• adult-bipolar-study

    Happiness depends more on the inward disposition of mind than on outward circumstances.

    - Benjamin Franklin

  • Manic Depressive / Bipolar Disorder in an Adult Woman

    “In these stories, the identities and locations have been changed to ensure client confidentiality.”

    A 29-year old married, mother of a young child age 2, presented with a history of recurrent and disabling depression and headaches.  Several weeks prior to presentation, she became severely depressed and had difficulty moving, had diminished appetite, had crying spells much of the day and felt suicidal.  At the time she presented, she was on Prozac 20 mg a day, and described herself as getting “manicky” on the Prozac.  By this, she meant that she was “rushing around, laughing a lot and having more anxiety.”  A past trial with Wellbutrin was poorly tolerated because of sweating episodes, insomnia and agitation.  Her depression was worsening despite the Prozac treatment.

    There was a past history of concussion at age 18, when she suffered loss of consciousness. She also described a history of mood swings for many years. There was also a history of alcohol abuse when she was a teenager. The diagnosis of major depressive disorder was suspect, given the poor response to both antidepressants. Prozac was discontinued because it appeared to be worsening the underlying mood swings.

    Family history revealed severe mood swings in both her father and paternal grandmother. Grandmother at times would take to bed for long spells, and she had been hospitalized for “unknown reasons” that the family refused to talk about, and the client recalled that the secrecy was because of something “shameful” about her grandmother’s condition and behavior.

    Because of the suggestion of Manic Depressive / Bipolar Disorder by personal and family history, she was placed on Seroquel 100 mg at bedtime.  Within one week’s time, she began to improve markedly, including clearer thinking, more productive work being done, less depression and more energy.  Within five weeks after the institution of Seroquel, the client was feeling “terrific.”

    She was seen in supportive psychotherapy and provided advice on parenting her two year old daughter, which helped to settle down the child’s behavior and gave the client more confidence and a feeling of control over her life.

    Learn More about Manic Depressive / Bipolar Disorder Treatments & Therapies

    At Potomac Psychiatry our psychiatrists and therapists specialize in treating bipolar disorder, Call 301.984.9791 to contact us, discuss your needs and schedule an appointment. Our experienced professionals look forward to meeting you.

    Our offices are conveniently accessible from the following communities:

    Maryland (MD):
    Bethesda 20814 - Bethesda 20816 - Bethesda 20817 - Chevy Chase 20815 - Colesville 20904 - Cabin John 20815 - Glen Echo 20812 - Gaithersburg 20855 - Gaithersburg 20877- Gaithersburg 20878 - Gaithersburg 20879 - Garrett Park 20896 - Kensington 20895 - Montgomery Village 20886 - Olney 20830 - Olney 20832 - Potomac 20854 - Potomac 20859 - Rockville 20850 - Rockville 20852 - Rockville 20853 - Silver Spring 20903 - Silver Spring 20905 - Silver Spring 20906 - Silver Spring 20910 - Takoma Park 20912 - Wheaton 20902

    Washington DC:
    Crestwood 20011- North Capitol Hill 20002 - Cathedral Heights 20016 - American University Park 20016 - Columbia Heights 20010 - Mount Pleasant 20010 - Downtown 20036 - Dupont Circle 20009 - Logan Circle 20005- Adams Morgan 20009 - Chevy Chase 20015 - Georgetown 20007 - Cleveland Park 20008 - Foggy Bottom 20037 - Rock Creek Park - Woodley Park 20008 - Tenleytown 20016

    Northern Virginia:
    McLean 22101- McLean 22102 - McLean 22106 - Great Falls 22066 - Arlington 22201 - Arlington 22202 - Arlington 22203 - Arlington 22205 - Falls Church 22041 - Vienna 22181 - Alexandria 22314