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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Bipolar & Anorexia

My niece has been diagnosed bipolar just a month ago. She has attempted suicide twice and been hospitalized 4 times in the past 2 to 3 months. She is also cutting and anorexic . She was on a medicine that has seemed to help and recently wanted to Change it due to gaining 5 pounds. She was given the new medicine and 80 pills to help her sleep better. She quickly declined and called her mother to come to her aid. Her mother was on her way to her apartment (30 minute drive)and she decided to take the rest of her sleeping aid (75) pills because she was so upset with herself about going downhill again. Quickly she realized this was so stupid and she had her roommate rush her to the hospital. She is fine and being released today from the hospital. I feel her parents are going to give her an altmatuim and make her move home.mi have asked what professionals have advised and they say they are making the discussion themselves. I am worried that this will put her in a huge tail spin and send her off the deap end. I have asked them to consider a family intervention with a professional to determine what should be done next. Do you feel a person who is newly diagnosed and not yet stable on medication should be backed in a corner? I feel there is so much going on between the parents and her that they need others to help convince her what should happen next. She is 20 and can refuse all help. I feel there is just a small window of time to convince her, before she shuts everyone out. What do you think?
Mon, 7 Apr 2014
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Psychiatrist 's  Response
HI
Thanks for using healthcare magic

I think, she has underline depression or borderline personality disorder which may have been misdiagnosed as bipolar disorder and she needs psychiatrist consultation. She needs proper treatment with antidepressant and with that, her suicidal ideation would decrease. You can also take her of psychologist for cognitive behavioral therapy in her case, that would give additional benefit.

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Diagnosed With Bipolar & Anorexia

HI Thanks for using healthcare magic I think, she has underline depression or borderline personality disorder which may have been misdiagnosed as bipolar disorder and she needs psychiatrist consultation. She needs proper treatment with antidepressant and with that, her suicidal ideation would decrease. You can also take her of psychologist for cognitive behavioral therapy in her case, that would give additional benefit. Thanks