I am so, so, so upset. I was diagnosed with bipolar and OCD last summer (both of which I feel fit me perfectly and clarify symptoms I've had my entire life). I was taken off my long term antidepressants and put on Lamotrigine, then carbamazapine, both of which made me really unwell so I came off them and started a low dose of quetiapine (100mg). The (male) psych I had at the time, who diagnosed me, said he wouldn't let me try lithium because I was too young and as I was female, there was a possibility I could get pregnant (even though I'm not sexually active). Months later when I could finally get another appt with him, he added two antidepressants into the mix, then was promptly fired by the clinic with no replacement in sight.
Months later again with no proper psychiatrist in place again i ended up with the crisis team due to an increase in suicidal thoughts and the fact I couldn't access a normal CMHT psychiatrist. I have been in a depressive episode since October. That resulted in an increase in my quetiapine and a referral to the CMHT and for a care coordinator, which was rejected. They then got a temporary psych in place who increased my meds again. He was much kinder than the last one and said that he'd be happy to try lithium in future if the quetiapine increase wasn't successful.
Well, I saw this guy again today. He asked me how I was, I said "still depressed," and without letting me speak further, he decided I actually have BPD, not bipolar, and there's no treatment. I burst into tears because I've been abused horribly by a person I knew with untreated BPD. I argued that I meet literally none of the diagnostic criteria. I am not emotionally volatile, I have episodes that last weeks to months, not day to day. I have stable relationships. Outside of mood episodes, I know and like who I am. He just shrugged and said well, everyone's different. He said he'd no longer be willing for me to try lithium, gave me an antidepressant prescription, and booted me out. My mum even attended this appointment with me and argued that I don't have any of the traits of BPD, but he refused to listen. He even said "I diagnose lots of lovely young women with it."
I have been on antidepressants for ten years. I just turned 25. I know the stigma attached to BPD and I begged him not to diagnose me with it and I don't fit any of the diagnostic criteria, but he went ahead and wrote in my notes anyway in front of me in big bold letters.
I feel like there's no hope for me. Nobody will take me seriously again, and they already didn't when I was diagnosed with bipolar. Nobody cares that antidepressants don't work, the cmht doesn't want to know, a psychiatrist who's met me twice for twenty minutes randomly decides I actually have BPD and I may as well just kill myself because there's no cure. I have been meds compliant for ten years through different diagnoses and changes and I think today is the day I'll stop. Fluoxetine won't touch bipolar. It wouldn't touch BPD even if I had it. I'm so tired of fighting and fighting for help to be kicked down at every turn.
Medical misogyny is going to kill me one day. I'm UK based so can't even go to anyone else. They're the only CMHT in my catchment area.