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first hospital stay and question - re mania



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03/12/2008 01:45
HOPE27
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Hi there,

My husband had his first hospital stay last week. To make a very long story short - basically he flipped out - took off for several days without medication and was extremely suisidal, aggetated and distressed with psychosis.He phoned up several times during that time absolutely beside himself and completely on the edge, he would not tell anyone where he was. He turned up here early hours one morning and I called the police and had him admitted to the psych hospital. This is the first time I have done this. It was the week from hell!

but as it has turned out it was the best thing I could have done as my husband is really trying to sort himself out and is making some lifestyle changes to help his illness. The most important of which is that he has realised he has to stop smoking pot ! he has enrolled in a drug rehab program and starts next week - YAY ! he has realised that he has to take charge of the illness and do some things to help himself (which he has never done) hooray a bit of a brake through. I dont want to get too excited too soon - but it is a very good start.

My reason for posting this is to ask a question re mania..... I am a bit confused because I read his discharge report which says that when he was admitted he was having a manic episode ??? this really confused me because I thought mania was meant to be a high ? like euphoric ? he was FAR from euphoric. Do people experience mania differnetly ? we have never seen the typical manic behaviour. Sometimes I see hypomanic behaviour- but generally it is aggetation, restlessness, unpredictable moods, extreme suiside thoughts, psychosis and MAJOR depression. He did not sleep in the 3 days he was gone and said his thoughts raced all over the place. he would switch from rage to tears in seconds and basically cried for 3 days straight- definely not what I would call a high !! best way to describe it would be he was completely on the edge !!!!

can anyone shed any light on this for us ?

would be much appreciated :0)

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03/13/2008 19:53
plugginalong
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as i understand it, when their minds are racing and they can't sleep, this is known as the manic or hypo-manic state. (depending on how extreme, it ranges from hypo-manic to manic and even phsycosis) on the other side, depression is when they are slow and thoughts are sluggish, they sleep alot, feel generally horrible, sad, (depressed.)

from your story, it sounds like he was definately in a 'manic' state. The 'racing thoughts' sticks out as a big clue. They may not be euphoric, sometimes they are very very happy, or very very angry, quite moody usually when nearing the possibility of veering into mania.

i hope this helps somewhat. someone else will probably ad to this or clarify.

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03/14/2008 00:40
HOPE27
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cheers for that, I actually did a bit of googling and after lots of reading im pretty sure that he has what they call 'mixed state mania' because it sounds completely like him !!! i think thats why its hard for the meds to get sorted because he is all over the place. He gets EXTREME agressive suicidal thoughts and actively hurts himself. They are really over the top aggressive and violent ways to attempt suiside not the usual ways(sorry I know that sounds bad "the usual ways" - but you know what i mean) they are deffinetely over the top and really violent so I think thats where the mania part comes in.

Its a big worry for myself and family because from what i have read this is the most risky part of bipolar because in a mixed state the depression is soooo overwehlming and the mania and psychosis can make them follow through with the thoughts.



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03/17/2008 08:10
WARHORSE
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Hope--Everything you describe in your post is a form of mania. It's not always the pleasant "high" many have heard described. The only form of mania that my husband has experienced is what is called "dysphoria", which is the opposite of euphoria. (Google that one!) P.S. The first time my husband was hospitalized I thought it was the end of the world. Turned out to be the best thing that ever happened. When he came home I told him that although I wouldn't force him to see the hospital's pdoc (hubby didn't like him and I didn't blame him), he WOULD see someone and he WOULD be med compliant or he could leave. And I was dead serious. It worked--he's still med compliant more than 10 years later.
"Is this a blessing? Or is it a curse?
Does it get any better? Can it get any worse?
Will it go on forever? Is it over tonight?
Does it come with the darkness? Does it bring out the light?
Is it richer than diamonds? Or just a little cheaper than spit?"--Jim Steinham
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03/17/2008 18:33
HOPE27
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thanks for that I will do some more googling !! :0) We have had him home for 10 days now and so far he is really good ! taking meds, going to drug rehab, and the biggest one for him is in bed at 10 .30 pm! (he has never been to bed before midnight)he is really determined to take charge of the illness and get himself better. He has realised me and the kids wont sit around and watch him self distruct before our eyes. Fingers crossed he sticks to it. I took a strong stance like you did and said enough is enough.
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08/17/2008 05:33
Flaco73
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I had my hospital stay last October, for six days. I cut my arm really bad, and didn't intend suicide, but it was quite bad, and required attention, which led to my 5150. I am Bipolar 1. I also have bipolar family members.

It really is the worst kind of way to feel, the mixed state and certainly hard to interact with the world, in a cohesive manner.

Regular sleep hours are the best thing. Chocolate and caffeine are really bad, I know, for those that are bipolar.

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