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Just went back to program today and saw the Nurse Practitioner (Psychiatric) there and she told me I am battling between a dx of Bipolar and Schizoaffective Disorder.
What's it all mean for me?
How can I adjust?
What's the most optimal treatment if I do happen to have Schizoaffective Disorder?
I see my pdoc Thursday. Maybe I'll have the Dx answer by then.
Thanks...
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Accepting a possible new dx
#1
- My name's Andy...
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Posted 08 February 2010 - 05:25 PM
Dx: Asperger's + Schizoaffective Disorder - Bipolar Type + Seasonal Allergies
Rx: Lithium 900mg + Ativan 4mg + Topamax 100mg + Clozaril 100mg + Remeron 30mg + Colace 200mg + Centrum + Vitamin C + Fish Oil
Blog: http://andyssurviving.net/
Rx: Lithium 900mg + Ativan 4mg + Topamax 100mg + Clozaril 100mg + Remeron 30mg + Colace 200mg + Centrum + Vitamin C + Fish Oil
Blog: http://andyssurviving.net/
MultiQuote
#2
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Posted 08 February 2010 - 06:07 PM
The diagnosis confusion can always throw someone for a loop a bit and feel a bit out of sorts.
It might help to keep in mind that it's not a reflection that you've changed...just that they've gotten to know you better during the course of treatment and think there might be a different flavor of MI going on. So the question of how to effectively treat it is definitely worth talking about--but if something's been helpful for you, I don't think it'll lose it's effectiveness because of a labeling change. On the other hand, if you've struggled to find things that help, it might give some new tricks or ideas.
I'm not sure how much that helps...I'm afraid that I don't know much about schizoaffective (and I think the diagnosis itself is changing shortly), but I'm sure some people on here can help with that aspect.
It might help to keep in mind that it's not a reflection that you've changed...just that they've gotten to know you better during the course of treatment and think there might be a different flavor of MI going on. So the question of how to effectively treat it is definitely worth talking about--but if something's been helpful for you, I don't think it'll lose it's effectiveness because of a labeling change. On the other hand, if you've struggled to find things that help, it might give some new tricks or ideas.
I'm not sure how much that helps...I'm afraid that I don't know much about schizoaffective (and I think the diagnosis itself is changing shortly), but I'm sure some people on here can help with that aspect.
probably bipolar NOS. possibly MDD w/ anxiety. Used to have some ptsd-like crap, but that's resolved.
current RXs: EffexorXR (150 mg), Ativan (1 mg daily), Lamictal (200 mg); Halcion (triazolam); levothyroxine (75 mcg) and birth control. Risperdal as a PRN.
Past Rxs: zoloft (like a sugar pill); lexapro (hit an anxiety/akathesia problem); wellbutrin; seroquel; ambien.
current RXs: EffexorXR (150 mg), Ativan (1 mg daily), Lamictal (200 mg); Halcion (triazolam); levothyroxine (75 mcg) and birth control. Risperdal as a PRN.
Past Rxs: zoloft (like a sugar pill); lexapro (hit an anxiety/akathesia problem); wellbutrin; seroquel; ambien.
#3
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Posted 08 February 2010 - 06:56 PM
It's not a matter of diagnosis, I think it's more a matter of what treatment works well for you. Of course, knowing the exact diagnosis is helpful, but better to go clinical on this one. In other words, treat according to symptoms rather than labels.
There is no drug to treat schizoaffective disorder. I was diagnosed that too two years ago. My meds were the same- antipsychotics and mood stabilizers.
There is no drug to treat schizoaffective disorder. I was diagnosed that too two years ago. My meds were the same- antipsychotics and mood stabilizers.
"The truly creative mind in any field is no more than this: A human creature born abnormally, inhumanly sensitive.
To him
a touch is a blow,
a sound is a noise,
a misfortune is a tragedy,
a joy is an ecstasy,
a friend is a lover,
a lover is a god,
and failure is death.
Add to this cruelly delicate organism the overpowering necessity to create, create, create - so that without the creating of music or poetry or books or buildings or something of meaning, his very breath is cut off from him. He must create, must pour out creation. By some strange, unknown, inward urgency he is not really alive unless he is creating." -Pearl S. Buck
Visit my blog: Paperskyscrapers
Diagnosis: Schizoaffective, Bipolar Type
Meds: 1,500 Keppra. 200 mg Lamictal, Risperdal Consta injections every two weeks, 10 mg Valium
To him
a touch is a blow,
a sound is a noise,
a misfortune is a tragedy,
a joy is an ecstasy,
a friend is a lover,
a lover is a god,
and failure is death.
Add to this cruelly delicate organism the overpowering necessity to create, create, create - so that without the creating of music or poetry or books or buildings or something of meaning, his very breath is cut off from him. He must create, must pour out creation. By some strange, unknown, inward urgency he is not really alive unless he is creating." -Pearl S. Buck
Visit my blog: Paperskyscrapers
Diagnosis: Schizoaffective, Bipolar Type
Meds: 1,500 Keppra. 200 mg Lamictal, Risperdal Consta injections every two weeks, 10 mg Valium
#4
- anti effing social
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Posted 08 February 2010 - 07:14 PM
if you are treating both bipolar and psychosis now then not much will change, if any, because of the new diagnosis. going from bipolar 1 disorder w/ psychotic features and schizoaffective disorder bipolar type just means you are having psychotic symptopms not pertaining to you manic or depressive symptoms. meaning you are having psychosis while not manic or depressed. again, treatment wont be much different if you are treating the symptoms right now.
i suffer from...
an overactive imagination
Current Dx: HFA, SPD, ADHD, OCD, SAD with Selective Mutism, Undifferentiated Schizophrenia (in remission 1 year and 3+ months)
Current Rx: 160mg Geodon, 3mg Klonopin (.5mg PRN), 200mg Lamictal, 40mg Ritalin LA
an overactive imagination
Current Dx: HFA, SPD, ADHD, OCD, SAD with Selective Mutism, Undifferentiated Schizophrenia (in remission 1 year and 3+ months)
Current Rx: 160mg Geodon, 3mg Klonopin (.5mg PRN), 200mg Lamictal, 40mg Ritalin LA
#5
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Posted 10 February 2010 - 05:51 PM
My diagnosis changed from bipolar to schizoaffective diorder. Mainly because I was having psychotic symptoms with no mood symptoms. When I was first diagnosed I was manic and psychotic. My biggest issue is psychosis. My psychiatrist said the treatment and prognosis is the same. They did up my anti-psychotic because I was having delusions.
It wasn't too hard for me to accept because it felt like it was the right diagnosis, but I can understand how it could be troubling. It really isn't much different from bp with psychotic features.
It wasn't too hard for me to accept because it felt like it was the right diagnosis, but I can understand how it could be troubling. It really isn't much different from bp with psychotic features.
schizoaffective bipolar type
abilify, lamictal, lexapro
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abilify, lamictal, lexapro
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#6
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Posted 11 February 2010 - 01:42 PM
If you do get diagnosed with either one try not to make it a label of yourself. Just because you might have schizoafective disorder doen't mean that thats what defines you.
Dx: Schizoaffective disorder, Social Anxiety Disorder, PTSD, Panic disorder with agoraphobia, generalized anxiety disorder, body dismorphic disorder.
Rx: Seroquel 300mg. , Clonazepam 1mg. ,Cogentin 1mg
Rx: Seroquel 300mg. , Clonazepam 1mg. ,Cogentin 1mg
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