Brain Tumors & BP Behavior
[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]

 


Q:  Brain Tumors & BP Behavior


I have the severe symptoms of a pituratary tumor which I have and my dr. sent me to a psychiatrist who put me on trileptal which stopped me from vomiting everyday and not sleeping AT ALL at night.  I was a mess.  Depekote and other lithium drugs did not work. I have continued to follow up on the piturtary tumor but all blood tests are negative.  I am again at a dead end but my psychiratrist said once he got to know me that he doubted that I was bipolar and needed to keep looking for physilogical answers.  I am 41 with a family.  2 children. I have heard that certain brain tumors can make you behave like a bipolar person.  Do you know of anything like this?  Thank you.
At wits end.  
Shawn
 

Dear Shawn -- 
There are certainly reasons to think that pituitary abnormalities might look somewhat like bipolar disorder.  A couple of my patients have crystal clear stories of bipolar symptoms starting after some sort of thyroid change; and quite a few have symptoms that started after hysterectomy/ovarectomy (so you can imagine that if there were some pituitary change that effectively changed ovarian function suddenly, it would be similar).  You could look closely at your thyroid status, per some data on
thyroid and bipolar disorder.  Otherwise I fear I have little to add to this complicated picture you describe.  Good luck with figuring it out 

A few other ideas that might have some bearing, for you to discuss with your doctor: I have had a few folks who responded only to Trileptal, who didn't look classically bipolar either.  Both of the folks I'm thinking of responded well to the thyroid approach I describe in that essay linked above. Then one seemed no longer to be fully responding. He's doing well on low-dose Seroquel, about 300 mg total across the day.  And another responded extremely well to verapamil, a rarely used blood pressure medication that has some evidence for mood stabilizing properties, and has worked extremely well for a few patients of mine (the lead researcher on that medication says you have to use the non-slow release version, the older generic version). So there are a few other things you could consider if things are really desperate. 

Dr. Phelps


 Published June, 2002

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?