A Strengths Based Approach to Bipolar Disorder Treatment
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- เผยแพร่เมื่อ 4 มิ.ย. 2024
- Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com #bipolar #strengthsbased #Bipolartreatment
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I was really hoping this would be a video that talked about what the strengths of bipolar are and how to use them. Some of us are already doing ALL of these things with not much change.
After having listened to your entire presentation, I am very impressed at the thoroughness of it. I am a 40 yr scizoaffective man, I am generally referred to as high functioning and your lecture was still a benefit to me. Thank you
Wow, thank you!
I worked in a hospital and did psychiatric evaluations on a couple thousand people. It was very common that bipolar would only present during their depressed phase, and end up in a cycle of multiple, frustrating depression diagnoses, and no improvement because of being put on antidepressants.
Very rarely do people present during a manic episode because they feel pretty awesome. However, bipolar with psychotic features would often be brought in by their family, or work, or even ambulance or police.
So a very thorough history attempting to differentially diagnose bipolar from depression is critical.
I love these videos helps a lot to understand myself and better myself
I have adhd(combined type) and supposedly bp2. Been working on myself for YEARS doing everything you n any other practitioner out here and guess what? We STILL struggle. It helps yea but not by much and it feels damn near impossible half the time🤷♀️
I am sorry for that. It’s a process. I appreciate you sharing and watching.
take medication for every kind of struggle you meet!
anxiety =benzodiazapine
depression=antidepressants (they will NOT cause mania)
circadian rhythms =entumin for sleep and nuvigil for wakefulness
adhd=Vyvanse
mood problems=mood stabilizers (tegretol is probably the best out of them)
I received a diagnosis of Bipolar 1 when I was 35. Medication, a wonderful psychiatrist, CBT and talk therapy help me to remain somewhat stable. I am partially responsive to medication. Mental illness runs on both sides of my family. In addition to myself, I have 2 first cousins who have a BP diagnosis. One cousin is a mother of 2 sons (my 2nd cousins) who have BP. I want to know all of these people, because I think we can help each other. All my efforts to connect over the past 10 years have gone unanswered....sadly, family dynamics are problematic.
Hi Dr Snipes I don't know if you're old enough to remember this but in Bill Clinton's days he had a minister of Health federally who was bipolar and spoke very openly to the public in regards to it. I remember it well as I showed it to my mother who was bipolar to let her see that many people in high places also have bipolar and my mother was a genius. And so was Bill Clinton's minister of Health
You are exactly right mental illness doesn't need to define or constrain people. Thank for watching. .... (And I *might* be old enough to remember Clinton.... 😉😅 )
Thank you for putting this up! One important mention I want to make is that naps should be 20min long or 1.5min long. A 45min one will mess anyone up big time.
Thanks for watching.
It was never confirmed that Robin Williams had bipolar. He even denied it in a conversation Carrie Fisher recounts. What finally drove him to take his life was Lewy Body Disease.-- I've done research online about what famous people had bipolar and I found so many lists without resources, but none with. I had to research each person individually. I didn't do it. Too much time and effort.
These videos are fantastic. Thanks for sharing
Our pleasure! Thanks for watching.
Do you have any talks or discussions regarding how family and significant others can be included in the therapy?
God bless you and your family and friends forever in Jesus name
Thanks for watching.
Wow,thanks dr, for helping us to understand , whats going on ,with day to day ,life's up's (&) down about life,
Very Welcome
What a detailed lecture...thanks
Thanks so much!
Thanks. I ask myself better questions due to this remarkable video. I feel comfort on a down day, not asking why
Glad to help! Thanks for watching.
Thank you
Welcome.
What bothers me about the Mood Disorder Questionnaire is that they will not catch mild hypomania unless you've got a super knowledgeable patient who can modify their answers because they know that they just have a milder form. My hypomania manifested for years like you described as coming off of a unipolar depressive episode... except I didn't go back to normal I fell back into depression. In fact, you can find an almost perfect example of what I experienced for over 30 years in the back of the DSM-5 filed in Under Consideration. So, my mild hypomania presented every 3-4 months for a few days, usually but not always, right before my period. I felt as though I'd come out of a cloud and I felt like I was competent and could actually have the energy and emotional strength to do life, and a few days later ... nope. The mental health field focuses way too much on Bipolar 1 and acute manifestations of bipolar, and it looses people like me to the nuances that embody bipolar 2 and cyclothymia. I spent 40 years improperly diagnosed and improperly and ineffectually medicated. I think that at least 50% of my CPTSD came from that experience. It might be interesting to have a class on bipolar 2 specifically, and all it's manifestations including that "under consideration" section in the DSM-5. Maybe interview some people with "milder" less visible forms to add to the body of knowledge you gather for the class. Side note: one of the things that may have hindered my diagnosis sooner was the fact that my Mom didn't tell me until recently that she'd been hospitalized for depression and diagnosed with manic-depressive disorder. In fact, she had no idea until, I guess, she did some internet research recently, that manic-depressive disorder is bipolar. By the time I was looking seriously for help she was on an antidepressant so I thought she had MDD. Nope. She was one of the few bipolar people who responded well to an SSRI. Nevertheless, the stigma in our society about mental illness and the lack of communication between generations can really hinder diagnosis when we're talking about illnesses that are mostly based in genetics.
Thanks for watching and commenting.
I was diagnosed Bipolar Type2 28 years ago. I’ve been taking cocktail after cocktail of meds and nothing has helped me since I was taking Prozac and then like they all do they stop working after awhile so then your stuck doing these med changes that if anyone knows these come offs of the med are just terrifying. It most cases you feel as if your loading your mind and body. I’ve now gotten to the point of not wanting an antipsychotic anymore because I’m f the side effects are more likely worst then the symptom itself. I’m trying this yellow strip I heard about from Hawaii and it’s supposed to mellow your emotions out and give a sense of calm and clean energy along with peace and happiness. I spent 106 dollars shipping and handling. I’m at my last draw with meds because of what happened to me last month on a new med that didn’t have bad side effects at all while taking it and I thought it to be my Hail Mary but after a month I starting having all these side effects. 😢 I had to stop taking it for two reasons. I have high cholesterol and those antipsychotics are slowly killing us. I don’t know what to do. I’m going to give these things a try and if that don’t work I’m trying TMS therapy 😢 they forget to tell you how horrific it is coming off these meds. It makes it impossible to work do anything. I’m always sad. My husband is sick of me and I have fibromyalgia also so life sucks to the fact that you never know when a good day is coming and that f it comes are you gonna be in pain also. I also have borderline personality disorder, ADHD and horrible anxiety. I’m almost to the point where I’m afraid to leave the house. Because I’m an empath so it’s always an overwhelming feeling always feeling what others feel
Wow thannk you
You’re welcome 😊
I have bipolar II so idk if this applies to type I. Lithium (which is a natural mineral and does not have withdrawal symptoms) has been great for my sleep/mania/general stability even at a low dose. Lamictil has been helpful for my depression. I’ve been on both for almost 2 years and feel much more stable/less reactive. I still have cycles triggered by stress or the weather but I’m not as miserable and out of control as I used to be. Antidepressants and antipsychotics fucked me up real bad for years (age 18-22) when I first sought treatment. Often the side /withdrawal effects from these meds leave you worse off than you were to begin with. Inexperienced doctors don’t understand those risks when prescribing heavy duty meds.
Sorry that happened to you. I appreciate you watching.
Thanks for your work. Alcohol was my medication before I was diagnosed Bipolar.
Thanks for watching. Wishing you peace, health, and happiness.
Thank you for saying Thanks. Yes, I m Canadian 😊
I ve seen many lectures, seminars and podcasts regarding Bipolar on TH-cam. In my opinion you understand and explain the disease better than anyone else I ve heard.
I ve done a little research on my own and have come to the understanding that Alcoholism and Bipolar have a strong correlation.
The speaker at a meeting I went to tonight indicated he lived with Bipolar.
I thanked him for mentioning that.
What's interesting to me is that I am reluctant to mention I have Bipolar in an AA meeting. Worried about the stigma at an AA meeting of all places.
I ve battled Depression on and off since I was about 15. At 24, I was diagnosed as clinically depressed and prescribed Prozac. I started drinking heavily around the age of 37 and stopped at age 53 (2017). When I stopped, I switched to Sertraline as my new antidepressant.
I went from severely depressed to a hypomanic state in about 10 weeks.
A year later, I had a short manic episode that landed me in the hospital, ( I was formed). Within 8 weeks of being released I went back into the hospital
for depression. I discovered that I had been rediagnosed Bipolar 1 when formed earlier in that year.
I m guessing that the disease can change and that people can slide along a mental health continuum over time.
My anxiety had pushed me from the Bipolar 2 realm into the Bipoar 1 realm?
I think I ve been in the cyclothymia realm the last 3 years. Fairly even keeled.
I ve been on a low dose of Lamotrigene
(100mgs), and 10 mgs of Escitalopram.
I ve been fine without any antipsychotics so far. If I feel paranoia coming on, I ve somehow figured out to sidetrack it.
I think taking CBT has helped me
One thing I wanted to mention is that I think that my Bipolar is linked to a medication I took for Asthma in the 1970s. (Tedral). Two of the components were Ephidrene and Phenobarbital. I remember times when I felt very good after taking a pill. (Ephidrene kicked in).
Later I would feel very tired. My sleeping habits were poor.
Thanks for listening.
I have recently read that they think bi polar is really a sleep disorder. I believe that. When I’ve taken something that causes mania I can’t sleep and it just gets worse.
At 43: Lupron, an Estrogen blocker + frequent surgeries for Breast Cancer treatment triggered my mostly dormant, undiagnosed Bipolar that disabled me for months.
Still trying to reassemble myself.
I don't know if this is allowed or just off content but I was diagnosed BP, CPSD, Chronic anxiety and major depression. Has anyone tried Abilify or latuda? If so can you tell me if or which one is best. Without side effects or withdrawals. I tried vraylar to dragged down and sleepy and then prstiq felt so nervous and shaking tremors and took it almost 3 months but having trouble with getting off it crying spells, severe depression, from withdrawals ect the psychological effects from withdrawals can't just quit need to wean but she keeps throwing mental meds at me like off the prestiq on straight to latuda and then Abilify and I'm still having trouble quitting prestiq!!! I don't know what to do or just quit everything 😕 these chemicals messing with my brain has got me in a bad situation. Guess I'm just a lab rat 🐀 tired of trying meds but still don't know what to do?! I asked for a very low dose of Prozac and she sent in Abilify before latuda but haven't taken either still trying to get off prestiq SSRI
I have bipolar II so idk if this applies to type I. Lithium (which is a natural mineral and does not have withdrawal symptoms) has been great for my sleep/mania/general stability even at a low dose. Lamictil has been helpful for my depression and crying spells. I’ve been on both for almost 2 years and feel much more stable/less reactive. I still have cycles triggered by stress or the weather but I’m not as miserable and out of control as I used to be. Antidepressants and antipsychotics fucked me up real bad for years (age 18-22) when I first sought treatment. Often the side /withdrawal effects from these meds leave you worse off than you were to begin with. Inexperienced doctors don’t understand those risks when prescribing heavy duty meds. I briefly tried Abilify during a depression spell recently, it gave me intense vomiting and diarrhea (the gut brain connection ig?) within the first 2 days so I stopped it before I felt any mental differences.
@@Anotherhumanexistingit doesn't get more heavy duty than lithium what are u talking about lol
@@NatureHeadSupreme it’s a mineral mined from the earth that I personally have had minimal side effects from. Yes, if the dose it too high it can be overly sedating. Antipsychotics made me unable to think/function at all so in my mind that’s heavy duty. But everyone’s genetics are different…
Every video on You Tube about Bipolar spends half the video explaining the same symptoms. Been bipolar since 1989 and the most i have every been stable is less than a year. 32 medication changes and combinations since 2007, 15 through pandemic. The side effects of the drugs are what get you, not the illness, by the way the FDA only has 4 drugs approved for bipolar with depression, all the rest are used off label and are always my issue.
If Only there were meds that didn't put on huge amounts of weight. With no meds am fluctuating madly
Telling people with depression, hypomania or mania to "Get adequate sleep" sounds nice, but it's not realistic. These people have insomnia with a capital "I."
99
99⁹ol
999
Exactly
This!
I have biopolar psihosis plise help m i i drink medicament bat is not help m i
You should work with a medical doctor and professional counselor. Thanks for watching! Wishing you peace, health, and, happiness.
Bipolar disorder type 1 really sucks ive learned.
I am sorry you are struggling with that and I appreciate you watching the video
What makes us bipolar
Thanks for so much.
I think antidepressants make people develop bipolar. It did me anyway.
Sure all of these celebrities are bipolar? Borderline personality disorder is often misdiagnosed as bipolar.
Thanks for watching!
Watched your video to better understand a family member struggling with Bipolar I. Good video but, very BAD examples of ppl "coping" with the illness. Especially Amy Whinehouse.
Thanks for watching and commenting.
HORMONES
Can you plz explain .
Adenozine
Adenosine is a neurotransmitter that plays a crucial role in the body's sleep and energy regulation. It accumulates in the brain throughout the day as a byproduct of energy production and cognitive activity, contributing to what is known as 'sleep pressure'. This build-up of adenosine is what makes us feel sleepy and can affect our ability to concentrate.
During deep sleep, the body clears out adenosine, preparing the brain for the next day's activities. This process is akin to a cleaning crew going into a factory overnight, removing waste products and tuning up the machines for the next day's work. If the body doesn't get enough deep sleep, adenosine doesn't get cleared out, leading to feelings of grogginess and difficulty concentrating.
Adenosine also has specific receptors in the central nervous system. When adenosine binds to these receptors, neural activity slows down, contributing to feelings of sleepiness. This is another aspect of the 'sleep pressure' phenomenon.
Interestingly, caffeine acts as an adenosine receptor antagonist. This means that it binds to the same receptors as adenosine, preventing us from feeling sleepy. However, it's important to note that while caffeine can make us feel more alert, it doesn't actually improve cognitive functioning. It merely blocks the effects of adenosine, not the presence of it.
In summary, adenosine is a key player in the body's sleep-wake cycle and cognitive function. It builds up during the day, causing sleepiness, and is cleared out during deep sleep, allowing for alertness and concentration. Its interaction with caffeine also plays a significant role in our perceived energy levels and alertness.
@@DocSnipes thanks