Depression and slurred speech
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Depression and slurred speech

Q: Often when I am in a depressed state, I wake during sleep with nightmares and an intense pressure which feels like it is coming from inside my head; at the centre of the frontal lobe. This sensation is concurrent with: extreme depression, speech slurring and retarded reflexes (like being unable co-ordinate hand and mouth movements for eating). The feeling will last until the next uninterupted sleep period. This happens either day or night. What is this? What is going on?

Dear Mr. or Ms. M' --
The way this changes with sleep is very consistent with bipolar disorder, and also the way it recurs.  However, that's about the end of the consistency.  To wake in sleep with nightmares doesn't direct us much, diagnostically.  But the sensation in your frontal area, the slurred speech, the uncoordination -- and their sudden onset together -- all suggest there might be something else going on.

That "something else" could be completely "benign", as the jargon goes in medicine.  Or it could be quite serious, like a blood vessel problem or a seizure-like condition.  You need a primary care physician to hear this story and give you a looking over, if not a neurologist.  I'd have that done pronto, not in a few months.  I hope it will be for nothing, that would be good news, and that is quite possible.  I wouldn't be surprised to hear that this is just another variation in how bipolar disorder can show up, but it would be very unusual and a serious version (I gather from your nickname, M', that there's some pretty serious depression in all this too).

Write back and tell me how this turns out, if you don't mind.

Dr. Phelps


Published November, 2000

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?