It's all just the bipolar talking

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Raziel,

Ja. He did say I could go off it immediately. I did question that myself and asked him for clarification and he reaffirmed that I did not need to taper the lithium. Still questioning it, and looking at your post, I looked it up, and it appears that all the calls for tapering apply to actual cases of bipolar disorder. (Basically, not tapering can produce relapse in bipolar disorder) It seems that my second doctor's logic is, Since I don't have bipolar disorder, I don't need to taper.

Regarding seeing psychiatrists, remembering what the second doctor said, it seems he was saying I don't need to see a psychiatrist. I would do just as well with just a psychologist. It's something to think about. I do know one member of my family who would be opposed: My dad. My dad seems insistent on ascribing biological causes to the recent problems I've been having, that it's all just the bipolar. He says I don't need a psychologist, just a psychiatrist to tweak my medicines. I'm afraid that if I were to go to him and tell him what I'm doing, he would confront me, say I have no insight, and accuse me of playing games.

That really sucks how your claustrophobia got triggered.

Your last psychiatrist said she didn't think reading psychiatric reports was necessary? What did she mean by psychiatric reports, btw?

For borderline, that's opposite here in the States. In the States, insurance won't pay for borderline, or any personality disorder for that matter (and schizotypal disorder is a personality disorder in my country). I also get the impression that there is no consideration for personality disorders in sentencing criminals. This country seems to have the idea that personality disorders are entirely the fault of the sufferer, and that he/she should not expect any support for them. Luckily, therapists can usually just code a vague anxiety or depression to still get paid, unless the insurance companies try to limit therapy for such supposedly "minor" issues.

The second doctor I saw actually has a special interest in borderline. He will actually do psychotherapy for people with borderline. Nevertheless, he says I only met 2 criteria: rage and suicide attempt.

That diagnosis of ADD + autistic tendencies is exactly the same as what I was diagnosed with when I was 5 (and yes mine was initially without the H), before I got the additional diagnosis of PDD-NOS by age 6. That really sucks about the wait, since posting on here, you've probably had significant issues with autism spectrum disorder.

I dunno that much about lithium.
My friend who took lithium got re-dx with complex Personality Disorder. So she propably also doesn't have Bipolar they think.



Yes it was really terrible.
Officially I would have to stay for 72 hours in the locked ward, but I freaked out so I stayed for one week in the locked ward and another week in another part of the psychiatry where I got an asthma attac, maybe from the meds, maybe from something else. After that I told them that I was terrible scared of the locked ward and everything and they just told me that I could have left earlier if I wanted to.
But noone told me back than...
So OFFICIALLY I stayed there for 72 hours, because I had to and the rest of the time, because I wanted to.
I say "officially", because I didn't know that and even if I asked them that I want to leave they said "no".



Yeah well, this psychiatric clinic had an ambulant part, so it's in a seperate building and just for ambulant treatment, but officially it's part of the psychiatric building. So my last psychiatrist had all my psychiatric reports from the psychiatric clinic and also from psychiatrits befor. So my entire psychiatric file, but she didn't even read it one single time.
And in the end she was pissed when she found out that she is wrong and so sended her opinion on my insurance, against(!) my will. So to get my sex reasignment surgery, I even had to travel to another country (USA) to get out of this mess and after this I had my officiall name change, because I had two independent expert reports that I'm Transsexual.

So know I've another psychiatrist outside of this psychiatric clinic and all turned out fine. But to come to this point, I had to go through a lot and I still don't understand why this all happened?
Actually there was a lot more, but it's getting to much to tell it here right now.



I dunno if I should still care about it what's more correct or if it even matters.
Maybe I've ADD + ASD!?
I just know, in my childhood I had deffinitly much ASD behaviour, so that it was really obvious, but it's true that one of my mainissues right now is my difficulty focusing.
... but I still have an anxiety issue because of what happened in the past.

Raziel,

That sucks what your psychiatrist did.

You said you had to travel to the USA in order to finally get sex reassignment surgery? That doesn't make much sense to me. In the USA, it's rare that you can get sex reassignment surgery covered; you generally have to pay for all of it up front, out of pocket. (Trust me. I know. It's a fact that grates on me everyday.) Did you just go to the USA for your name change, or what? I'm not really following you.

I had to pay for it myself, but the regulations to get it are much more strict in my country, I didn't talked about the money.
Maybe I would have found a surgeon in my country who would have done it, but it would have been much more difficult.
In my country it's much more strict than the normal international standart that is used in most countries, also in questions like therapy and name change and so on.
Compared to what I've been through in my country, it was very easy in the USA.

The name change was of course in my country.

Raziel,

If you don't mind me asking, how did you come by the money?

long story.

Well, I hope such a story becomes true for me at some point.

This is the new diagnosis from the second opinion:

(The other axes are left blank.)

^ Oh good.

I didn't think you had anything like bipolar. Having ASD and GID isn't a piece of cake and, I though,t would've explained things without needing to add a third disorder.

Well, I went for the 3rd opinion, and he says I don't need to be on lithium and he reaffirmed the 2nd opinion's diagnoses. He also had an interesting explanation for the agitation on Prozac last year: ASD people tend to be more sensitive to the effects of psychotropic medication and that I had had akathisia in a way. He said he would have me go on a much lower than neurotypical dose if he prescribed me such things.