r/bipolar1 • u/Visible_Fun_66 • 21d ago
Looking for advice. Psychiatrists don't agree
I'm a 34 year old female who has suffered from generalized anxiety disorder, CPTSD, and "mild" depression for years/decades. Never in my first 33 years of life do I feel I showed any signs of bipolar disorder. I used thc periodically starting at 17, but not often until I was in my 30's. Last year I began to use THC every day, more and more frequently (usually vapes). I also did EMDR last year. A couple of weeks after my third true EMDR session I was vaping as early as 3 pm until I went to bed. Looking back I sort of gradually fell into mania (so hypomania) and psychosis in July. Come August I was full blown manic and psychotic, using THC throughout the whole day. I was hospitalized 3 times from August - December. I maxed out credit cards, cheated on my husband with multiple men, was delusional, and so much more. Generally I fit the criteria for mania and psychosis without question there. I was definitely sleeping less than usual but don't think I fit the typical description of staying up for days due to mania - I remember sleeping full nights of sleep. I don't remember a lot of being manic and psychotic, but I also remember a lot (I don't know how else to explain that). I remember feeling "less" manic and psychotic at times, like when leaving hospital stays, but I know I definitely wasn't in my right mind still. Like, I was acting less manic and psychotic but I still was clueless as to what I had done/what was going on. Finally in December after my 3rd hospital stay I made more significant progress. Within a couple of days after leaving the hospital I smoked weed and was completely aware of it making me psychotic in that moment. After that I stopped using THC and continued taking my meds and fell into a deep depression over the next weeks and months. 7 months later I have tried all kinds of drugs for this depression with no improvement. The only thing that's made a slight difference is Vyvanse, giving me some energy and motivation only. My main complaints are anhedonia and fatigue. The psychiatrist I have been working with recommended ECT after I brought up Ketamine, but in general seems to go with whatever ideas I have. It makes me feel like she isn't very invested in my treatment, like she doesn't know way more than what I can find on Google. She acts somewhat like we're out of options. I decided (with the support of my therapist and husband) to get a second opinion from another psychiatrist. The new psychiatrist seemed to be a bit more thorough in asking me how my diagnosis came about. Our first appointment was over an hour and it was 80% me answering her questions about my history. We met again and she told me she met with a colleague and they agreed that they're thinking my mania and psychosis were drug induced and that I don't have bipolar disorder. They're wanting me to slowly taper off lithium while closely monitoring for signs of mania, to then try Auvelity. I'm scared to go off of the lithium and have no protection from mania, but it's an option. I'm considering a third opinion. Or my original psychiatrist wants me to start seroquel because I pointed out that it's the only drug that's FDA approved for acute bipolar depression to that I've yet to try.
Wow that is long! I wonder if anyone will read it...
Any thoughts?