It's not denial

I'm very sensitive to words like depressed, bipolar, mental illness, etc. My father is a case of legit bipolar disorder. He's not one of the millions of misdiagnosed bipolar patients; he's the real deal. All my life, my dad has been a timebomb. It always just took time for him to go off on a manic episode lasting 2 months, all his money, and a lot of my family's peace of mind.

These days, he's got it under control with a massive cocktail of prescription medications. So he's not really the main topic of conversation/gossip in the family anymore. No, I'd say that title goes to my brother and myself. He's the uncontrollable alcoholic. I'm the junkie. All my aunts and uncles want to give us their advice, ask us questions about our struggles. It's annoying.

But then they ask us about our father. We say he's the same as he always was. They then look at us silently thinking, "I wonder if either of those boys is like their father."

I am paranoid as fuck about mental illness. I'm so afraid of being depressed by something other than opiate withdrawal. I'm afraid of turning out exactly like my father. I do hate him, by the way. A lot to be specifically. I'm not Oedipus or anything but I just really don't want to turn out like him. So that makes me overly sensitive about terms like depression and the like.

I'm not bipolar. I'm so tired of anyone suspecting it. Every time I've ever gone into therapy it's all they want to talk about. So I lie about it to my psychiatrist now. I officially do not have any family history of mental illness.

I've observed a few things about therapy and psychiatry thanks to this perspective. When they rely on family history in diagnosis, they prescribe antipsychotics for insomnia, SSRI's for anxiety, and nothing for ADD. when they don't suspect any inherited illness, they prescribe ambien and benzos for sleep, benzos for anxiety, and adderall for ADD.

i don't know what that means about the profession or how it deals with its patients. i don't even know the odds, genetically speaking, of me receiving my dad's bad genes and becoming a manic-depressive person. but if by just mentioning that my father is bipolar, in family and therapeutic settings, i get treated differently. it's not a good thing.
 
The thing with bipolar is that it is one of the few mental illnesses which are almost if not entirely biological. And hereditary as well, although I don't recall the likelihood of it being passed on. Might be as high as 25%, but I'm not sure.

Psychology and psychiatry, along with most medical disciplines, are very much a trial-and-error process. Moreso than most, sure, but a great deal of medicine still relies on trial and error. So if there is a family history of a disorder which is known to have a relatively high genetic component, then the person treating you will try the more obvious treatments first. It would be frustrating when you know that you're not bipolar, but from their standpoint they're just playing the odds.
 
Good point Dave. THanks for the post. I know you're right and it's what they have to do. I've switched too many times from doctor to doctor for them to really know how the medicine they prescribe will work out. Lately thuogh, I've been seeing a good psychiatrist who has me on ambien solely and is aware of my cannabis habit. It's nice and I feel normal as hell. I have for a couple weeks now and it's great.

I think it is erroneous to prescribe medication to me for bipolar at this point, based on my experience. I've given a few of them a real shot and they just didn't work out or help any of my symptoms.
 
That's good to know, and should really be the first thing that you mention to a new doc. Possibly along with putting them in touch with an old doc or two so that they could see your files.

It's great to hear that your current regimen is working for you!
 
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