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Adhd, bipolar or both?

Hominid711 profile image
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Hi,I've very recently had a change of diagnosis from ADHD and mood disorder to BPD by a consultant psychiatrist, am awaiting a meds change and would like to learn about other people's experiences with

1. BPD, any type and degree: I want to understand why BPD (with or without ADHD) and not ADHD (with GAD/MDD),

2. Quetiapine for mood swings: what dose are you on and what is its effect on you?

3. Being off antidepressants: do you cope and does Quetiapine improve your mood?

As to background: I'm a 57y old academic, good at what I do, currently subject to disciplinary action (for misconduct but this won't hold. Real reason is retaliation after 12m whistleblowing and complete disregard of my mental health ie disability discrimination) and going to court. The wait for trial may be years and my mental state hasn't been great so I hope the meds change will work. I utilise psychology as well but meditation does not work for me. I have mainly contributed to CHADD's adult ADHD forum here.

Many thanks.

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Quetiapine - Hi, I take 250 mg of Quetiapine. 150 mg at night and 50 mg 2 times a day. I have found that in time, Quetiapine affects your sleep with pains in your legs. These pains are unbearable. I have discussed this with my GP, there is nothing they can honestly do. I'm hoping to see my Mental Health Specialist soon and maybe he/she could help me.

Hominid711 profile image
Hominid711 in reply to Silverunicornspirit

academic.oup.com/ijnp/artic...

Hi,

I'm a GP so will immediately Google this when new to me. So I found the above pretty much immediately. There will be more obviously but this one is already quite interesting. You could continue to find stuff by googling RLS quetiapine leg pain side effect treatment etc in different combinations. RLS includes leg PAIN as well. Not good that your GP "can't do anything." Didn't they even suggest they would be asking Neurology for advice?? Anyway, in the article, case 5, the patient receives Pramipexole, the one and effective treatment so why not forward this to your GP? And in an earlier part of the article it is suggested to do blood tests for iron, rheumatic conditions, ?myositis etc

Show them.

Should shame them into action.

And thanks for the forewarning!

Hominid711 profile image
Hominid711 in reply to Silverunicornspirit

And this very new review of the academic literature.ncbi.nlm.nih.gov/pmc/articl...

No need to read everything. I often jump to Conclusions at the end and from there read backwards over the bits of management or treatment of the condition that interest me.

ellamental profile image
ellamental

Hi Hominid711. I have Bipolar. I don't have ADHD or know much about it tbh. I think there is often an overlap with several MH conditions. I sometimes think I was misdiagnosed (or also have PTSD) but then I remember the highs and the lows and the torture of not sleeping and this fits with BP. I was diagnosed in 2007 (I am 58) but I think I have had it all of my adult life. Shortly after being diagnosed I was put on quetiapine and a small dose of diazepam for panic attacks (once or twice a month). I take a whopping 800mg quetiapine at night! The only side effect has been weight gain and .. this is a big one... I am very dopey in the mornings and sleep in if I can. I have changed my working day to fit this.. not always possible I know. But as insomnia was the biggest problem for me, and is no longer, the way I see it is that I have less hours in the day but happier ones. Initially I was on 50 mg and slept the whole day but over the years it has been increased, I guess, as my body has got used to it. Since starting quetiapine I have less symptoms... before Q I was paranoid, had trust issues and was swinging from the ceiling or flat on the floor. But then that improvement could be because at the same time of diagnoses I met my 2nd husband who is wonderful and supportive. Before 2007 I was on antidepressants for 7 years with several side effects. They did not really help except take the edge off it a bit but I was happy to ditch them and quetiapine does improve my mood I think. It is hard to know if I am generally happier and more balanced (much fewer highs or lows and less intense) because I am sleeping well or because that is what quetiapine does as well as help you sleep. I also had many years of good therapy, counselling, group psychotherapy so was lucky with that really. I hope the trial goes well and that you feel brighter soon and when it is over... all that won't help your mental health as you will know. Take good care.

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