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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Manic Depression, Low Self Confidence. Treatment?

Hi, I have manic depression and I have had plenty of treatment, but I just don t feel I am getting better, I will admit that I thought I was doing well at one stage but then I nearly lost my dad in a heart operation and I just went spiraling back down into the dark cloud again. My family, friends and work colleagues think I am doing better, I tell people that I am doing better just so they stop worrying about me, but honestly I have never been so bad, all I think about is my own death and how no one would care. I just don t think I can speak up again and admit that I need help. I cant put my family through this heartache again. I don t know what to do. I even tell my doctor that I am fine. Can you please offer some advise.
Fri, 1 Mar 2013
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Psychiatrist 's  Response
Hello
Thanks for your query. I would expect you to be frank with your doctor since giving false positive feel is not required. Treaing bipolar depression is tricky since medication may lead to switch to mania. Considering prolongation of grief reaction after your dad s death I would recommend you to discuss the option of grief work and cognitive behavioural therapy with your psychiatrist as they are safe. Compliance to medication should always be ensured. With you speedy recovery.
Regards
Dr Sundar
Psychiatrist
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Psychiatrist Dr. Srikanth Reddy's  Response
Hello,
Thanks for choosing health care magic for posting your query.
YOu developing a bipolar mood disorder is none of your fault and hence you dont need to hide it. You need to be frank about your illness and about your needs. There are plenty of therapies available for bipolar mood disorder. If you are not responding to one particular treatment then in that case you should approach your psychiatrist to start you on the next possible treatment. And believe me that they are more safe than they are generally discussed about.
Do visit your psychiatrist and be frank in discussing your problems.
Wish you speedy recovery and good health.

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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Hello jess.maree46
Welcome to HCM

From your question I can understand your problem, and your state of mind. Manic Depressive Illness is an episodic illness and it tend to recur in time of some significant life event, which has happened in your case. Its really bad but you have to come out of this depression. You are having death wishes and it is a big thing. Kindly discuss this with some close friend or family member. Life is a precious gift by God and we should not even think about death. Think of your life, your family members who love you, who care about you. You don't want to put your family through heartache, but by death wishes you will just hurt them. So don't even think about this.
Secondly about treatment, Manic Depressive Illness responds to treatment and very nice medicines are available with very few side effects. So kindly visit a good psychiatrist and get well soon. Have faith in yourself.
Good Luck
Take Care
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Manic Depression, Low Self Confidence. Treatment?

Hello Thanks for your query. I would expect you to be frank with your doctor since giving false positive feel is not required. Treaing bipolar depression is tricky since medication may lead to switch to mania. Considering prolongation of grief reaction after your dad s death I would recommend you to discuss the option of grief work and cognitive behavioural therapy with your psychiatrist as they are safe. Compliance to medication should always be ensured. With you speedy recovery. Regards Dr Sundar Psychiatrist