Hypomania

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    Everytime I try and get a job my mental health plummets

    I have a history of very serious mental health issues. I've been doing well for almost a year now and decided to get a job. I've only been there for not even 2 weeks and I can feel my mental health going downhill FAST. This happened last year when I though I was doing well so started working. I lasted 6 weeks before I had a manic episode and ended up hurting myself. It happened another time a year before aswell where I only lasted a week before relapsing.

    I don't know what to do. I can't afford to lose my health, but I also can't spend my whole life on benefits, especially when I can be relatively functional when I'm not working. I'm not sure whether I should keep this job and potentially cause a problem or shamefully give it up.

    Any thoughts on the best course of action?

    #BorderlinePersonalityDisorder #Hypomania #EatingDisorders #AnorexiaNervosa #BulimiaNervosa #PTSD #Fibromyalgia

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    Community Voices

    Bipolar Basics (And the Challenges in Diagnosis)

    A complex mood disorder, bipolar poses several challenges to those who experience it. These pains include maintaining relationships, holding down sustainable employment, and often financial struggles. Less than 20% of those having bipolar disorder receive an accurate diagnosis within the first year of treatment. In fact, five or even ten years is not unheard of. So what is so difficult about diagnosing bipolar disorder?

    What is Bipolar?

    Bipolar disorder is a mental illness causing fluctuating moods and energy levels. It often affects emotions, sleep, appetite, focus, and many other aspects of the person’s life. Diagnostic criteria include experiencing depressive and manic episodes.

    What Might a Depressive Episode Look Like?

    During a depressive episode, some or all of the following signs and symptoms are present:

    ● Feeling sad and/or a sense of emptiness

    ● Loss of interest in activities

    ● Reduced energy and/or decreased activity levels

    ● Difficulty concentrating and/or forgetfulness

    ● Changes in appetite

    ● Sleep disruptions

    Suicidal thoughts

    What Might Mania Look Like?

    A manic or hypomanic episode may present some or all of the following signs and symptoms:

    ● Increased activity levels and/or taking on many tasks

    ● A sense of euphoria

    ● Racing thoughts

    ● Irritability

    ● Feeling jittery or similar agitation

    ● Engaging in risky behavior

    ● An abundance of energy and/or insomnia

    Types of Bipolar

    We can divide bipolar disorder into four categories: Bipolar I, Bipolar II, Cyclothymia, and Bipolar-Related Disorders. Each type of bipolar causes mood cycling. None of these has a singular cause although risk factors include trauma, brain function anomalies, and genetics. Symptoms typically begin during the teenage years.

    Bipolar I

    This is what most people think of when considering bipolar. It is characterized by a depressive episode and a manic episode. Episodes may last a significant amount of time or rapid cycle. Mania symptoms last seven days or more, or are severe enough to require intervention.

    Bipolar II

    Frequently misdiagnosed as major depressive disorder, bipolar II is characterized by a depressive episode and a hypomanic episode. As hypomania is less extreme than mania, they may pass it off as the person simply feeling better for a while.

    Cyclothymic Disorder

    Less extreme than the above, a person with cyclothymia vacillates between milder depression and hypomania. Continuous cycling for two years is considered cyclothymia.

    Bipolar-Related Disorders

    While not specifically a sub-type, this category encompasses mood disorders that resemble bipolar disorder but do not meet the criteria for a diagnosis.

    The Wrong Diagnosis

    People are more likely to seek treatment during a depressive episode and may not recall experiencing a manic or hypomanic episode, particularly in cases of bipolar II. This often leads to a diagnosis of major depressive disorder.

    Substance abuse may also lead to a misdiagnosis as the use of alcohol or drugs can often affect episode cycles. This can lead the healthcare professional to believe that substance use is directly responsible for mood swings.

    Someone with bipolar may also receive the incorrect diagnosis of schizophrenia as symptoms are similar for both diagnoses.

    Medication and Misdiagnosis

    Misdiagnosing bipolar disorder can lead to the healthcare professional prescribing medication that can worsen symptoms. For example, a provider may prescribe SSRIs for depression, which can trigger a manic episode.

    Medications prescribed for different conditions may trigger mood and energy cycles. For example, a prescription for corticosteroids may induce mania.

    Receiving the Right Diagnosis

    Healthcare providers are not intentionally misdiagnosing people who seek care. As we understand more about the wide sphere of mental illness, the need for deeper psychological evaluation and a detailed patient history becomes more apparent.

    If you are seeking treatment for your mental health, it’s important to share a lot of information, even if you find it embarrassing or shameful. The better your provider can understand your experience, the better they can treat you, and the sooner you can feel better.

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    Community Voices

    The Duality of Bipolar and My Identity

    <p>The Duality of <a href="https://themighty.com/topic/bipolar-disorder/?label=Bipolar" class="tm-embed-link  tm-autolink health-map" data-id="5b23ce6600553f33fe98e465" data-name="Bipolar" title="Bipolar" target="_blank">Bipolar</a> and My Identity</p>
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    Community Voices

    What time of day do you prefer your tea?

    <p>What time of day do you prefer your tea?</p>
    13 people are talking about this
    Community Voices

    When your mood changes, does your hunger change too?

    <p>When your mood changes, does your hunger change too?</p>
    6 people are talking about this
    Community Voices

    I’m new here!

    Hi, my name is Bekah. I'm here because I am terrified that my hypomania will lead to a psychotic manic episode and I will be inpatient. I haven’t been hospitalized in 4 years. I work part time as a psych RN and have one semester left to become a Psychiatric Nurse Prsctitioner. I have not been able to reach my psychiatrist to help adjust my meds and my husband and I are so desperate to get me stable we both decided it would be smart to lower my Zoloft since I am manic. I am in clinicals and my preceptor knows I struggle with bipolar. I asked her advice on what she would change with my medications because I was struggling with mania. She told me to lower the Zoloft and said that she will never start a bipolar patient on an antidepressant because it can make their symptoms much worse. I literally interview patients everyday to do med management on their psych meds and I, ironically, can’t even get an appointment with my doctor. i don’t want to burned my husband and friends and family with my crisis and have had a therapy session. just need a place to let it out and hope that I won’t feel so alone and terrified. I’m supposed to be the nurse caring for mental health patients in crisis and I’m hanging on by a thread to maintain my own sanity. words of encouragement, advice, recommendations, ideas ANYTHING. I’m desperate.

    #MightyTogether #BipolarDisorder

    3 people are talking about this
    Community Voices

    I'm new here!

    Hi, my name is Heidy. I'm here because I struggle with daily depression, trying to manage with meds, exercise, some social. I've heard about people being in episodes, but in my case, it is a daily, more or less, nothing predictable as to how much depression/intensity, versus, normal mood. Hypomania does not play much of a role, maybe 6 times over a 26 yr. period and even so, not terribly symtomatic, causing trouble, just freedom from depression.

    #MightyTogether #BipolarDisorder

    1 person is talking about this
    Community Voices

    Living with Bipolar II, GAD and ADHD, really struggling with getting out of this depressive rut. Can anyone relate/give feedback and support please?

    Hi! I am new to this site. I am struggling with self motivation to basically function as a human being. I have been dealing with high functioning depression and anxiety for a long time and I am now in my late twenties.

    I was diagnosed Bipolar II, ADHD and OCD more recently, maybe even a couple of years ago. It is hard to take care of myself and do basic daily living activities. I've struggled with those things since I was very young and I lack self discipline since I grew up with parents who gave me porous boundaries...

    On top of that, I have a somewhat "nocturnal" sleep schedule where I stay up into the wee hours of the night and then wake up in the afternoon. This worked okay when I worked swing shift at my last job but I still struggled a lot to feel "okay" or motivated. I am a night owl but I feel better when I can get to sleep earlier (for me that could even mean midnight) and wake up earlier (before 2 PM lol). It's hard when my meds make me groggy though but I am so reliant on them to knock me out since I've had nighttime anxiety since I was less than 10 years of age.

    I have been "self-medicating" for a long time and chasing dopamine highs. My dopamine bucket (as my old psychiatrist called it) is deeper than most people's I guess so I am constantly chasing highs from everything I do so moderation is hard but again I'm very lucky and fortunate that I've had the sense not to dabble with any super hard drugs. Anything that I've felt super addicted to I stopped right away, mainly pills, so I have some will power in that regard. Chasing highs all day and night is kind of exhausting though and I learned that saying "addictive personality" is incorrect but I absolutely know I'm more genetically inclined to have addictive tendencies. I used to use OTC meds to sleep and feel okay and to help me sleep such as Benadryl and NyQuill and to help me relax. I have cut back on OTC since being on psychiatric meds especially because OTC gives me nightmares and RLS but I still worry about long term side effects of the meds I'm on too... I am so grateful I've never gotten into any seriously hard drugs but for self-medicating I do lean on caffeine (using the internet pretty much all day every day for multiple purposes) and have been dabbling with pot again on and off for the last decade (currently I'm off pot but I want to use it again so I'm starting with CBD) Alcoholism runs in my family, I feel like every time I drink alcohol it's like building up pressure in a volcano that will someday erupt, aka alcoholism will take its grip on me and won't let go until I have to go to rehab or get alcohol poisoning. Alcohol generally scares me but I have been drinking on and off again this year (I started drinking when I was 14) so I've been kinda testing the waters after not drinking for over 2 years straight and each time I drank I wanted more and it was just so strong.... That's another post I could make sometime but yeah I am currently not drinking so I'm less worried about using alcohol, I'd much rather get stoned from thc... I am on psychiatric meds for bipolar disorder but my anxiety and depression feel out of whack.

    I lack consistency, I can work out if I'm feeling more hypomanic and when I'm not I definitely am a couch potato so that's the majority of the time, my diet and exercise need to be improved but when you are in a depression rut it's so hard to do anything at all!!! I'm fighting with myself, part of me wants to have a consistent and healthy routine. Another part of me likes being how I am now but I'm not happy and I don't feel good a lot of the time.

    I just moved to a new state as well so I won't be able to see a Psychiatrist for possibly a month and that is freaking me out. I might run out of my current meds (depakote and seroquel to be exact) so I'm needing to figure that out. I'm meeting with a new therapist today and I'm going to talk to her about what I'm writing in this post. I'm sure she can help with some stuff and I haven't been put on an anti-depressant because my old psychiatrist was super cautious and I never seem to be in a balanced mood so she didn't want to risk hypomania. But I cycle on and off with hypomania every week it feels like. Being hypomanic increases my desire to get high and makes me feel out of control with impulsive spending and random creativity.

    I have a lot of goals I want to accomplish creativity wise but being so inconsistent with severe ADHD symptoms and other problems (including being a perfectionist) really stops me from completing projects and following through with my goals.

    To give some more perspective also, I grew up as a spoiled only child and I've always gotten everything I've ever wanted/needed without having to work hard for those things really. I'm fighting against the "conformist lifestyle" of like having a structured schedule and just doing what most people do which is to work full time and adhere to a routine/schedule and live in moderation. I think I feel more "free" when I can at least feel like I am living against the grain of society even though I know this is just an illusion. Telling myself I'm not "normal" has probably been one of the worst things ever and I hate that concept of normal anyways. But to feel like I don't fit in anywhere is a really lonely and sad feeling and it's totally not true!

    I'm working on healing and moving forward and growing as a person. I'm my biggest obstacle though and I want to be my own best friend. But my old habits are so ingrained in me and I feel they are a huge handicap for me to be healthy, happy and successful. I'm also pretty codependent so this makes my relationships with most people unhealthy. I've come to the realization that I find a man or friend to focus on their problems instead of my own and I want to fix them, hence my codependency.## I got into a situation earlier this year with someone and it's take me 7 months to have multiple realizations. That's another post that I'll probably make though. So anyways I'm sensitive and an empath too so life is super overwhelming always no matter what. I'm proud of what I've accomplished though like getting a Bachelor's degree and I've reached out for help which has helped give me hope. I don't feel totally hopeless but I want to know what kind of career/job/lifestyle I can have to support myself financially and to give me more contentment. I want to give myself validation first and foremost but this is SO hard when I've always relied on other people so much for everything, especially my parents.

    Anyways, I just wanted to see if anyone else can relate to my situation or parts of it at all, some support and feedback would be very appreciated, thank you!

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    Community Voices

    Newly Diagnosed #ComplexPosttraumaticStressDisorder Question..

    I have read a lot about #CPTSD , and I see how it fits me. But is hypomania a symptom? Yesterday I felt my mood elevated. I've experienced hypomania before, but it's been YEARS ago. I have the diagnosis of #Bipolar Not otherwise specified and OCD and the newly added #CPTSD . The euphoria didn't last long..
    Just all day yesterday until a toxic person said some pretty shitty things to me. Then my mood plummeted and I was triggered and felt unsafe and was in fight or flight mode. But the euphoria felt just like when I was hypomanic years ago. Can someone with #ComplexPosttraumaticStressDisorder explain? It would help me greatly. Are there any good books out there that explain and have help..
    Maybe a workbook?

    7 people are talking about this
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    Is it just me, or do you get “grumpy” when the ‘boring self-care’ actually helps?

    <p>Is it just me, or do you get “grumpy” when the ‘boring self-care’ actually helps?</p>
    13 people are talking about this