u/EmbarrassedState9010

True mixed episode or just tough week?

I feel like as I type this out I'll probably answer my own question. But here goes anyway. Apologies for length.

So, I have had a shit span of 5-6 days. Finances. Both mine and my gf's jobs are in flux and constant misgendering at work (I'm ftm). I started noticing my sleep decreasing by at least 3hrs each night starting the night of the 15th or so, but not in a "oh I'm hyper as fuck and don't need sleep" way, just regular insomnia. I started withdrawing/zone out and kinda go mute periodically in the day, felt sad AF (SH,SI, hopelessness, etc.) and then there was rage and risky driving behavior. Anxiety THROUGH the roof, and I was hella on edge. I nearly cussed out my coworkers. Also had some paranoia and derealization at night, but I wasn't fully detached from reality.

I saw my therapist on the 15th and then again this past Tuesday after being in the shit for a few days. She encouraged me to not immediately attribute all of my experience to a mood episode (which is fair) and stated that it could just be a hard week and "normal" reactions (she still honors and acknowledges when I do have solid episodes).

Looking at it as a whole, I think all of the week's bs triggered a mixed episode. How do you all go about differentiating things? I can do it pretty well with smaller circumstances, but when it gets big, it's a lot harder. And having BPD in the mix doesn't help. I crashed hard with sleep on Tuesday night at my normal bedtime. Anyway, I guess it could seem more episode-ey. Idk. Ok, thanks for attending my Ted Talk. TTFN.

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u/EmbarrassedState9010 — 22 hours ago

I experience vestibular migraines, and I'm already rated for tinnitus, so I'm hoping I can get it added as secondary. I have flare ups on average a couple times a month, but the severity varies each time. I'm getting re-acquainted with neurology and have an MRI scheduled next month to get updated evaluations and such. I also get a lot of sharp ear pain and/or fullness in one ear (typically), and it's usually related to the tinnitus/migraines occurrences and my chronic rhinitis. So, I'm also working on getting an ENT consult to cover my bases.

I know documentation of my experiences is key (I do have a log going) as well as maintaining consistent appointments, but is there anything specific that I should ask or say in these appointments with neurology and ENT that would help my chances of getting this claim granted? I struggle with articulating everything at times when I'm meeting with the providers, so I'm nervous I won't explain things well enough to make it a viable claim.

Does anyone have any tips?

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u/EmbarrassedState9010 — 16 days ago