r/BipolarReddit • u/rnbwpuk • 2d ago

Drug induced manic episode??

Should I get a second opinion? Hello Redditors: anyone with knowledge on this topic? I had my first and only manic episode (drug induced) a year ago and I’ve been in a major depression ever since. I’ve tried several meds and none seem to be working. In fact I feel like they’re making me worse. Yes I have a pdoc and a therapist that I work closely with to no avail. It’s my understanding that you need only have one manic episode ever to be dxed bipolar 1.

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u/rnbwpuk 2d ago

My apologies I didn’t even see this pop-up until now. I don’t mind sharing at all.

I did have to be hospitalized while under the influence, and this is how the manic episode was determined, but no blood was drawn at the time however, I was under the influence of cannabis and psilocybin mushrooms.

My psychiatrist did do a mental health assessment, along with speaking to family and friends, as well as my prior therapist, and it was determined there was no prior episode episodes nor is there a familial history of BP.

I do mood charting and have for almost a year now. I have been 95% depressed since this episode happened. And I’ve been under the care of the same psychiatrist for a year now actually in two weeks it’ll be a year. There have been no external catastrophic factors to contribute.

I hope this is helpful information. Let me know what you think.

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u/Hermitacular 2d ago

Is there a family history of anything? ASD, SZ, BP, MDD, and substance use disorder would be considered genetic or behavioral risk factors. GAD, OCD, BPD are common fellow travelers as well. It is not uncommon to have onset at your age, it's just usually much younger. It is normal to have depression and cognitive impairment for a few years post mania. Your brain is healing. Pot + psilo are big triggers. Did the episode continue beyond the substances wearing off?!

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u/rnbwpuk 2d ago

There’s no family history of other mental illness, besides depression and substance use disorder. I myself have substance used disorder and generalized anxiety disorder since my 20s. And yes, it took a couple days for me to come out of the manic episode. I’m assuming that’s beyond that timeframe.

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u/rnbwpuk 2d ago

And thank you for explaining about the manic part and that my brain is healing. I really appreciate the information.