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Matt G

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  1. Just one more question. Do you think taking lamictal will minimize the effects of paxil withdrawl? I read they don't fully understand how it even works.
  2. So do people generally mix this with an ssri or just solo for BP2? Should I tapper the paxil while titrating up on the Lamacital? Of course I'll talk to my pill doc about. Thanks Matt
  3. Dude, I'm about 3.5 weeks on a 10% taper. Feel like shit, I can't imagine the pain and suffering you been through with all your med changes. It takes like 4-6 weeks just for your brain to adj to small changes. I read the only way to taper down on paxil was 10% reduction per month.. So it's 10% of a progressivly smaller dose. I bet Effexor was brutal. How long did you give yourself to taper off the ssri and snris? Thanks Matt
  4. Were you ever on Paxil? I'm starting titrating 3 weeks ago 10% on 15mg and wowza.. It's brutal. Headache, dizzy, sweating, sick to stomach. I can't imagine going like this for a year. Some of these meds should be outlawed. If you were on effexor you must have experienced withdrawl right?
  5. I started using this. It's easy to use. Thanks
  6. Hi, I was talking about trying the lamotrigine not the effexor. I think if I have it, effexor will make it worse. what is the web site you use for journaling? My buddy that has bipolar mentioned there is one he uses to log data daily or weekly. Said it is pretty cool.
  7. I'm going to give it a try. I'm prone to getting almost every side effect possible on meds. I'm going to try it and go really really slow. I'm feeling ok lately. I can see that as I think about things, I think I have set my reference point in life to be hypomanic. In many ways I like it alot. I hit that wall about a month ago and now I can focus, I'm not wired out, all that extra energy is gone, less agitated, etc.
  8. How hard would it be to tapper from paxil and wellbutrin onto this med? I'm down to 13mg of paxil from 15mg and I can feel it already.. I was going to try to go slow 10% reduction per month and make it to the end or transition to something new.
  9. That's solid advice. I'm not starting the Effexor. What are your thoughts on this? https://www.ncbi.nlm.nih.gov/pubmed/18271912
  10. Hi, I told me NP today I think I might be soft bipolar 2. He wanted me to tapper off paxil and cross taper up on effexor. I'm really thinking I can identify the cycling now after looking back. Still not 100% sure but going to evaluate it and watch it closely. Not going to make a switch on the meds yet. I have not had any real low depression in some time. Bad days and weeks sometimes but I am considering the amount of booze I have been drinking the last year and how it might impact things. I'm in good shape and eat well but i go through what might be soft mania where I just want to drink every night. More than I should. Sometimes I think it's because I get so much energy that the booze relaxes me. That could be mania in my book. I hit a wall about a month ago and now all that extra energy is gone and the mind racing and agitation is not as strong. Your understanding of the meds far exceeds what most people would know. Where do you think you would be w out that knowledge? Honestly, I've seen several good, educated docs and what strikes me as most interesting is they each came up with a different med to try me on. Celexa by one, Viibrandt, and the guy I see now is saying Effexor. I exercise almost every day pretty hard. I will say that helps me depression. If I go a few days without doing it I get really down. What is first line defense for BP2? Depakote w an antidpressant right?
  11. http://www.psychiatrictimes.com/bipolar-disorder/lab-test-bipolar-disorder I wish i could get this done. lol
  12. Dude, You would be a great NP with the meds. The biggest trick is getting the diagnosis correct early on. I'd say that's hard to do. They say the avg person goes 10 or more years incorrectly diagnosed with BP. I'm 12 years on meds and am just starting to consider it a possibility. I think i might be a soft BP 2. When you read the definitions it's not always easy to figure out.. I don't think most people stop and reflect on all their behaviors from 6 months ago or 3 etc. Unless you really analyze it you can easily miss it. I started keeping a journal years ago and that was helping me try to figure out why I felt good with lots of energy then I would crash. I use to think I was going through tollerence or withdrawl from klonopin or paxil or both. When I titrated off klonopin I felt like I was on speed for 6 months. I was running 8 miles 3 times a week. Now as i'm reflecting back and analyzing things I am really wondering if I have BP2. When you were trying all the meds how did you know what "normal" feeling was? You clearly knew in your mind what you needed to feel like. Sometimes I am not sure what my reference point should be. It's like if I have BP2 then I want to be in that slight mania all the time because it feels good until it crashes.
  13. Your story is amazing. honestly I think what people struggle with is what is "feeling normal"? What is 'feeling happy" it depends alot on your reference point don't you think? I'm happy compared to a WW2 survivor but not sure compared to my next door neighbor. How did you know what feeling/mood you were looking for if you hadn't even experienced it? That's what I find most difficult. Plus, with kids, job, stress etc how can' one be sure what is influencing our moods vs genetics/ chemistry? Then add in the mix of not eating right, not enough excercise and drinking to much and it gets complicated real quick. I did take the genetic testing for the pysc meds.. It's interesting and shows how you metabolize which meds etc. I wish there was a blood test to indicate if you have Bipolar etc. I'm leaning toward not having Bipolar 2. What are your thoughts on the below info? I must admit I can say that drinking to much contributes to bad behaviors. One last question. Most of the meds you listed generally require 4-8 weeks to determine if they are working correct? It must have been pretty hard to cycle on and off them. Plus, you generally get all the side effects early on so right as you determine it doesn't work, you have to jump to the next one right? I'm kinda scared of that. Specific Symptoms of a Manic Episode In order for a manic episode to be diagnosed, three (3) or more of the following symptoms must be present: Inflated self-esteem or grandiosity Decreased need for sleep (e.g., one feels rested after only 3 hours of sleep) More talkative than usual or pressure to keep talking Flight of ideas or subjective experience that thoughts are racing Attention is easily drawn to unimportant or irrelevant items Increase in goal-directed activity (either socially, at work or school; or sexually) or psychomotor agitation Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)