Bipolar Disorder

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Is Bipolar Hereditary?

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  15500.1
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  Sep-2 4:26 pm
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My ex-husband has several family members who have been diagnosed with Bipolar Disorder and it's believed that his mom (now deceased) may also have suffered from BP.  Because of this, I'm concerned that Bipolar Disorder might be hereditary and wonder what signs/symptoms I should watch for in my children.  Thank you.

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Is Bipolar Hereditary?

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  15500.2 in response to 15500.1
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  Sep-8 12:43 pm
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It is important to be aware of your family history. Bipolar disorder runs in families, but many people in a family that has a vulnerability in this area do not have the condition. Like diabetes and other medical conditions, we do not know the precise way that genes and environmental stress impact one's risk, and some people also develop bipolar disorder with no family history. If you have a strong family history of bipolar or any medical or psychiatric condition it is wise to remain mindful of the possibility. I would be careful about drug and alcohol use in your children if they are teens, for instance, and I would be careful if they needed antidepressants or steroids (a small percentage of people appear to be pushed into mania on these medications if they are not also taking a mood stabilizer and have a pre-existing risk). Periodic very intense emotions, profound sleep problems and mood-related aggression are 3 areas I would pay attention to if you wanted to get more support or information. For more information, check out www.nami.org or the Child and Adolescent Bipolar Foundation website: bpkids.org.
 

Dr. Ken Duckworth
Medical Director of NAMI (the National Alliance on Mental Illness)

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Is Bipolar Hereditary?

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  15500.3 in response to 15500.2
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  Sep-8 11:45 pm
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Dr. Duckworth

Is it possible to be wrongly diagnosed as bipolar......I mean, I had gone through a trauma about 17 yrs ago with my step fathers suicide and became shocked at first ( numb) then elated ( life is too short, let's live it up then!) then I became depressed.

I went to see a specialist and he told me I was bipolar after only a questionaire that I filled out ( 6 mos after the death only) and proceeded to try me on all sorts of concoctions. First was progesterone and I didn't like the effects, then was imipremene (sp?) and then the lithium with the imipremine. I was up to 4 large lithium a day and 8 imipremene before anything showed up in blood tests! But then I wanted to commit suicide!!

I found this absurd and I really felt that I just needed to grieve in my own way. YES, my emotions were intense, they still can be over things but I've always been that way. I ride them out now. My mother just passed away with stage 3b lung cancer and I felt overwhelmed and suicidal during all the events but got through it all. I just had stepkids move in permanently right at the time she fell ill, thats all.

I know I do suffer from some depression. I know rage and violence also runs in my family in the older aunts and uncles. I can't sleep during PMS especially, therefore can get very irritated but I can CONTROL where and when as I do not allow myself that behavior at work, so it can't be an imbalance right? I'm confused and never found the reason for being prescribed all those pharmeceuticals when not needed.

I must add that I do not want pills of any sort for depression or a sleep aid either.........but do you think there is a medical condition to look for in me?

Thanks for reading and any advice is appreciated!!

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Is Bipolar Hereditary?

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  15500.4 in response to 15500.3
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  Sep-29 11:50 am
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You have tapped into a very important question in the field --how psychological trauma relates to mood concerns.  This goes all the way back to Freud, but the field has only recently again began to reappreciate how profound trauma is for children adolescents and adults.  This matters as the treatment approaches are not the same in responding to trauma as to mood disorders.  Interestingly most manic episodes do begin after a profound life change so the converse may also be true.

For you based on what you wrote  I might start with a good therapist that is comfortable in both areas.  This person can help you to deal with any trauma you are left with, and can help you look at patterns and strategies to further maximize your capacity to manage your moods. If trauma is thought to be a big part of the picture I would look into EMDR a novel intervention for trauma to see if you feel it is right for you.  Cognitive behavior therapy can help with trauma depression and even some bipolar symptoms may cross over all three.  Meds may or may not make sense--that requires an in person assessment.

Dr. Ken Duckworth
Medical Director of NAMI (the National Alliance on Mental Illness)



Edited 9/29/2009 11:56 am ET by dr.duckworth
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Is Bipolar Hereditary?

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  15500.5 in response to 15500.1
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  Sep-30 5:15 am
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I believe it is hereditary to some degree.  I was diagnosed as "bipolar disorder - not otherwise specified" last March.  Before that, I was diagnosed with major depression for many years.  My hypomanic episodes have been mostly anger and impulsive decisions, not the manic stuff where you spend $10,000 in one day, for example.  My mother has depression, but when I trace back through 50 years, I definitely believe she was/is bipolar.  She used to rotate through terrible depression followed by goofy phases where she would not be able to stop chattering.  My older brother retired on disability due to depression and PTSD.  Younger brother is on antidepressants, as are we all.  My father, who is deceased, was a rageaholic.

Symptoms are mood swings that are not necessarily based on particular events; the swings can even be during one day.  It can be called "rapid cycling."  When I was diagnosed with bipolar, I was put on a mood stabilizer in addition to antidepressants, and I am better.  I don't feel great, but my lows are shorter.  If you observe mood swings that seem random, then it would be a good idea to have your kids checked out.  I wish that I had been properly diagnosed a long time ago, but I'm grateful now to be on the right meds.

Take care,

Deb

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