The Brain People Podcast: 003 | The Ups and Downs of Bipolar Disorder
In episode 3, Dr. Binus & Jonathan Edens do a deep dive into Bipolar disorder. What is it exactly? How does it differ from regular depression? What are the treatment options?
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Thank you for noting that people are sometimes misdiagnosed. I was misdiagnosed as bipolar in my early 20s despite never having a manic episode in my life. I was put on various antipsychotics which left me feeling like a zombie. I took myself off meds after a year. 10 years later I was correctly diagnosed with Generalized Anxiety Disorder and have been feeling much better ever since. I never took another psych med ever again.
What do you mean by Generalized Anxiety Disorder? What symptoms do you have?
First time I hear that it's NOT insomnia because you don't sleep it's that you sleep 4-6hours & wake up feeling well rested & full of energy
Outstanding!!! 👍👍👍👍 I’m a mom - with someone suffering this disorder - Thankyou both - you hit it on the nail 👍🙏🥰❤️💓
At minimum if you pursue holistic treatments make sure you have emergency doses of the prescription meds on hand if you have ever gone full mania, and be honest with yourself if you know you need to come down cause you are losing control of it just take it and go sleep. Be careful!
thank you, this is the best thing I've watched about my Bipolar on youtube by far aside from "the secret life of the manic depressive"
I have managed to minimize most of the symptoms of BPD and I did that through introspection and a ton of reading, but sometimes you just get toooo low to bring yourself out of it. That's when the people around you can be invaluable to your healing.
Thank you for this presentation. I’ve been diagnosed with bipolar 1 since I was 12 years old. This has been a blessing to listen to.
I can’t grasp how my beautiful, extremely intelligent, personable daughter could suddenly become bipolar at age 40! Makes no sense! Started after a year of hard work at her business, a divorce ( 10 year marriage), several surgeries and literally the day of her third steroid shot. Incredible and horrid! Rarely ever depressed.
Stress is a major trigger. So are corticosteroids (which are stress hormones).
To be diagnosed bipolar one does not require a depressive episode
She might have had ASPD already and developed Bipolar with age and stress.
Sadly this is my story as well. 40., stress of divorce brought it on.
If I’m even twelve hours late in taking my medication, I want to walk into traffic or “fly” out of a window. Medication saves my life everyday. This is a serious disorder that requires a lot of work and support - including the right doctor - to manage effectively.
16:39,, in the early 60s before the medications, in grade schools they had recesses, where children got a chance to go outside and play, get rid of that excess energy. I feel sorry for some of those poor teachers that had to put up with those kids with high energy levels who had a hard time sitting at their desks. A lot of them never made it to college because of this hyperactivity and went out into the trades.
Thank you
Thank you for mentioning lifestyle as a very important part of everyone's treatment as important. 7 months therapeutic keto, IF, sleep, stress reduction and exercise. Was nearly disabled and struggled with meds unfortunately. Now: Never better.
How do you reduce stress and what is IF?
ID is intermittent fasting. It enhances being in ketosis. To reduce stress you literally have to try to let the stressful things not upset yourself too much. It's not easy.
Always loved self medicators.
You said so many times that people can manage their symptoms without medication, that i wouldnt want any person with bipolar to watch your video because they will only remember this. I honestly never heard or read that you can manage super good your symptoms only with a good lifestyle. When you have psychotic symptoms, it can lead to psychosis... Medication is key to treat bipolar disorder, and lifestyle too, but i really think the combination of both. And sadly you only really firmly mentionned it in your conclusion.
From my experience, without medication, I go crazy
Bostock et al. (2015) includes psychological stress, sleep disruption and goal-attainment as triggers, as well as seasonality, post-partum, anti-depressants and stimulants. Almost all sources mention stress and sleep disruption (corticosteroids are stress hormones and there's an interaction between stress hormones and dopamine).
Absolutely agree. Hope those comments won't be damaging for anyone. Very misleading, I think
Hey Lily-iw5td, Jonathan (from the podcast episode) here. I can empathize with your criticism. I agree with you and we could have clarified our position better. In this episode, Dr. Binus and I simply wanted to EMPHASIZE lifestyle interventions as part of a comprehensive approach, but were NOT intending to DE-EMPHASIZE the importance of taking appropriate medications for you as an individual. Based on some to the feedback from this episode, I think it would be helpful for us to clarify our stance and do an entire epsiode on treatments only, which would include extensive discussion on medication options. This episode was really meant to be more of a general overview of bipolar disorder specifically.
We have an Egyptian pharmacist whose diagnosed with bipolar type 1 with psychosis few years back who struggles with with the side effects of all medications along with being administering many times to psychiatric wards, eventually ,he’s now stable without any medication for more than 5 years .. he’s an advocate for bipolar disorder and he’s sharing how he could’ve do it, his channel name is : healthoay
The doctor said taking SSRI’s can cause a person to go into mania. What about tapering off of SSRI’s? Can that also cause mania?
It did cause my first mania, suddenly stopping my SSRI/SNRI. Be safe and get assistance of MD
absolutely fantastic explanations by both of you god bless how can i get in touch with you both??
Hi there! If you have a question for The Brain People, you can ask them through our website. For your convenience, here is the link to submit a question: beautifulmindswellness.org/thebrainpeople-episodes/
I am a bipolar 2 patient, after ECT therapy I managed to be in remision for 13 years , for the last 13 years of my life I didnt have any epizodes ,ECT therapy is a miracle
Wow, I only hear so much negative about ECT. But I’m not able to live a normal life with medicine so happy to hear that you found remission with ECT. Thank you for sharing
Did you have memory loss ?
My husband went out and bought a new truck and totaled it 3 weeks later. I found him in the hospital in critical care.
Sometimes i just feel like a big failure when i am in a manic state of mind. Yes i do want to hide
❤😂🎉😢😢
29:15 😂🎉😢😮😅❤ 29:32
Bostock et al. (2015) includes psychological stress, sleep disruption and goal-attainment as triggers, as well as seasonality, post-partum, anti-depressants and stimulants. Almost all sources mention stress and sleep disruption (corticosteroids are stress hormones and there's an interaction between stress hormones and dopamine).
Interesting that goal attainment can be a trigger… that tracks with my self destructive episodes. After moving in finally with a partner, 1 year at a job, etc.
It would be really hard being a professional Doctor and trying to prescribe medication and understand the illness without having it themselves. Saw Palmetto has all the fatty acids and balances your hormones... It works for me and my Bypolor.
I'm on zoloft, for the dressing part of bi polar..stress makes me happy/ high ..and so does Iboprufen !!
I wish that SOMEONE,ANYONE,DRS or not, had told me that I didn't have to take zoloft FOREVER...now I can't get off..it's fried my brain and gut health...withdrawals means psychosis, brain zaps,physical imbalance and rage
Thank you so much for this presentation. As a person that lives with someone that's addicted to Meth, and having witnessed the effects that has had on their personality and character really, how does the Psychology and Psychiatry interact with a scenario like that?
Hi there. Thank you for your question. We would love to give you a full and complete answer to this in one of our upcoming Q&A episodes. Head over to beautifulmindswellness.org/thebrainpeople-episodes/ and submit your question through the form so that we can answer it on the show! Thanks!
@@beautifulmindswellness will do. Thanks
I was diagnosed bipolar 2 almost lost my life ! All medication nothing works ! Only ECT treatment helped me with my medicine maintenance till now …
🔥
Wish more was known than is about the brain - more conclusive tests
So basically it's like throwing shit in the wind to treat bipolar disorder
🦄 Dolt by John Rickel 🦄
Bipolar disorder really is unbearable. Exhausted depressing. There is such a stigma. It is an invisible illness you cannot see. For example is me. I am a mother, grandmother, model, actress and I am in the spotlight. Nobody would ever guess I think it’s because I am considered beautiful and dress like a star. Let me tell you all the beautiful lifestyle means nothing to me. My family does. Honestly I have dark racing thoughts constantly, disrupted sleep. Napping through my days currently been locked in my room 4 days now. I don’t like anyone to see me this way so I hide. I haven’t showered in days, there is a war of negativity in my mind. I hate it so much I cant shut it off. Sometimes I already feel dead. Sometimes the thought of death sounds like peace. Bipolar depression is real.
Yes it is. I’m sorry you feel like this. I truly don’t want to leave my bed and no one understands
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Implying that weed cause BD is highly questionable. Thats poor logic not based on any data.
Many people report first having symptoms after heavy Marijuana use and it's always recommended to abstain from weed, alcohol, stimulants etc. Some people are triggered by painkillers or even caffeine.
Bipolar 1 people need strong meds multiple to keep out of trouble. People with mild bipolar or other illness can manage without meds
BE VERY CAUTTIOUS about the advice given here about non-medical trestments for bipolar. Unfortunately this got a lot of coverage in this podcadt. Absolutely correct to say that lifestyle factors, Circadian rhytnlms and so on are important. There was a comment that people managing bipolar with lifestyle interventions were very well until tjeir next episode. WHAT? The reason for taking medication is so that you dont have episodes!! I think this is very irresponsible. You wouldnt say to a heart patient that they could do without their medication until they got sick again. Its all very well for professoonals to say these things, but for those of us who live with bipolar, experience tells us that going off your nedication is NEVER a good idea. You pay a high price - i have lost years of my life thanks to doctors telling me i could go off lithium. 95% of this podcast is great but for a more helpful, and dar safer view about meds vs no meds, have a look at Andrew Hubermans podcast about bipolar. Its a long video and very detailed but well worth the watch. PS I have had bipolar for almost 38 years so have a long term perspective on this
Hey Amanda, Jonathan (from the podcast) here. I hear your criticism and agree with it. At the time, I believe we were intending on filming a podcast episode that more extensively covered bipolar treatment options, which would definitely have included a more thorough discussion on medications. Unfortunately, we haven't gotten around to that episode yet (I'll make sure to add it to the itinerary). Neither I nor Dr. Binus are anti-medication for the treatment of bipolar disorder. However, we disagree with (and were more directly addressing) the philosophy that wholistic/integrative strategies are irrelevant or unimportant, as this seems to be a fairly common attitude especially amongst mental health clinicians. In other words, we simply wanted to EMPHASIZE lifestyle interventions as part of a comprehensive approach, but were NOT intending to DE-EMPHASIZE the importance of taking appropriate medication. I apologize if the presentation was not received in the nature it was intended.
@HEisMyWellness Hi Jonathan Thank you for your comment and explaining your intentions for the podcast. Looks like I wasn't the only one who was 'triggered' by the perception of 'no need for meds' approach. Almost everyone with BP has thought about, or actually gone off meds, as I wrote, sometimes encouraged by doctors to do so. The price of doing that can be incredibly high. I'm all for holistic approaches in a lot of things in life but stopping meds is a step too far. I believe I wouldn't be here if not for medication. Would love to see the podcast you've mentioned. Thanks again.
This is not accurate information and bad advice. I hope no one watches this and thinks exercise etc., can control a neurological problem. While it might help, exercise and lifestyle is not going to treat bipolar psychosis etc.
Well this was shit. Everything I already know from Wikipedia
Had to stop listening when you said that cannabis use can trigger bipolar. The evidence simply does not state this to be the case. Disappointed 😔
For your consideration, this research study involving over 6 million participants came to the conclusion that cannabis use does increase the risk of both unipolar and bipolar disorder. Link: pubmed.ncbi.nlm.nih.gov/37223912/
It definitely can trigger symptoms and it's highly recommended that people with bipolar disorder abstain from any drug use even caffeine in extreme cases.
Marijuana is terrible for people with bipolar and schizophrenia. Things like that. It’s literally a fact marijuana has so many good uses, but not usually for people that are bipolar or schizophrenic or in a psychosis or mania.
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