Who to Turn to for Help with Bipolar Disorder and Mental Health?

Who should I seek help from?

I'm feeling extremely overwhelmed and desperate! I have been plagued by persistent feelings of guilt, feeling incompetent and useless, and I have been trying to torment myself.
Yet, I keep searching online for answers and I can't stop.
I haven't slept for four days in my quest for solutions! What should I do now? I am a patient with bipolar disorder and I hold a severe disability card.
I would like to know who I should consult for a disease assessment.

Twenty years ago, I sought psychiatric help when I was 18 years old and going through a rebellious phase.
Out of curiosity, I experimented with drugs, specifically methamphetamine, which led to severe insomnia.
I visited a psychiatrist but was too afraid to admit my drug use; I only told the doctor that I couldn't sleep and wanted medication to help.
I continued treatment for nearly a year until I was arrested and mandated for rehabilitation.
After completing rehab, I started to lead a more stable life until 2016 when I was diagnosed with cervical carcinoma in situ and underwent a cone biopsy.
At that time, I was in my thirties, unmarried, and without children.
The doctor informed me that the risk of miscarriage in future pregnancies would be high and advised me not to lift heavy objects for six months, which led me to resign from my job.
I have a habit of drinking socially, but during that time without work, my alcohol consumption increased.
Following the diagnosis of carcinoma in situ, I began to experience negative emotions, which led to increased drinking and suicidal thoughts.
I later sought help through inpatient psychiatric treatment.
It has been nearly six years of a difficult journey, with recurrent episodes requiring hospitalization and self-harm attempts.
I have also been a victim of scams and engaged in compulsive shopping; there are so many experiences that I can't fully express because they are overwhelming.
Recently, I reviewed my medical records and discovered that my insomnia due to drug use left a history of psychoneurotic depression.
I would like to know if this psychoneurotic depression is related to my current bipolar disorder.
Who should I consult to determine if there is a connection between the two? Can you help me with this? I have been thinking about this question constantly, and it’s driving me crazy! After all, there is a 15-year gap between the two conditions, and I know that my past issues were due to drug use, but I really want someone to help me clarify this.
Who should I turn to for assistance?

mimi, 40~49 year old female. Ask Date: 2024/05/28

Dr. Wang Pengnian reply Psychiatry

It is recommended to consult the attending physician from six years ago during your hospitalization.

Reply Date: 2024/05/28

More Info

It sounds like you are going through an incredibly challenging time, and I want to emphasize that reaching out for help is a crucial first step. When dealing with bipolar disorder and mental health issues, it's essential to have a support system and professional guidance. Here’s how you can navigate this situation and seek the help you need.

1. Understanding Your Condition
Bipolar disorder is a mental health condition characterized by extreme mood swings, including emotional highs (mania or hypomania) and lows (depression). The history of substance use, such as the use of amphetamines, can complicate mental health issues, as it may lead to or exacerbate existing conditions. The diagnosis of "psychogenic depression" you mentioned could be related to your past experiences, but it’s important to consult with a mental health professional to clarify the relationship between your past and current diagnoses.

2. Finding the Right Professional Help
To get a proper evaluation and diagnosis, you should seek a psychiatrist or a clinical psychologist who specializes in mood disorders. They can provide a comprehensive assessment of your mental health history and current symptoms. Here are some steps to take:
- Contact a Mental Health Professional: Look for a psychiatrist or psychologist in your area who has experience with bipolar disorder and substance use history. You can search online directories or ask for referrals from trusted sources.

- Prepare for Your Appointment: When you meet with a mental health professional, be open about your history, including your past substance use, your current feelings, and any self-harming behaviors. This information is crucial for an accurate diagnosis and treatment plan.

- Consider a Second Opinion: If you feel uncertain about your diagnosis or treatment plan, don’t hesitate to seek a second opinion. Different professionals may have varying approaches and insights.

3. Support Systems
In addition to professional help, having a support system is vital. This can include:
- Friends and Family: Share your feelings with trusted friends or family members who can provide emotional support. Let them know how they can help you during difficult times.

- Support Groups: Consider joining a support group for individuals with bipolar disorder. These groups can provide a sense of community and understanding from others who are experiencing similar challenges.

4. Coping Strategies
While seeking professional help, there are some coping strategies you can implement:
- Establish a Routine: Try to maintain a regular schedule for sleeping, eating, and activities. Routines can help stabilize mood swings.

- Mindfulness and Relaxation Techniques: Practices such as meditation, yoga, or deep-breathing exercises can help reduce anxiety and improve your emotional well-being.

- Limit Alcohol and Substance Use: Since you mentioned an increase in alcohol consumption, it’s crucial to limit or eliminate alcohol, as it can worsen mood disorders and interfere with treatment.

5. Emergency Help
If you ever feel overwhelmed or have thoughts of self-harm or suicide, it’s critical to seek immediate help. Contact a crisis hotline, go to the nearest emergency room, or call emergency services. Your safety is the top priority.

Conclusion
Navigating bipolar disorder and mental health challenges can be daunting, but you are not alone. There are professionals who can help you understand your condition and develop a treatment plan tailored to your needs. Remember, reaching out for help is a sign of strength, and taking that step can lead you toward a path of healing and stability.

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