My psychiatrist says I have just bipolar. I take geodon and neurontin. My therapist, recommended by him. Says I have anxiety, depression, and some PTSD. Bad childhood. I am having crippling panic attacks. Who do I believe, and why go to both when diagnosis and treatment is so different?
Good question. You need both. They should coordinate care. A person can have all of these. Plenty here will tell you as much.
Fear creates anxiety. Anxiety creates depression. When you are genetically predisposed for bipolar you can get quite a combination. Add in the crummy childhood and, sure you have a lot of symptoms.
Working with a psychiatrist and getting the diagnosis gives him the ability to give you medications that will treat the bipolar. This is a complex condition and he is the one to treat since medication is the key.
The therapist is working on fears generated from those past events and the illness you are now dealing with. He helps you get understand all of that and will let you know how your medication is working while you see him. Here is where you learn methods for coping and changing things in your life to a better outcome. So he bills your time according to the area he is treating, like panic attacks.
Labels with the therapist are not as important than the work. I don't care what they call me. Just that I get the support and results I want to learn.
Because your question is so good, please ask both of them what they are doing. After all, we all have to stick up for ourselves when it comes to treatment. Be sure you know what is happening. Listen carefully and bring written questions. I think after some time it will make a lot if sense. I also think that you are quite fortunate to have all of this at your disposal.
Talk to the psychiatrist about medication. Let him know all about how you are doing. As he is a doctor, he is looking at the full you and will provide any medications he finds effective. You will see him for med checks. That is good. He will help with any med that can help with the panic attacks. I would call him now and let him know.
Let the therapist know you feel you would like more medication, he will also pass that on to the psychiatrist. And most of all, if you don't like any of them, it is fine to ask for a referral. You won't get the work done if you don't feel you are working well with someone. Keep all appointments. Good luck for you and your search for a happier and better you. Karen
Hi I am Jan just rejoined here.
I have Bipolar 1 with mixed states rapid cycler crippling anxiety as you and etc... I think you should call your Therapist right away so you can get treated for the anxiety and PTSD but from what I have heard PTSD is greatly over come in some cases by therapy, therapy and medication together are a big time healer.
Your therapist as stated before should be conversing with your psychiatrist, I find it hard to believe they aren't, if that is the case
u r not alone and do not have to live like this, please call your therapist let her know how bad it is and to please put a phone call to your Pdoc (psychiatrist)
Hope this helped the anxiety can get worse if put off without treatment don't want to scare you but mine was mis treated for a while due to bad childhood as well a lot of abuse and I got agoraphobia I didn't leave my house for a year
I am sure that will not be your case but make the call hon
I've seen therapists and shrinks and I've found that psychiatrists are the only ones really qualified to deal with the disorder as a whole. Therapists aren't MD's and can't prescribe medication which is necessary for bipolar treatment. Therapists are good backup but I've never found them essential.
Honestly, I would change drs or at least make an apmt with another dr and start all over with one that you can totally explain how you feel. Tell him/her about your experience with your other two drs and get his/her advice. I go to one Dr for all my meds and issues. I personally think that's the right way to go... just my opinion. Oh, my Dr is a counselor as well.
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