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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Depression, Taking Cotalopram, Have A Feeling Of Bipolar. What Could Be Wrong With Me?

I have been diagnosed with depression since I was about 18, and I have been on and off anti depressants and been to counselling! I used to cut mysef and have extreme highs and lows! I am currently 25 and I have been on cotalopram for about 2 years! I genuinely do not believe I have depression though, counselling does not help or uncover anything, I have never had a bad life or have anything to be depressed about, my life is currently perfect as far as I am concerned and even when I am feeling my extreme lows which I still get on my tablets I know that I am actualy happy but I can not control that feeling that I want to tear my brain out of my head! Then all of a sudden 2 days later I will be the happiest hyperactive person you have seen! My boyfriend has said that it sounds to him like something called bipolar and looking into this further i have all those symptoms but my doctors dot seem to do anything... And I just want to know what s wrong with me n feel normal because it is ruining my work life due to so many days off
Fri, 4 Jan 2013
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Psychiatrist 's  Response
Dear Sophiananni,
Hi! After going through your question, i feel that you are lacking some proper psycho-education about your illness. First and foremost, you need not essentially have life stressors and family troubles in order to have a depression. Secondly, not all depressions settle down in 6-8 months and some stay resistant. But from the description of the "highs" that you have given, it could be possible that you might be having a bipolar depression and then in that case citalopram or plain antidepressants wont work and that you will be needing mood stabilizers along with some anti-psychotics to reduce your symptoms. Please try changing your psychiatrist or get a second opinion with a fresh look and information.
Hope this solves your concerns
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.....
Thanks for your query. The symptoms you are describing seem to be that of bipolar disorder. In that case, anti-depressants are to generally avoided considering the possible switch from depression to mania. Hence, i suggest you undergo a thorough psychiatric evaluation and be started on a standard drug regimen for bipolar disorder rather than taking on-off medication by yourself. Hope you found the information useful.
Regards
Dr Sundar Gnanavel
Psychiatrist
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Depression, Taking Cotalopram, Have A Feeling Of Bipolar. What Could Be Wrong With Me?

Dear Sophiananni, Hi! After going through your question, i feel that you are lacking some proper psycho-education about your illness. First and foremost, you need not essentially have life stressors and family troubles in order to have a depression. Secondly, not all depressions settle down in 6-8 months and some stay resistant. But from the description of the highs that you have given, it could be possible that you might be having a bipolar depression and then in that case citalopram or plain antidepressants wont work and that you will be needing mood stabilizers along with some anti-psychotics to reduce your symptoms. Please try changing your psychiatrist or get a second opinion with a fresh look and information. Hope this solves your concerns