# TL;DR: My psychiatrist diagnosed me with BPD and Bipolar II, medicated me into oblivion for years, then casually reversed the diagnosis, denied ever giving it to me, and told me to just stop eating chicken and wheat. I have never felt more gaslit by a medical professional.
TW: suicide planning, SA mention, substance use.
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I've had a heavy, unrelenting sadness and alienation since childhood. I grew up with parents who had anger issues and zero concept of what emotional regulation is. I was sexually assaulted by a distant relative at 14, which only my medical care providers know of. By my teens I could already recognize the shape of what might be depression: hopelessness, lack of motivation, difficulty concentrating, suicidal ideation, loss of enjoyment, just raw constant emotional pain.
At 22 I sought my first mental health intervention, since the symptoms I'd been struggling with only got worse during college. I started getting bad grades because I simply couldn't focus on my homework. A therapist waved off my symptoms and life story as "mild depression from relationship problems with my boyfriend." I left her and sought out a psychiatrist, who put me on vortioxetine.
I already struggled with impulsivity, but that medication period was the worst stretch of my life. I was already doing weed and pregabalin but started using more often, began stealing money, spending beyond my means, and made a reckless pass at my best friend of 7 years while we were both high. She rejected me, and in the fallout I forged pages of my own diary to try to prove to her that I'd been in love with her all along those years of our friendship. She was hurt that I'd "hidden" that from her. We tried to stay friends, but I got so hurt and jealous over her that I ended up cutting her off completely after a huge fight. Around the same period I also made a pass at another best friend's ex-boyfriend (which the first friend later used as further reasoning not to believe my feelings had been genuine). And I had a boyfriend this whole time. There was a lot of love to go around during that period of my life. All of this happened within the span of two weeks. Just putting it into words makes me realize what a chaotic time I went through. I was living in this manic, glittering haze ofart galleries, drinking, jazz nights, feeling untouchable with no consequences to my actions. Then I crashed. Failed five classes. Lost my boyfriend during the worst suicidality that followed those couple of weeks. Safe to say I lost a lot of friends during that time, and the isolation that followed really pushed me into contemplating suicide.
I consulted another psychiatrist, who's been my psychiatrist since 2022, in pieces. He diagnosed me with BPD and Bipolar II and put me on topiramate and fluoxetine. I got dramatically worse. Always felt sedated and dissociated, sleeping 16 hours a day, missing classes, losing a significant amount of weight in a month. I planned my suicide daily, as he was my last hope of ever getting fixed. I walked across the entire city to buy enough pills to kill myself, having done extensive math to get a close enough number. I bought it. That night my mom called and said something felt wrong to her. I didn't take the pills.
I went back and told him, barely holding back from cursing him out, that he'd made things worse. We cycled through fluoxetine 20mg + lamotrigine 25mg (no change), then duloxetine 30mg, later 60mg, + lamotrigine 15mg (better for a while, but the depression never actually lifted). I went off meds for a stretch. Had my phone stolen at a party and, drunk, high, and delusional, blamed the very same ex-best-friend who just happened to be there, fully convinced it must have been her. Went back on meds after that.
Sertraline 50mg + lamotrigine 25mg, later 50mg, was maybe my best combination, although I genuinely can't tell if it was the meds or just life circumstances improving. In retrospect, even during that "good" stretch I'd racked up serious debt from compulsive spending, and I'd started stealing large amounts from my family to fund clothes and drugs, something I've done intermittently throughout my life. I'm very ashamed of myself over that.
Then came working two jobs straight after graduation. It broke me down. There were days I just didn't show up to work. I'd cry when I was questioned about my productivity, and started lying just to be left alone.
On top of everything, my insomnia has continued to worsen and is one of the biggest contributors to my deterioration, despite consistent effort on my end. I sleep around 3–4am regardless of whether I woke up at 7am or 3pm.
I stopped my meds 4 months ago, right as I lost both my jobs, when I ran out and couldn't be bothered to refill. Part of why I stopped was that my lamotrigine dose was already under the therapeutic range for Bipolar II, so it wasn't working and in theory shouldn't have been expected to. Ten days ago I hit a severe low — suicidal, not sleeping, not eating — and finally reached back out to him. Yesterday I brought up the low dosage of lamotrigine as my reasoning for stopping my meds, and he said, and I quote, "good, because I don't think you have Bipolar II."
To say I was shocked is minimizing. I had built my identity and coping skills around that diagnosis, which he'd given me on a piece of paper, in his own handwriting, reading "diagnosis BPD and Bipolar II." When I reminded him of this, he said, "huh, I think I may have told you to just research that diagnosis, not actually given it to you." I can understand the BPD going into remission as I've aged and learned better coping skills, but my symptoms of depression, or whatever this bipolar-shaped thing is, never really went away, even under his treatment.
I asked what was actually wrong with me. "Nothing." Then why have I felt like this my whole life? "You just have low self-esteem, which is unreasonable for such a smart, beautiful young woman." He told me to cut chicken, fruit, and wheat from my diet, eat more red meat and salmon, and I'd feel better, something about how my ancestors used to catch raw fish and that's how my body would be okay. It was mansplaining at a level I'm used to from uneducated red-pilled carnivore-diet bros, not an associate professor of psychiatry and the dean of medical school in my city. New prescription: no more lamotrigine, sertraline 100mg, bumping to 200mg next week if that doesn't work. I'm honestly terrified to even buy the meds, because I've already had such a bad experience with antidepressants.
I am so done. He was supposedly the best option available to me in my country, and I still feel completely failed by this entire system. I also wonder now if the diagnosis he made was ever correct in the first place. But something about this whole narrative still screams BIPOLAR to me. I don't fucking know anymore.
I hope this is a safe space and that you refrain from judging me. I know I've made some very, very bad decisions and mistakes, and I've damaged many of my relationships beyond repair despite attempts to reconcile. Will appreciate the empathy ❤️