It seems to be par for the course to medicate first and take a closer look later.
Very confident. Bipolar disorder is actually massively under-diagnosed here - I was stuck with a diagnosis of unipolar depression for years, despite it being painfully obvious (to me and everyone in close contact with me) that something more was going on. Even when I
finally got referred to a psychiatrist, he wasn't confident making the call (his speciality was eating disorders), so I was referred on to a world-leading specialist in bipolar disorders, who finally confirmed what I pretty much already knew by that point.
Because it's such a life-changing, permanent diagnosis, medical professionals in the UK are reluctant to diagnose it, especially in young people. I guess it's understandable, but it would have been really helpful if I'd been diagnosed earlier.
As for my symptoms, I get really long descents into crippling depression which last several months. When I'm severely depressed, even simple things like taking a shower feel like massive achievements. It's common for me not to leave one room for days or weeks at a time. I don't even play games or read in those periods, so it's not like normal procrastination or anything like that, I simply don't have the energy or motivation to do anything.
Then I get manic/hypomanic phases, where I constantly feel like I've drunk three or four pots of coffee (complete with physical symptoms - shakiness, heart racing, etc). My thoughts race, and I become irritable and frustrated with other people because they can't keep up and don't make the same weird mental connections I do. Sometimes these phases are useful - I've produced First class essays in a single night (complete with all the reading), written poems my teachers mistook for Shelley and Wordsworth, and finished 2 hour exams in 20 minutes. But often they're
really unhelpful, when my thoughts move so fast I'm unable to read or write a single sentence, when I decide to run out into traffic because it's fun, or when I spend a fortnight's budget in an afternoon because hey, why not?
Worst of all are the mixed states, when I'm both depressed and manic at the same time. I have literally gone from dancing around my room in the most incredible, gymnastic way to weeping because I'll never be a superhero in the time it takes to play the average three minute song. In this state I'll often hallucinate - anything from seeing the same cat repeatedly emerging from a flower bed I'm looking at, to some creepy guy standing right behind me, to hearing random choral music when I'm walking around town.
In all of these states I have suicidal thoughts and urges. In fact, I've long been convinced that, regardless of my actual wishes, my life will eventually end in suicide - whether it be through the despair of depression, the recklessness of mania or the desperation of a mixed state. I hope I'm wrong and that medication and other treatments will eventually bring everything under control, but I've come so close on so many occasions, and every time I come closer. I'm honestly not trying to sound dramatic or anything, this is just how it is.
This doesn't even begin to cover all the symptoms I've had, but I hope it goes some way to explaining the reality of bipolar disorder. It's not something to be taken lightly, or a diagnosis to be handed out willy nilly, and it's
definitely not the romantic, "touched by fire" thing some people like to make it out to be.
EDIT: If anyone's interested, I wrote a very open and honest article about living with bipolar a while ago: http://blog.mindyourheadoxford.org/post/73219232329/emma-moyse-speaking-candidly-about-bipolar-disorder I'm not trying to promote myself or anything (it's not my blog), I just hope it might be useful to people trying to understand the condition for whatever reason.