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- Bipolar Disorder (https://www.neurotalk.org/bipolar-disorder/)

- - Confused.... (https://www.neurotalk.org/bipolar-disorder/46744-confused.html)

I'm not really sure what's going on again...

As you all may have read this past week or so I've been buzzing in what I would say was a frantic state...

The past two days.... I've been mad as he11, short tempered, VERY emotional -- crying for no reason and any reason, don't give a carp, haven't left the house since Sunday.

I don't think I can handle another ride on this rollercoaster....

I go back to doc on the 5th.... still waiting for pdoc to call me back...they are trying to get me in if someone cancels.... other than that.... it will be the end of June before I can get in....

I'm tired.... physically, mentally, and emotionally....
:(
Abbie

Thank you all for listening (reading).... I truly appreciate you putting up with my frustrations....

this sounds like the agitated kind of mania....not fun at all.
Would your regular mdoc be willing to start you on a mood stabilizer?
Lamictal IMO is a great med, but it takes awhile to titrate up to a safe level.
start at 25mg for a week, then 50, then 100 then 200mg over a months time or longer.
So you would be at a therapuetic dose by your new pdocs visit if your mdoc would order it for you.
What did the doctor say about you halfing your anti depressants?
bizi

mdoc ok'd me cutting my cymbalta by one dosage....
didn't want me to cut further at this point as it could cause some nasty side effects as i've been on a mega dose for 3yrs or so....

mdoc doesn't want to add anything to the mix until I go in on the 5th... only a few more days....

thanks for listening to me whine.... this is so frustrating and scary.

:(
Abbie

Abasaki,

These things are indeed frightening.
Try to hold yourself together knowing that you will see a pdoc soon.
The pdoc might want to give you a mood stabilzer and might want to have you drop more of the anti-depressants.

Print out your posts here to bring in with you.

Mari

http://www.bipolar.ucsd.edu/general_information.htm

Quote:

MIXED EPISODES

. . . During a mixed state, individuals experience a full range of both depression and irritable mania symptoms, simultaneously. They feel the painful inner tension of depression along with the overstimulation, increased goal directed activity, and impulsivity seen in mania.

Anxiety can also be a prominent feature of mixed mood states--a type of anxious pessimism full of self-reproach, worry and discouragement. This can prove to be a very destructive combination for many individuals because the risk of substance abuse, panic disorder, suicide attempts, and other complications increases greatly with mixed states.

The resulting clinical picture can be quite complex and can therefore often be overlooked. Research has indicated, however, that approximately 40% of manic episodes have prominent depressive elements.

A major roadblock when treating someone with a mixed mood state is the possibility of exacerbating symptoms with the use of antidepressants alone. For example, when an individual comes in for treatment, they most often present with a distressed or sad appearance, expressing feelings of hopelessness/ helplessness, inadvertently masking any symptoms of mania that might also be present.

Unless the clinician specifically asks about manic symptoms and/or a family history, the person may be given medication treatment with an antidepressant alone.

In many people with bipolar disorder, the administration of anti-depressant medications without a mood stabilizer can cause the onset of manic symptoms, activate rapid cycling, or other complications.