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Suggest Treatment For Severe Anxiety And Dizziness

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Posted on Wed, 22 Feb 2017
Question: I suspect my ex bf is suffering from bipolar disorder II or some other mental illness. He broke up with me really suddenly while we were planning to get engaged in a few months! I understand that people sometimes break up.. But it was SO sudden that it seems really NOT normal.
1.When we first got together..He told me he had severe anxiety -induced dizziness for 5 YEARS untreated… I tried to help and I took him to a psychiatrist and he gave him some antidepressants to help with his dizziness. However, i think the psychiatrist focused on the dizziness and didn’t realize that my bf had other..complicated..mental issues.
I noticed from early in the relationship that he had weird mood swings:
2.     The one day was sitting very quiet playing with his phone and not talking to anybody
3.     The other day he was singing in the car when his favourite song was on the radio – he stopped the car – went on the street – had a little dance in the middle of the road – and came back in the car! I was laughing!
4.     The next day again – he was sitting very very quiet smoking and didn’t talk to anyone
5.     Again, the next day he was happy and was singing in the car REALLY really loudly – he was SCREAMING like a paranoid!
And goes on like that…
6.     1 year ago……last January 2016……he saw an innocent msg from my ex boyfriend that we broke up mutually – asking me how am I. He got really upset and left from my house. For 2 months he was trying to leave me..he was telling me ‘’it is not just love..is happiness..i don’t feel happiness..’’ ‘’i don’t want to lose you but I think I need to be on my own’’. He was trying to leave but the relationship up to that day was AWESOME and he seemed so in love with me and he wasn’t sure what to do. He kept telling me ‘’give me some time alone’’…The next day he was calling to see how am I…Then again “I need to be alone” and the next day ‘’I’m scared if I leave you I will regret it that I did the worst mistake in my life’’. I couldn’t understand how a person loves you, you had amazing moments together, and he wanted to LEAVE me while at the same moment he was DESPARATELY trying to stay with me.
7.     After we got back together he seemed great! We were in a nice relationship with of course, its ups and downs. My masters was really difficult and I was moody and angry some times. But not every day of course!! He really wanted us to get engaged. He told everybody about it including our families. We agreed that when I finish my masters degree in January we will move in together!
8.     So here comes again January of 2017…Exactly 1 year after the first break up….just 20 days before my masters degree ends and we can move in together. He suddenly became really anxious that I don’t want to marry him. He kept saying “you are not ready to commit, otherwise you wouldn’t wait for the masters to finish you would move in right now” and AGAIN in a few more days “I feel I am suffocating, I feel sick, I am not sure if you want to be with me and get engaged”…”This relationship doesn’t move forward. We have to get engaged exactly the day you finish your masters or that’s it” “enough”. I got angry and I told him that he cannot pressure me like that and that he acts really weird whats wrong with him??? We have already MADE A PLAN.
9.     And…..the next day he broke up with me. He told me “It is not love. Is happiness. I can’t find happiness. You don’t make me happy, I was never happy in my life” and “get over it and continue your life” “I don’t feel anything for you”. I have tried hard but he was cold. Distanced. He was a 100% different individual. The last month changed medication and he started Paxil. Idk if the new meds played a role. Or he is really suffering from some kind of mental issue more serious than his anxiety dizziness. It is possible that he just changed mind but I really believe that something is wrong mentally.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (7 hours later)
Brief Answer:
It could be cyclothymic disorder

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read gone through the provided details and understand your concerns.

First of all I think he is having mood disorder rather than anxiety disorder. Rather than calling this as a bipolar disorder it will be better to state that he suffered with cyclothymic disorder with comorbid anxiety symptoms. The cyclothymic disorder is similar to bipolar disorder as there are ups and downs although not severe as in bipolar disorder.

In addition the single episode in bipolar lasts for weeks but in case of your ex BF he had episodes which lasted only for few hours.

I am of the opinion that due to his mood swings he had limited judgemental capacity leading to irrational and impulsive discussions.

I am also of the opinion that he suffered with some traits of cluster B personality though it is difficult to state conclusively with available information.

I hope this assists you.
If you have more questions I will be glad to assist you further.
If you do not have more questions, please close the discussion and if possible rate the answer for my future patients.

In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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Suggest Treatment For Severe Anxiety And Dizziness

Brief Answer: It could be cyclothymic disorder Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read gone through the provided details and understand your concerns. First of all I think he is having mood disorder rather than anxiety disorder. Rather than calling this as a bipolar disorder it will be better to state that he suffered with cyclothymic disorder with comorbid anxiety symptoms. The cyclothymic disorder is similar to bipolar disorder as there are ups and downs although not severe as in bipolar disorder. In addition the single episode in bipolar lasts for weeks but in case of your ex BF he had episodes which lasted only for few hours. I am of the opinion that due to his mood swings he had limited judgemental capacity leading to irrational and impulsive discussions. I am also of the opinion that he suffered with some traits of cluster B personality though it is difficult to state conclusively with available information. I hope this assists you. If you have more questions I will be glad to assist you further. If you do not have more questions, please close the discussion and if possible rate the answer for my future patients. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards.