kittyloaf

I take 0.100 mg levothyroxine. I have been instructed by my GP to take it at least an hour before eating. I have to eat before I take my other morning meds (Viibryd, metformin, and my vitamin) otherwise I feel really sick and nauseous. Usually I set my alarm for 6 am, wake up take my levothyroxine and usually go back to sleep for an hour or two. Then get up, morning routine 8-9 am, eat, take my other morning meds.

I also think it depends on the doctor and where you live. I live in a very anti-benzo, anti-stimulant area. I believe my state (Missouri) is the only state without a prescription monitoring program, so that could have something to do with it.

I think it's because I was honest and told her I think of suicide sometimes. I think that worried her enough that she bumped up the Vraylar.

Update: Saw psych NP this morning, she didn't want to switch meds or add any new meds. She did raise my Vraylar to 4.5 mg and said to watch for akathisia on the new dose. She seems to think my depression is mostly situational right now...wants me to get myself to go out of the house and get "out of my head" so to speak.

I started the 20 mg Viibryd in May 2019, and went up to 40 mg in September or October 2019, so it's been awhile. Thanks for the suggestion of Trintellix, I haven't tried that. Still waiting for a call back from the psych NP's office, I will ask about Trintellix when I talk to her.

So I'm on 40 mg Viibryd right now (along with Vraylar) and I'm still depressed. I'm not quite suicidal but I think about it sometimes. I left a message today about it at my psych NP's office but I'm wondering what to do or ask for next. Can I augment the Viibryd with another antidepressant or would that give me serotonin syndrome? Never mind I've tried most of the SSRIs and SNRIs and Wellbutrin. Haven't tried any of the tricylics though. My other thought was try Lamictal again? Or something else? Any thoughts are appreciated. Oh, and I recently had my thyroid checked last month. I am hypothyroid still so my GP raised the levothyroxine to 0.100 mg. I'm due to have it checked again in April.

I'm not on SSDI but I had the same problem as I haven't been able to keep a job. I chose to be honest up front about having a mental illness as it weeds out unaccepting people right away. I ended up meeting someone on No Longer Lonely (dating site for people with mental illness). That site isn't as active as sites like OK Cupid and whatnot though so it could be a long shot.

Don't do it cheese. It sounds like you may be manic? Can husband hide the credit cards until it passes?

I had an IUD placed in 2010, then it was removed when I was able to have my tubes tied in 2013 and I've since had a hysterectomy (2014). To me it hurt to have it placed, it was one very sharp pain when the gynecologist opened my cervix to insert the IUD. I was sore down there the rest of the day, but I've never had kids so that could be why it was more painful for me. When I had it placed in 2010 I think there were only 2 options, the Paraguard (no hormones copper IUD) and the Mirena (hormones). I think there are more options now.

I've done a lot of online dating...without online dating I'd likely not meet anyone lol. I met the guy I'm dating now on No Longer Lonely which is a dating site for people with a mental illness...but it's not a very active site compared to OKCupid, which I have used too. I do know of a woman who met a woman on Plenty of Fish.

Thank you both for replying and answering my questions. I saw my psych NP today, this time she took me seriously about my sleep and prescribed low dose Seroquel (100mg) for sleep. She also mentioned hydroxyzine but she felt Seroquel was more suitable as she said hydroxyzine and Benadryl are both antihistamines and I've had no luck with over the counter Benadryl. I've taken Seroquel before (long time ago, not for sleep but for bipolar as that was my dx at the time) and remember it making me sleepy when I first started it at the low dose. Hopefully the low dose Seroquel will work out.

Hi everyone, I have problems staying asleep. I usually sleep for 2-4 hours then wake up for a few hours then I usually but not always fall asleep again, unless I have to be up in the early morning for something. My Vraylar makes me tired enough usually to fall asleep (I take it at night due to that) but sometimes I need "high dose" melatonin (10 mg) to fall asleep but not every night. I tried talking about my sleep issues at my last appt with my psych NP (she does my psych meds, I don't have a pdoc) and she seemed like she didn't take it seriously as she told me I can nap during the day. I see her again tomorrow and plan to talk about it again, but if she doesn't take it seriously again what should I do? Should I talk to my primary care doctor? I guess I can also ask my tdoc what to do, I see him next week. I haven't tried much of the sleep drugs, back in late 2011-2012 my then pdoc had me on Ambien briefly when I was taking Geodon and couldn't sleep but I don't really remember if it helped or not as I was going through some bad personal stuff and was out of my mind mostly and don't remember much about that time. Anyway, for those on sleep meds do you need a sleep study first before getting on sleep meds? What kind of doctor prescribes them? Do I need to see some sort of sleep specialist or does your pdoc prescribe them? Thanks in advance!

I sat outside and got some fresh air, and did some yard work that I've wanted to do for quite a while.

Hi @Poem, you are definitely not alone. It seems like we have had similar diagnoses. I was diagnosed with depression, then bipolar NOS, then schizoaffective disorder bipolar type, and then after I was first hospitalized in 2013 doctors started throwing around the BPD diagnosis saying I had that instead of schizoaffective. My current therapist (a psychologist) thinks I have BPD and a paranoid disorder of some sort and my psych nurse practitioner says I am schizoaffective. So my diagnosis is up in the air. My therapist said to me that BPD more accurately describes my mood symptoms as I can go up then down then back again within a day, and people with bipolar usually have a few days of an up mood or longer. If I look at the BPD criteria I can relate to a lot of it. I am very impulsive, and I constantly change my mind for my study and work goals, just to name a few things. Of course it is possible to have bipolar and BPD too, not sure if I do though. Anyway, if you can get a second opinion, please do. Have you heard or read about DBT (dialectical behavior therapy)? That's considered the best therapy for borderline.

I'm kind of in this spot too...not the bipolar symptoms part but the not knowing what to do about an advanced directive. The clinic I go to has asked me twice for an advanced directive or POA and I don't have anyone I trust that much so I don't know what to do.