My psychiatrist changed my diagnosis from "major deppression" to "Bipolar Disorder" after I was put on "Nardil"-(MAOI) and had a manic/psychotic episode. I think all my manic/psychotic episodes have been triggered by the Nardil, though I stay on it because it's the only medication that not only helps my deep deppressions but also seems to be the only drug (I have tried many) that greatly helps my "social anxiety." As I know what drug-induced psychosis means, I don't know what a pseudo psychosis specifically means or refers to... Help?
Are "drug-induced" psychosis the same thing as pseudo psychosis?
- 19 Jan 2013 by julvanv
- 1 February 2013
- nardil, mania, psychosis, bipolar disorder, psychotic
Added 19 Jan 2013:
I'm thinking that I don't have "Bipolar Disorder" at all, rather major depression and severe social anxiety. I have gone off Nardil many times and for significant lengths of time and have never had a manic/psychotic episode off it, but my depression and social anxiety always come back full force.
Pseudo means false. A pseudo psychosis would be if a person was exhibiting psychosis but wasn't psychotic. This can include drug induced, but is not limited to it.
Hi jul. I've been researching you question for a day and half, and I wanted to let you know when I get my info lined up, I'll get back with you. I can guarantee that It's going to be lengthily. Truly your friend, Anna
Hi jul. Did your Dr. suggest that you have bipolar 1 or bipolar II? I'm trying to put this together. You know, it's strange, This is the only info I found on pseudo psychosis ANYWHERE on the net:
"A condition such as malingering, that may resemble a true mental and behavioral problem."
Can you BELIEVE this? There is tons of info on drug induced psychosis.
If ya get back with me about my question, I might be an itsy bit closer to somewhat of an answer. I'm not as fast as others who are on this site. And, I'm not a health care professional. Be sure to talk to your doc about your concerns.+
My sister was diagnosed as bipolar. She was an addict, abusing alcohol, cocaine, Xanax, as well as being on a number of SSRI's and other benzos. She was admitted into a psych ward with cocaine induced psychosis. They then put her on anti-psych meds then decided she was bipolar. What a great time to diagnose someone. She ended up doing a medical detox to come off everything Rx, klonopin being the most brutal per her. Prior to this and what she was being treated for, manic/depressive disorder turned out actually related to cocaine binges than the withdrawal. After her detox she will barely take Tylenol. She was misdiagnosed, about to be put on a bigger and more disastrous cocktail of meds, but luckily she did the detox and is now clean and sober, has a beautiful 3 year old boy and suffers from nothing but occasional anxiety but doesn't treat it with meds.
I can't even imagine what her life would be like had she listened to these doctors, received treatment for bipolar when it was all related to her addiction. I think some doctors are too quick to diagnose and prescribe without looking at the bigger picture.
I've never heard of pseudo psychosis, I had a pseudoarthrosis we are talking apples and bananas in comparison. Anyway, maybe this story will help as my sister was about to be treated for a pretty severe diagnosis when she was anything but and I'd hate to see that happen to you. I know her story is a little different due to drug addiction but if I were you, I'd get a second,than a third and maybe fourth opinion before being started on medications that can have some severe side effects.
Will be sending you positive energy and maybe you need to do a little soul searching and researching yourself to see if you agree! Best wishes!
Hi Jul. How are you feeling today? I hope better.
This is the info I found from what-I-think are reputable sources. I'm bipolar I have experienced deep depression. I've experienced mania. I'm experiencing ptsd. I'm agoraphobic, to the point where I'm housebound. At the end of this info, you'll find my experience with mania. We all take the info that we want, and forget the rest. After gathering info, I was able to reevaluate my own illnesses, and I thank you for that.
Even though this information is long, I had to include it. I editied it so it wouldn't be, so I guess this is as good as it gets. Anyway, I found this info to be extremely vauable.
With Nardil depression and certain other mental problems may also increase the risk of suicide.
Abnormal behavior during manic episodes includes:
Flying suddenly from one idea to the next ( I did this a whole lot.)
Increased energy, with hyperactivity and a decreased need for sleep(OMgosh! I slept till I dropped and one time it was 3 days.)
Inflated self-image (Oh, yeah. I thought I knew everything.)
Excessive spending (Yup, man oh man, this was bad)
Substance abuse (No)
Also, the vast majority of people with bipolar II disorder experience significant depressive episodes.(Ya think?) These can occur soon "after hypomania subsides," or much later. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes.
Untreated, an episode of hypomania can last anywhere from a few days to several months. Most commonly, symptoms continue for a few weeks to a few months.months.(How bout a year and a half?)
Depressive episodes in bipolar II disorder are similar to "regular" clinical depression, with depressed mood, loss of pleasure, low energy and activity, feelings of guilt or worthlessness, and thoughts of suicide. Depressive symptoms of bipolar disorder can last weeks, months, or rarely years. ~~
I wasn't sure if you wanted information of meds used or not for bipolar. You probably already know about these. I threw them in anyway.~~Thanks for reminding me of these... My memory sucks. No, I'm not kidding. Really. There's been so many times I put my sweatshirt on backwards so the hood was in my face.
Depakote: This antiseizure drug also works to level out moods. It has a more rapid onset of action than lithium, and it can also be used for prevention.
Lamictal: (I take this)~~ This drug is approved by the FDA for the maintenance treatment of adults with bipolar disorder. It has been found to help delay bouts of mood episodes of depression, mania, hypomania (a milder form of mania), and mixed episodes in people being treated with standard therapy.
Some other antiseizure medications, such as Tegretol and Trileptal are also sometimes prescribed.
By definition, hypomanic episodes do not involve psychosis and do not interfere with functioning. Antipsychotic drugs, such as Abilify, Risperdal, Seroquel and others, are nevertheless sometimes used in hypomania and some (notably, Seroquel) are used for depression in bipolar II disorder.
This class of drugs includes Xanax, Ativan, and Valium and is commonly referred to as tranquilizers. They are used for short-term control of acute symptoms associated with hypomania such as insomnia or agitation.
Seroquel and Seroquel XR are the only medications FDA-approved specifically for bipolar II depression.(What??? )*** Common antidepressants such as Prozac, Zoloft, and Paxil are also sometimes used in bipolar II depression, and are thought to be less likely to cause or worsen hypomania than is the case in bipolar I disorder. Other medicines sometimes used to treat bipolar II depression include mood stabilizers such as lithium or Depakote, and occasionally Lamictal (although the proven value of Lamictal in bipolar disorder is stronger for preventing relapses than treating acute episodes of bipolar depression). Psychotherapy, such as cognitive-behavioral therapy, may also help.
Because bipolar II disorder typically involves recurrent episodes, continuous and ongoing treatment with medicines is often recommended for relapse prevention.~~(So, does mean that all other meds used for bipolar aren't approved by FDA?)
Can Bipolar II Disorder Be Prevented?
The causes of bipolar disorder are not well understood. It's not known if bipolar II disorder can be prevented entirely.
It is possible to prevent some episodes of hypomania or depression, once bipolar disorder has developed. Regular therapy sessions with a psychologist or social worker can stabilize mood, leading to fewer hospitalizations and feeling better overall. Taking medicine on a regular basis also leads to fewer hypomanic or depressive episodes.~~*(The pscyotherapy is fantastic. I feel like I have a brother, not just a head shrink)
Seasonal changes in mood. As with seasonal affective disorder (SAD), some people with bipolar disorder have moods that change with the seasons. Some people become manic or hypomanic in the spring or summer and then become depressed in the fall or winter.(how about all of the Four Seasons?) For other people, this cycle is reversed — they become depressed in the spring or summer and manic or hypomanic in the fall or winter.
Rapid cycling bipolar disorder. Some people with bipolar disorder have rapid mood shifts. (From nice to b--- y!) This is defined as having four or more mood swings within a single year. However, in some people mood shifts occur much more quickly, sometimes within just hours.
Psychosis. Severe episodes of either mania or depression may result in psychosis, a detachment from reality. Symptoms of psychosis may include false but strongly held beliefs (delusions) and hearing or seeing things that aren't there (hallucinations)
Many people with bipolar disorder don't get the treatment they need. Despite the mood extremes, people with bipolar disorder often don't recognize how much their emotional instability disrupts their lives and the lives of their loved ones. (I wish I would have know this) and if you're like some people with bipolar disorder, you may enjoy the feelings of euphoria and cycles of being more productive.(I've talked to people who miss euphoria. Strange, but whatever floats your boat) However, this euphoria is always followed by an emotional crash that can leave you depressed, worn out — and perhaps in financial, legal or relationship trouble(OOOO, don't wanna talk about this, Bummer time)
Both women and men develop bipolar I disorder at equal rates, while the rate of bipolar II disorder is somewhat higher in females.(Hey guys! Get in gear!)****
--- The exact symptoms of bipolar disorder vary from person to person. For some people, depression causes the most problems; for other people, manic symptoms are the main concern. Symptoms of depression and symptoms of mania or hypomania may also occur together. This is known as a mixed episode.
Manic phase of bipolar disorder
Signs and symptoms of the manic or hypomanic phase of bipolar disorder can include:
Agitation or irritation
Increased physical activity
Risky behavior~~(I hung out with criminals)~~
Spending sprees or unwise financial choices
Increased drive to perform or achieve goals
Increased sex drive
Decreased need for sleep
Careless or dangerous use of drugs or alcohol
Frequent absences from work or school
Delusions or a break from reality (psychosis)
Poor performance at work or school
(I'm Guilty of all of the above.)*******
Depressive phase of bipolar disorder
Signs and symptoms of the depressive phase of bipolar disorder can include:
Suicidal thoughts or behavior Bummer
OMgosh, all of these symptoms are a bummer!!!
Low appetite or increased appetite
Loss of interest in activities once considered enjoyable
Chronic pain without a known cause
Frequent absences from work or school
Poor performance at work or school
Other signs and symptoms of bipolar disorder
Signs and symptoms of bipolar disorder can also include:
Seasonal changes in mood. As with seasonal affective disorder (SAD), some people with bipolar disorder have moods that change with the seasons. Some people become manic or hypomanic in the spring or summer and then become depressed in the fall or winter. For other people, this cycle is reversed — they become depressed in the spring or summer and manic or hypomanic in the fall or winter.
Rapid cycling bipolar disorder. Some people with bipolar disorder have rapid mood shifts. This is defined as having four or more mood swings within a single year. However, in some people mood shifts occur much more quickly, sometimes within just hours.
Psychosis. Severe episodes of either mania or depression may result in psychosis, a detachment from reality. Symptoms of psychosis may include false but strongly held beliefs (delusions) and hearing or seeing things that aren't there (hallucinations).
Distinguishing between bipolar I and bipolar II
Bipolar I disorder is the more severe disorder, in the sense that individuals are more likely to experience ‘mania’, have longer ‘highs’ and have psychotic episodes and are more likely to be hospitalised. Mania refers to a severely high mood, where the individual often experiences delusions, and/or hallucinations. The severe highs which are referred to as ‘mania’ tend to last days or weeks.
Symptoms When to see a doctor
If you have any symptoms of depression or mania, see your doctor or mental health provider. Bipolar disorder doesn't get better on its own. Getting treatment from a mental health provider with experience in bipolar disorder can help you get your symptoms under control.
Many people with bipolar disorder don't get the treatment they need. Despite the mood extremes, people with bipolar disorder often don't recognize how much their emotional instability disrupts their lives and the lives of their loved ones. And if you're like some people with bipolar disorder, you may enjoy the feelings of euphoria and cycles of being more productive. However, this euphoria is always followed by an emotional crash that can leave you depressed, worn out — and perhaps in financial, legal or relationship trouble. (Guilty as charged)
If you're reluctant to seek treatment, confide in a friend or loved one, a health care professional, a faith leader or someone else you trust. They may be able to help you take the first steps to successful treatment. (NOT!!! I didn't think I had a problem)
Bipolar disorder is more common in the teens or early 20s. (I was 56)
If you have suicidal thoughts
Suicidal thoughts and behavior are common among people with bipolar disorder. If you or someone you know is having suicidal thoughts, get help right away. ** (I only had suicidal thoughts once, and it passed as soon as I thought of it. I knew only God could make the decision about when we live and die)
+++ Here we go:
My experience with mania was extreme. I lost my home. I pushed everyone away, so I had no support. I became homeless. I never thought this could happen to me. I was 56. I was too old to have a manic episode. I didn't think I was bipolar or that I was having a manic episode because I didn't know what it was. I read a book about it, but every memory of that book just flew out the window. I stopped taking my meds. I became mad. I went through every emotion you can imagine. I went bankrupt. My vehicle went to impound, so I was on the streets with other homeless people. I was robbed ten times and beaten three times. I was committed, under court for a year. I was served a restraing order that said I wasn't allowed to see my mom for one year. I had a desire for sex. I had an inflated ego, and thought I could do anything. I wanted to start businesses so my kids could work from home and make good money. I had the worst possible judgement and was unable to make good decisions. I wasn't the same person anymore. I spent 6 months homeless. Then a month and a half in the hospital. And then to a foster home. I'm 63 now. I'm trying to put it all in the past, but I'm not always sucessful. If you've had a manic episode, then you probably know what I'm talking about. Theres a lot more to this episode then what I'm saying, but it would take years to tell you. After I got out of the hospital and saw my psychiatrist, I cried the whole session. I went into the most deep, dark, depression, that I've ever had in my whole life, "after mania." I got on my knees and asked God to please help me. I wept. He was my comfort.
It's been over six years ago, and I've lived in an apartment since this "episode" time. I love my freedom. I love having a roof over my head and food to eat. Because of this experience, I am a stronger woman.
We all need to go forward. Bounce back! That's where I'm at.
I'm giving you this info because you questioned whether you were bi-polar or not, leaning more on the side that you're not. I don't know if you are or not. Only you know.
Your a bright friend and I value you for reaching out for answers. Through questions, you gain knowledge and wisdom. (I'll have a cup of wisdom and knowledge please)
Blah Blah Blah!
I've prayed for you and God always heres my prayers.
- Nardil Information for Consumers
- Nardil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nardil (detailed)
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