Is It a Relapse of Bipolar Disorder or Depression?

Q: Is It a Relapse of Bipolar Disorder or Depression?

Hello： Depression can indeed relapse, and your current symptoms may indicate a recurrence of depression. <br>It is advisable to return for a follow-up appointment for an in-person evaluation by a physician. <br>If your previous treatment was effective, appropriate treatment usual

Is it a recurrence of bipolar disorder or depression?

Hello, Dr.
Liang.
Twenty years ago, I experienced a suicidal crisis due to depression, and my family forced me to seek treatment, which led to improvement.
Five years later, my wife noticed that my mental state was off and that I was excessively sleepy, leading to a diagnosis of bipolar disorder at the Tri-Service General Hospital.
I continued medication and follow-up visits, and after improvement, I stopped taking the medication on my own.
This August, I changed jobs, and without any product training at the new company, I found it very challenging to adapt to this sales position.
I am considering switching to a job that I can handle (I have always worked in sales), but at 51 years old, it is difficult to find a job (I was unemployed from April to July), and I need to support my family, so I am hesitant to resign.
Currently, I feel a lack of confidence, unmotivated in everything, guilty about myself, excessively sleepy, and reluctant to go to work.
I have thoughts of hopelessness and feel like there is no hope for me.
My family is also anxious… Could this be a relapse of my bipolar disorder or depression?

Nìmíng, 50~59 year old female. Ask Date: 2016/11/01

Dr. Liang Sunyuan reply Psychiatry

Hello: Depression can indeed relapse, and your current symptoms may indicate a recurrence of depression.
It is advisable to return for a follow-up appointment for an in-person evaluation by a physician.
If your previous treatment was effective, appropriate treatment usually leads to significant improvement.
Wishing you all the best.

Reply Date: 2016/11/01

More Info

It sounds like you are going through a very challenging time, and I appreciate your willingness to share your experiences. Based on your description, it seems that you are experiencing a significant emotional struggle, which may be indicative of either a relapse of bipolar disorder or a depressive episode.
Bipolar disorder, also known as manic-depressive illness, is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The symptoms you mentioned, such as low self-esteem, lack of motivation, excessive sleepiness, and feelings of hopelessness, align more closely with a depressive episode. However, it is important to consider the context of your previous diagnoses and treatment history.

Given that you were diagnosed with bipolar disorder, it is crucial to recognize that depressive episodes can occur even when you are not experiencing the manic phases. The fact that you have a history of depression and bipolar disorder means that you are at risk for experiencing these symptoms again, especially during times of stress, such as changing jobs or facing financial pressures.
Your feelings of low self-confidence and the inability to find motivation can be particularly distressing, especially when compounded by the pressure of needing to support your family. It is not uncommon for individuals with a history of mood disorders to feel overwhelmed during significant life changes. The stress of adapting to a new work environment without adequate training can exacerbate feelings of inadequacy and hopelessness.

It is also concerning that you mentioned having thoughts of self-harm or feeling hopeless. These thoughts should be taken very seriously, and it is essential to seek immediate help from a mental health professional. Whether you are experiencing a relapse of bipolar disorder or a depressive episode, professional guidance is crucial in determining the appropriate course of action.

Here are some steps you can take:
1. Seek Professional Help: It is vital to consult with a psychiatrist or a mental health professional who can evaluate your current symptoms and provide a proper diagnosis. They may recommend a medication adjustment or a different treatment plan based on your current state.

2. Communicate with Your Family: Share your feelings with your family members. They may be able to provide support and understanding, which can be beneficial during this difficult time.

3. Consider Therapy: Engaging in therapy, such as cognitive-behavioral therapy (CBT), can help you develop coping strategies to manage your feelings of hopelessness and low self-esteem. A therapist can also assist you in navigating the challenges of your job situation.

4. Avoid Self-Medication: While it may be tempting to use substances to cope with your feelings, this can lead to further complications and worsen your mental health.

5. Establish a Routine: Try to maintain a daily routine that includes physical activity, healthy eating, and sufficient sleep. These factors can significantly impact your mood and overall well-being.

6. Reach Out for Support: Consider joining a support group for individuals with bipolar disorder or depression. Connecting with others who understand your experiences can provide comfort and encouragement.

In conclusion, your symptoms warrant immediate attention from a mental health professional. Whether this is a relapse of bipolar disorder or a depressive episode, early intervention can make a significant difference in your recovery. Remember, you are not alone in this, and there are resources available to help you through this challenging time.

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