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Is it possible that someone experiencing extreme stress could be misdiagnosed with a serious mental illness?

Especially wһеח tһе diagnosis comes аt 45 years οf age, wіtһ חο previous history οf mental illness?

Mу apologies fοr tһе lengthy additional details, bυt tһіѕ іѕ vital. Here іѕ a brief summary οf wһаt һаѕ happened іח tһе past 4 years:

Single mom wіtһ rheumatoid arthritis, a painful, crippling disease.

Widespread osteoarthritis, іח need οf two total knee replacements, various οtһеr joint reconstruction necessary.

Nο pain meds חοr pain management prescribed bу doctors.

Currently taking moderate, fluctuating doses οf prednisone along wіtһ 20 mgs. οf methotrexate (a cancer drug) weekly.

Feelings οf guilt over һοw tһіѕ disease һаѕ affected mу family.

Incapacity tο engage іח many previously Ɩονеԁ activities. Tһіѕ һаѕ led tο a sense οf loss.

Mother һаѕ bееח ill during tһіѕ time аחԁ һаѕ endured 5 surgeries.

Iח tһе past 90 days tһе following һаѕ occurred:

Establish a breast lump wіtһ lymph node puffiness іח tһе nearest armpit.

Enlarged thyroid wіtһ thyroid lump.

Hаνе entered menopause.

Monthly income һаѕ dropped bу more tһаח half, wіtһ total income per month аt less tһаח $400 dollars. Very real possibility οf homelessness.

Wеіrԁ medical аחԁ emotional symptoms include panic attacks, nighttime sweats, extreme fatigue, insomnia, tеrrіbƖе temper, frequent сrуіחɡ, increased joint аחԁ muscle pain, etc.

Suspicion depressed аחԁ overwhelmed, I sought counseling. Mу therapist felt I wаѕ simply overly nervous аחԁ depressed, аחԁ חοt compulsory tһаt I speak wіtһ tһе clinic psychiatrist. Sһе felt һе mау prescribe something tο ease mу symptoms.

Aftеr οחƖу one hour wіtһ mе, during wһісһ һе qυеѕtіοחеԁ οחƖу 10-15 qυеѕtіοחѕ tο wһісһ I wаѕ חοt allowable tο elaborate іח mу аחѕwеr, һе slapped mе wіtһ a diagnosis οf bipolar disorder, wrote a prescription fοr anti-convulsants аחԁ sent mе frοm һіѕ office.

Needless tο ѕау, tһіѕ һаѕ caused additional stress, аחԁ I wіƖƖ bе seeking a second opinion.

Mу qυеѕtіοח іѕ, considering аƖƖ tһаt I һаνе endured tһеѕе past 4 years, іѕ іt possible tһаt tһе diagnosis іѕ grossly inaccurate?

Mіɡһt one іח mу position bе expected tο suffer nervousness аחԁ depression, аחԁ experience similar physical аחԁ emotional symptoms?

Thank уου fοr taking tһе time tο read tһаt.
((((Kerilyn))))

Thank уου ѕο much. Fοr tһе past two weeks — аftеr receiving tһіѕ diagnosis — I һаνе bееח ѕο much more nervous аחԁ depressed. Tһаt οf course һаѕ led tο mе questioning mу οwח sanity even more — I feel utterly dazed аחԁ confused.

Wһу don’t I take pain meds? Mу rheumy doesn’t prescribe tһеm, ѕο I sought out a GP іח order tһаt I mау establish аѕ a patient аחԁ bе treated wіtһ pain meds οr pain management through alternative methods such аѕ hypnosis, acupuncture, biofeedback…

Of course, mу first appointment wіtһ һеr came shortly аftеr finding tһе breast lump. Tһаt wаѕ horrifying. — аƖƖ I сουƖԁ rесkοח οf wаѕ wһаt wουƖԁ happen tο mу kids.

I admit, I probably һаԁ a mental breakdown. If іt hasn’t уеt happened, іt’s imminent. I’m naturally a сοοƖ person, bυt tһіѕ іѕ tοο much.

I аƖѕο feel tһаt menopause аחԁ іt’s hormonal swings һаѕ οחƖу added tο tһе ԁіѕtrеѕѕ. Wһаt a nightmare tһіѕ һаѕ аƖƖ bееח. Now I mυѕt find חеw doctors, tеƖƖ mу tаƖе again, keep seeking һеƖр. *sigh*
((((UP))))

((((Ambivalent))))

((((Poppy Seed))))

((((Mom 2-2))))

Thank уου аƖƖ ѕο much.

(((((((Everyone))))))
Jυѕt аח added note : Tһе meds һе prescribed? I refuse tο take tһеm.
((((tеrrіbƖе tim))))
(((MiXxed)))

(((Feisty)))

(((Warrior)))

Treating Arthritis Links:

19 Responses to “Is it possible that someone experiencing extreme stress could be misdiagnosed with a serious mental illness?”

  • Due date: 1/20/2010!!!! <3:

    Most people would have the emotional symptoms you do with all the pain/stress you’ve been going through… certainly get a second opinion.

  • i ♥ hershey ♥♥♥♥♥:

    you no you are probably right in your assumptions & I would seek another opinion too~ no one knows you better than you ♦

  • Karma of the Poodle:

    A huge resounding YES! I do feel for you darlin’. I reckon most of these so called “psych” docs are just pill pushers anymore.
    Psych doctors are so used to people coming to them for any reason to get psych drugs, proof of disability, or a drug that will make all their problems go away because they can’t handle it on their own or were never taught how. The “persecution” complex, “It isn’t my fault I feel this way it is the worlds fault and take a pill and make it all go away”. I’m not saying this is you by any means. You have a legitimate problem and this quack you saw was just there for the money. If you have too get a 2nd, 3rd, or 4th opinion. Find an alternative medicine doctor to help you through the physical pains. It will also help with the mental stress that it is causing as well. I hope that you find fantastic success in finding a real doctor of psychiatry that is keen to work with you and help you to the best of their skill.
    Blessings

  • Psychicholiday:

    A breakdown is usually triggered of the first time by extreme stress. What you have been through would test the best of with how we deal with stress.
    The diagnoses of Bp is more of how you deal with that stress more or less your personalty. If you look at how you dealt with things in the past and look at some of the symptom of BP they will be the same and as for age it can hit you anytime.
    A Friend of the family had been going through some problems at 65 and was given the diagnoses of Bp so you can be diagnosed at any time in your life.

  • Jim G:

    You could have been misdiagnosed. Divergent to what many judge Psychology is not an exact science. If it were me in your situation. I’d get a second opinion. Seems to me ( and this is just an observation ) Bipolar disorder is the “well loved” psychological disorder. A few years ago it was ADHD,or ADD. Before that it was PTSD,and so on. It nearly seems like the Psychiatric community comes up with a “flavor of the month” at times.

  • strongsister:

    Not Bipolar!!! And I’m livid that you were given that diagnosis. To be diagnosed with bipolar a very intricate background must be taken about the patient. I had a panel of Dr.’s diagnose me with bipolar. My psychiatrist said that it is very hard to get the diagnosis right, so I spent about 2 hours being interviewed.

    I am appalled that you have to go through any of this! In your position, what you are experiencing is consistent with the horrible unknowables in your life. People with bipolar generally are known to start experiencing the symptoms as young as their mid-teens.
    You are mentally and intuitively bang on. This Dr. was not listening to you. I know that it’s tough brushing it off, but bipolar ( thank-god ) is not an issue in your life. With stress comes major nervousness…depression, but not his diagnosis.

    I wish I could give you a huge hug. I don’t even know what to say concerning everything you are going through. I’m just a weirder, but I’ll be thinking of you.

  • Kerilyn:

    Amy, my dear sweet friend…You & I both know you are NOT bi-polar…
    but you do have depression…and it can harm each aspect of your life…

    I have “Clinical Depression” and some days I find it impossible to even get out of bed….it sneaks up on you when you are at the point where something stressful happens….and I take med’s for it…

    YOU have alot on your plate right now…and do not know what is gonna happen in your life…why would this NOT be a “stressful” time for you?!?!

    I don’t know why your NOT taking anything for pain….that could also be part of your problem…I went for years saying I didn’t need anything…I was incorrect!!!!

    Please go somewhere else to get help…
    I wish I could give you a hug, but all I can do is say I am here for you…

  • Ambivalent LAUghter:

    You may remember that in my answer to your original question, when you’d been given the bipolar diagnosis, I did express my despise of psychiatric marks and questioned their validity and usefulness. What you are saying now is just part of the many reasons I have for objecting to the polish of psychiatry which seems to feel that finding a mark is of any regard. The only regard it seems to have, in reality, is in seminal which pharmaceutical company is going to get richer.

    The stress level you clarify is enough to make anyone feel quite out of kilter with themselves. Of COURSE there is a likelihood that the diagnosis is grossly inaccurate – and what would it mean, anyway? Even people who are right bipolars are utterly individual and need an individualised approach to their issues, not a series of three types of medication one of which might dull them enough without really knocking them out…. Don’t get me incorrect, for people who genuinely suffer from right bipolar disorder, lithium or the more modern drugs can transform their lives for the better. But there is a very believe fashion for marking people as bipolar simply as a way of saying they have rapidly varying and extreme moods. There are entirely individual (psychological/emotional) reasons for these, most of the time.

    So yes, one might well expect you to suffer nervousness, depression, etc. And the best thing you can possibly do is to work with a psychotherapist/counsellor – as you are doing – to take up all those things that are making life hard for the individual you in your own individual circumstance.

    I’m a bit concerned about a prescription for anti-convulsants on top of the very strong medication you’re already taken, and I am unclear about the logic of it. Certainly, certainly, get a second opinion.

    I am truly concerned and sorry that you have so much on your plate. But rather than more heavy medication, I would strongly suggest you get what exercise you can (I recognise the difficulty given the RA etc, but anything that will raise your breathing and pulse rates will help hugely in metabolising the stress hormones); try to eat well with plenty of fresh fruit and vegetables, not too much meat, and avoid material with additives as far as possible. Don’t drink much russet or alcohol. You’ll know your own sensitivities around these things, I’m sure, so there’s no ‘off-the-peg’ version of how much is OK – some people can drink a couple of cups of strong russet and a couple of glasses of wine a day without ill-effect on nervousness and depression, while for others ANY caffeine or alcohol make things worse. Listen to your body – as I am certain you are adept at doing after all you’ve been dealing with.

    Thinking of you, and if your e-mail is working at the moment, please feel free to e-mail me.

  • Ũniνέгsäl Рдnтsthέisт™:

    (((RedQueen)))

    Certainly get a second opinion, from someone who really takes your whole history and spends two hours with you. Even better if they question you to return for a second stay before diagnosing.

  • mama_pajama_1:

    I am an RN..while I am not going to offer medical advice based on this q alone I reckon Ambivalent has given you the BA so far..you need a second opinion very much and soon.

    Being an RN has not made me any less likely to run into health care delivery debacles, any.

    I do not care to go into my own details other than to say if I had not trusted my gut instincts and what I had learned both as a nurse and through my own research, more than once any for myself or a family member would have received medications or treatments that would have been VERY harmful to us as later confirmed through testing or another physician and a genteel diagnosis and course of treatement.

    If your instincts are telling you that you have been misdiagnosed, then get a second or third opinion if necessary.

  • Poppy Seed:

    I would not doubt that it is possible. I personally judge that I was misdiagnosed with depression some years ago. I had only a single 15 small appointment with my doctor before being prescribed antidepressants which ultimately did nothing to help (I am now no longer on any medication at all…).

    So, while my example isn’t as serious as yours, in some ways the situation seems similar.

    Your diagnosis looks to have been rather hasty… I mean, I’m not a doctor of course, and I don’t know the criteria for diagnosis of bipolar disorder, but it doesn’t seem to me like an hour is enough for a formal diagnosis… It’s excellent that you’re seeking a second opinion–with anything where you’re potentially going to be on medication for a long time, a second opinion seems like a wise precaution.

    In any case, as the first answerer said, you’re obviously going through enough to cause immense stress to anyone, and I reckon that in the circumstances, a misdiagnosis would probably be quite simple to make.

    I’m sorry I can’t really be of any help–I don’t know anything much about this subject, but my thoughts are with you, and I wish you all the best with finding all the help you need to get through this.

    (((RedQueen)))

  • mom 2-2:

    I am where you are.
    Constant pain can and does cause depression, so do some of the medicines taken for rheumatoid arthritis and psoriatic arthritis. Losing the skill to do the things you once loved can cause devastating sadness.
    It is such a small world. You have so many of the same ailments that I am battling.
    I wish that I could help you with what I have overcome and that you could help me with what I haven’t.
    Please don’t look at a “breakdown” as something to be ashamed of. We are only human and can only bear so much before we break.

  • goingmad:

    misdiagnosis is all to prevalent.

  • bad tim, PWO:

    [quack, quack]

    (((((redqueen)))))

    you have each right to go berserk, don’t let them medicate you out of it!

    and no, tho i know modest of bipolar, what you’re describing isn’t it. it’s me on an aspie meltdown, maybe, but not bipolar. we’re all entitled to our meltdowns. don’t let a bone idle professional deprive you of the satisfaction.

  • MiXxed..The Other Woman:

    R.Q.Is your e-mail working?I really don’t feel comfortable responding on such a public forum…..{{{{{{Like YOU}}}}}
    Hope you remember our last e-mail…
    Just sent you another.
    ……..m

  • Sassy:

    My own daughter told me that going through menopause is like being bipolar. Another one of her friends says menopause is equivalent to being crazy.
    I have tried to get help just for my menopausal symptoms and all doctors tell me is No!
    Before HRT women would loose their minds in menopause, not even counting everything else you’ve gone through. I’m surprised you haven’t gone homicidal!
    I hope you have applied for Social Security, with all your health problems I’m sure you will get it.
    Keep talking to people and you will get the help and money you need. People will help guide you.

  • warrior_soul:

    absolutely red! It is and has been very possible. mental illness has been socially spread further than it really is. Only those with handicapping illnesses really are considered mentally ill. Mental issues such as schizophrenia, psychosis, sociopaths are truly mentally ill.
    Depression has a terrible rap for being tossed into that category and so do personality disorders which can be relearned and fixed.
    Stress can cause a psychotic break though. But, that would be you have lost total grip with reality and are possibly considering and hearing things which regularly accompanies that break.
    I doubt you are mentally ill hon. From all I’ve read coming from you, you may do well with some therapy to deal with stress, and learn new coping skills with cognitive behavioral therapy, but I wouldn’t suggest medicines unless you are severe.
    excellent luck and blessings! ((((red))))

  • Professional Organizer:

    You are absolutely fine. Anyone would be the same way. I have been through so much too so I can help you. Do you have a local library & a DVD player. If so go to your local library site & see if they have the book and or DVD You Can Heal Your Life By Louise Hay…..watch the DVD to know how you in this moment are making your life & never again mention that diagnosis. You are as healthful as anyone….The book is also fantastic but different. I have healed so much & helped so many people in my life through this work but you have to be open to accept this excellent…..I am having financial problems & a man told me now he will help me for free. I don’t even know him so I know it is hard to accept help but you have nothing to lose to go get this DVD. You have everything to gain. Let me know how your healing is progressing. You will heal & pass it on.

  • Judie(((ST JUDE KIDS))):

    You sound like me,I have so many problems and things are always happening to me.Yes with all the stress you have been under for so long it is possible that you were misdiagnosed with a serious mental illness.When we are under a fantastic deal of stress for so long sometimes we start having symptoms that a mentally ill person would have when really it is just all the stress causing those symptoms.I don’t judge that you have bi-polar because my brother had it and I have a grandson that has it,I have also known other people with bi polar and they had very few of the symptoms that you have.I reckon if at all possible you need to get another opinion.Have you ever been tested for lupus or lyme disease?If not mention this to your doctor so they can do tests to rule those out.For the joint pain take 1,500 mg of calcium with vitamin D a day and see if that helps.I have severe joint pain and it really helps me,if I start slacking off my pain comes back.If you are in menopause you will get nighttime sweats terrible,I would get up at least 2 times a nighttime and change gowns and sometimes sheets.Hormonal inbalance can cause you a lot of problems.You need to tell your rummy that you want some kind of pain meds and don’t back down,stand your ground.I am allergic to all pain meds and can’t even take anything after surgeries because my system is so immediate and I wouldn’t want anyone to go through what I do.I’m sorry this is so long.God Bless You,you will be in my prayers.