Possible misdiagnosis of bipolar?

I am wondering if I was misdiagnosed as bipolar (on the NHS) 15 years ago and if in fact my issue is not bipolar at all but something else. My mood has been stable for the past 14 years and I came off bipolar medication more than a year ago with no noticeable impact on my mental health.

I have been seeing a cognitive analytic psychotherapist for the past couple of years who believes the issue is complex trauma rather than bipolar.

I, and my partner, also suspect I have autistic / neurodivergent traits. However I am female so this would likely not have been considered 15 years ago.

I am wondering whether to go to the GP and ask for a second opinion about the bipolar diagnosis but am not sure how best to make my case?

I'm wondering if anyone else here has similar experience and / or has advice to offer? Thanks very much for your help.
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  • Hi owl_enthusiast, 

    I have just joined this group and stumbled across this post. I am currently coming off medication for "bipolar disorder" after my psychiatrist diagnosed me with autism. He strongly believes that I have been misdiagnosed after monitoring my mental health for over a year and a half.

    It seemed like a crazy concept at first as I never suspected that I was autistic. I don't have the stereotypical characteristics of ASD special interests or struggle with language and communication. After experiencing symptoms that looked like bipolar disorder, the diagnosis made sense to me but I can now see that my environment and lifestyle didn't fit my autistic brain. I felt like I was drowning and unsurprisingly this caused repeated mental health breakdowns. 

    I am high masking after spending a lifetime understanding the world through my mothers perspective. Constantly seeking reassurance and feeling extremely anxious and overwhelmed to the point of paranoia at times. Severe mood swings from low and empty to dancing and jumping with joy. Repetitive and obsessive behaviours that look like OCD. Highly-focused obsessive interests instead of special interests and hiding within a friendship group at school with an obsession of excelling academically. Empathy overload and feeling things very very deeply. Constantly having to rewrite the black and white internal narrative in my mind so I could see the grey lines. The list goes on... 

    My journey has been a hard one with multiple hospitalisations, terrifying psychotic episodes, crippling depression/ autistic burnout and having to drop out of my third year of university twice resulting in the hospitalisations. I turned 25 yesterday and I could cry for the girl (if my medication would let me!!!) who managed to survive her early twenties but I am also so incredibly proud of her. I hope that I can use my story to help other women with ASD so they don't have to suffer as much as I did. 

    I don't know if there is a chat function on this page but if you would like to chat, please reach out. 

  • Hi MountainFairy , so sorry you have been though such a traumatic time! I had a breakdown crisis at the age of 30 leading to my bipolar diagnosis, however I now suspect this was severe autistic burnout crisis.

    Since my original post, I have visited a psychologist specialising in autism assessment, for an initial screening (private appointment), and have been told I show autistic traits in several of the diagnostic areas.

    I do now suspect I was given the wrong treatment re. medication for 15 years, so I can understand how you feel on that.

    I'm glad that your psychiatrist is helping you to get to a better understanding of what might actually be going on for you, that is great. Accurate knowledge is power!

    I wonder how many other women are being told when in crisis (in my case, solely on the basis of a one hour emergency appointment) that they are bipolar when in fact they are autistic? Like you say, I hope this is rarer than it used to be.

    Very glad you have got better info at a much younger age than me as this means you have more time and freedom to make important life decisions based on correct information.

    Sending you very kind wishes Slight smile

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  • Hi MountainFairy , so sorry you have been though such a traumatic time! I had a breakdown crisis at the age of 30 leading to my bipolar diagnosis, however I now suspect this was severe autistic burnout crisis.

    Since my original post, I have visited a psychologist specialising in autism assessment, for an initial screening (private appointment), and have been told I show autistic traits in several of the diagnostic areas.

    I do now suspect I was given the wrong treatment re. medication for 15 years, so I can understand how you feel on that.

    I'm glad that your psychiatrist is helping you to get to a better understanding of what might actually be going on for you, that is great. Accurate knowledge is power!

    I wonder how many other women are being told when in crisis (in my case, solely on the basis of a one hour emergency appointment) that they are bipolar when in fact they are autistic? Like you say, I hope this is rarer than it used to be.

    Very glad you have got better info at a much younger age than me as this means you have more time and freedom to make important life decisions based on correct information.

    Sending you very kind wishes Slight smile

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