28 posts in this topic
My husband and I are both bipolar. He's about to turn 50 and has been having major issues on both ends of the spectrum. He's currently taking lithium, lexapro, and propranolol. The lithium has given him tremors to the point that typing is painful. His pdoc recently prescribed 1mg of Risperdone to help with anger and rage issues he's been experiencing. Three days into it, he was too agitated to focus, and his anger was worse than ever. We spent a day with our son where he was moody and snappish, had a road rage incident over a parking spot in a lot with plenty of other empty spaces, and was just progressively more unpleasant and out of control. That night, he slipped into what I considered psychotic rage. He ripped my shirt off, punched me repeatedly in the back and back of the head, held a knife to his own throat, and then put me in a choke hold until I blacked out when I got the phone to call 911. We immediately took him off Risperdone, and he went back to his normal shitty self. We also called his pdoc and explained what happened. He said we shouldn't have stopped the Risperdone; we needed to double the dose.
As the person who almost died in this episode, and was in pain for weeks afterwards, I wasn't thrilled by that response. The pdoc is my doc too. My husband isn't insured (ongoing disability case), and I'm on disability, so we're financially limited when it comes to changing doctors and playing with meds, but what he's on isn't right for him, and I don't know that I trust our doctor anymore.
Has anyone else had this experience with Risperdone? Was the pdoc possibly right? Any med suggestions I might be able to bring up at our next visit?
Not sure if this is the right area for this but just thought I'd try here. Does anyone know how a medication like Risperidone works for bipolar? Is it more the Dopamine receptor antagonist or is it the 5-ht2a antagonist, that works for controlling bipolar disorder? I know there are other antagonists for the serotonin receptors but the 5-ht2a seems to come up a lot. One of the reasons I ask is because I was put on Risperidone and cymbalta (while in a psych hospital) and being diagnosed supposedly with bipolar/mixed state.(Even though I feel depressed alll the time) Straight SSRI/SNRI medications alone tend to give me a somewhat agitated euphoric feeling when I would yawn...not sure why, and its tough to explain. I don't feel good off of any SSRI's alone that I have tried and would just leave me the same... more Anxious and depressed. I didn't stay on that combo long because I landed in the ER because I couldn't settle down at night to sleep (literally flipping around in my bed)and cause my heart wouldn't stop racing.(my guess from the norepinephrine).
While I did notice positive things from it in the beginning like I felt better about myself and wanted to socialize more, which is strange for never feeling like that ever. Anyways, if I was diagnosed bipolar why would a doctor stick me on an SNRI while on a medication that should control it alone like RIsperidone? Wouldn't that just in turn make me manic from all the extra serotonin? It just doesn't make any sense to me. That's what had me confused on which serotonin receptor is at work to stop manic episodes, and level you out. With the new psych doctor Im seeing, I don't have a full diagnosis yet, but was put on Seroquel XR at 50mg, and guess work my way up. The mental health person who did my partial diagnosis(before being able to see my new psychiatrist) said that it was more towards major depression/social anxiety disorder though. I had the genetic test done from 'genomind' to try to find a medication that wouldn't give me so many issues. (been on about 14 so far) My old doctor had called them and they recommended that but I was afraid to keep taking a AP due to the side effects. No I have accepted it and giving it another try.
Still dont feel anything from it but I figure cause Im not upto the target dosage. The new doctor is trying to get a hold of the company to see what other medications might help. So, if anyone who understands this better, please feel free to explain how this med combo works, and all the receptor stuff. Sorry for rambling on as well.
So, I have been wondering about this today. From my research I know that clanging is a common verbal problem for those suffering with schizophrenia or bipolar psychosis. But has anyone experienced this phenomenon only mentally?
Before I was diagnosed with my slew of problems I had a very intense episode of several days (if not a week) where I repeated rhyming, unrelated words in my head. It was maddening...it became some sort of mantra I couldn't stop. Now that I think about it, I repeated the words out loud in a desperate attempt to get them out of my head. I had a hard time thinking straight, couldn't sleep. Eventually it went away. But I do still find myself making strange word connections. Could this be an anxiety provoked OCD behaviour? Or some pre-bipolar onslaught? For the record, I have had some strange behaviors, but my PDOC has never classified me as being psychotic.
I spend most of my time in chat, and rarely post here. It was suggested to me in chat that I start a thread on my personal experience with TMS, or transcranial magnetic stimulation.
I should have probably started this thread when I started TMS, but just didn't think about it then, so we'll have to jump in mid-treatment.
As of today, I'm 15 treatments into a 30 treatment plan.
History: I was diagnosed with bipolar II disorder eight years ago, in 2008. Prior to that, I was a happy, very functional adult with a great career. Two years ago, in 2014, that diagnosis was changed to Major Depressive Disorder, as I hadn't had any manic symptoms in years and years. . . just crippling depression.
Back to TMS, my husband found an article on TMS earlier this year, and began researching it frantically. He found a physician that practiced TMS locally, in Saint Louis, and scheduled the appointment for me. We went to the initial meeting. After a two hour interview and Q&A, the doctor agreed to write up a case for our insurance to cover the treatment with one condition. . . I had to completely quit drinking. Zero drinking. . . starting that day. At the time, I was drinking heavily, and was concerned about detox, but, we got rid of all of the alcohol, and so far, that part has been relatively easy.
A week after the initial meeting, my insurance approved the treatment, so we were going. No turning back now.
The actual treatment: They sit you down in a very comfortable chair, secure a bunch of stuff to your head including tape measures and a very large white helmet. This helmet contains a big magnet that is supposed to zap your brain right above your left eyebrow. I was not prepared for the magnet. On day one, it hurts like hell. Feels like a woodpecker is sitting on your forehead and pecking away very rapidly above your eyebrows. . . your body shakes and eyes water. The sessions are 20 minutes in duration, with 2 second intervals of woodpecker.
After week one was complete, 5 sessions down, I started to feel lighter. . . like the clouds had started to part, and colors were much more vibrant. Weeks two and three were more of the same, 5 days a week for treatment. Sometimes the woodpecker hurt badly, other times, it was tolerable and I've been able to crochet or watch TV. I've had good days and bad days, but feel like so far it's showing great promise.
As of right now, I'm 3 weeks, 15 treatments into a 30 day treatment plan. I leave in 2 1/2 hours to go get magnetized again and am optimistic about the future.
I know there is a whole lot of conflicting information about TMS. For me, I've seen quite a bit of improvement. It may be placebo, but if it is, I'll take it!!
Thanks for listening.
I have been going crazyyy! Well, not that I wasn't anyways...
So! I have been on 400mg of lamictal for 2 years in November. I didn't have any side effects or issues with it and it has literally saved me from myself and my life.
Doc likes to experiment with me or something idk because he tried putting me on abilify, geodone, and carbamezepine, and topamax... Honestly I only took one geodone or however it's spelled, and I felt like a zombie all the next day so yeah didn't take anymore! The carba and abilify I didn't even try taking as I'm super super paranoid about weight gain.. (Eating disorder)
However I DID take topamax for almost a month. Doc put me on this because one appt I was a frantic whiny mess because I had been purging maniacally and hating myself etc and he told me it would be great for me because more people on it are likely to lose. So duh yeah I was stoked..
The first day after I took it I was at story time at the library with my son and all of a sudden I felt extremely nauseated and sweaty palms feeling like something horrible was gonna happen but didn't know what. Never experienced anything like it before but it scared me so I zoomed out frantically and went home and the feeling left as soon as I got in my house.
I will later learn this as anxiety and panic WHICH I HAD NEVER EXPERIENCED IN MY LIFE! (my heart really goes out to those who do/have had it) so anyhow I keep taking it loving the fact that I can go all day without eating or thinking about food. . As the days go by every time I up it as prescribed 25mg a week then 50 a week then 75 then 100 final dose I feel worse! So I just think it'll die down as I stay on it and get used to it so I suffered along because the no food thing was great, such an ED thought. But I finally had enough because it was just that bad. Doc tells me to just stop taking it. So I did thinking I'd go back to myself again. It has been over a month off it and I am still experiencing these attacks panic feelings or whatever the crap it is! It's seriously bad that I have basically turned into a recluse almost and am terrified to leave the house because whenever I do the feeling comes again.
I have been able to go for walks and such without feeling too bad but the car and indoors??? Hell no. I am at such a loss at what to do or what is going on with me it's seriously depressing. I also have had extreme nausea and stomach pains although they have died down the past week or so.
Basically I am asking if anyone has insight or perhaps gone through or is going through the same thing???? It's horrible!!! My husband thinks it is all in my head but it isn't!!! I guess that's what you'd think of a crazy person though lol
Oh and doc prescribed me xanax at last appt to help with it but I refuse to take it as it's a controlled substance and I am a recovering alcoholic. Thinking about asking for celexa?