I just appreciate her so much. Like, how is it that I feel so seen, heard and understood without having been in her physical presence. Her work gives the light that I’d imagine many need. Being in a dark space and being/ feeling alone for a very long time/always makes the future feel hopeless and demolishes faith in self, others and the world around you; Life is then simply a waiting room for death, the only thing we know will happen. Someone who has tools, can demonstrate how to use them, and provides a good balance of realistic expectations, the need to adjust matched with assuring that things will get better.
@@adriennebrailsford6291I really love what you wrote and that makes me love you🤗🤗.... Take care Adrienne and if you ever find yourself going through some difficult in life don't be scared, feel ashamed or whatsoever just seek help and get better. Remember that we are all fighting the same enemy, which is going through some challenges in life. With Covid 19 that hit the Global so hard we are all now need to take care of our mental health more than ever. stay safe Adrienne.
I feel like we need a Surgeon General-type position for mental health in the U.S., and that Dr. Marks should have the role. Maybe there is such a position and it’s just not that visible, and if so, it should be a more visible role with accessible videos like the kind that Dr. Marks makes.
agreed, we definitely could do with a mental health surgeon general in every country, for example where I live, mental health is not super accessible, I personally spend a small fortune on it, but even so, I consider myself lucky that I can afford it, and it is also quite misunderstood in many circles, people don't understand that it's not "for people who are crazy" and the state really does nothing to educate the public about mental health, it should be just like the coronavirus, that there is public info and campaigns about it.
@@andreakoroknai1071 The concern for me would be a psychiatrist who dosen't have concern for all r∆ces and walks of life at heart. Recently, there was a ps¥chiatrist speaking at ¥ale: about her h~tred for a certain rac€ and they should be blanked in the πead. Sickening behavior mental health professional...
@@edelweissdebergbaldrian7696 that in and of it self needs to be eradicated in all high level positions. We are finally beginning to come to terms with the ways in which racism and its effects have been built into nearly every aspect of life and living in United States. So hopefully these initiatives can happen concurrently, the extraction of systemic racism as well as the inclusion of high level mental health care practitioners who help us as a whole connect to our individual mental well being.
Please, it would mean so much to so many of us if you could make a video of what it's like to have both ADHD and bipolar disorder. Having the overall mood of bipolar but then having the trigger of emotion and feeling from ADHD can make it very confusing for a lot of us. If you search here on TH-cam you will see that there are very few videos. Thank you.
Love your shows. I am 74years old, my cycle is 2.5 weeks with switching particularly when I am stressed .my mania is decreasing but still continue to have suicidal thoughts. Still hanging in there. God bless you and your good work. PS Hi from Australia l
Thank you for clarifying the HUGE risks of taking a stimulant if you have a bipolar disorder. And demonstrating how a good diagnostician parses out things. Patients need a good diagnostic interview. Dr. Google isn't capable of that! What a good idea for a book. This is so necessary! And thanks for clarifying the difference between bipolar switching versus dissociative switching. I think there are a lot of poorly managed patients (and weakly trained providers) that use terms incorrectly and send everyone down a rabbit hole.
Thanks Cathy. There’s a lot of problems with the system. One big one is things are too rushed. Patients don’t get nearly enough education on things. And it’s not realistic to deliver that in a 10 minute appointment. Even with my 30 minute med checks I don’t get to say everything I want to. So I also use these videos to supplement my patient appts in addition to educating others.
My mother's mood changed about every 2 weeks for years. She'd be in a good mood then brood for a day or two, then be enraged for a couple weeks b4 switching back with no transition time. Sometimes instead of just being nice, she'd be manic like working 24 hours on a project. She never had a normal laugh; it always sounded crazy. Around her periods she'd sometimes get so depressed she wouldn't bathe or dress. She never got help. In retrospect, I feel really sad for her.
I wonder if she may've had something like PMDD. I get that the week before my period, both the hair trigger temper and the extra depression, then I settle to my regular depression.
Luckily last year I showed up at my psychiatrist's during a hypomanic episode and that's how I got diagnosed. Usually I was too shy to even say 2 words to him and I was talking his ears off!
Dr. Tracy: You’re amazing!!! I need that book. It’s like you understand, that’s huge when you feel like you’d the square peg in a circle world! God Bless You!!
I'm bipolar two. Before I got diagnosed officially and got on my medication I was rapid cycling almost weekly. I also suffer from sever anxiety that has been debilitating and life destroying. The combination of the two unmedicated is absolutely crushing. I have found better ways of managing it along with taking my meds. Life is never perfect and we as humans should and do feel very normal emotions and that's okay. I do not always have control over them but recognizing which reactions and emotions I am having are mania and anxiety or just me feeling normal levels of stress, has really helped turn things around for me. Time management as a bipolar person is key. Scheduling yourself as a bipolar is also key. Thank you doctor Tracy. You have definitely been a calm, kind, and informative voice throughout my last year of my mental health journey.
Thank you for this insight, it really helps me understand my bipolar friends and congratulations on the publishing of your book! I hope you get the recognition you deserve
I was diagnosed with bipolar disorder on 3/30/22. After five years of being on an antidepressant, and being misdiagnosed as depressed and not bipolar and going through a lot of pain during that time of misdiagnosis. I appreciate your videos very much, and I just purchased your book from Amazon and I’m looking forward to reading it. Thank you for all the information you share and helping me better understand what’s going on.
Congratulations Dr. Tracey for your new book! I can't wait to read it! Thank you also for releasing a Kindle version, that's awesome for us that's outside of US. ❤️❤️❤️ Much love from Philippines! ❤️
Hello Dr Tracy I'm so grateful for your work. Your video is as always so structured and informative. I truly appreciate your attention to this matter. I always can find useful and practical tools to manage and monitor my Bipolar and ADHD. Your new guide looks fantastic. Also, I love that you give other than medication alternative to manage and maintain different phases, such as light therapy for depression and blue light blocking glasses, balanced diet and physical activities... etc. I can't thank you enough and also I can't wait to receive my copy. Best wishes Denis
These video are amazing This Lady is great at Not invalidating the sufferer but also getting them tobe self aware of how not being pro active will cost them more long term Whether it's a person around or yourself all these video are worth watching and saving As they are geared towards the dependent assuming more self dependents with the right strategy and support system Great video as always
The more I listen to Dr. Tracey, the more I realize that I need someone to treat me for depression. I retired this year because of it. I'm 64 and been through years of therapy without change.
Thank you for talking about this! Cycling is prob the worst part of bipolar and it is hard to understand. It is also very frustrating when you want to be “normal” but then the mind is so irrational or switching from irrational to logical back to irrational for a long time, in my experience.
I haven't had a manic episode since 2005 and a little unsure of the last time I was severely depressed. Years ago for that, too. But anxiety still has a hold on me. Although it's better than it used to be. I really enjoy these mental health videos because they tell me things I've never learned before. Even after all these years when I thought I surely knew all about bipolar disorder, I still learned some new things today!
I used to wake up extremely happy to the point of my head hurting and I’d just start laughing singing, and dancing for no reason it almost felt like I was high or out of my mind. then an hour later I’d start crying for no reason.. then I’d be depressed and I would just lay on the floor stare one way and silently cry because i felt like my whole existence hurt. I wouldn’t want to talk, eat, shower or even sleep. Actually I couldn’t sleep during this time. Then after that I’d feel empty for several days and eventually pass out.After that go back to being extremely happy/high feeling. This would happen off and on for a few months the jus stop for like a 3-6 month period. Also around those times I’d always end up quitting my jobs, cutting people off, working out, and shopping like crazy. Every time I was in a store I would see something that I knew I’d hate, but in that moment I had to have it because it sounded like a good idea. Which all these things I would always end up regretting once I’m kinda back to normal. I eventually saw a doc and began my mental health journey and they told me I was bipolar at first I laughed because my family don’t believe in any of this type of stuff, but afterwards I realized I could put an end to this nightmare... I ended up taking the meds and after switching pills several times. We finally found something that works. As long as I take my meds daily and avoid energy drinks or alcohol.. I found out that I could make those Harry feelings happen everyone I did an energy drink or alcohol. Which is why I rarely choose to drink either. I can actually do things I like and I have a job I’ve been with for a whole year now I’ve been been out in numerous leadership roles and in in line to be promoted. So life’s been pretty good!
You gave me the motivation to seek medical attention. Now I have a diagnosis (going through my life feeling that something's wrong) I have good medication and a very good doctor. My life has changed and I'm so happy 🙂
I have bipolar with mixed eps and rapid cycling and I can't explain in any way just how badly it destroys your ability to live a consistent constructive life. I'm so greatful to be in remission right now for the first time in many many years.. Thanks Psychedelics!
Good afternoon Dr Marks, I know you must have a million notifications! I can’t imagine. I love referring back to your videos as a reminder on how to verbally express myself to my psychiatrist. I did one of those blood tests long ago for my metabolic breakdown sensitivity to different drugs… I’m not sure about the efficacy/sensitivity of that test, but it truly hit the nail on the head. I’ve been on and off so many drugs finally found an “okay mix” with supplements taken at Rx levels (as Someone who is also a HCP, I try and keep in mind all of my ailments when seeing my hypomania and depression). I do rapid cycle almost every month. That had always happened since my first hypomania event. I do “hit baseline”… but, when I cycle I’ve recently started to switch for several hours to maybe half a day and that is one of the scariest feelings I’ve ever experienced. I don’t like to read Peer review journal articles on psychology unless its about communication (when I was first dxn that’s all I did on my meds etc)… so I rather watch TH-cam videos and listen to others personal experience. Currently I do think part of my daily experience has to do with an dx of autism. So getting an assessment soon will help put me at ease, but the concept of switching is fairly new and is not very common for my psychiatrist either. ((I do use dark therapy/bought the goofy glasses hehe..) and the first time I wore the glasses I feel asleep in 30 mins. It was the best thing I could have done. So, thank you).
This was very helpful! Thank you! I’ll be buying your physical book on Amazon. I was hospitalized twice during a rapid cycle. I would be on the ‘roof’ for a bit, then spiral down to major depression with suicidal tendencies. That was 20+ years ago. Having reached 45 and going through the last years of perimenopause, I only switch from time to time. I am able to get by on Bupropion XL at 300mg, but since I began having panic attacks increase as menopause gets closer, I’ve also had to add Buspar as well. I don’t take mania meds. I don’t like them. They make my hands tremor too badly, make me gain weight, break my face out in cystic acne, and I lose my creative feeling to start, continue, or complete projects. My mania has never been over the top as it had been when I was first admitted to an institution in my early 20s. Mostly depression is what takes hold on me from time to time, but it’s been rare since I’ve restarted my Wellbutrin XL eight years ago.
Hello Dr. Tracey! Just a quick note to thank you so much for making these illuminating educational mental health videos -- they always swing for the fences! I hope you and your family and all your loved ones are doing well and staying safe, all things considered. Wishing you a fantastic day and a very productive remainder of your week! Kindest regards from a mostly cloudy São Paulo, Brazil! 🇧🇷
Thank you Rodrigo! My husband uses those baseball references (knock it out of the park is his favorite) so I know this is a real compliment 😊. You have a great week as well
This channel and this Dr is a Godsend!!🙏🏽🙏🏽🙏🏽 she is so educated and well versed on sooo many topics I’m just over here stuck no issues w bi polar just over here learnin🤣 So many videos have helped me personally it’s a blessing
The best psychiatrist I ever had referred me to watching your videos, and I'm glad I listened. Since subscribing I've been able to properly understand things about myself that I didn't before! I'm really grateful that you're able to share your knowledge with the world, it really helps!! Thank you!
Wow! Thank you so much for the book doc! I am too excited! I am one semester from completing my Masters in Clinical Social work. Your videos have been such a great help to students and humanity! I am pre-ordering my book today!
Thank you Dr. Marks. The bulk of your lessons are right up my street. It's been difficult to find a childhood trauma based therapist for me to go to. I've had to take matters into my own hands to find amswers and get information. I find your teaching style to be so wonderful. I'm really thankful for the work and energy you put into this. I appreciate you!
Oh and another question, why is it so hard to clean when you have depression? I struggle with cleaning now n I can't even unpack anything due it. And I also noticed my memory has gotten worse from my depression? Why is that? Anything I can do to help improve this?
@Raja go through her playlists, she has done several videos addressing brain fog, negative emotions, motivation and such.. Also lots of her videos about bipolar and Adhd will help you understand more about depression.
My energy is so low when I'm depressed, and memory is bad. Depression sucks, but it's almost better than mania. Mania is anxiety inducing and embarrassing. I cleaned today, got it done but there's always more to do when you have kids.
Totally get you. Search "spoon theory" on Google. When you are depressed, you only get a few spoons of energy, which explains why activities like cleaning or cooking become so incredibly hard to do. My advice for you is to take it easy, and to adjust every day to the amount of spoons you are given! However, if you always get a good night's sleep, you'll definitely have more energy
Thank you. I’ve been a caregiver for my hubby who has bipolar 1 for 14 years. It’s always great to learn something new that can help us better live. We will buy your book. I am particularly interested in the techniques that help in addition to medicine as my hubby is very med Compliant. Thanks again. 😇
Mine has been bipolar 1 for 13 years. How many psychotic episodes has he had? Bless your heart. This is not an easy illness to cope with especially watching your husband go through it :( my husband has had 3 involving hospitalizations so far.
Doctor, you're absolutely amazing!!! I watch your videos everyday and have been learning sooo much!! Tks to you! You're my greatest beacon of hope Doctor Marks! Thank you, thank you, thank you!!!! 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻 I am your fan all the way!! Guilherme, 41yo, Brazilian, living in Ireland ❤
One zoloft sent me to the hospital in 2015. I was already "up there" walking the neighborhood. I have cyclical Panic Disorder. It made me spin out and at 40 had my mother hold me and go to the ER. I am now on Prozac which has helped me -took 6 different meds. Its torture.... Love to you all !!!
The guide looks great! I hope you're going to make one for ADHD, too.
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I have bipolar type 2 and my mum says she doesn’t think I have bipolar. I don’t think she understands it well enough so maybe I’ll share your book with her.
@ I am bipolar too. I have been doing this a long, long time. My best advice to you is don’t worry about what other people think. Don’t let family and friends divert you from caring for yourself, listening to you psychiatrist, and taking your meds. Having friends and family on side is useful as a support system if you get really sick but don’t let them derail your health.
I am really so thankful to you for these educational videos that consum your time and you put efforts to enlight us. I have learned a lot from you for my wife case ...which is schizoaffective Bipolar ..rarely psychiayrics believe in it or refer to its existing..I was debating her psychiatric who said the same for me but now after i told him...he said he confimred that schizoaffective bipolar is existing and that all because you tought us about it ...I do appreciate and many thanks
I would like never have recovering episodes, I would always just switch from one to the other. Now that I'm on meds, I still have "cycles" but they're so much less intense that it's easier to manage. But I also have ADHD and GAD, PTSD (and pretty sure I'm autistic) so it can be really hard to define "normal" or "recovery episodes".
we're very similar. i was diagnosed with autism and have ocd, gad, and social anxiety as well as bipolar. i don't cycle anymore because my medication regimen is pretty good but when i wasn't on mood stabilizers, i didn't have recovering episodes either.
Same, in combination with ADHD. Without meds my life was just one episode after another, no breaks, hypomania switching to depression again and again every month. For years.
@@stracciamenta Yeah it's really rough. I had a lot of mixed episodes or sometimes I could switch every few weeks. But I heard that is quite common in younger people.
@@nichollle Honestly, I felt like the depression was to recover from the hypomania. I never had like a normal. Or if I did, it lasted 1-3 days. Not really enough time to recover.
i also don’t really experience recovery episodes. i have bipolar 2 as well as ASD, ADHD, a mild processing disorder, & an eating disorder for reference. maybe this is common for people with certain comorbidities? idk
I am chronically depressed and fatigued. But once a year I hit a manic episode and don't even sleep. My doctor can't figure out if this is bipolar but it's like clock work every single year.
Personally, I think that many people, when going through a rough time do tend to go through mood cycles as a way of processing. After a long marriage turned abusive, it was only getting worse, his abuse, that is. After the divorce was final, I went through some mood "cycles" if you will. It takes time to recover, to feel normal after something like that. In place of meds, I did a lot of yoga, cardio. Since there was no one to become angry with me for staying at the gym for what they thought was "too long". I worked out a lot to work through the emotional upheavals as I adjusted to becoming single again.
I'm sorry but it must be really nice to be able to actually move at all or have any kind of dopamine in your system to do anything at all when you're depressed. Holy crap
@@adagioborntrager4456 I can assure you, it was never easy. I'm all I have. If I don't take care of myself no one will. Family members, people at church, neighbors. They all knew how abusive the man I was married to, had become. They still turned their backs on me as soon as I filed for divorce. I hung in as long as I could. When he beat me so badly I was unconscious in a hospital for 3 days, it was time to divorce. They all turned their backs to me. All except 2 people out of over 100 who I had thought were my friends. So, NO, it was not easy at all. It was a long drawn out 10 years of recovery, adjustment, learning how to be single again. Having worked very hard to rebuild my life, there were periods of time when I lived on 1 egg per day for a month at a time. I made sure to pay my bills before buying food. I lost a bit of bulk, my credit score stayed healthy. Finally, in 2017, something I had worked hard to achieve, paid off, BIG. Slowly, life began to improve. I was still struggling, that began to ease up. I still have very little emotional support. No one to lean on when things sometimes happen that can be upsetting. Three of my four children sided with their father even knowing how he molested their friends & abused me. I have a tight, loving relationship with one of my children. I choose to love & cherish who I do have.
@@catalystcomet It wasn't just "nice" it was crucial. The alternative was to lay down & fail at everything just as the ex huzz had predicted I would. I became happier, found my way. I'm sure he was very disappointed.
Yeh I rapid cycled most of my life. It was especially bad in highschool, especially mixed cycles. I remember I used to laugh uncontrollably and I wasn't sure if I was laughing or crying, super depressed or absolutely euphoric. I think I have been mixed most of my life. I was diagnosed at 24 but looking back at my childhood, I had the pediatric version my whole life and it slowly morphed into the adult version throughout my teen and early adulthood years. Lol! I have ADHD I tried stimulants before being diagnosed with bipolar and holy moly that was rough.
Lol I’ve seen the “holy moly” effect. Perfect label for that 👍🏽 I’m sorry though you’ve had to deal with this so long. I hope you have or will settle into a tolerable/manageable pattern of symptoms
@@DrTraceyMarks Thank you! Right now I'm on a few meds for Bipolar that help a lot. My current goal is getting my doctor to consider an Autism screening.
I love your videos. I’m learning so much about my BP type 2. I noticed you mentioned continuous circular shifting. I know you said that in 20 years you have not seen this, but I do believe that this is more of what I experience. I’m not sure how long each polar needs to last to be considered continuous cycling, but I feel myself shifting every month.
Experience on 'constant' switching if you're interested: I switch every other day. Depression most of the time, then short (2-hour but it differs) bursts of hypomania. It's like a flick of a switch, no transition. I'd say it's very linked to being an introvert as my temperament is in charge of how my energy is used (and recharged). When there's an important discussion, let's say a work meeting when the topic interests me (or some everyday life task is expected from me to be done), I switch to talking a lot (I preferably go without talking or socializing for days) or stay on top of the problem (using my hypomania as a fuel) which eventually depletes a lot of energy and (when the discussion or given task is done) within half an hour, I slip into heavy depression. I slowly recover but it usually lingers at least until a day after, then 'normal' depression (fed by casual tasks of everyday life) takes over. An example that is less linked to my temperament: Another trigger is learning new things - once I finally figure something important out, I feel like on top of the world, start an ambitious project using this fresh knowledge only to drop it days after (sometimes I do finish them but the initial hypomania is long gone when they're actually done). I do not take medication, I have a high caffeine intake (every day), horrible sleep schedule.
This sounds similar to something I experience.. switching frequently sometimes in one day and having those small bursts as you described. Have you been diagnosed?
@@gabrielaa0006 Yeah, it's interesting to me that Dr. Marks says she never met anyone like this in her 20-year practice. Altough, true, it never occurred to me to ask how common it is.
@@JesseUnderdog yeah I feel the same way. I don’t really see anything like this often so I question myself! Also what you said that you’re introverted, I am HSP and also an introvert and my mood depends sometimes on other people’s energies. It can be triggering for me in both good and bad way but besides that sometimes I have no triggers at all so that might have to do something with switching constantly. Maybe being more sensitive to it or something since it’s not common... Just a thought!
@@gabrielaa0006 Yeah, if I don't use my triggers, it comes on its own for sure. Fortunately for me, my triggers are so easy (socializing) and surefire that I can manage it and use it to my benefits. Still hate manias though. Depressions I can't manage at all but since I've lived with them since I was 15, I kind of learned to 'embrace' them, although I crash very hard more often than not, to be honest.
@@JesseUnderdog honestly I am still identifying my triggers but other people are definitely one of them as their mood can affect mine... but depression for me has been constant two years now I think maybe even more but I can’t remember. I have been definitely battling social anxiety for most of my life and I never even knew I had it. I thought that feeling was normal. I am sorry to hear that, I hope you’re managing and have something that helps you cope with it. I understand how tough it can be..
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@ Dr. Tracey Thanks for the interesting video's every time. I've got a question as well. Can cyclothemia change into dysthymia? I've had multiple depressions and looking back over 15 years I think I've had low level 'mania' episodes as well in between in which I was way more confident about myself and my future and slept quite a lot less while still feeling energetic. I'm wondering If I had cyclothemia. But these past 6 years I've not been deeply depressed (only low level apparently) or having heightened periods. I've recently realized that I probably am dysthymic now, since I've definitely got the symptoms. The assistant psychologist at my home doctor agrees with that. Is this even possible? Or might I've been dysthymic for way longer and am I confusing the short (2 weeks) better periods (normal not down feeling) for low grade 'mania'?
Hmmm…. I guess it’s possible. Dysthymia is a little lower level than the low mood of cyclothymia. Then depression would be more severe than dysthymia. If you’re feeling deeply depressed I wonder if you have just slipped into full depressive episodes. Some people refer to cyclothymia as more of an emotional temperament than a mood disorder. So it could be that you have shifted from moderate intensity ups and downs to a state where are your “down” is lower and thus more of a persistent depressive disorder which is what we now call dysthymia.
Thank you for providing links on your book. And on different platforms. I prefer Apple Books and was elated to find it there for pre-order. 🥰 Just purchased.
Its ben almost 10 years since I was diagnosed the trifcta by the VA. The trifecta being ADHA, BPII and PTSD from combat. I have dabbld in all the drugs and before I lose interest or forget my point....here it goes. I a prescribed 60mg a day of addrall. Not every day is a 60mg day so sometimes less. Stimulants allow my ADHD mind to slow down To stay on task Plan past the now and not rush rush so much. Its when I do not take my adderall for whatever the VA messes it up that month my schedule my routine is off and thats when I begin to spiral,cycle and ultimately crash Focusing on the everyday struggles of my ADHD to not..... Its like wearing knee pads when you learn to roller skate obviously : ) THank you Dr Marks for all you do
I have rapid cycling ever since I have stopped taking the pill. Every month I get depressed and manic. Each lastst only a week or so. I am certain that it has to do with my menstrual cycle.
This video have cleared up my mind a little about how my bipolar disorder plays out, bit I still got so many questions. I was looking for this topic in your videos, so I would know what you've already talked about, to not repeat an already answered question, but in fact you've just made it clear that my question is very complicated. I'm diagnosed with bipolar disorder for 17 years, and actually I am borderpolar, so it's complicated to tell things apart. Anyways, I've experienced periods, months long, in which I would switch from suicidal thoughts depression to clear and pure mania, continuously, in matter of very few days when ot was better, and hours when it was very very bad. After all this time, it's still difficult to understand my disorder, but one certain thing is I respond well to a combination of valproic acid and Seroquel, needing adjustments from time to time. So I don't know very well how to formulate a question about this, but it would be helpful to understand both this polarity switching in a matter of hours in someone who is only bipolar and not borderpolar, and also if and how the borderline impacts on this. Thank you.
Dr. Marks, is there a way to opt out of machine-translating the titles and descriptions of your videos into local language? I haven't found an option in the TH-cam settings yet, my locale is de-DE (German). E.g. this very video: the English "cycling" has been translated to "Radfahren", which literally means "bycicle riding". Funny, but far from accurate :-) It often takes additional, if not major guesswork to learn what the videos are actually about. Having said that, I cannot tell yet whether it's a feature of the TH-cam app... That's even pretty likely, as there are other channels on medical topics I follow where the same things happen. Or is it in the hands of content creators who decided to tick a box for translation options while uploading? Here is how I feel about it, no offense intended: If I wasn't capable of understanding the English language, I would not subscribe to a channel in foreign language which covers these topics. It also keeps people from improving their English language skills. Finally, if the results are far from optimal, there's more damage done than value added. Kind regards and greetings from Germany PS: Thank you for doing these educational videos!
My cycles are different I get depressed a few days to weeks, a few days stable or even just one day of stability Then I get manic for days, weeks or even months I can have 3-4 episodes a month My bipolar started with depression leading into dysphoric mania after taking antidepressants and made the episode mixed I’m very manic now after a few days of stability prior to have a 2 week depressive episode I tried over 45 medications since 2018, either I’m numb and have horrific side effects from antipsychotics, or meds don’t work at all, and just change how the episodes appear I’m sorry this comment is all over the place I keep losing my track of thought due to racing thoughts Thanks for ur videos
Hello, Dr. Marks, on the topic of bipolar disorder I was wondering if at some point you could address how to stop switching worldviews/self-views with moods- thinking when depressed that reality is REALLY is hard and awful and that I am REALLY terrible, and when hypomanic that reality is REALLY full of wonders and that I am REALLY totally capable. Either one looks like denial or being misguided from the perspective of the other. The going back and forth is existentially exhausting. Thanks
Thank you for another great video, Dr Tracey! I would like to know if it is possible that someone have just one maniac episode in her/his life. And if in this case the person is still considered with bipolar disorder. Thank you again and I wish you the best in your life. 💗
Can you please give more info on mood switching and Circular Insanity. I cannot find much about it online. You are the first place I’ve ever heard of that. Thank you!
It's really unhealthy to subscribe to someone just so you can unlike their videos as soon as it drops. You would rather unlike something than spend some time exploring youtube to find people you do like. Or the person begrudgingly appreciates the usefulness of this channel. Well plenty of us hit the like button so there.
I will be getting the print version... I am a bit analog. I was recently diagnosed with Complex PTSD and then ADHD. I was prescribed Adderall for the ADHD and I felt completely out of my head. I could go for from feeling like I was completely invincible and top of the world, I could do ANYTHING to feeling like my world was ending and there was NO place for me anywhere. These feelings caused my psychologist to have me assessed for BiPolar II. My psychiatrist...(soon to be EX), felt that I am definitely BiPolar. We tried Lamotrigine, which just made me feel completely apathetic... and I don't like that feeling. If I don't ever feel happy or joyful, why would I ever want to breathe another breath. I ended up insisting on having a genetic test, because I DON'T want to be a science experiment. I have some defect on something something... (My psychiatrist REFUSES to allow me to see the results of the test.. one reason why she will soon be an ex... that and a comment about my weight.. which is DEEPLY triggering for me). I am now on something... Not..iphen... something. I have only been taking it for about 5 days. All I have felt is DOWN... I am tired of down. In my 20s, I had more ups than downs... I had a smile on my face more times than not. Now, in my 40s, I am the complete opposite and it is killing me. I am so thankful for you and all that you share. You have brought SOOOOO much value and understanding for me. I hope I can pull myself out of this.....nothing place....
theres something about the audio that i find slightly unsettling, its not a big deal and i know very little about audio but its like the words that surround a short gap are cut off too sharply or something. just stating for if its an easy fix for the editor, otherwise dont worry about it, thanks for the videos.
I continuously switch back and forth multiple times a month, sometimes multiple times a week... from suicidal depression to "im invincible"... almost like im constantly between a cocaine high vs severe clinical depression... however mood stabilisers flatten me out to the point where id rather not be on this planet... for a long time ive been waiting for the manic episodes so I can get work done... Im highly competent in business with multiple business ventures, I have a biochemistry degree, Im a musician, 3D artist... I consider myself a functional bipolar but as I am getting older the lows stay longer and the highs dont last so long anymore... sometimes I cant operate for months, so the rapid cycling is slower now with much longer depressed episodes and short manic episodes which is starting to affect my productiveness... I have been to many psych docs and they all want to prescribe a mood stabiliser... some say I got addicted to the high.... but I would rather be dead than live that flatlined...
"Feeling good can be mistaken for mania if you have been in a depressed state for a long period of time." I feel called out right now lol. I am scared of feeling happy because if I worry about it I end up being ok but if I brush it off and ignore it my partner will find me at 3am again flipping furniture over and cleaning only the feet of chairs, tables, outside bottom of the trash can, etc because I don't remember the last time that part of the table was cleaned. I have gotten to the point where its easier to manage the urge to take the things I'm really attached to and give away to people I like because pairing them together makes them extra special (makes no sense when I'm not manic) It definitely shows you who your true friends are. I have a bunch of things I've crocheted for this exact reason just incase the urge becomes too overwhelming.
So I have cyclthomia and have been excessive rapid cycling for the last year. For as long as I can remember I have had these highs and lows, but I feel like when I was in high school in had a few years of just depression. You mentioned that rapid cycling usually last two years. Does this mean it would stop and stay on the lows again for a while and then just rapid cycle again?
I just want to clarify, is that term “switching” in DSM-5? In DSM-5, it says that a change in mood episode in rapid cycling can be characterized by a mood shift from one polarity to the opposite (e.g. Mania /hypomania to depression or vice versa) or from mood episode to partial/full remission for at least 2 months
⚠️ I cycle several times a DAY... Not from mania to depression, but extremely depressed to feeling even bliss and extreme calmness. Then, I go to sleep feeling fine, and wake up depressed. What's that ? 😮😮😮
This is the best doctor ever, period.
I just appreciate her so much. Like, how is it that I feel so seen, heard and understood without having been in her physical presence. Her work gives the light that I’d imagine many need. Being in a dark space and being/ feeling alone for a very long time/always makes the future feel hopeless and demolishes faith in self, others and the world around you; Life is then simply a waiting room for death, the only thing we know will happen. Someone who has tools, can demonstrate how to use them, and provides a good balance of realistic expectations, the need to adjust matched with assuring that things will get better.
@@adriennebrailsford6291I really love what you wrote and that makes me love you🤗🤗.... Take care Adrienne and if you ever find yourself going through some difficult in life don't be scared, feel ashamed or whatsoever just seek help and get better. Remember that we are all fighting the same enemy, which is going through some challenges in life. With Covid 19 that hit the Global so hard we are all now need to take care of our mental health more than ever. stay safe Adrienne.
Period. She explains everything so well. I am in school and these videos help me out a lot to break things down.
Agree
Period!! For so many reasons.
I feel like we need a Surgeon General-type position for mental health in the U.S., and that Dr. Marks should have the role. Maybe there is such a position and it’s just not that visible, and if so, it should be a more visible role with accessible videos like the kind that Dr. Marks makes.
agreed, we definitely could do with a mental health surgeon general in every country, for example where I live, mental health is not super accessible, I personally spend a small fortune on it, but even so, I consider myself lucky that I can afford it, and it is also quite misunderstood in many circles, people don't understand that it's not "for people who are crazy" and the state really does nothing to educate the public about mental health, it should be just like the coronavirus, that there is public info and campaigns about it.
@@andreakoroknai1071
The concern for me would be a psychiatrist who dosen't have concern for all r∆ces and walks of life at heart. Recently, there was a ps¥chiatrist speaking at ¥ale: about her h~tred for a certain rac€ and they should be blanked in the πead. Sickening behavior mental health professional...
I have learned so much since I subscribed to her channel. She is therapeutic.
@@edelweissdebergbaldrian7696 that in and of it self needs to be eradicated in all high level positions. We are finally beginning to come to terms with the ways in which racism and its effects have been built into nearly every aspect of life and living in United States. So hopefully these initiatives can happen concurrently, the extraction of systemic racism as well as the inclusion of high level mental health care practitioners who help us as a whole connect to our individual mental well being.
@@adriennebrailsford6291
Well said!
Please, it would mean so much to so many of us if you could make a video of what it's like to have both ADHD and bipolar disorder. Having the overall mood of bipolar but then having the trigger of emotion and feeling from ADHD can make it very confusing for a lot of us. If you search here on TH-cam you will see that there are very few videos.
Thank you.
Love your shows. I am 74years old, my cycle is 2.5 weeks with switching particularly when I am stressed .my mania is decreasing but still continue to have suicidal thoughts. Still hanging in there. God bless you and your good work. PS Hi from Australia l
Hi Rick. Boy that really is a short cycle. Keep hanging in there though. I hope it stretches out at some point soon.
Thank you for clarifying the HUGE risks of taking a stimulant if you have a bipolar disorder. And demonstrating how a good diagnostician parses out things. Patients need a good diagnostic interview. Dr. Google isn't capable of that! What a good idea for a book. This is so necessary! And thanks for clarifying the difference between bipolar switching versus dissociative switching. I think there are a lot of poorly managed patients (and weakly trained providers) that use terms incorrectly and send everyone down a rabbit hole.
Thanks Cathy. There’s a lot of problems with the system. One big one is things are too rushed. Patients don’t get nearly enough education on things. And it’s not realistic to deliver that in a 10 minute appointment. Even with my 30 minute med checks I don’t get to say everything I want to. So I also use these videos to supplement my patient appts in addition to educating others.
I have first hand experience with this after being prescribed vyvanse for adhd.
Bad things happened.
When did she explain disassociation?
My mother's mood changed about every 2 weeks for years. She'd be in a good mood then brood for a day or two, then be enraged for a couple weeks b4 switching back with no transition time. Sometimes instead of just being nice, she'd be manic like working 24 hours on a project. She never had a normal laugh; it always sounded crazy. Around her periods she'd sometimes get so depressed she wouldn't bathe or dress. She never got help. In retrospect, I feel really sad for her.
I wonder if she may've had something like PMDD. I get that the week before my period, both the hair trigger temper and the extra depression, then I settle to my regular depression.
I can only imagine how challenging that must've been. Sending you hugs and good thoughts. Stay strong.
@@shadowburrito4 thank you ☺
@@eliscanfield3913 I had never heard of PMDD. I'll look into it. Thanks for the suggestion and I hope you're doing well.☺
Sounds exactly like my mother.
Luckily last year I showed up at my psychiatrist's during a hypomanic episode and that's how I got diagnosed. Usually I was too shy to even say 2 words to him and I was talking his ears off!
Why cant more doctors be like Dr. Marks this woman actually cares and takes the times to explain and help people.
Dr. Tracy: You’re amazing!!! I need that book. It’s like you understand, that’s huge when you feel like you’d the square peg in a circle world! God Bless You!!
Thank you David! I hope it’s helpful for you. 👍🏽 all the best to you
I'm bipolar two.
Before I got diagnosed officially and got on my medication I was rapid cycling almost weekly.
I also suffer from sever anxiety that has been debilitating and life destroying. The combination of the two unmedicated is absolutely crushing.
I have found better ways of managing it along with taking my meds. Life is never perfect and we as humans should and do feel very normal emotions and that's okay.
I do not always have control over them but recognizing which reactions and emotions
I am having are mania and anxiety or just me feeling normal levels of stress, has really helped turn things around for me.
Time management as a bipolar person is key. Scheduling yourself as a bipolar is also key.
Thank you doctor Tracy. You have definitely been a calm, kind, and informative voice throughout my last year of my mental health journey.
I have both of these as well.. can I ask what meds helped you?
I'm so proud of you, congratulations on the book!
Thank you for this insight, it really helps me understand my bipolar friends and congratulations on the publishing of your book! I hope you get the recognition you deserve
I will be buying your bipolar basics book as soon as it releases I’m SO grateful for this thank you so much for this, you are such a light..
I was diagnosed with bipolar disorder on 3/30/22. After five years of being on an antidepressant, and being misdiagnosed as depressed and not bipolar and going through a lot of pain during that time of misdiagnosis. I appreciate your videos very much, and I just purchased your book from Amazon and I’m looking forward to reading it. Thank you for all the information you share and helping me better understand what’s going on.
I've never heard of these terms such as cycling..I've never thought about this stuff. Dr. Mark's is just the BEST!
Congratulations Dr. Tracey for your new book! I can't wait to read it! Thank you also for releasing a Kindle version, that's awesome for us that's outside of US. ❤️❤️❤️ Much love from Philippines! ❤️
Love these videos! They’re so needed ❤️
So glad. Thanks for watching 😊
Hello Dr Tracy
I'm so grateful for your work. Your video is as always so structured and informative. I truly appreciate your attention to this matter. I always can find useful and practical tools to manage and monitor my Bipolar and ADHD. Your new guide looks fantastic. Also, I love that you give other than medication alternative to manage and maintain different phases, such as light therapy for depression and blue light blocking glasses, balanced diet and physical activities... etc. I can't thank you enough and also I can't wait to receive my copy.
Best wishes Denis
These video are amazing
This Lady is great at Not invalidating the sufferer but also getting them tobe self aware of how not being pro active will cost them more long term
Whether it's a person around or yourself all these video are worth watching and saving
As they are geared towards the dependent assuming more self dependents with the right strategy and support system
Great video as always
The more I listen to Dr. Tracey, the more I realize that I need someone to treat me for depression. I retired this year because of it. I'm 64 and been through years of therapy without change.
I truly enjoy and appreciate you! Thank you for explaining topics in layman’s terms.
Thank you for talking about this! Cycling is prob the worst part of bipolar and it is hard to understand. It is also very frustrating when you want to be “normal” but then the mind is so irrational or switching from irrational to logical back to irrational for a long time, in my experience.
I haven't had a manic episode since 2005 and a little unsure of the last time I was severely depressed. Years ago for that, too. But anxiety still has a hold on me. Although it's better than it used to be. I really enjoy these mental health videos because they tell me things I've never learned before. Even after all these years when I thought I surely knew all about bipolar disorder, I still learned some new things today!
As a psychiatric student nurse I am so glad to find this chanel!
I used to wake up extremely happy to the point of my head hurting and I’d just start laughing singing, and dancing for no reason it almost felt like I was high or out of my mind. then an hour later I’d start crying for no reason.. then I’d be depressed and I would just lay on the floor stare one way and silently cry because i felt like my whole existence hurt. I wouldn’t want to talk, eat, shower or even sleep. Actually I couldn’t sleep during this time. Then after that I’d feel empty for several days and eventually pass out.After that go back to being extremely happy/high feeling. This would happen off and on for a few months the jus stop for like a 3-6 month period. Also around those times I’d always end up quitting my jobs, cutting people off, working out, and shopping like crazy. Every time I was in a store I would see something that I knew I’d hate, but in that moment I had to have it because it sounded like a good idea. Which all these things I would always end up regretting once I’m kinda back to normal. I eventually saw a doc and began my mental health journey and they told me I was bipolar at first I laughed because my family don’t believe in any of this type of stuff, but afterwards I realized I could put an end to this nightmare... I ended up taking the meds and after switching pills several times. We finally found something that works. As long as I take my meds daily and avoid energy drinks or alcohol.. I found out that I could make those Harry feelings happen everyone I did an energy drink or alcohol. Which is why I rarely choose to drink either. I can actually do things I like and I have a job I’ve been with for a whole year now I’ve been been out in numerous leadership roles and in in line to be promoted. So life’s been pretty good!
You gave me the motivation to seek medical attention. Now I have a diagnosis (going through my life feeling that something's wrong) I have good medication and a very good doctor. My life has changed and I'm so happy 🙂
I have bipolar with mixed eps and rapid cycling and I can't explain in any way just how badly it destroys your ability to live a consistent constructive life. I'm so greatful to be in remission right now for the first time in many many years.. Thanks Psychedelics!
Could you explain how that helped?
Good afternoon Dr Marks, I know you must have a million notifications! I can’t imagine. I love referring back to your videos as a reminder on how to verbally express myself to my psychiatrist. I did one of those blood tests long ago for my metabolic breakdown sensitivity to different drugs… I’m not sure about the efficacy/sensitivity of that test, but it truly hit the nail on the head. I’ve been on and off so many drugs finally found an “okay mix” with supplements taken at Rx levels (as Someone who is also a HCP, I try and keep in mind all of my ailments when seeing my hypomania and depression). I do rapid cycle almost every month. That had always happened since my first hypomania event. I do “hit baseline”… but, when I cycle I’ve recently started to switch for several hours to maybe half a day and that is one of the scariest feelings I’ve ever experienced. I don’t like to read Peer review journal articles on psychology unless its about communication (when I was first dxn that’s all I did on my meds etc)… so I rather watch TH-cam videos and listen to others personal experience. Currently I do think part of my daily experience has to do with an dx of autism. So getting an assessment soon will help put me at ease, but the concept of switching is fairly new and is not very common for my psychiatrist either. ((I do use dark therapy/bought the goofy glasses hehe..) and the first time I wore the glasses I feel asleep in 30 mins. It was the best thing I could have done. So, thank you).
Wow, Dr. Marks, CONGRATULATIONS!! Love the new book I'm seeing on screen! Will definitely talk it up. I often mention your channel.
Omg I want that book! I need the physical book. Your work helps me and my family. Thanks for writing that book. 😇🌷🌹💐🌺🌸🌻💞💖
Thank you Violet. I like physical books to. I like to look at them at a glance and turn pages.
This was very helpful! Thank you! I’ll be buying your physical book on Amazon.
I was hospitalized twice during a rapid cycle. I would be on the ‘roof’ for a bit, then spiral down to major depression with suicidal tendencies.
That was 20+ years ago.
Having reached 45 and going through the last years of perimenopause, I only switch from time to time.
I am able to get by on Bupropion XL at 300mg, but since I began having panic attacks increase as menopause gets closer, I’ve also had to add Buspar as well.
I don’t take mania meds.
I don’t like them.
They make my hands tremor too badly, make me gain weight, break my face out in cystic acne, and I lose my creative feeling to start, continue, or complete projects.
My mania has never been over the top as it had been when I was first admitted to an institution in my early 20s.
Mostly depression is what takes hold on me from time to time, but it’s been rare since I’ve restarted my Wellbutrin XL eight years ago.
Hello Dr. Tracey! Just a quick note to thank you so much for making these illuminating educational mental health videos -- they always swing for the fences! I hope you and your family and all your loved ones are doing well and staying safe, all things considered. Wishing you a fantastic day and a very productive remainder of your week! Kindest regards from a mostly cloudy São Paulo, Brazil! 🇧🇷
Thank you Rodrigo! My husband uses those baseball references (knock it out of the park is his favorite) so I know this is a real compliment 😊. You have a great week as well
Best video so far helping me understand
thank you lovely Tracey! have a great week!
You’re welcome and you have a great week too 😊
This channel and this Dr is a Godsend!!🙏🏽🙏🏽🙏🏽 she is so educated and well versed on sooo many topics I’m just over here stuck no issues w bi polar just over here learnin🤣 So many videos have helped me personally it’s a blessing
The best psychiatrist I ever had referred me to watching your videos, and I'm glad I listened. Since subscribing I've been able to properly understand things about myself that I didn't before! I'm really grateful that you're able to share your knowledge with the world, it really helps!! Thank you!
Thanks yet again for more practical, down to earth and relatable information on bipolar disorder.
Wow! Thank you so much for the book doc! I am too excited!
I am one semester from completing my Masters in Clinical Social work. Your videos have been such a great help to students and humanity!
I am pre-ordering my book today!
Thank you Dr. Marks. The bulk of your lessons are right up my street. It's been difficult to find a childhood trauma based therapist for me to go to. I've had to take matters into my own hands to find amswers and get information. I find your teaching style to be so wonderful. I'm really thankful for the work and energy you put into this. I appreciate you!
Oh and another question, why is it so hard to clean when you have depression? I struggle with cleaning now n I can't even unpack anything due it. And I also noticed my memory has gotten worse from my depression? Why is that? Anything I can do to help improve this?
@Raja go through her playlists, she has done several videos addressing brain fog, negative emotions, motivation and such.. Also lots of her videos about bipolar and Adhd will help you understand more about depression.
My energy is so low when I'm depressed, and memory is bad. Depression sucks, but it's almost better than mania. Mania is anxiety inducing and embarrassing.
I cleaned today, got it done but there's always more to do when you have kids.
Totally get you. Search "spoon theory" on Google. When you are depressed, you only get a few spoons of energy, which explains why activities like cleaning or cooking become so incredibly hard to do. My advice for you is to take it easy, and to adjust every day to the amount of spoons you are given! However, if you always get a good night's sleep, you'll definitely have more energy
Thank you. I’ve been a caregiver for my hubby who has bipolar 1 for 14 years. It’s always great to learn something new that can help us better live. We will buy your book. I am particularly interested in the techniques that help in addition to medicine as my hubby is very med Compliant. Thanks again. 😇
Mine has been bipolar 1 for 13 years. How many psychotic episodes has he had? Bless your heart. This is not an easy illness to cope with especially watching your husband go through it :( my husband has had 3 involving hospitalizations so far.
Since we have been married 3, like yours. Mostly month long hospitalizations. 😿it is hard but so glad he wants to be healthy.
Doctor, you're absolutely amazing!!! I watch your videos everyday and have been learning sooo much!! Tks to you! You're my greatest beacon of hope Doctor Marks! Thank you, thank you, thank you!!!! 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻 I am your fan all the way!!
Guilherme, 41yo, Brazilian, living in Ireland ❤
Hi Dr. Tracy! I love your videos. I have been bipolar for 40 years. It's a struggle. Thank you for these videos.
Great work with the book doctor. ✌
Very nice in presentation at a glance🙏
These videos are very thorough and so in depth. 😉
It’s good you wrote a book. Congrats!
This was so incredibly helpful. I binge on your videos every other day and take notes! Thank you!
@Dr. Tracy Marks I believe I'm one of those switching back and forth. This video helped me learn more about how I'm feeling.
One zoloft sent me to the hospital in 2015. I was already "up there" walking the neighborhood. I have cyclical Panic Disorder. It made me spin out and at 40 had my mother hold me and go to the ER. I am now on Prozac which has helped me -took 6 different meds. Its torture.... Love to you all !!!
The guide looks great! I hope you're going to make one for ADHD, too.
I have bipolar type 2 and my mum says she doesn’t think I have bipolar. I don’t think she understands it well enough so maybe I’ll share your book with her.
My sis and brother said the same to me. They just meant it well, tho.
@@kkech1 yeah my mum means well too, but it’s invalidating and makes me feel like not being open anymore :(
@ I am bipolar too. I have been doing this a long, long time. My best advice to you is don’t worry about what other people think. Don’t let family and friends divert you from caring for yourself, listening to you psychiatrist, and taking your meds. Having friends and family on side is useful as a support system if you get really sick but don’t let them derail your health.
I love your very tasteful color coordination
Thank you Dr. Marks for this very informative video! These videos are incredibly helpful in getting a solid introduction on a variety of topics
I am really so thankful to you for these educational videos that consum your time and you put efforts to enlight us. I have learned a lot from you for my wife case ...which is schizoaffective Bipolar ..rarely psychiayrics believe in it or refer to its existing..I was debating her psychiatric who said the same for me but now after i told him...he said he confimred that schizoaffective bipolar is existing and that all because you tought us about it ...I do appreciate and many thanks
Oh that’s excellent! So glad to hear this. Thanks for letting me know and all the best to you and your wife.
I just found your channel and you are great ! Thank you for the clarity, simplicity, and efforts . Best to you
Excited for your book!(: your videos are the most helpful ones out there for bipolar disorder
Hi Dr. Marks. As always your videos come across so well. I really enjoy them and hope that you produce more. Thanks for giving us some of your time 😀
I would like never have recovering episodes, I would always just switch from one to the other. Now that I'm on meds, I still have "cycles" but they're so much less intense that it's easier to manage. But I also have ADHD and GAD, PTSD (and pretty sure I'm autistic) so it can be really hard to define "normal" or "recovery episodes".
we're very similar. i was diagnosed with autism and have ocd, gad, and social anxiety as well as bipolar. i don't cycle anymore because my medication regimen is pretty good but when i wasn't on mood stabilizers, i didn't have recovering episodes either.
Same, in combination with ADHD. Without meds my life was just one episode after another, no breaks, hypomania switching to depression again and again every month. For years.
@@stracciamenta Yeah it's really rough. I had a lot of mixed episodes or sometimes I could switch every few weeks. But I heard that is quite common in younger people.
@@nichollle Honestly, I felt like the depression was to recover from the hypomania. I never had like a normal. Or if I did, it lasted 1-3 days. Not really enough time to recover.
i also don’t really experience recovery episodes. i have bipolar 2 as well as ASD, ADHD, a mild processing disorder, & an eating disorder for reference. maybe this is common for people with certain comorbidities? idk
I really love it when people i subscribe to write books or guides because ... ownership! Also it's very inspiring.
So glad you think so. I hope the guide is helpful!
I am chronically depressed and fatigued. But once a year I hit a manic episode and don't even sleep. My doctor can't figure out if this is bipolar but it's like clock work every single year.
Does it happen around the same time every year?
Congrats on the new book!
Thanks so much for making this video! It's really interesting to me. And thanks for showing us a preview of your book.
You’re so welcome! 👍🏽
@@DrTraceyMarks The thumbnail looks like me how I used to be and how I am now. 😅
I love your books!!! So excited for this new one.
Thank you for sharing this information!
Personally, I think that many people, when going through a rough time do tend to go through mood cycles as a way of processing. After a long marriage turned abusive, it was only getting worse, his abuse, that is. After the divorce was final, I went through some mood "cycles" if you will. It takes time to recover, to feel normal after something like that.
In place of meds, I did a lot of yoga, cardio. Since there was no one to become angry with me for staying at the gym for what they thought was "too long". I worked out a lot to work through the emotional upheavals as I adjusted to becoming single again.
I wish it was that easy!
I'm sorry but it must be really nice to be able to actually move at all or have any kind of dopamine in your system to do anything at all when you're depressed. Holy crap
@@adagioborntrager4456 I can assure you, it was never easy. I'm all I have. If I don't take care of myself no one will. Family members, people at church, neighbors. They all knew how abusive the man I was married to, had become. They still turned their backs on me as soon as I filed for divorce. I hung in as long as I could. When he beat me so badly I was unconscious in a hospital for 3 days, it was time to divorce.
They all turned their backs to me. All except 2 people out of over 100 who I had thought were my friends.
So, NO, it was not easy at all.
It was a long drawn out 10 years of recovery, adjustment, learning how to be single again.
Having worked very hard to rebuild my life, there were periods of time when I lived on 1 egg per day for a month at a time. I made sure to pay my bills before buying food. I lost a bit of bulk, my credit score stayed healthy.
Finally, in 2017, something I had worked hard to achieve, paid off, BIG. Slowly, life began to improve. I was still struggling, that began to ease up.
I still have very little emotional support. No one to lean on when things sometimes happen that can be upsetting.
Three of my four children sided with their father even knowing how he molested their friends & abused me. I have a tight, loving relationship with one of my children. I choose to love & cherish who I do have.
@@catalystcomet It wasn't just "nice" it was crucial. The alternative was to lay down & fail at everything just as the ex huzz had predicted I would. I became happier, found my way. I'm sure he was very disappointed.
You are saving many people. I for one. Thank you 🙏🏼🥰🙏🏼🌷🌷🌷🌷🌷
Wow. Incredible brain!!!!! Thanks for sharing the content.
Hey i just wanted to thank you for doing what you do, you've helped me to understand a lot about myself and others.
Yeh I rapid cycled most of my life. It was especially bad in highschool, especially mixed cycles. I remember I used to laugh uncontrollably and I wasn't sure if I was laughing or crying, super depressed or absolutely euphoric. I think I have been mixed most of my life. I was diagnosed at 24 but looking back at my childhood, I had the pediatric version my whole life and it slowly morphed into the adult version throughout my teen and early adulthood years. Lol! I have ADHD I tried stimulants before being diagnosed with bipolar and holy moly that was rough.
Lol I’ve seen the “holy moly” effect. Perfect label for that 👍🏽 I’m sorry though you’ve had to deal with this so long. I hope you have or will settle into a tolerable/manageable pattern of symptoms
@@DrTraceyMarks Thank you! Right now I'm on a few meds for Bipolar that help a lot. My current goal is getting my doctor to consider an Autism screening.
I love your videos. I’m learning so much about my BP type 2. I noticed you mentioned continuous circular shifting. I know you said that in 20 years you have not seen this, but I do believe that this is more of what I experience. I’m not sure how long each polar needs to last to be considered continuous cycling, but I feel myself shifting every month.
Experience on 'constant' switching if you're interested: I switch every other day. Depression most of the time, then short (2-hour but it differs) bursts of hypomania. It's like a flick of a switch, no transition. I'd say it's very linked to being an introvert as my temperament is in charge of how my energy is used (and recharged). When there's an important discussion, let's say a work meeting when the topic interests me (or some everyday life task is expected from me to be done), I switch to talking a lot (I preferably go without talking or socializing for days) or stay on top of the problem (using my hypomania as a fuel) which eventually depletes a lot of energy and (when the discussion or given task is done) within half an hour, I slip into heavy depression. I slowly recover but it usually lingers at least until a day after, then 'normal' depression (fed by casual tasks of everyday life) takes over. An example that is less linked to my temperament: Another trigger is learning new things - once I finally figure something important out, I feel like on top of the world, start an ambitious project using this fresh knowledge only to drop it days after (sometimes I do finish them but the initial hypomania is long gone when they're actually done). I do not take medication, I have a high caffeine intake (every day), horrible sleep schedule.
This sounds similar to something I experience.. switching frequently sometimes in one day and having those small bursts as you described. Have you been diagnosed?
@@gabrielaa0006 Yeah, it's interesting to me that Dr. Marks says she never met anyone like this in her 20-year practice. Altough, true, it never occurred to me to ask how common it is.
@@JesseUnderdog yeah I feel the same way. I don’t really see anything like this often so I question myself! Also what you said that you’re introverted, I am HSP and also an introvert and my mood depends sometimes on other people’s energies. It can be triggering for me in both good and bad way but besides that sometimes I have no triggers at all so that might have to do something with switching constantly. Maybe being more sensitive to it or something since it’s not common... Just a thought!
@@gabrielaa0006 Yeah, if I don't use my triggers, it comes on its own for sure. Fortunately for me, my triggers are so easy (socializing) and surefire that I can manage it and use it to my benefits. Still hate manias though. Depressions I can't manage at all but since I've lived with them since I was 15, I kind of learned to 'embrace' them, although I crash very hard more often than not, to be honest.
@@JesseUnderdog honestly I am still identifying my triggers but other people are definitely one of them as their mood can affect mine... but depression for me has been constant two years now I think maybe even more but I can’t remember. I have been definitely battling social anxiety for most of my life and I never even knew I had it. I thought that feeling was normal. I am sorry to hear that, I hope you’re managing and have something that helps you cope with it. I understand how tough it can be..
Great clarification. Thank you for your videos.
\•F*O*R_ S*P*O*N*S*O*R*S*H*I*P_ A*N*D L*I*V*E_ C*H*A*T_ W * H * A * T * S * A * p * p _ M * E
+ * 1 * 7 * 0 * 7 * 2 * 1 * 9 * 6 * 2 * 4 * 6/~
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@ Dr. Tracey
Thanks for the interesting video's every time.
I've got a question as well.
Can cyclothemia change into dysthymia?
I've had multiple depressions and looking back over 15 years I think I've had low level 'mania' episodes as well in between in which I was way more confident about myself and my future and slept quite a lot less while still feeling energetic. I'm wondering If I had cyclothemia. But these past 6 years I've not been deeply depressed (only low level apparently) or having heightened periods. I've recently realized that I probably am dysthymic now, since I've definitely got the symptoms. The assistant psychologist at my home doctor agrees with that.
Is this even possible?
Or might I've been dysthymic for way longer and am I confusing the short (2 weeks) better periods (normal not down feeling) for low grade 'mania'?
Hmmm…. I guess it’s possible. Dysthymia is a little lower level than the low mood of cyclothymia. Then depression would be more severe than dysthymia. If you’re feeling deeply depressed I wonder if you have just slipped into full depressive episodes. Some people refer to cyclothymia as more of an emotional temperament than a mood disorder. So it could be that you have shifted from moderate intensity ups and downs to a state where are your “down” is lower and thus more of a persistent depressive disorder which is what we now call dysthymia.
@@DrTraceyMarks thank you.
Thank you for providing links on your book. And on different platforms. I prefer Apple Books and was elated to find it there for pre-order. 🥰 Just purchased.
Thanks for the informative video. I’m going to pre order that book.
Yay im excited for your book coming out!
Thank you Ketzalzin. So glad you’re excited. 👍🏽❤️
Hi Dr. Marks,
What are some primary symptoms when bipolar is compounded with childhood trauma and ADHD?
Thank you for taking the time to help me.
Your are great person Dr Tracey
Thank you
Its ben almost 10 years since I was diagnosed the trifcta by the VA. The trifecta being ADHA, BPII and PTSD from combat. I have dabbld in all the drugs and before I lose interest or forget my point....here it goes.
I a prescribed 60mg a day of addrall.
Not every day is a 60mg day so sometimes less.
Stimulants allow my ADHD mind to slow down
To stay on task
Plan past the now and not rush rush so much.
Its when I do not take my adderall for whatever the VA messes it up that month
my schedule my routine is off
and thats when I begin to spiral,cycle and ultimately crash
Focusing on the everyday struggles of my ADHD to not.....
Its like wearing knee pads when you learn to roller skate obviously
: )
THank you Dr Marks for all you do
I have rapid cycling ever since I have stopped taking the pill. Every month I get depressed and manic. Each lastst only a week or so. I am certain that it has to do with my menstrual cycle.
Yesssss to this comment. I was baseline, period hit, instant depression- 4 days in changed to mania
Thank you for sharing
This video have cleared up my mind a little about how my bipolar disorder plays out, bit I still got so many questions. I was looking for this topic in your videos, so I would know what you've already talked about, to not repeat an already answered question, but in fact you've just made it clear that my question is very complicated. I'm diagnosed with bipolar disorder for 17 years, and actually I am borderpolar, so it's complicated to tell things apart. Anyways, I've experienced periods, months long, in which I would switch from suicidal thoughts depression to clear and pure mania, continuously, in matter of very few days when ot was better, and hours when it was very very bad. After all this time, it's still difficult to understand my disorder, but one certain thing is I respond well to a combination of valproic acid and Seroquel, needing adjustments from time to time. So I don't know very well how to formulate a question about this, but it would be helpful to understand both this polarity switching in a matter of hours in someone who is only bipolar and not borderpolar, and also if and how the borderline impacts on this. Thank you.
Dr. Marks, is there a way to opt out of machine-translating the titles and descriptions of your videos into local language? I haven't found an option in the TH-cam settings yet, my locale is de-DE (German).
E.g. this very video: the English "cycling" has been translated to "Radfahren", which literally means "bycicle riding". Funny, but far from accurate :-)
It often takes additional, if not major guesswork to learn what the videos are actually about. Having said that, I cannot tell yet whether it's a feature of the TH-cam app... That's even pretty likely, as there are other channels on medical topics I follow where the same things happen. Or is it in the hands of content creators who decided to tick a box for translation options while uploading?
Here is how I feel about it, no offense intended: If I wasn't capable of understanding the English language, I would not subscribe to a channel in foreign language which covers these topics. It also keeps people from improving their English language skills. Finally, if the results are far from optimal, there's more damage done than value added.
Kind regards and greetings from Germany
PS: Thank you for doing these educational videos!
Excellent presentation
My cycles are different
I get depressed a few days to weeks, a few days stable or even just one day of stability
Then I get manic for days, weeks or even months
I can have 3-4 episodes a month
My bipolar started with depression leading into dysphoric mania after taking antidepressants and made the episode mixed
I’m very manic now after a few days of stability prior to have a 2 week depressive episode
I tried over 45 medications since 2018, either I’m numb and have horrific side effects from antipsychotics, or meds don’t work at all, and just change how the episodes appear
I’m sorry this comment is all over the place
I keep losing my track of thought due to racing thoughts
Thanks for ur videos
Hello, Dr. Marks, on the topic of bipolar disorder I was wondering if at some point you could address how to stop switching worldviews/self-views with moods- thinking when depressed that reality is REALLY is hard and awful and that I am REALLY terrible, and when hypomanic that reality is REALLY full of wonders and that I am REALLY totally capable. Either one looks like denial or being misguided from the perspective of the other. The going back and forth is existentially exhausting. Thanks
Thank you for another great video, Dr Tracey!
I would like to know if it is possible that someone have just one maniac episode in her/his life. And if in this case the person is still considered with bipolar disorder.
Thank you again and I wish you the best in your life. 💗
Can you please give more info on mood switching and Circular Insanity. I cannot find much about it online. You are the first place I’ve ever heard of that. Thank you!
Very informative....thank you for sharing.
I love the new intro.
:,)
It's really unhealthy to subscribe to someone just so you can unlike their videos as soon as it drops. You would rather unlike something than spend some time exploring youtube to find people you do like. Or the person begrudgingly appreciates the usefulness of this channel. Well plenty of us hit the like button so there.
Thank you Musty 😊
I will be getting the print version... I am a bit analog. I was recently diagnosed with Complex PTSD and then ADHD. I was prescribed Adderall for the ADHD and I felt completely out of my head. I could go for from feeling like I was completely invincible and top of the world, I could do ANYTHING to feeling like my world was ending and there was NO place for me anywhere. These feelings caused my psychologist to have me assessed for BiPolar II. My psychiatrist...(soon to be EX), felt that I am definitely BiPolar. We tried Lamotrigine, which just made me feel completely apathetic... and I don't like that feeling. If I don't ever feel happy or joyful, why would I ever want to breathe another breath. I ended up insisting on having a genetic test, because I DON'T want to be a science experiment. I have some defect on something something... (My psychiatrist REFUSES to allow me to see the results of the test.. one reason why she will soon be an ex... that and a comment about my weight.. which is DEEPLY triggering for me). I am now on something... Not..iphen... something. I have only been taking it for about 5 days. All I have felt is DOWN... I am tired of down. In my 20s, I had more ups than downs... I had a smile on my face more times than not. Now, in my 40s, I am the complete opposite and it is killing me.
I am so thankful for you and all that you share. You have brought SOOOOO much value and understanding for me. I hope I can pull myself out of this.....nothing place....
theres something about the audio that i find slightly unsettling, its not a big deal and i know very little about audio but its like the words that surround a short gap are cut off too sharply or something. just stating for if its an easy fix for the editor, otherwise dont worry about it, thanks for the videos.
I continuously switch back and forth multiple times a month, sometimes multiple times a week... from suicidal depression to "im invincible"... almost like im constantly between a cocaine high vs severe clinical depression... however mood stabilisers flatten me out to the point where id rather not be on this planet... for a long time ive been waiting for the manic episodes so I can get work done... Im highly competent in business with multiple business ventures, I have a biochemistry degree, Im a musician, 3D artist... I consider myself a functional bipolar but as I am getting older the lows stay longer and the highs dont last so long anymore... sometimes I cant operate for months, so the rapid cycling is slower now with much longer depressed episodes and short manic episodes which is starting to affect my productiveness... I have been to many psych docs and they all want to prescribe a mood stabiliser... some say I got addicted to the high.... but I would rather be dead than live that flatlined...
"Feeling good can be mistaken for mania if you have been in a depressed state for a long period of time."
I feel called out right now lol. I am scared of feeling happy because if I worry about it I end up being ok but if I brush it off and ignore it my partner will find me at 3am again flipping furniture over and cleaning only the feet of chairs, tables, outside bottom of the trash can, etc because I don't remember the last time that part of the table was cleaned.
I have gotten to the point where its easier to manage the urge to take the things I'm really attached to and give away to people I like because pairing them together makes them extra special (makes no sense when I'm not manic) It definitely shows you who your true friends are. I have a bunch of things I've crocheted for this exact reason just incase the urge becomes too overwhelming.
thanks for posting this, you are amazing and you are very understanding. :)
How can you tell the difference between bipolar rapid cycling and something else that causes fast mood swings
Watch the playlist on bipolar. She makes it pretty clear. Psychiatry residents should be ordered to watch her videos before they take their boards.
@coda can you elaborate on that thought. What's pop psychiatry?
@coda thanks that makes a lot of sense. I agree that there is more to a medical education than these videos give and are meant for laymen.
So I have cyclthomia and have been excessive rapid cycling for the last year. For as long as I can remember I have had these highs and lows, but I feel like when I was in high school in had a few years of just depression. You mentioned that rapid cycling usually last two years. Does this mean it would stop and stay on the lows again for a while and then just rapid cycle again?
Waiting for Treatment Resistant Bipolar video. Iritatabiliy is alloeed here? Thanks!
I just want to clarify, is that term “switching” in DSM-5? In DSM-5, it says that a change in mood episode in rapid cycling can be characterized by a mood shift from one polarity to the opposite (e.g. Mania /hypomania to depression or vice versa) or from mood episode to partial/full remission for at least 2 months
⚠️ I cycle several times a DAY... Not from mania to depression, but extremely depressed to feeling even bliss and extreme calmness. Then, I go to sleep feeling fine, and wake up depressed. What's that ? 😮😮😮