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Have manic phases, drinking problem. Using marijuana. Should I take medicine?

I think I have symptoms of bipolar, but for the most part it is not a negative force in my life (depressive periods can suck, but they are not debilitating). The more manic phases are generally quite enjoyable and I enjoy an enhanced level of insight (though I have to consciously keep focus at times, similar to what I imagine ADHD sufferer's go through). I also have a drinking problem (especially when feeling manic), but I am completely functional and generally happy. I have recently found that marijuana use might be more negative than alcohol use for my emotional/mental behaviour. Would you advise medicating a patient with these symptoms who is functional, generally happy, but aware sometimes that my brain is operating differently at times?
Asked On : Tue, 9 Apr 2013
Answers:  1 Views:  11
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

You have mentioned multiple problems here - mood fluctuations (which you suspect could be part of a bipolar disorder), ADHD and an alcohol problem. Firstly, you will need a proper evaluation to see if your mood swings qualify for a bipolar disorder or not. Secondly, your substance abuse problems also need to be looked into and tackled appropriately.

So, I would suggest that yoy refrain form self-diagnosing yourself and consult a psychiatrist for a detailed psychological assessment. Depending on the diagnosis, you can then discuss about further management strategies with the doctor.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Wed, 10 Apr 2013
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