Mental Health
Stefanie Asks: Am I Depressed? Bipolar? Borderline?
9/15/2011 2:00:55 PM
Dear Dr. Archer,
I'm a 24 year old female with a strong history of depression within my family. I believe I, too, am depressed. However, if I take online tests, I come up scoring very positive for bipolar and borderline personality, with high levels of stress.
 
I cannot, unfortunately, afford to see someone right now. I'm hoping to get your input in the hopes that you can help me understand what is actually wrong with me. I want to adjust my lifestyle until I can afford to see someone.
 
I have taken amitriptyline  before, and am currently taking citalopram, but it no longer seems to be working. Can you help me, please?
Stefanie
 
Dear Stefanie,
Unfortunately, you didn't share with me your symptoms. I will say that if depression runs in your family, then chances of you experiencing depression are greatly increased. 

Do yourself a huge favor, Stefanie, and stop worrying so much about a diagnosis. Instead be aware of your symptoms and address those. Online tests are not the same as physically going to a doctor for an evaluation, and should never be relied on for a diagnosis. They are for informational purposes only and often do more harm than good.
 
Many people get confused as to their diagnosis. You may be interested in reading other letters I received, such as "Am I An Addict Or Bipolar?", "Can Anxiety And Depression Go Hand-In-Hand?" and "Can You Recommend Treatment For My Depression?"

It's easy to get borderline and bipolar confused because they share many of the same symptoms. My personal view is that they are related to each other and often respond to similar treatment.

The key in treating a psychiatric condition is what are the symptoms and how are they affecting the way you wish to lead your life. Symptoms need to be treated whether by therapy or meds, the diagnosis is actually secondary. So, make a list of the symptoms that bother you and then look into low cost ways to see a professional in your area.
  
Mason Cooley said "Don't stare into a mirror when you are trying to solve a problem." This is especially true when it concerns your health. I recommend visiting your local mental health clinic, it’s free or very inexpensive, and this is important. 

You're in control here. Please take care of your mental health. 
Dr. Archer
 

Posted by: Dr. Dale Archer | Submit comment | Tell a friend

Categories: Bipolar  |  Depression  |  General

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5 Comments
9/15/2011 5:12:54 PM
If it was for someone for whom you don’t care, maybe you could rely on that test, because accurate or not it wouldn’t change anything in your life! But this is for your own self, and you should love yourself a little bit more, so it’s best to be sure. Find out the truth then handle it, no matter what you discover, if there is anything to discover at all, there is always a suitable medication. But you might be worrying for no reason, so it’s best to check it out. If someone is wonderful enough to tell you that there is nothing wrong, you will act as if there is nothing wrong! Then mission accomplished: you are fine! And only God truly knows ‘how fine exactly’ we are… He knows us, inside out and up to the tiniest particle.
9/15/2011 5:41:27 PM
I need this treatment.
I am in Iran
So I can not meet you
9/15/2011 5:48:04 PM
But this is a very interesting idea of ​​online therapy
DDA
9/19/2011 10:52:04 PM
This is not online therapy Marjan, rather for those that have a single story that they want some advice on. I’m not a big proponent of online therapy, but it’s here and growing everyday. Good luck.
10/10/2012 4:16:36 AM
Most people with your dgsinoais can't hold down a full time job, so try not to beat yourself up about it. I have bipolar NOS, and have been on disability for 14 years. I hate it, but what can I do about it? I am really sick, most of the time, and the meds don't help me.What is important is not so much having a job that you earn money at. What is important is that you have goals to work towards, and feel like you are a productive member of society. You want to have short term goals (clean the house) medium goals (get the house organized, finish a class on computers, save up for a fishing boat, etc) and long terms goals (learn to fix cars, learn spanish, etc). As far as being a productive member of society, you could volunteer for something. I haven't been able to do that because I am too sick to be reliable & it is too much pressure, so what I do is come on yahoo answers and answer people's mental health questions. that is helping others. Other things you can do is help your elderly neighbor shovel their driveway, babysit for someone, bring a bag of chips over to an even more depressed friend's house and watch movies with them, etc.I still haven't gotten over the loss of my career after all these years, but it does help to be useful to others, & it does help to have a lot of goals. Right now, I am learning oil painting. A lot of us bipolar types are really creative, and art does help calm me down when I am agitated. Think about art if you are a creative type. Writing is another area where you can be creative & work at your own pace. I give my paintings away to people and they really like them. Like, I paint scenes from their own farm, or their own vacation photos. Was this answer helpful?
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