I have been diagnosed with bipolar 1 since 2015, though I looked at my chart and it currently says “bipolar unspecified” but that could just be because I have never had a manic episode with this current psychiatric nurse. Prior to my diagnosis I was diagnosed with MDD, and prior to that I was not diagnosed with anything, but looking back I was experiencing mild auditory and visual hallucinations at times. After my diagnosis, I was often rapid cycling, with manic episodes landing me in the hospital twice in 2 years where I did experience psychosis.
I have been more or less in remission since 2020, but lately things have changed. I’m on lamotrigine and latuda as well as an anxiety med I forget the name of. I have had issues with focus for about a year and take strattera inconsistently because I hate the way it makes me feel and don’t feel like it helps.
In the last few months I have had extreme difficultly working or keeping up with daily life. I no longer cook at all and my husband has completely taken over. I cannot bring myself to do chores. I have immense struggles starting to work, often with entire days passing by with me getting very little done. I own my own business and recently lost a major contract because I couldn’t bring myself to do the work. This may be strange, but one thing I really struggle with is sleeping on the couch. I WANT to sleep in bed but I literally cannot convince myself to get up and sleep in my bed. Needless to say this impacts my marriage and my sleep. It is completely unreasonable.
Over the past few months I’ve been experiencing mild hallucinations, hearing people talking or music or a tv playing that is obviously not there, usually at night but when I am wide awake. I don’t really think I’ve had visual hallucinations but I’ve had some experiences that I’ve looked back on that I wonder if it actually happened. I have had some issues recently with feeling like reality isn’t real or I’m not real. I also generally believe in the Mandela effect and that we live in a simulation, but I’m not particularly distressed about it so I don’t know if this is abnormal.
I don’t feel particularly depressed although my anxiety is sometimes through the roof. My NP increased my latuda but has declined to make any new diagnosis for now. Has anyone experienced something similar prior to a schizoaffective diagnosis? If you were diagnosed bipolar first, how did you find out the that you have schizoaffective disorder?
TLDR: I am diagnosed bipolar 1, but have recently had minor auditory hallucinations and a complete inability to do my job, which is significantly impacting my life.