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submitted 1 day ago* (last edited 1 day ago) by [email protected] to c/[email protected]

My son has been diagnosed with bipolar disorder. He's in his mid-twenties, so it's the average time for onset of bipolar disorder. No family history that we know of, but if it was just two generations back, it probably wouldn't have been talked about.

He had his first manic episode early in the year. He spent a brief time in in-patient treatment, followed by a period of out-patient treatment. During the out-patient treatment, his psychiatrist started to think the diagnosis was incorrect and she weaned him off his meds.

He has had another manic episode, and he's back in the in-patient facility. Luckily he was able to get back into the same place he was in before, so they aren't starting from zero. They started him back on different meds, and he's much better much faster than the first time.

His fiancee was talking to a friend and someone overheard. The person who overheard said her mother was bipolar and she had to take her to the hospital six times, and she told his fiancee that she should break up with him.

The only experts I've spoken to have been the doctors in the crisis center, and I don't know to what degree they are trying to sugar coat things to prevent us from giving up hope.

I'd rather know the reality.

If anyone has any personal experience they can share, I'd appreciate it. If anyone has any professional experience they can share, I'd appreciate that as well.

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[-] [email protected] 7 points 1 day ago* (last edited 1 day ago)

It's absolutely manageable with medication and good therapy.

The medication is there to get them calm enough so the therapy can do it's work. But the medication will probably also be something they need to take their whole lives. The worst seems to happen when people go off their medications, in my experience.

There is also now genetic testing that can be done before prescribing medication so you can know exactly the best biological pathways that your body has. In essense, which drugs are most easily metabolised by your body.

This gives psychiatrists a better path to finding a good set of drugs that can help instead of going in scattershot. Knowing which drugs will be best metabolised by your body avoids wasting time on drugs that don't metabolise well.

I strongly suggest the genetics testing for this and I stress the importance of finding a good therapist your son trusts.

[-] [email protected] 3 points 1 day ago

Thanks for your response. We will ask about generic testing.

[-] [email protected] 3 points 1 day ago

I want to second genetic testing! I had it done for myself after taking medicine for depression for years without it helping, and my doctor and I were able to find something that has helped me a lot.

I'm not sure if there's different companies that do it, but just so you have a name, the one I used was Genesight. I think my insurance told me that they wouldn't cover it, so I was able to get it for free.

[-] [email protected] 3 points 1 day ago

You're welcome. The company my psychiatrist used to do it is called GeneSight if that helps at all.

Be careful though, they have a lot of negative reviews about people's doctors saying it is covered and then getting a bill for services. I did not have that experience, mine was definitely fully covered and I have not received a bill. Check with your insurance to be sure, and if you're open to paying it out of pocket, it sounds like $300 to $500 is about the cost most people pay when insurance doesn't cover it.

[-] [email protected] 3 points 1 day ago

Thanks again!

We'll definitely check them out. If the insurance doesn't cover it, we'll make it work.

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this post was submitted on 30 May 2025
120 points (98.4% liked)

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