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  1. I am currently on 300 mg of seroquel for bipolar II (mainly depression) and 300 mg Lyrica for anxiety. I want to come off the Lyrica because I think it might be causing rage and it always seems to happen after my morning dose of 150 mg Lyrica, and 100 mg of Seroquel. I take 150mg of Lyrica at 9am and then again at 5pm. My Seroquel is taken at 100 mg at 9am and 200 mg at 9pm. It is Extended Release. The Lyrica is in capsule form. Any thoughts? I am smallish 44 yo woman.
  2. Hi guys, just started seroquel/quetiapine 25 mg two days ago. I think it makes me hypomanic. Has anyone else experienced this? Does it go away? Im taking it for bipolar disorder
  3. Hi everyone. It's been a couple weeks. I promised to update after my genesight test results came back. I was OCD about getting the results because I was so deeply depressed, and desperate. I titrated off lamictal which was making me suicidally depressed while waiting on the results. The mood stabilizer green winner for me...or in my case AAP...GEODON. My pdoc immediately stopped seroquel, and put me on 20 mg geodon in the morning and 40 mg at night. It doesn't make me sleepy. At all. That's the only issue I have so far. It's in the green column, and so far I've had zero side effects. My mood lifted almost overnight. I had a sweet spot of about 4 days where I felt completely normal. It was amazing. My problem, at least I think it's a problem. He also prescribed 20 mg of Prozac to help with depression and OCD thoughts. I historically cannot take antidepressants. They always make me hypomanic. Always. I've been on prozac before, but that was much earlier in my illness. Before I started rapid cycling and having paranoid features. After about a week, I started noticing hypomanic behavior. Most notably, spending way too much money. Not concentrating as much. Taking on big ideas for fix it projects I can't do alone in my condition right now. That kind of stuff. I'm also taking deplin 15 daily, but I seem to manage that with niacin, but I'm wondering is it the Prozac, the deplin, neither or both causing the hypomania? I've consistently stayed on .5 mg klonopin and 50 mg topamax. I want to up the topamax to 100 and start reducing klonopin. One thing notable, I weaned off 300mg gabapentin. I was paranoid it was causing the suicidal depression, not accepting it was the lamictal which has done that in the past. So, my pdoc said ok. Since I weaned off fully about 3 days ago, I've had more anxiety each day. Don't blame geodon on that. I have terrible panic and anxiety problems. So, today, I realized there is no way I can wean off klonopin if I'm already feeling like this or I will start dissociating again, and that is horrific. So, I took gabapentin today. I was supposed to see my pdoc today, which is the longest I've waited to see him. 2 weeks. But...he broke his arms and nose somehow, so my appointment is postponed to next Monday. Meanwhile, sleep is awful. I'm maybe sleeping 5 or 6 hours a night taking Tylenol pm. I have a very limited amount of time doing this before I go full on hypomanic or get very unstable and rapid cycle again. Although, none of this is as bad as it was before, I cannot take anything with Benadryl long term. It has an opposite effect on me. I either need my pdoc to up geodon and add a sleeping med or help me figure something out. I'm not keen on trazadone or vistaril, because doxepin made me rapid cycle severely because it's an AD, and vistaril did the same thing. But, I can say, I think I am one of the oddballs that Geodon loves. Thank goodness. I need at least my main med to work. I am scared if we up it I could get akathesia, but since it was in the green column on my genesight, I think that's unlikely. Any insight or advice for me going into my appointment next week? I loved those 4 days of feeling normal. I know I am so close. I am going to start IOP 3 days a week after I see him next Monday. I think it's time for counseling to deal with how to cope with this disease on a day to day basis, not just during a huge episode like I've been in. I may go to my internist tomorrow and ask for ambien for a week to get me through to my appointment though. I don't know if I can do 5 more nights of Benadryl and not go into orbit. Edit: I've also been doing B12 injections weekly which maybe contributing to hypomania. I'm going to skip next week's dose and take more niacin this week to flush some out.
  4. I have only been fully manic once. All of the other incidents have been hypomanic. And I created this topic because I'm a little confused -- people always talk about their months of hypomania whereas mine lasts for days or a few weeks. Am I just strange? Is it not "real bipolar"? My pdoc seems to think it's bipolar, but now I'm not so sure. Three to five days isn't a very long hypomanic episode. Some go hypomanic for months. It seems like most do. What's "wrong" with my brain? edit:// also, I see the irony in me thinking there's something "wrong" with my brain for not having "long-enough hypomanias."
  5. Hi guys! I’m new to this forum, so this will be my first post. I’ve found a lot of comfort reading about all of your experiences. Thank you for that! I recently started taking abilify to control my hypomania. Started on 1.25 mg for a week, and I’ve been on 2.5 mg for little over a week now. I am extremely sensitive to medication - especially the ones acting on dopamine. I probably won’t be able to get above 2.5 mg - maybe 5 mg if I’m lucky. If abilify doesn’t work, Lithium will be next. My problem is... Abilify is making me hypomanic. 1.25 mg made me hypomanic for about 4 days, then it stopped. Since upping my dosage to 2.5 mg I have been hypomanic, and it doesn’t seem to end anytime soon. It’s uncomfortable activating for me. I have read about some similar experiences, BUT I haven’t read about anyone having this reaction, and then actually found relief from hypomania/mania afterwards - staying on the same low dosage. I’m really desperate, since I’ve pretty much tried everything else and do not want to end up on lithium. Let me know what you think! :-))) Sarah / Denmark
  6. Hey guys, long time lurker here, and I'd really like your input on something. I'm a bit stuck when it comes to treatment, and I'd like to hear some peoples' opinions, as I wont be able to see my doctor to talk about it for a little while. I’m currently diagnosed as having GAD and MDD, but I’m starting to think I have a bipolar spectrum disorder. Here are some points: Failed multiple antidepressants (Zoloft, Lexapro, Prozac, Viibryd, Pristiq). Failed and/or had too many side effects Had side effects on every serotogenic antidepressant, even while augmenting (Wellbutrin, Buspar) like sexual dysfunction and extreme fatigue Atypical depression — BP Depression has excessive sleeping with a lot of daytime fatigue and an increased appetite, opposite of MDD Very anxious — BP much more likely to be accompanied by stronger anxiety symptoms The fact that “If all the treatments don’t work, maybe you’re treating the wrong thing” Excessive nighttime eating (seen in BP Depression vs unipolar) Racing thoughts Earliness of first depressive episode (age 19 at the LATEST), and research shows it’s very likely to be bipolar disorder if before the age of 18/20/25 (experts disagree on the age) My anxiety symptoms could actually equate to mixed state Losing and regaining interest in hobbies (I’ll enjoy my “typical” hobbies one day and then later, zero interest / motivation) Cousin has BPII (I know immediate relatives are the key, but still, a data point) Online shopping addiction (computer, iPad, something new in the mail every day) The fact that Bipolar Spectrum Disorder doesn’t require mania/hypomania, just multiple non-manic markers of bipolar (see links below for source) The odds that I have treatment-resistant depression coupled with very prominent anxiety, and considering my episodes of depression aren’t THAT bad that they would be so hard to treat So, what do you guys think? For me, it would be a big relief to get a diagnosis as somewhere on the bipolar spectrum, as I've tried so many meds already, and I just wanna feel better If anyone is curious as to my regiment and past meds, I'd be happy to post that as well. Thank you all so much for taking the time to read and respond! It means a lot! some sources: http://psycheducation.org/diagnosis/ https://www.healthyplace.com/bipolar-disorder/bipolar-depression/differences-between-unipolar-depression-bipolar-depression/
  7. Hey all - Title sort of says it all, but I'll give some backstory. I'm certainly hypomanic; it's been one of those insidious onset episodes where it happened very slowly and then suddenly. I'm full of energy, and my impulse control is tanking fast. I'm not unsafe by any means, and I don't feel dysphoric or agitated. The subtle signs over the past week have been increasing irritability, needing much less sleep, poor spending habits, and perhaps most importantly, a recent recovery from a minor depressive episode (aka the unintentional upswing). I've got a call in to my pdoc. But she'll undoubtedly ask me what medication I'd like to try instead of recommending one herself, because we have a good, long-standing relationship and I work in the medical field. So, I'm curious about other's experiences. What has helped you tame hypo/mania the fastest in terms of medication?
  8. So the other day a friend of mine mentioned something about my ex. We were in a toxic relationship (we were both bipolar) and she was on and off her meds and things were messy until I couldn't take it anymore and walked away. I never felt more unstable in my life during that period of time and I just needed to get out. And just mentioning her (this is after 2 years since i left) made me take a 180 --depression, mania, my mind felt like it was slowly eating away at itself. Not only that, but I felt driven to her at that point. I'm fine now, and completely understand why I left. & don't have any affection or feelings towards her. Does anyone have similar triggers? How do you deal with them ?
  9. Hi. Been taking Adderall XR for ADHD for two years. It contributed to a hypomanic episode, but my pdoc was kind enough to work with me in recognition of how much I was suffering due to my concentration and low energy, and, after changing my diagnosis from MDD to bipolar 2, prescribed Latuda. Except for a depressive blip when he raised the Latuda dose, I have been mostly stable on Latuda, Brintellix and Adderall for two years, and the Adderall has helped me a lot, but a recently lowered dose of Latuda has me cycling. We raised the Latuda dose again, but while I'm waiting for it to kick in I've noticed that I've seemed in the past week to become super-sensitive to the Adderall and to caffeine, and sometimes become agitated a couple of hours after taking the Adderall. Taking a tiny bit of xanax has helped bring it down a notch, but obviously it seems not optimal to be having to take stimulants and benzos together. I'm hoping this passes soon as the Latuda restabilizes me, but I wonder if there are any of you with bipolar who take stimulants who have trouble with the stimulants when you're hypomanic and if you've found a way to work with this scenario. Do you not take your stimulant when you're hypomanic? Am I just on a weird combination of meds? The adderall has been so generally helpful that I hate to go off it permanently, but it is not agreeing with my this week. Oh course I'll also discuss it with my pdoc but I'm wondering about other people's experiences.
  10. Hello All, After a lot of bottling up and venting to select friends, I finally decided to reach out to people who can relate to me the most. I'm on day two of what I believe to be a hypo manic state. My hear rate is elevated, I'm rapid speaking at times, super irritable, and I feel like I'm stuck on "up." It isn't enjoyable like the mania I've read about, though, so maybe it's something else? I have this achyness that won't seem to go away and I'm having a hard time keeping it together at the office. What helps when y'all feel like this? I am open to any and all suggestions/support. Diagnosed as Bipolar 2, going on two years now Prescriptions: Ziprasidone, 40 mg Duloxetine 60 mg (I think a raised dosage may be the culprit but I'm not sure) Lunesta as needed, not sure of the mg Thank you all in advance and I can't wait to be a part of the community Elyse
  11. I debate whether or not I have ever been hypomanic ever. And if I have ever truly hypomanic it's pretty damn close to normal. There was that time when I started university when I would crack jokes a mile a minute. I slept poorly and made the odd bad life choice. I sound like a typical college student right? Then there was that time I started school again and was very successful. I slept well, ate well, exercised and was stable but always a bit hyper. Hypomania sounds like it could be hard symptom to identify since it seems like it's what healthy happy successful do in life. When does it become hypomania?
  12. Ok, I hate the term "special interest", but I can't remember a better one, so forgive me; I was dx'd Autistic/Aspergers about 6 years ago, and figured at the time that "Oh, that must be it" about the following phenomena. About.. Once a year, sometimes twice, we'll get an intense burst of energy & a drive to Do A Specific Project. If we don't do the project, it just kinda.. Nags and gnaws away at our mind until we give in. But the burst of energy/mood that comes with it, lasting a few weeks.. We'll be intensely creative throughout, and then suddenly one day, poof, it's gone, and doing the Project tends to feel like more and more of a drag after that (along with all our other symptoms going "ahem. burnout time.") We'll often make comparatively Big purchases to fulfil our creative-drive, hyperfocus, forget to eat/sleep/drink, etc, during these periods. I was wondering if all of the above is covered by being Autistic/how 'Special Interests' present, or whether it seems like there's Bipolar mixed in, since recent MH crisis triggered rapid cycling mood stuff with hypomania (with creative-intensity, but nowhere near the weeks-to-month project spree levels of "Do The Thing"). And.. It felt very similar, honestly, and I'm starting to doubt our previous Monopolar DX, since that was diagnosed while we were discounting the periods where we get hypo-as-hell as "eh but that's Autism stuff". People on chat have been fairly "Uh, yeah, that doesn't sound like just Autism is at play here" but I'd like to gather more opinions from others with.. for peace of mind if nothing else. >< thanks, Whisper
  13. Hi! Long time no talk. At 43, I've experienced hypomania maybe 4 times in my life. I've only recently understood what it is, and whenever it has happened in the past I've always thought I'd found the "answer" to my depression, whether it was starting a new antidepressant or some very exciting event in my life. For example, late last year I became open for the first time about being curious about guys dressed as women, or guys with an androgynous, feminine look. It's a long story, but I became hypomanic because being open about this and exploring it for the first time was very exciting. Not realizing what was happening, I thought that "coming out" about this (I mostly like women, probably 95% of guys do nothing for me, but that other 5%... LOL) cured my depression. I know about the risk taking, the overconfidence, the questionable judgment. But to me that's a small price to pay for how much I believe I could accomplish in life if I could feel this way all, or even a lot of the time. Anyway, I've since read about something called the "hyperthymic temperament". These people are just naturally hypomanic, rather than just a state that lasts for a couple weeks. I've read the claim that Prozac turns some people hyperthymic. Hyperthymic is more permanent than hypomanic, and that's what I'm interested in, something permanent or at least frequent. So, my question is: has anyone become hyperthymic from taking Prozac? Again, I'm asking about a persistent change, not just a state that lasted a few weeks and then you crashed. Thanks.
  14. Hi All, I'm new here and I am so grateful for this space. I received a tentative BP II (I believe rapid cycling) dx a rather long time ago (over a decade), and have been on a mood stab. since then (lamictal). The thing is, I'm not certain if this fits me. I know you can't dx me, but I am hoping that maybe someone shares my experience, or can shed some light on what's going on for me. All of this is based on a fairly shaky memory of the time + my parents memory. Way back then, in my pre-teen days, I presented as having periods of being "stable," active and generally good. Very suddenly, I would go into extreme irritability and frustration with uncontrollable outbursts, typically triggered by something. I remember feeling, after these outbursts, that I had no control over them and would often be very apologetic and ashamed. As I got into my teens, I would more often rapidly spiral down into deep deep, inconsolable despair. The latter is pretty clearly depression, but does the former count as hypomania? Those period wouldn't last the requisite 4 days, they were just extremely fast shifts. There were times where I would get hyper focused on projects with a belief that, whatever I was doing it needed to be genius and the "best." The irritability and frustration would often be present as well. I don't recall ever having periods of euphoria and hyperactivity so often described as hypomania. I also don't know if I ever had grandiose ideas about myself, but I do know that I often believed myself to be different and wanted to be the "best" at everything. I wanted everyone to see me as super special and recognize my amazingness. Sometimes I would get into a cleaning frenzy with my room and have to reorganize everything, but I don't think those moods would last very long. I should mention that around the same time, I had developed a severe anxiety disorder with near-daily panic attacks. As an adult, I still have periods of crashing into deep depression, but for a while the periods in between have been longer (except recently they may be getting shorter again?). I don't know if I ever have what could be considered hypomania. I will have high energy periods where I want to be social and get frustrated if I don't have plans (but that could be normal). I will also get very focused and intense about work, and will commit myself to projects that I later lose interest in/can't follow through on due to the depression. A couple of different meds I have tried have triggered high high energy and pressured speech, but that's a med thing I believe. Anyways, apologies for this being long, I am finally in a stage of my life where I am trying to make sense of all of this and take charge of my treatment. I have been pretty passive about it for a while, but I have seen how it does severely impact my life. I just want to be able to hold down a job and advance in a career and have relationships without needing to bail!
  15. I've been told I appear to be going through a "mixed" episode, or dysphoric depression. Could be, could be. Anyway, I am having a lot of trouble controlling obsessive thoughts about what are probably insignificant things. Right now: I made a post on Facebook that a few people took offence to. It was fairly minor -- I expressed frustration that drugs were being used in a park near my house and that I kept encountering needles, broken crack pipes, and broken liquor bottles; I was then told I should find somewhere else to walk my dog because I don't know the circumstances of the people who do those drugs, and they have basically have a right to do whatever the fuck they want. Normally I wouldn't really care, because those individuals are the kind of people who try to find something offensive in everything, so that they can use the world as their soap box. So I was slammed and berated in the comments section, but others expressed support, and hey, that's social media, right? People have a right to express their opinions, no matter how condescending and self-righteous they are. I engaged in a logical debate, but eventually cut it off because it was just too much work and I was going to start making some "ad hominem" attacks that I'd rather avoid. One of them unfriended me, which seems like a huge over-reaction to just disagreeing with an opinion that matters so little in the grand scheme of things. Anyway, even though it's just a matter of opinion, I can't stop obsessing over what others said that I disagreed with, and keep checking the post even though I turned off notifications so that I wouldn't keep checking the post! I think this is just a symptom of dysphoric depression - I become fixated on something and just obsess and obsess and let it ruin two days, when I know logically that it's just not worth it. I consider them hyper-sensitive, but I get easily upset and hurt when someone disagrees with me. It's so fucking frustrating and I can't make it stop!!!!!! How do you deal with obsessive thoughts and the urge to tell everyone just exactly what you think of them? Mixed episodes are the worst. (And I'll also probably be checking here obsessively for responses... ugh!)
  16. not really an urgent question, i'm just wondering i find that when i self harm it happens a hell of a lot more when i'm in a mixed or manic state. this is super weird, but alongside the obvious notion of feeling totally invincible and being impulsive as shit, i think it comes from a weird urge to see blood? anyone else get this, even if it's not in the same grisly way i do?
  17. I go through this endless cycle, since I was diagnosed at 15 (and I'm 28 now) which is, "I can't have bipolar because I don't get manic." (I get hypomanic) "I must have BP because this behavior isn't normal." "I can't have BP because this hypomania is too mild to be anything." When I'm depressed, which is most of the time, I can never remember what hypomania really feels like, and I feel as though I'm exaggerating my own symptoms. I think, genuinely, I still don't completely understand hypomania, or rapid cycling which plays into it. People like my grandpa, who had BP I, it seems so obvious: he was depressed and suicidal, or he was manic and gambling and typical 'manic' symptoms...you looked at him, and it was easy to see 'that's someone with bipolar.' What if I never get hypomanic? I just don't know. I know I have these periods of behavior, but never these super obvious signs (to me)...like I don't engage in risky behavior. I sleep very little, I talk faster than I can breathe, I clean the house all night, I get extremely irritable then happier than I've ever been in my life...but when I'm living it, it just doesn't feel like "that's bipolar." It feels like..."something is off with you." I'm confused. I've been confused for 13 years. lol. Anyone have thoughts?
  18. I have recently been going through a lot of medication changes spurred by oxytocin induced insomnia. I feel like I have finally come off of the hypomanic ride I've been on for the past year and half since I had to stop taking Lithium. I am afraid because I don't know what kind of happiness I will have now. I don't know if the happiness I felt for the past year has been true happiness of getting over my mom's death and getting rid of an abusive relationship, or if I was just hypomanic. I am afraid of returning to the kind of life I had when I did not experience hypomania, the time when I was on Lithium. First of all, I was not stable then and I am afraid of going back to that. I am also afraid of a world where I don't feel happy. I feel like I was dead before I experienced mania. Will life just be dull and normal? Any advice from someone who has gotten rid of mania and likes it? Will I still be able to enjoy music? Will I still be able to dance? Will I still be able to feel connected to the earth, the universe, and others?
  19. I'm going 'crazy'! Please help if you can. I'm bipolar 2, rapid cycling. I was in the ER a few nights ago because I've let bronchitis go too long thinking it would clear up and ended up almost separating my ribs from my sternum from the coughing. Those joints are major swollen. It's called Costochondritis. The only thing that will make it go away is steroids. Well, we all know that steroids are a nightmare for bipolar. I'm on the 3rd day of a 6 day dose. I've been up for 37 hours. My brain won't shut up. Hypomania is yanking me all over the place. Cry, laugh, pissed off, fine, hyper, lethargic...all in an hour. I've been diagnosed for 19yrs, so I know the deal, and I begged not to have to take the steroids, but the Drs insist I need to if I'd like to breathe. Ugh! The massive doses they start and slow tapering is making my brain hurt. I'm not SI or anything like that. I'm just exhausted, hopeless, morose, major angry..in a big cycle. I know I need to sleep, but I don't have anything for that. Does anyone have any ideas to share on how to get myself through this? I fought the prednisone (steroids) for over 3 weeks, so it's either I take them at home or I get them hospitalized generally in an IV with oxygen. Any ideas at all are appreciated. I'm a cutter: I just relapsed after 4.5 years clean (PTSD related relapse). I've made it almost 3 weeks clean again, and I don't want to put myself in jeopardy of that relapsing. I'm ok so far, but it's REALLY bad (cycling) today and I need some ideas to keep my mind busy. Thanks!
  20. Interested in thoughts about my situation. I'm currently depressed - no question. Can't concentrate, can't stay awake, kind of hate the world and myself especially. This is coming after a couple of years of generally ok feelings when I thought I had the whole depression thing sorted, which followed a few years which were bad. During the first phase, one physchiatrist put me on Lamictal on the basis I might have mild hypomania. I'm not really sure the Lamictal did anything, and in any case a subsequent pshychiatrist simply said I was a bit 'narcissistic' (which itself made me depressed to hell for a few weeks!) and it was just 'situational depression' because I wasn't dealing with stuff in my life well. For the last few years, I pretty much agreed. He took me off the Lamictal. But my mood fluctuates a lot, particularly lately, and for the last 4 months it's gone down the toilet again. When I'm feeling great, I think I can do anything and that I'm the best qualified person in the world to ... run the country, write a best-selling novel, write best-selling music, cure everyone, mediate anything, generally be the nicest person anybody has ever met. When I'm feeling crap, like now, just the need to answer an email or pick up the phone seems like an impossible burden. Concentrating on work (which I should be doing right now) has also become a huge problem - which given I'm self-employed, isn't exactly great. Right now I have deadlines all over the place, and work isn't getting done. I'm just wondering again if I might have some form of hypomania cycling with depression after all, and I've heard SSRIs can make that worse. At the moment I take a mixture of Zoloft and Wellbutrin. I can see that a lot of my symptoms are only probably on the edge of qualifiying as hypomania. pressured speech - no inflated self-esteem or grandiosity - yes decreased need for sleep - a bit at most flight of ideas - yes easily distracted - yes yes yes increase in psychomotor agitation - well if this means fidgeting, foot-twitching, knee-wobbling, hand-waving, I do that all the time, depressed, hypomanic, or otherwise involvement in 'dangerous' pleasurable things eg overspending, etc. No. I don't know. Appreciate thoughts. I'm just sick to the back teeth of being back in this situation again and don't feel like anything ever gives a proper solution.