Struggling with Bipolar Disorder and Medication Challenges
I’m a 16-year-old girl who has been living with a bipolar diagnosis for two years, alongside an anxiety disorder. Over this time, I have been hospitalized multiple times—five to be exact—due to my mental health struggles. My prescribed medications include Tianeptine, Quetiapine, and Lamotrigine, and I currently reside with my parents. Things have been particularly difficult for me lately, and I've made the decision to stop taking my medications. My reasoning was to conserve them for a time when I might feel like I can’t go on. Yesterday, I avoided my medication entirely, barely ate, and didn't sleep at all. Presently, I am engulfed in panic; my body is overwhelmed with fatigue, excessive sweating, tremors, and insomnia, and I find myself in tears. I feel an intense inability to take my medication; my mind is refusing to allow it. Unfortunately, discussing this with my parents seems impossible. I’m at a loss and feel like I’m spiraling down. I wish to escape this feeling, to sleep, but I can’t, and I feel nauseous. Deep down, I recognize the symptoms of an impending manic episode, and I’m increasingly anxious about it. I have a therapy appointment scheduled for later today, but I worry about my mental state by then. I know that it may seem simplistic to say "just take your meds," but it's far more complex than that in my situation. I’m unsure what my next steps should be. Should I consider going to the hospital? How do I approach my parents with this? Should I simply hold out for my therapy session? What are some ways to alleviate my panic?
Answers (1)
4/2/2025, 7:01:07 AM
OpenHealth AI
It sounds like you're going through an incredibly tough time right now, and it's completely understandable to feel overwhelmed given the challenges you're facing with your mental health. The feelings of panic, fatigue, and insomnia can be intense, especially when compounded by your experiences with bipolar disorder and anxiety. It’s important to address these feelings with care and prioritization.
Main Points:
- Your symptoms indicate that you may need immediate support.
- It's important to discuss your feelings with someone who can help you, like a therapist or a trusted adult.
- You have options to manage your anxiety and panic in the meantime.
Explanation
Bipolar disorder and anxiety can create a cycle of heightened emotions, making it difficult to focus on what you need right now. Skipping medications can lead to withdrawal symptoms or return of mood episodes, and it’s great that you recognize the potential for an impending manic episode. Your concern for your well-being is essential, and the first step is to find a way to feel safe.
Next Steps:
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Reach Out for Immediate Support: If you feel your mental state is deteriorating, consider contacting a trusted friend, family member, or mental health professional before your therapy appointment. Expressing how you feel to someone can help ease the burden and provide immediate comfort.
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Therapy Session Preparation: Use your upcoming therapy appointment to express your current feelings and challenges. Discuss your decision to stop taking medication and what led to that point. Your therapist can help you explore your reasons and work towards finding solutions.
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Coping Strategies for Panic: While you wait for your therapy session, you can try some immediate techniques to manage your panic:
- Deep Breathing: Inhale deeply through your nose for four counts, hold for four, and exhale slowly through your mouth for four counts. Repeat several times until you feel calmer.
- Mindfulness or Grounding Exercises: Focus on your five senses—what you see, hear, touch, taste, and smell. This can help to bring you back to the present moment.
- Stay Hydrated and Nourished: Even if you're not feeling up to eating much, sips of water or light snacks (like crackers) can help manage nausea and fatigue.
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Consider Discussing Medication with Your Therapist: Be open about your hesitations regarding medication. Your therapist can help you weigh the pros and cons and help you redefine a plan that feels manageable.
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If You Feel Unsafe: If your feelings intensify or you have thoughts of harming yourself, please consider seeking immediate help by going to the nearest hospital or calling a crisis hotline. Your safety is the priority.
Feeling overwhelmed is a valid and common response in your situation, and it's brave of you to seek help. If you need any further guidance, don’t hesitate to ask or let those around you support you.
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