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Mixed feelings-might be getting another diagnosis (ED)

Mixed feelings-might be getting another diagnosis (ED)

I have multiple mental illnesses including Bipolar 2, cptsd, OCD, social anxiety. I’m also neurodivergent, ADHD and ASD. I already have tons of labels and a lot going on. I’m getting assessed for an ED on Monday during my psych appointment, I reckon I meet criteria so I am anticipating another diagnosis. I know it explains my how I’ve been feeling but it’s another label, I hate feeling so broken and feeling like I’m complicated. I know my disordered eating habits are adversely affecting my mental and physical health, I’ve just been in denial for so long and would also get defensive when people commented on my eating habits or asked about them.

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In response to: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

Thank you for sharing @AlwaysMyself .

I'm finding your responses so helping in providing insight to various mental health challenges.

Really really appreciate your lived experience and expertise.

In response to: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@AlwaysMyself I personally find behavioural activation works better if I’m less depressed to begin with. If I’m having a severe depressive episode, even going on holidays won’t erase the SI. I went on holidays around Dec but the thoughts were still constant. I thought something was wrong with me because people say that going on holidays makes you happier. I think my depression was too severe. I have been on quite a bit of meds for a long time, I wanted to avoid any increases. I just felt like I had to add the new meds to stay alive. I can’t make much progress in crisis mode, I need some stability before I can on the deeper stuff. I think the meds will help me get there.

Forcing yourself can get exhausting, but can help you get things done. I think it’s difficult finding the balance between sitting with thoughts and distancing yourself. I can go from one extreme to the other. I don’t know how I to find the middle ground. I do also agree talking about them helps. I don’t always like talking about it, but it feels like a relief once it is out. I think being open about the dark thoughts allows my MH team to support me better. I’ve tried helplines in between which can help in the moment. Writing poems also releases emotions.

In response to: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@creative_writer I'm not sure if you've already looked into it, but I think CASA can do EMDR? Could be a good interim support, and pretty sure it's free, too.

I hear you on how hard it is though, and how scary it is to open ourselves up to a new person without knowing if it's going to be helpful long-term.

I really appreciate you sharing your insights @AlwaysMyself - I guess balance is a key theme here, with figuring out whether we need to be 'functional' or 'processing'... I wish life didn't place so many demands on our time so that we didn't have to keep prioritising those obligations over being able to just... be. [Insert Classic Jynx Rant about capitalism here]

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@tyme Not sure if you read yet or not (totally OK not to have - hence mentioning it here in passing), the MH-GP I saw yesterday asked if I might have autism. I hadn't said anything about having traits or friends suggesting it to me, etc etc. Its was 100% from her observation & my description of my depression & SI 😅. ...it certainly could explain why my depression is quite different from 'textbook' depression.

@creative_writer Once upon a time (not a fairytale sadly though) travel-holidays were my relief from depression. The past 4 years, similar to yourself, my SI has persisted even whilst travelling on holidays. It sucks eh, when even the things that used to help don't help?

I am also hoping the new meds help alleviate and stabilise your mood. You are so right about not being able to make underlying progress whilst living in crisis day-to-day or week-to-week. *hugs*

I've been on my same medication for 15 years, and have been coming off it since the new year (under GP guidance and because of an upcoming treatment that requires me to no be on the medication). I had been wondering for 1-2 years whether the meds were actually doing anything anymore. ... so far (and I'm now at 25% of the original dosage, which was the maximum dosage) -- absolutely no mood change over the past month of tapering. So yeah .. don't think those meds were still helping me at all (or much) still. Of course no idea *when* they started decreasing in effectivity. I assume they must have helped when I started on them, or else the pdoc I saw weekly would have noticed it did nothing and surely would have tried something else instead. But of course no doctor has ever suggested for me to try coming off them or change them -- I assume because they are either worried if I do get worse from coming off them, and/or they don't know what else to change me to??

On the positive side -- I guess I've learned to self-manage without actually having any assistance from the medication?? 🤣 it's like my mental-health weaned itself off the medication many years ago, and now it's just the physical side-effects that my body is weaning itself off 😂🤣.

I'm really glad you are open & honest with your MH team about the thoughts. 🙂 I agree that if they are aware of them, they can better cater their approach to how to help you most. 🙂 . Even if it can be really hard to talk about it. Sometimes I will pre-warn a new MH support that "I apologise, some of this may be a little confronting" -- because I can be very blunt about my thoughts with my MH supports (because I know it is OK to be honest! of course I can't do this elsewhere).

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@Jynx i could also consider CASA but I’ve heard they have a wait too. I might be able to get into a new psych by then. However, I may still consider CASA if I struggle to find a psych. It would be ideal to find someone who can work multiple diagnoses. I lean more towards going privately than going through CASA due to complexities. I also think I would get confused seeing two therapists.

It is definitely scary to start off new with another therapist. I do acknowledge that I might need another approach at this point in time. Changes can be scary, but changes can make a difference in recovery. I think it would be super helpful communicating expectations early on in therapy. It would be super helpful for the psych to know my discomfort around discussing trauma in great detail.

@AlwaysMyself I feel like mental illness can change over time. How we respond to meds may also change. I also found that my meds were not as effective as they used to be. I’ve been on psych meds for 13 years now. I’ve had changes over those year.

I hope the physical side effects wear off soon. It’s not easy coming off psych meds. Learning to self-manage is a skill and can work for many people. It takes years of dedication and lots of work and it is something you should be proud of 😊

It is important for supports to know about the thoughts. It can feel alarming for them. My pdoc wrote a letter to my psych in a panic state last year. My psych spoke to me about it during our appointment together. It can feel uncomfortable but I do need to get the support I need. I am thinking of talking about the intense day I had mid January with my psych during our appointment together. It was a very confusing day for me. I only spoke to my pdoc about it, I think it might also be worth talking to my psych.

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@creative_writer i think that sounds a really positive and couragepus thing to bring it up with your psych about the intense day you had. 🥰😊.

Let me know if i can help/support you in this at all. 😊 (eg ideas on how to broach it if it feels hard to find the words)

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@AlwaysMyself it’s hard to talk about because I’m ashamed of what happened that day. Sometimes emotions cloud the mind. I’ll go slowly.

I know my supports are there to help. My pdoc may have already mentioned to my psych about that day, but I never spoke about it to her.

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

I can understand how shame makes things sooo hard to talk about @creative_writer . I have a few things in my life i've never told people due to shame either - some because they are objectively shameful, others which really shouldnt be shameful but for social conditioning.

Would you like your psych to have told them in advance?

Is that an option to ask them to do so?

I don't know specifically which day, but from what i have read in my time knowing you, i don't think judgemental or shame on you at all for anything i have read 🥰🤗. Not sure if that helps any, but if it is something you've spoken to me about, then maybe knowing that I don't think anything negatively about you for it may help??

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

@AlwaysMyself I forgot to respond. I think I need to bring it up, maybe my psych knows. She did check in with how things were going for me. I told her the urges had been less intense with the meds. I act impulsively under heightened emotions, I’m cautious when I’m not so emotional. I’ve been judged for having SH and SI urges. I think it’s progress that I no longer feel on urge of acting on urges.

I know humans make mistakes, it can be hard to forgive oneself.

In response to: Re: Mixed feelings-might be getting another diagnosis (ED)

Re: Mixed feelings-might be getting another diagnosis (ED)

*hugs* @creative_writer

Impulsivity is a struggle for lots of people i reckon. (I am very grateful i am not impulsive by nature.)

If anyone is judging you for having SH and SI urges -- then I guess they're also judging me too!

And abosolutely that *not acting on the urge* is so so so much progress!!!

I still have the thoughts and feelings, even though i haven't acted on them in 20 years. But i am no longer ashamed of it, nor of my history with it. I was at the time though.

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