Is This Really Bipolar Disorder?
18-year-old female freshman in 2012 who presents with rapid cycling bipolar type 1, suicidal at times, insomnia, exhaustion, insomnia, memory issues, tremor, PMS. Atypical presentation: visual and auditory hallucinations/illusions, depersonalization, synthesia; responds well to benzos. Medication failure: Lithium, Lamictal, Seroquel, Xanax, BCP. Chronic sinusitis, ETOH seizures-TLE-like, cataplexy/REM Latency. Diet: High glycemic index.
After treatment: 13 months free of any symptoms of bipolar disorder Graduates college without incident. Bipolar disorder triggered by immune dysregulation compromised by hormonal and nutritional factors.
2016 Mold in dorm and Lyme disease = her genetics indicate any immune system insult ➡️C1q inhibitor fails. Brain chemistry dysregulated.
Final diagnosis: Chronic immune encephalitis (inflammation in the brain) that presented like bipolar disease. Genetically at risk for Alzheimer’s.
Recommendation: Have a low inflammation lifestyle with a good diet and regular exercise to eliminate mood swings and keep her medications load very low to delay or prevent the onset of Alzheimer’s disease. Following this recommendation will afford her with a good productive life.
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