by Living Well » Thu Jul 21, 2011 7:06 am
Hi, this is an update... I've cut and copied parts from the bipolar board... with bpd extras
I was lucky that I had a pdoc appt today and she said it was 100% ptsd.
Bipolar Dysphoric Elevation - I asked how ptsd is different to dysphoric elevation (DE) and she said because although I'm being triggered I still really care about the people who held the triggers for me. (She said that BPD can have some elevation within that mood lability too). She said my bipolar dysphoric elevation takes the form of grandiose expectations of others with no leeway and no consideration for their situations or feelings Okay, now I know what to look for with dysphoric elevation is that DE has that "How Dare They!!!" anger associated with it.
PTSD - I asked "But how could I NOT be regarded as DE atm??? I am talking loud and fast and feel like I've got fireworks going off inside me!!" and she said that the difference was that a) there were many big recent triggers and b) there is a severe hypervigilance associated with it. She said those two factors will help provide the clues as to whether it is a DE or whether it is a ptsd response. That was enormously helpful to me personally. I think it might be able to be roughly extrapolated to be very general guides for others here, but nothing as good as asking one's own pdoc about how these illnesses play themselves out or manifest for oneself.
A couple of triggers are that she carefully referred me to two other practitioners recently. She is very cautious who she refers me to because I am so reactive etc. Well neither of these referrals worked out and they were only 14 hours apart. I turned it all in on myself, deciding I must be the one wholely at fault. She said that EVERYONE has lots of bad luck in life, the only difference is bad luck for me triggers ptsd because of my past abuse. She was really pleased how I managed both those difficult situations, I validated these people, asserted myself and retained good relations. This was despite me absolutely falling to pieces inside. I did hold it together really well with them. So it was nice to have that affirmation from her.
She said that my eurphoric elevation (EE) is I laugh, joke and am really extraverted and friendly.
So that is my head shrunk for the day - she is such a good person and I'm so glad she has honed her good character and amazing intelligence and skill into the field of psychiatry - and that she takes me on as a bulk-billed client (means the govt pays but only about half her usual fee). I am truly blessed to have her as my doctor.