I have bipolar II, and I have been hypomanic for about two weeks. I would like to come down now, because the lack of sleep is getting to me and I'm not that euphoric or even productive anymore. I'm trying to utilize the extra energy while making reasonable choices to not go higher up, but at this point I would just like to come down and get some sleep. I'm wired physically and sitting still is close to impossible, but it feels like something in my brain is tired and needs to rest. Evidence says I'm not at my best right now, at least I don't code as well as I usually do, even though I have a lot of ideas and every thought that comes through my head feels like the best idea ever.
I'm not taking a mood stabilizer and I don't think I really need one most of the time. Most of them wouldn't be worth the side effects, since antidepressants actually helped somewhat with the depressive episodes while not preventing all of them and hypomania is infrequent. I rapid cycled in the beginning, but I don't since switching to Wellbutrin from Zoloft. Also I stopped doing insanely stupid things while hypomanic after I understood what it was and got some practise dealing with it, and I don't tend to crash into severe depression although it has happened.
I would have considered cutting the Wellbutrin in half if my 300 mg pills were splittable, which they aren't because they are sustained-release. The only thing I have on hand that could help me sleep is Remeron, but I don't know how smart it would be to take an antidepressant just for the antihistamine side effects. It helped a great deal in the past when I was depressed, so that's why I'm unsure about taking it now.
If anyone has ideas about how to get down from here safely and preferably soon, I'm all ears. I could use more than two - four hours of sleep tonight, and the time says that's probably not happening. In an ideal world I would be discussing these things with a psychiatrist, but I don't have one since moving six months ago. I have a therapist, and I have an appointment with her this Friday. I could ask her to ask a doctor to prescribe something for sleep, we talked about it last time I was there, but I don't know what and I won't just take anything. I'm never taking antipsychotics again, not even at a low dose. I have tried four, and I tend to get terrible akathisia at low doses, and then sleep most of the day at higher doses. I got them while I had depression with psychotic symptoms before I was diagnosed bipolar, and they didn't even help with that.
The thing is I'm not prepared to take medications with life-altering side effects just to prevent hypomanic episodes that are far between and usually don't end in long-lasting depression. Maybe just a short-acting sleeping pill for a short period of time or something like that. I don't know if the whole antidepressant monotherapy thing is a good idea either considering I'm hearing voices from lack of sleep right now (don't worry, I've been there before), but it's been way better than atypical antipsychotics at preventing depression with none of the side effects and Lamictal literally did nothing for preventing depression or anything else. Any ideas about what I could do after this long ramling post is greatly appreciated. Medication-wise or non-medication-wise.
Ive been taking anti psychotics for ten years and throughout it Ive had horrible issues with sleep and struggled to wake up at any regular "human" time. So much so I have not been in college or work throughout those ten years.
I'd take my meds around 10/11/12(PM) and wake up around 1/2/3(PM). 11 hour sleeps are probably the minimum. 14 wasnt that weird a thing. In winter time this becomes even more of a problem because I am not seeing sunlight.
I've tried all sorts of things to combat this sleep problem:
A deaf persons alarm
A light alarm (which was definitely helpful but didn't fix the problem)
Drinking copious amounts of water before bed
Depriving myself of caffeine/chocolate/alcohol/(life itself) for a couple of weeks
Not using TV/PC/phones in the evening
And of course the classic: "why don't you just take the drug at 8PM and then you could wake up in the morning". (Yes and why don't I just kill myself while I am at it. All my friends are working adults and I will happily take shitty lifestyle over never having the ability to meet up with friends. I did try it for one summer and it just upset me leaving get-togethers and events before they barely got started. I would say it made me feel suicidal. I may as well be walking around with "lunatic" printed on my forehead. Add to that I do music in a band and often don't get home until 10PM so Id have to give up my passion too.)
Recently I got a mood lamp (for Christmas), it shines all kinds of colours and varying degrees of brightness. For the last week as soon as I go to bed I turn the lights off and the lamp on to a dim orange/red and keep it on until I wake up in the morning. I have to say every day I am waking up early. No more 3PM starts. No more 1PM starts. I wake up when I set my alarm. Often even earlier. Its so weird. Its like its erased the problem absolutely. I also actually feel tired in the night and that I want to go to bed so I can sleep.
Now it could definitely be complete fluke. Also I have considered the fact that I may have just reduced the quality of sleep I am getting, thus waking up to my light alarm more easily.
I will definitely make sure to post an update in 2 weeks time, and perhaps another 2 weeks beyond that to see how things progress.
If it does stay like this I will be writing to my mental health services and telling them that the need to be prescribing this to people who have sleep problems induced by anti psychotics
At the moment has literally changed my life and I cant emphasise that enough. I wish I got one ten years ago when I first started taking anti psychotics.
Hi, my new doc told me I should give olanzapine a try because of lack of sleep. Has anyone else tried this med? I don't really dig the idea of taking something that is tagged as "sedative" and "anti-psychotic". Why would I need an "anti-psychotic" for sleeping? What kind of "sedative" effects does this pill create? I don't want to go around all numb'd down.
The meds they give me usually don't work, anti-depressants have all been useless. Only lamotrigine has made me feel better. I really don't trust this olanzapine thing, I don't even like it's name, sounds trashy.
Also, has anyone felt psychotherapy does help or have any kind of benefit beyond "venting out"? I could get it for free because of the mental health program in my country (just as the meds). I have tried it before and it was really a waste of time and it is frustating to hear someone just turn thoughts upside down and pretend it is some kind of insightful and constructive feedback, life if that wasn't something someone neurotic (as me and I guess some of you are since we share some kind of mental trait*) does all the time. At least that was my experience. To the ones here with good experiences with psychotherapy, how do think it helped you? My old doc once told me psychotherapy made a difference between people with mental problems getting a career and stuff like that. The difference was that the ones who did psychotherapy were 80% more likely to develop some kind of stable career. I think the thing is that 80% of every group of people will most likely be able to develop a career, regardless of psychotherapy or MI, so the stadistics just putted the "psychotherapy made this possible!" watermark to it. idk.
*: That made me question if people with bipolar or other mental illness share some traits beyond the diagnosis? Have you guys noticed some kind of pattern? this is not really important, just thought it was interesting
Thanks for reading (:
Yesterday, I self injured in my sleep. This happened once before, and I am scared of this happening again. I'm taking my meds as prescribed, but I'm wondering if this is a sort of sleep walking, and if there is anything I can take to prevent it. I suffer from anxiety and post traumatic stress and past physical abuse issues. Any advice is appreciated.
Does anyone else find that the days you take your stimulant, you sleep like baby at night and wake up refreshed?
I'm so happy that I am finally getting restful and conistent sleep with the help of Adderall.
I take 10mg IR once in the morning and sometimes I take a second dose around lunch or dinner.
I was reading good article abut it. Let me get the link. It's from Tuck.com. If it's accurate information, it seems very informative.