8 posts in this topic
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.
I've been tested for Vit D and my GDoc has me taking some to help with depression. In the last visit with my PDoc I asked about the SAD Light for winter depression and asked him if this was a real thing or just a bunch of BS? He said that it has been shown to work and wrote me a when and how to.
What I want to ask is has anyone used this? Is it worth doing? If you do use it do you have any recomendations on what to get?
I don't understand ANY of this and i'm fed up. I haven't left home in months, the clinician who has been occasionally coming to my home has said she doesn't believe in hospitalization for anything other than emergencies and can't personally do anything to get me into hospital anyway. I am feeling completely hopeless. I have a long history with the local hospital(only hospital in our city) and i've been repeatedly denied admission. I'm only 18 and i've been dealing with this joke of a mental health system for over 3 years. Along with anxiety and major depressive disorder, I was also diagnosed with BPD "traits" by an emergency department physician I saw for 10 minutes when I was 15, which was the start of this all. Looking back at my old posts really show how long i've been going through this.
I have anxiety and depression almost 24/7. Every day is a struggle to just get by and normal activities stress me out so much.
Due to myself being unable to leave home because of anxiety, i've not been seeing doctors or real therapists(besides the clinician that has come to my home). Nothing has been accomplished. The most recent meeting was to try and get me into the psychiatric unit, but obviously that didn't work out. The emergency department is obviously always an option, but I am 90% certain I will be sent home instead of kept inpatient. To them, it doesn't matter how suicidal I am(even if I have a plan). Last time I went was in March and was sent home(Which I made a post about as well). I don't know what their deal is. Apparently its not uncommon in Canada, but how is this legal? What DOES it take to get in? I seriously need intensive help. I can't focus on outpatient therapy while i'm this unstable.
This is one of my old posts made more than 2 years ago. I really appreciate all the responses and suggestions and i've tried almost all of them. It seems like i'm just a hopeless case at this point, especially since nobody will help me. Its just hard to believe sometimes.
A lot has changed since then, including the fact that I no longer even have a psychiatrist.
Can effexor make you irritated with everything? Is this bipolar disorder instead of depression?? What is happening???By Bumblee
So I've been on Effexor for about two months at 150mg, and it's been fine so far aside from the sleepiness which I can handle, but I feel like my mood has been swinging around a lot. Like today I was super happy then just was angry and irritated... And I've been more irritated at work too. I've read this could be a sign of misdiagnosis. I'm usually a very easy going person, so I'm not sure what's going on. Please help...
I've recently realized that I have been for many years (decades?) settling for just "good enough" results from my medications/treatment. I suffer from MDD that has been my constant companion since adolescence, ADD Inattentive-Type, and PTSD (with a side of insomnia) from a horrific experience with Anesthesia Awareness during major surgery. I was completely conscious/aware, and able to hear, feel, and smell every second of the painful surgery, but was unable to move or communicate because of the paralytics that were administered. And I thought I had issues before that nightmare.
Anyhow I think I've been settling for two reasons:
As a teenager and young adult I saw how my mom suffered every time her pdocs changed up her cocktail. I guess since she never told them, "yes, this is the right treatment for me, I feel great", the well-meaning doctors were always trying something new, with sometimes terrifying results. I still remember her pleas and prayers that they would just leave her medication alone (they did -- eventually). We don't share a diagnosis, but I can see now how her experiences might have instilled in me the perhaps subconscious propensity for settling for treatments that offer only so-so results, for fear that the new, unknown medication(s) would make things worse. Before I became a stay-at-home dad I worked in a demanding, executive level position. Fear of changes to my medications, or rather the possible unpleasant side effects of new medications -- and the possible impact on my job kept me telling my pdoc everything was fine. What if I got so discombobulated I needed inpatient treatment? What if I freaked out at work? Besides, my consistent schedule and support system at work and home allowed me to get by with coping mechanisms honed over the years. I had external, structural, and social crutches to augment my half-assed medication.
Cue Music and Begin Cheesy Movie Montage Segment:
Met and married a wonderful guy Bought and renovated an awesome house Fostering (adopting soon) a bright healthy toddler Left the rat-race to be a stay at home dad End Cheesy Movie Montage Segment
My crutches are gone. There is no one to cover for me or pick up the slack. I can't reschedule things I don't have the energy for, or delegate things that make me anxious. I can't sleep half the day if I need to.
It's me, my kiddo, and my broken brain.
Now, because I've had a big life change, I know some might suggest that perhaps not "doing what I love" or "contributing" has worsened my depression. I can safely say that isn't the case. I have always hated working. If you'd asked a young me what I wanted to be when I grew up, I might have said "retired". I worked because I needed to, was fortunate enough to have some marketable skills and did well for myself, but the moment I no longer had to work, I was out of my office so fast I left a puff of cartoon smoke behind. I do not miss working and I do not feel any less worthy/valuable on account of it. And yes parenting is hard, but I never expected anything less.
I think I simply have more time "in my head" and without the distractions and crutches I've realized that I've never truly had a good handle on my mental illness, and I'm scared. Worst of all I realize I am to blame. Every time I told my doctor my symptoms were better controlled than they were in reality I was doing myself a disservice.
I know I need a serious cocktail change. What will happen? Will I get worse? What will I tell my pdoc -- that I have been lying for years?