Adolescent Psychiatrist Questions Psychiatrist

What do I have?

I haven't been to the doctors in a while so I'm not diagnosed but I think I might have bipolar depression and/or BPD

I've been feeling like I'm lacking energy and I'm suicidal (have harmed myself but have no suicide plans set in stone) I've been eating less and less and get barely any sleep

Female | 13 years old
Complaint duration: 6-7 months
Medications: None
Conditions: None

3 Answers

AdolescentPsychiatristPsychiatrist
Thank you for reaching out and being so open about how you're feeling. It takes a lot of courage to speak up, especially when you're dealing with something as heavy as low energy, lack of sleep, not eating, and thoughts of suicide. I'm really sorry you're going through this—you shouldn’t have to feel this alone or overwhelmed.

You mentioned wondering if you might have bipolar depression or borderline personality disorder (BPD). The symptoms you're describing—feeling low, not sleeping, eating less, and struggling with suicidal thoughts—are very serious, but they can be caused by a number of different things. That’s why it’s important not to jump to conclusions or try to label yourself without getting a full picture from a mental health professional.

What I can tell you is this: what you’re describing sounds like depression, and it’s gone on for too long to ignore. Whether or not there’s something like bipolar disorder or BPD going on, you deserve real support—and there is help out there that works. Therapy can make a huge difference, and sometimes medication can help too, especially when sleep and appetite are affected this much.

Please talk to a parent, school counselor, or trusted adult as soon as possible and ask for help getting in to see a therapist or psychiatrist. If you're ever in danger of hurting yourself again, call a crisis line or ask a trusted adult to help you go to the ER right away. You’re not alone in this, and it can get better with the right care.

You don't need to have a diagnosis to ask for help—you just need to know that how you're feeling is serious, and that you matter.
Thank you for reaching out to me. Please tell your parents and see if they can guide you to get help with a professional. If you guys are struggling to navigate the health care system. Then the emergency department is always there to assist or 911

Hope that helps, but go get help
You should ask parents to have you see a licensed mental health professional ASAP! Your symptoms are very concerning.