Navigating My Recent Bipolar Diagnosis
At 21 years old, I began attending therapy sessions focused on managing my depression. One day, however, I arrived bursting with energy, speaking rapidly about my lack of sleep and various other topics. My therapist quickly suspected I might have bipolar disorder and referred me for a formal assessment. During my appointment, they posed numerous questions and requested that I complete several forms documenting my symptoms. Unfortunately, I experienced a sort of mental fog and completely blanked on the month that followed; I have no recollection of that time or the paperwork. In our next session, the professionals informed me that they would not require the completed forms, noting that my symptoms were textbook enough to justify a diagnosis. Without needing the paperwork, they diagnosed me with bipolar type 2. Now, I find myself feeling quite unsettled. Part of that unease stems from my anxiety over whether not fulfilling all the initial requirements could undermine the credibility of my diagnosis. I'm left questioning everything and unsure of what this means for my future.
Answers (1)

8/1/2025, 8:01:37 AM
OpenHealth AI
It’s completely understandable to feel unsettled and anxious after receiving a bipolar disorder diagnosis, especially with the recent events and your concerns about the assessment process. Here are some key points to consider and steps you can take moving forward.
Main Points:
- Diagnosis Validity: Your diagnosis of bipolar type II is based on observed symptoms and professional judgment, which can be valid even without the initial paperwork.
- Understanding Bipolar Disorder: It's important to recognize that bipolar disorder can be successfully managed with the right strategies and support.
- Emotional and Practical Steps: Prioritizing self-care, exploring treatment options, and connecting with support resources can help you navigate this new phase in your life.
Explanation:
Bipolar disorder type II is characterized by episodes of depression and hypomania (a milder form of mania). Your therapist’s observations combined with your experiences are crucial in forming a diagnosis. It's common for individuals to feel overwhelmed after such a diagnosis, and your experience of mental fog can sometimes occur during stressful evaluations. This doesn't diminish your experience or the legitimacy of your diagnosis.
Next Steps:
-
Educate Yourself: Consider reading reputable resources about bipolar disorder to understand your condition better. The National Institute of Mental Health (NIMH) and the Depression and Bipolar Support Alliance (DBSA) are good places to start.
-
Build a Plan: Work with your therapist to create a management plan that may include therapy, medication, or lifestyle changes. Consistent communication about what feels effective or challenging is key.
-
Prioritize Self-Care: Focus on maintaining a balanced routine, including regular sleep, a healthy diet, and physical activity. These can significantly impact your mood stability.
-
Establish Support Systems: Consider joining a support group for individuals with bipolar disorder. Connecting with others who have similar experiences can provide comfort and additional insights.
-
Monitor Symptoms: Keep a mood journal to track your feelings, sleep patterns, and triggers. This can be a helpful tool for your therapy sessions and overall management of your condition.
Reassurance:
It’s perfectly normal to have mixed feelings about your diagnosis. Acknowledging these feelings is a healthy first step. Remember, many individuals with bipolar disorder lead fulfilling lives with proper management and support. Focus on your journey one step at a time, and continue to reach out for help when you need it. Let me know if you have more questions or need further guidance!
Related Questions
Seeking Guidance on Family Trip Amidst COVID Concerns
I’m a 29-year-old female, non-smoker, standing at 5 feet tall and weighing 140 pounds. I don’t take any medications. My youngest child is a girl who is just 2 months old, weighs over 12 pounds, is 22 inches in length, and is fully vaccinated. Lately, I've been feeling overwhelmed due to the constantly evolving guidelines regarding COVID-19, especially with the latest updates from the CDC. I have planned a vacation with my daughters, aged 2 years and 2 months. Unfortunately, my mother began exhibiting symptoms of COVID-19 on July 24 while she was in Ecuador. She tested positive for the virus shortly after her return on July 28. My father started showing symptoms the following day, July 29, but has opted not to get tested for personal reasons. Our family trip is scheduled from August 5 to August 12, and I’m wondering if there’s a chance we can still make this trip happen. I reached out to my daughter’s pediatrician for advice; one of the nurses suggested that we should keep the girls away from their grandparents for five days, and they would be safe to interact with them if the grandparents' symptoms improve. Another nurse mentioned that for someone to be non-contagious, they must be fever-free for 48 hours. Interestingly, the hospital where my mother works permitted her to return to her duties by July 31. I would greatly appreciate guidance on when it would be considered safe for my youngest daughter to be around her grandparents again.
Do I Have a Minor Bladder Injury, a UTI, or Something Else?
Greetings, I have been experiencing some discomfort in my upper pelvic area, particularly near the waistline, especially when I felt the urge to urinate. To relieve this sensation, I would apply pressure to that region, as it seemed to provide some stimulation to my prostate. However, I have ceased this practice, and now I find that urinating for extended periods can cause pain. Strangely, if I only urinate small amounts, there is no discomfort, but it's the larger volumes that trigger the problem. Additionally, I sometimes feel a mild ache around that area, though it doesn’t last long and occurs infrequently. This discomfort occurred last night, and I've noticed it about two or three times since. I should mention that there is no blood in my urine, and its appearance and odor seem normal. I am contemplating whether I should consult a doctor, yet I feel a bit embarrassed and hold out hope that it might resolve itself. I stand 6 feet 2 inches tall and weigh around 170 pounds for reference. I pressed on that area fairly firmly, although I wouldn't consider myself particularly strong, so it’s puzzling that I might have caused any damage. Any advice would be greatly appreciated, thank you!
Significant Decrease in Haemoglobin Levels
An 18-year-old female with a history of anorexia and secondary amenorrhea has encountered a notable drop in her haemoglobin levels. Initially, my haemoglobin was recorded at 11.5 during a recent month when my body mass index (BMI) reached its lowest point. In the subsequent weeks, I have made efforts to enhance my dietary intake, anticipating a rise in these levels; however, surprisingly, they plummeted to 7.6. Remarkably, I have not experienced any typical symptoms associated with anemia. Following this, I was admitted to the hospital for further evaluation. Despite thorough examination, the physician did not arrive at a definitive explanation for this decline. An endoscopy has been recommended, but I remain uncertain about its necessity.
Ongoing Infection or Something Else?
At 34 years old and generally in decent health, I've found myself struggling to maintain a workout routine and properly care for my well-being for more than a month now. Standing at 5’9” and weighing 195 pounds, I do not suffer from any chronic conditions or take regular medications. For over a month, I've been grappling with what seems to be an infection, and I am becoming increasingly disheartened. The initial symptoms surfaced the week leading up to the 4th of July, which included congestion, mucus production, overwhelming fatigue, a persistent wet cough, and various body aches. Five weeks have passed since those initial signs emerged. I sought help at an urgent care facility, where I was prescribed a combination of amoxicillin clavulanate and prednisone. While the prednisone provided some relief, I began to feel unwell again once I completed the course. Returning to urgent care, I was given doxycycline and prednisone again; once more, I experienced temporary improvement but deteriorated again after finishing the medication. Just this week, I revisited urgent care for a chest X-ray, and the nurse practitioner informed me that I was dealing with lung inflammation. Unfortunately, my condition has worsened. I now experience shortness of breath (I start coughing after only a few sentences), significant fatigue, and tender, swollen lymph nodes in my neck. Initially, I felt soreness on the left side of my neck and throat, which has now shifted to the right side, making that area painful as well. Could it be that I'm developing resistance to the antibiotics? I plan to return to urgent care in the morning to request blood tests and a throat culture. Two weeks ago, I tested negative for Covid-19, influenza, and strep throat.
Struggling with Persistent Discomfort for Almost a Year - Seeking Solutions!
I am a 34-year-old female, standing at 5'7" and weighing 170 pounds. I do not smoke and only occasionally consume alcohol. Presently, I’m not on any medications and have been in a committed relationship with my partner for over a decade. Lately, I have been feeling quite unwell in my intimate area, facing ongoing issues of dryness, irritation, and intense itchiness. On November 20, 2024, I was diagnosed with Bacterial Vaginosis and Group B Streptococcus (GBS), which led to a prescription for Macrobid (Nitrofurantoin). After using this medication for about ten days, I reached out to my healthcare provider to express that my symptoms had not improved. Consequently, I was given Clindamycin Phosphate 2% to be used nightly for a week. Unfortunately, post-treatment and after my menstrual cycle, my discomfort persisted. When I returned to the doctor on December 20, 2024, I tested positive again for GBS. This time, I was prescribed Keflex (Cephalexin 500 mg) for a week. Initially, I felt much better and was relieved to return to my normal state. However, as I approached my next period, the symptoms resurfaced. After menstruating, I continued to feel discomfort and received a refill, which again provided temporary relief. Yet, as I neared my subsequent cycle, the familiar issues reappeared. Following a hiatus caused by a lapse in insurance, as well as wanting to give my body time to recuperate from the continuous antibiotic usage, I consulted another doctor. Again, I received a positive test result for GBS, but no other infections appeared on the tests. I tested negative for Chlamydia, Gonorrhoeae, Trichomoniasis (which I expected), Bacterial Vaginosis, Mycoplasma, Candida glabrata, and HPV. The doctor prescribed me Ampicillin (500 mg) to be taken four times daily for five days, following which I was advised to take a Diflucan to prevent a yeast infection. To my dismay, I now experience a more persistent burning sensation alongside the dryness and itchiness. Additional testing revealed Enterococcus faecalis in my urine, and once again, they proposed to prescribe Macrobid. I am perplexed because I am not exhibiting any urinary tract infection symptoms, so why would they recommend a medication that has failed to provide relief before? As of now, I am still awaiting results from a swab taken over two weeks ago. At this point, I feel hopeless and desperate; it’s been nearly a year since these issues began, and all I want is to feel normal again. I receive the same response from every doctor I consult: "You seem fine. There’s nothing visibly wrong with you." But I am intimately aware of my body, and I know when something is amiss. I would appreciate any advice on specific tests I should request or if there are tests I can personally order online, similar to Evvy. After seeing three different physicians, I still find myself with no solutions. I'm also increasingly anxious about the potential risks to my fertility if this situation continues unresolved. I'm open to any suggestions!