Bipolar Disorder, Genetic Alcoholism, And What Recurring Dreams Mean

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Posted April 27, 2008 | 12:35 AM (EST)



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Help me out here. Now Britney is bipolar? Every time some celeb does something bad (think Jean-Claude Van Damme or Mike Tyson), they later come out as diagnosed with bipolar disorder. So does "mental illness" have as symptoms throwing tantrums and partying? And does medication help with that really?

Dear HTB,

Manic Depression or Bipolar Disorder has as symptoms significant ups and downs in moods and energy. The ups are called mania, and that's when the person is reckless, promiscuous, spends money, drinks too much or takes drugs. Sometimes they feel great and are really creative and productive; other times they are agitated and feel speedy and aggressive. The downs are characterized by a depression that can get bad enough to be suicidal. The shifting between ups and downs can be infrequent or "cycle" within minutes. This makes this particular illness very, very hard to medicate; however, mood stabilizers may help the downs from being too low and keep the highs from being so destructive. I can't say for sure as far as Britney is concerned--to me, her growing up as a child star puts her at risk for some personality disorders, her failed relationships and public performance humiliations for huge stress, and there is possible post partum depression from her two children back-to-back. Obviously her surroundings and lack of a good support system are factors, too. Here's the most recent website I've found with some good info on Bipolar Disorder.

My father and my grandfather are alcoholics. I like to drink, but wonder how much it runs in families. Should I be really worried?

Yes, it does run in families. It might have skipped a generation with you, but why gamble when it is something so very important that can really wreak havoc on your life? Given that it is present in both generations, I would steer clear. Getting sober is hard as hell and a gruesome uphill battle.

I keep having the same few recurring dreams. Why don't they change or just stop happening? And what does it mean when they are the same and just pop up after not having had them for months and months?

Recurring dreams tend to happen when you are faced with a situation or feeling that has come up before. So say you dream about leaving a cake out in the rain from time to time-- it may be that this dream occurs when you have had plans of some sort and they go awry. Though classic psychological theory would have some objects always represent certain objects (think cigars and penises), I find that the event or objects in the dream are very personal. And all recurring dreams need not be nightmares: I had one patient dream of skillfully rollerblading quickly around circuitous paths in the sunshine and breeze when things were going well, even though he had never put on blades in his life.

My husband keeps telling my son to "let it out" when he is angry, and it just seems he gets more upset. Is this the right technique?

Research on venting when you are angry doesn't show it's good for you; in fact, sometimes it can get you more riled up rather than helping you to calm down and get an understanding of the event intellectually. That being said, doing something physical when you are upset--like going for a run--can help you organize your thoughts and problem-solve better afterward.

 
 

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There is plenty of room for discussion of drug therapies, the drug companies and their machinations, and nutritional factors. All are worthy of examination.

However, when you get into the real hard-core mental disorders such as bi-polar disorder, schizophrenia, and serious depression. It's hard to argue with the fact that the drug treatments of the past 20 years have had great benefits to many.

By the same token, there are too many antsy kids on add/adhd medications. There are too many people on tranquilizers who should just exercise more. Too many people taking sleep meds who just need to stop drinking coffee after 5 p.m.

Just a matter of good mental health care availability and good diagnoses.

    Favorite    Flag as abusive Posted 03:06 PM on 04/28/2008

profesional health advice is disparately needed in this area of our day to day modus vivendi! Believe it or not it is even more important than Obamas politics!

    Favorite    Flag as abusive Posted 11:44 AM on 04/28/2008

PLURALISM!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

did you say 'to govern the united states?

awwwwwwwwww!

Those who build a 'sitiuation' also command it's rule...

When we gew up and went to school ,there were certain teachers ......................................................./

    Favorite    Flag as abusive Posted 06:55 AM on 04/28/2008

I find many of the comments here so sad.
Unless someone has either studied mental illness, suffered from mental illness or had a loved one suffer from mental illness...really...why in the world would you say such mean-spirited things about such a difficult topic for so many people?
Bipolar disorder is a real illness. If you don't think so, then I'm afraid it's only because you have never experienced it, either as a doctor, a patient or a friend or family member of someone who has it. Treating people who see doctors for an illness and take medications for an illness as if they are weak, foolish, "dupes" for pharmaceutical companies or people that you should feel free to lecture or even yell at is...well...it's really, really unfortunate. Please think about what you're saying here.

    Favorite    Flag as abusive Posted 02:06 AM on 04/28/2008

My recurring dreams tend to have very obvious meanings. For example, I had a long conversation the other night with an ex I hadn't spoken with for a few weeks. It seems that every time I talk to him, I have a dream either that night or a few nights afterwards that either I am dying, or I am witnessing someone dying by bleeding out directly through the heart! Now that's so blatant I'm not even sure that could count as symbolism!

    Favorite    Flag as abusive Posted 10:59 PM on 04/27/2008

Thanks for that site you posted on bipolar depression; it's not one I had seen before. I like the National Alliance for the Mentally Ill's website (www.nami.org). I had a friend who was in a severe depressive episode once and I was afraid she was going to kill herself. I contacted them and they were extremely compassionate and helpful and I was able to get her checked into a hospital based on their advice and recommendations for how to handle the situation. Bipolar depression is extremely serious and I have been more than annoyed at the way the media makes light of it, especially when they talk about celebrities like Britney. It certainly isn't up to the tabloids to diagnose her, or to make any sort of judgments about anyone's mental health, in my opinion. Maybe they are the ones who need help.

    Favorite    Flag as abusive Posted 10:38 PM on 04/27/2008

As far as the anger problem goes . . . I can relate. I think that's why I ended up becoming such a huge sports fan; sports really help me get some emotions out in the only way I really know how. I think if I just yelled at someone instead, I would really end up hurting them. I'd rather just yell at a sports team on tv. No one can hear me but my buddies.

    Favorite    Flag as abusive Posted 10:14 PM on 04/27/2008

I agree with Dr. Vranich on the alcoholism question. I am in recovery, sober just over a year, and I can vouch for the fact that it has been the hardest thing I've ever done in my life. I have two kids, and though I am realistic about the fact that they will probably drink, I still hold out hope that they will choose not to after I tell them about alcoholism (they are ages 5 and 10). Alcoholism runs rampant in my family, and I am sure at least one of them will inherit the gene. All I can say is that if they do end up having a problem, I hope I am still sober so I can be there for them if they want help.

    Favorite    Flag as abusive Posted 10:09 PM on 04/27/2008

I've never thought it was a very good idea for professionals of any sort to talk about some one's diagnosis in public.

It's no ones business, what the diagnosis is. Isn't that why professionals are supposed to keep health records confidential?

Healing is done best in private, the only thing that happens in public is gawking.

Health professionals should not join the parade of those who want to capitalize on some else's misfortune, to tintilate the public, and of course cash in.

Along time ago the isurance companies decided that it was cheaper for people to get medication than go to a therapist. The cost of seeing a psychiatrist typically runs from $250 to $500 for two visits a year, versus $6,240 for a year of weekly therapy sessions at $120 a visit.

This is why people are on meds, because it's cheaper for their insurance company, whether it works or not is not the point.

    Favorite    Flag as abusive Posted 06:06 PM on 04/27/2008

I have to agree with SHOUTY... above.

I worry very little about "bipolar" celebs.

Look at what the head meds are doing for the Iraqi war vets...see the headlines here yesterday?

1000 vets a month attempt suicide...did anyone else read this title "VA Debated PR Plan on Vets' Suicides "?!?

These drugs aren't a little bad, they're real bad and everyone is on them starting out in ...what...KINDERGARTEN now?...wasn't that the "Bush's School Drug Testing Initiative" strateegery.

Our society should be the most unbipolar, sane and stable place in the world thanks to all the meds we're on........but....oops....thanks a lot Big pHarma!
Heckuva job GSK!....

Depression is a Nutritional Disorder
http://www.hypoglycemia.asn.au/articles/depression_disorder.html

    Favorite    Flag as abusive Posted 01:51 PM on 04/27/2008

Thanks so much for your opinion. I'll send it along to my brother, who has been living with BPD for 37 years. I'd tell my poor mother, too, but she's dead. Had it from her teens until medications helped with it at about 68. It's a lousy disease that trivializing like yours doesn't help.

Perhaps you and Tom Cruise can get together and fight, fight, fight. All I know is that my brother would probably have committed suicide by now if it weren't for mood stabilizing medications.

    Favorite    Flag as abusive Posted 08:09 PM on 04/27/2008

What the hell is wrong with you?

You think it's anti-depressant medication that's causing these vets to attempt suicide? You know, not their being forced to kill other human beings? And to risk death, and even see their friends die, gruesomely, for no goddamned reason?

Get out of the fucking health food store and into the real world. Your words are an insult to the capabilities of the human mind. Go read a book that wasn't published by a money-grubbing nutritionist.

There is real science behind the study of nutrition, and the shit you're reading isn't representing it.

    Favorite    Flag as abusive Posted 07:54 PM on 04/27/2008

Another ill informed person. You think that it's the medications that are causing the vets to attempt suicide? Wrong! Some people do respond well to nutritional adjustments in their diet, but that by no means is the case for the majority of people that suffer from it....especially those Bopolar disorder. Tell a vet suffering from PTSD to follow the hypoglycemic diet and that then they'll be just fine.

Yeah right! I know that this is what you want to believe, but it is not the truth.

    Favorite    Flag as abusive Posted 02:06 PM on 04/27/2008

No, the meds are not the only cause. How about amputations and flash backs
and the inability to stop hitting your wife or girlfriend. The meds just make
all the above worse. Never drank so much as when I was on antidepressives.
Almost as bad as the guy in "Sideways" who, not for nothing,
was also on antidepressives. Anti-psych meds are worse. You think you
are getting restful sleep on Seroquel until you go outside and find your
hostility factor is off the charts leading you to believe you hadn't really
slept at all.

    Favorite    Flag as abusive Posted 03:45 PM on 04/27/2008

Ok, phatty......tell the class what you think IS causing our veterans to commit suicide in RECORD numbers....and the rest of societies "off the charts" suicide and homicide numbers.

Don't be shy.

    Favorite    Flag as abusive Posted 02:31 PM on 04/27/2008

Here you go -
Using medical data from the Veterans Health Administration, researchers found that among 226,866 adults with depression, the overall rate of suicide attempts after beginning treatment with a selective serotonin reuptake inhibitor, or S.S.R.I., was about one-third the rate of those who received no antidepressant at all. This was true for men 18 to 25 as well as for older adults.

Wanna read the results in detail, here are 4 different links for you to learn from:

http://ajp.psychiatryonline.org/cgi/content/abstract/164/7/1044

http://www.washingtonpost.com/wp-dyn/content/article/2007/10/30/AR2007103001317.html

http://www.nytimes.com/2007/07/10/health/psychology/10depre.html

http://psychcentral.com/lib/?p=662

    Favorite    Flag as abusive Posted 02:57 PM on 04/27/2008

This is a badly written post.

What happened to the Recurring dreams?

What is the purporse of linking them to bipolar disorders and genetic alcholism in a mish mashed title and then ignoring them? Is there a link? Maybe....however, even as a layman, I think there's a big 'maybe not' here too.

From the title of this blog, it could have had chapters...never mind 3 haphazard paragraphs.

My advice from reading this: find another therapist.

    Favorite    Flag as abusive Posted 01:25 PM on 04/27/2008

Sorry, but this is a badly written comment. I believe that Dr. Vranich was addressing several different questions she has received lately from people who e-mail her. I think she covered each topic with enough sufficiency to generate the heated discussion that has ensued, which is what a well-written post will do: generate discussion, thought, and further inquiry into the topic at hand.

    Favorite    Flag as abusive Posted 08:56 PM on 04/28/2008

"What happened to the Recurring dreams?"

you must have skipped over this part of the post...

"I keep having the same few recurring dreams. Why don't they change or just stop happening? And what does it mean when they are the same and just pop up after not having had them for months and months?"

I found it ok.

    Favorite    Flag as abusive Posted 02:36 PM on 04/27/2008

Am I missing something? I don't see what this article has to do with recurring dreams. I also didn't see anything on the Web site that the article links to.

    Favorite    Flag as abusive Posted 12:51 PM on 04/27/2008

Skills, not pills.

    Favorite    Flag as abusive Posted 12:43 PM on 04/27/2008

Dr. Vranich,

I remember the days when you had to sit down in person with an individual, do a psychosocial, ask a number of medical questions and then diagnose. I think ego has more to do with these stars than bipolar disorder, but one should not diagnosis others behaviors unless that person is asking for your help. Now that the pharmaceutical companies have a drug for "biopolar" they want to sell it and they have to people convince people they have bipolar when they don't. I'm sorry, but, not all bad behavior is a personality disorder. American's need to label and judge others is becoming a much more serious disease.

For those who have depression, biopolar, it is not an easy road, but I think venting and therapy is also very important, a pill alone, does not change behavior.

    Favorite    Flag as abusive Posted 12:22 PM on 04/27/2008

WHY IS IT NOT ILLEGAL TO HAVE AN ENTIRE FAMILY ON LEGAL AND MIND ALTERING DRUGS????

EVER WORNDER HOW THIS GREAT COUNTRY WAS EXPLORED AND SETTLED BY OUR FORE FATHERS WHEN SO MANY MUST HAVE BEEN MENTALLY ILL.

THE EXTERNALS OF LIFE HAVE CHANGED BUT DEEP INSIDE PEOPLE HAVE NOT CHANGED THAT MUCH.

MAYBE IT IS THE DRUG PUSHERS PEOPLE ALLOW IN THEIR LIFES INSTEAD OF BITING THE BULLET AND STOPPING YOURSELF FROM DOING THE WRONG THINGS.

GETTING WILD AT A PARTY????? IF PEOPLE GO TO A PARTY WHERE THEY KNOW DRUGS ARE BEING USED THEY KNOW PEOPLE GETTING WILD WILL HAPPEN. THATS WHY THEY GO!!!

MAYBE IT IS THE PARENTS THAT ARE THE PROBLEM!!!!!!! TOO LAZY TO BE PARENTS AND DISCLINPLINE THE KIDS. IT TAKES GUTS TO DISCPLINE A KID WHEN THEY START GETTING MEAN!!!!!!
BUNCH OF COWARDS SCREWING UP GOOD KIDS BECAUSE YOUR FEARFUL OF BUSTING THEIR BUTTS!!!!!

DRUG YOUR KIDS NOW !!!! SOME FAMILYS HAVE 3 OR 4 KIDS AND ALL ARE ON A ANTI-DEPRESSANT AN ADHD DRUG OR BIPOLAR DRUG. EVEN THE PARENTS ARE ON DEPRESSION MEDS.


YOU DON'T HAVE TO BE A PARENT PUT THIER MINDS TO SLEEP AND KILL THEIR IMAGITATION TILL THEY ARE 18 THEN LET THE WORLD DEAL WITH THEM!!!!!!

    Favorite    Flag as abusive Posted 06:25 AM on 04/27/2008

Take some deep cleansing breaths.

    Favorite    Flag as abusive Posted 02:30 PM on 04/27/2008

Haha -- thanks rini -- I agree! As for the whole depression/medication debate . . . I am not personally qualified to say whether or not anyone should be medicated, but as a yoga instructor, I can say that both for myself and many of my students, practices like yoga and other mindfulness/meditation techniques have been very helpful in managing stress, depression, and anxiety. I know other yoga practitioners who have been able to manage their depression with these techniques alone; others use yoga in combination with medication. I have my own opinions about the drug companies' role in the rapid increase in people taking mood-altering medications, but I am fortunate that I don't struggle with a severe mental illness, so I don't feel very qualified to make a blanket statement about all of those drugs in general. However, I do feel like we owe it to ourselves and our bodies to research all available avenues of help, especially if we are questioning the legitimacy and necessity of pharmacology for our minds.

    Favorite    Flag as abusive Posted 10:53 PM on 04/27/2008

It is vital to offer a variety of individual therapies that include personal and drug therapies! A full array of tools to control your pathology!

    Favorite    Flag as abusive Posted 11:58 AM on 04/28/2008

I agree with you.

I try to do a more holistic approach to keep my mind as fit and stable as possible. That includes regular yoga sessions and lots of hiking. I try to eat and use only organic foods, supplements and products. Also, I incorporate traditional therapy and neurofeedback (both non medicinal treatments) to my treatment program.

All of these things do help and may be all that some people need, I've seen that....However, that depends upon the cause and severity of the problem. Situational depression is often easier to lift yourself out of w/ exercise, etc. I tried to go without my ADD medication and just utilize all of these options instead...unfortunately it wasn't enough. It definitely helps my anxiety though!

Obviously, some people react better to some medications than others and it can be a problem, I've been there as well. That's where a good dr. comes in. But finding a medication that has helped someone become a more productive citizen is something nobody should judge another on.

    Favorite    Flag as abusive Posted 10:40 AM on 04/28/2008

ADHD/ADD and depression are co-morbid disorders that usually run in families! I was undiagnosed until I was 30 years old and have had such a positive change in my life since taking ADD medications. Now understanding why I couldn't lead my life to it's potential because of this disorder, I see the same traits in my father's family.

Folks with true depression, bipolar and ADD are that way because of a hormone imbalance (dopamine, seratonin, etc.) in their brain. Medications can be very helpful in correcting that imbalance and helping these people lead productive lives. People with other hormone related disorders like thyroid and diabetes, take medications because the respective hormones related to those disorders are out of whack. Just as depression and ADD, thyroid and diabetes disorders usually come from a genetic predisposition. Medications help these people. But that's okay because these are considered medical conditions and not "mental" conditions like depression and ADD? Those families with "mental" disorders are taking these drugs for the fun of it or because they're just looking for a crutch? Is that what you're saying?

I don't care if the founding fathers went without medication.......my family shouldn't suffer because they did. I wish I was diagnosed and treated with medication as a child. My life would have been a lot easier.... Lastly, my medication doesn't kill my imagination. It helps me channel my thoughts and ideas into goals that I can finally accomplish!

    Favorite    Flag as abusive Posted 12:44 PM on 04/27/2008

I'm sorry, you were shouting so loud, I couldn't hear a word you said. Could you maybe dial it back a notch?
Thanx.

    Favorite    Flag as abusive Posted 12:33 PM on 04/27/2008

WELL OLD EYES NEED LARGER FONT GET OVER IT!

    Favorite    Flag as abusive Posted 08:55 PM on 04/27/2008
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