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-   -   Difficult weeks/may trigger (https://www.neurotalk.org/bipolar-disorder/4235-difficult-weeks-trigger.html)

coyote 10-19-2006 07:05 PM

Difficult weeks/may trigger
 
I hang out mostly at the fibro forum and lurk here sometimes. Things are getting out of hand, though, and you might have a suggestion or two, hopefully.
There have been difficult, ongoing problems at work since September that affect me directly. No one in power seems to listen to anything that makes sense. They just keep pushing us to do things that aren't physically possible.
I started out being aggrivated and angry all the time a few weeks ago. Then it became severe irritability and snapping at people. I couldn't stand myself. Now, I'm into full-fledged raging at people without being able to control it. I'm screaming at people and saying hurtful mean things, and my mouth is moving faster than my brain.
I take Paxil and Synthroid in the A.M. , and Seroquel, tegretal and trazedone at night. My pdoc usually says to take an extra 25mg seroquel if I feel this way. I am, but I feel more like I need a sedative.
Any ideas, meds that might work better, tricks of the trade to keep it together?

Mrs. Bear 10-19-2006 07:33 PM

Work stress is so overwhelming.

A punching bag might help. (I know, not physically worth it, but the thought is in there.) ;)

If the seroquel isn't helping, I would get the pdoc on the phone about upping it a little more. That's what we do with Wes when ka-ka hits the fan.

This last episode, the doc gave him a different benzo. Valium instead of Klonopin. The boy wants something less sedating so we are switching up the mix.

When Wes is in an absolute, inconsoulable rage, he listens to classical music. He says it drowns out the voices and calms him.

I really feel it would be worth a call to the pdoc about anxiety meds and see if it stops a full blown manic.

My heart is with you. Hang on the best you can.

Love, EreBear

bizi 10-19-2006 08:11 PM

hi there,
I agree
call your pdoc...seroquel at a higher dose is like a sedative.
Does your doctor think you are bipolar?
how old are you...pm me if you don't want to say.
depending on your age...and diagnosis...you may be bipolar and the antidepressant may be too much for you.
keep posting/talking and stay awy from caffeine and other stimulants...sports drinks etc.
bizi

Mari 10-20-2006 01:24 AM

Hello,
I am sorry that you are going through this.
Can you remove yourself from the stressful situation? Can you find ways to kind of back off? New ways to cope? This is important because med support can only accomplish so much. Certainly you can find a therapist to teach you grounding techniques and ways to channel/turn off the anger.

Are you on two antidepressants? (Sorry but I am not personally familiar with all of your meds.)

Some pdocs lower the anti-depressants when the patient is getting wound up/anxious/irritable.
Or you could benefit from raising the Seroquel.
I take Klonopin for anxiety related to sleep.

Mari

coyote 10-20-2006 07:39 PM

Thanks...
I already had upped the seroquel 25 mg per day. My pdoc said earlier I could do this. I talked with him today. He said to either split the 25 in half and take half in the morning and half in the afternoon, or up it to 25 in the morning and 25 in the afternoon. My concern was that it wasn't really helping much.
You know, my head feels like it's going to explode. I can't imaging what my BP is.
I'm sleeping better and that helps. Thank God the weekend is here, and I can kick back a little and try to stop fuming about things.
Sometimes I think this stuff is like getting a migraine headache..........when it finally passes, your head feels lighter and you can think clearer.
I think this is worse than being depressed.
I'm 57 yrs old, and thanks for reminding me about the ssri. I take 60mg of Paxil in the A.M. and it may be too much. Trazedone is and antidepressant also, but I take it more for the sedative effect at night. It takes a piano dropping on my head to get me to sleep sometimes.

Paxil 60mg
Synthroid .115mg
Tegretal 600mg
Trazedone 200mg
Seroquel 200 - 225mg

I'm trying to take up crocheting to relax.

highhatsize 10-20-2006 11:39 PM

B-e-n-z-o-d-i-a-z-e-p-i-n-e-s
 
Dear coyote,

Benzodiazepines, (diazepam, lorazepam, alprazolam, clonazepam), are the soverign anodyne for anxiety, stress, grief, mental strain, and any other synonyms which I can't currently call to mind. Absent countervailing causes, there is no reason why your shrink should not have chosen one of them for your condition above seroquel. Of course, benzodiazepines are a med that is subject to recreational abuse, whereas no one would ever use seroquel for that purpose. One can only wonder how heavily Herr Doktor weighed this fact in his selection.

moose53 10-21-2006 01:18 AM

Hey, Coyote.

I don't have BP -- mine goes more toward a combo of depression and a personality disorder.

I have a question. I'm basing this on the fact that I'm just a tad bit older than you. AND, have actually walked out of jobs in the middle of day when the P.O. quotient was too high.

My question: when you rage and "blow your stack", is what's coming out of your mouth THE TRUTH??

I don't work any more, but, I worked for close to 40 years. I discovered that I had/have very low tolerance for solving problems that were already solved in the 50s and the 60s and the 70 and the 80s, yada-yada... There were a couple of times there when what was done or said to me was just SO WRONG on so many levels that I had no choice but to walk (and to walk immediately).

Do you think this rage is because you feel trapped in a job that you REALLY don't want to be in any more?? If that does turn out to be the case, maybe it's not more meds that you need, maybe it's a change in career.

I know that's easy to say and hard to do. Been there and done it -- way too many times.

I DO THINK, though, when it comes down to a choice between your sanity and your values and your morals and THE JOB -- it's definitely better to choose the sanity and the values and the morals. I figure The Universe guides us to these situations to see if we'll choose "right" this time :rolleyes:

Good luck in whatever direction you choose to go. Don't be too hard on yourself. Hugs.

Barb

Nikko 10-21-2006 08:49 AM

What about a mood stabilizer such as Lamictal? I take that and it has helped a lot with my mood swings.

I am also on Cymbalta which is for Depression.

I take Trazadone for sleep.

and clozapam for anxiety.

Nikko

Mrs. Bear 10-21-2006 09:39 AM

I am glad you talked to your pdoc. How is your pain with all this stress? I hope that isn't too bad.

HUGs, dear. Thinking about you.

coyote 10-23-2006 06:28 PM

Thanks everyone.
Yes, my pain was up, but I'm getting steroid shots in my spine to help with collapsed disks. It's like a miracle.
Most of the fire in my head is out now. I'm mostly just smoldering. Nothing has triggered my rage again lately.
Are the things I say true???? I'm not sure. I said some hurtful things to my dad which I regret terribly. Once the words are out of the mouth.........
The workplace has become as chaotic as I've seen it in 11 years. I'm going to hang in so not to lose the retirement I have saved up, but it's time to create a new situation for myself. I'll try not to jump ship, but as you say, sometimes it's more important to try to keep your health..
No one will prescribe benzos for me. I'll leave it at that.
I take paxil, synthroid, tegretal (mood stabilizer), seroquel and trazedone. It should knock a horse over. It's amazing how hyper I can still get..........
I'm feeling a bit better.
How are you all doing?


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