Does anyone know of a good med that squashes mixed states? My sleep has been dwindling to 2-4 hours a night, I am crawling out of my skin, irritable, anxious, and depressed. I saw my pdoc today (he recently put me back on lithium after an uninformed doctor took me off of it) and gave me the script for the blood test to check my lithium levels. In the corner I saw a code and didn't know what it was, so I googled it -- it apparently means "Bipolar I, mixed state, severe, without psychosis." I didn't think I presented THAT badly to him, but apparently my judgment is off right now. Maybe. i dunno.
Is lithium good for mixed states? What will get me out of this hellhole fastest? Any personal anecdotes for what worked best for you?
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!
Spoke with pdoc today as I was in a really bad way. He talked with the nurses from the home based treatment team and between them they felt I should be admitted to the Acute Psychiatric Unit.
I really don't want to be so he had another meeting with the home base treatment team and it was agreed that the support for me would be increased and i would get more visits and phone calls from the nurses over the next few days and could see the on call pdoc and be admitted if it comes to that. My pdoc also increased my sodium valproate to 1500 mg and I can have an extra 1 mg clonazepam PRN. I have access to the on call pdoc over the weekend if my meds need to be changed again.
Hope I don't totally crack up over the weekend. I really don't want to go inpatient despite suicidal thoughts. They are only thoughts. Right now the blackness and agitation and racing thoughts are really difficult to deal with but I need to keep going. Feel scared
Thanks for listening/reading my rant
Well I seem to be in a never ending mixed state. Making some progress, the mood changes are softer, if that makes sense. But, my moods even confuse me, let alone the people in my life.
My biggest struggle is recognizing when the depression comes that it is not permanent. It seems for ever, I do damage to myself when I get like that, mentally and physically.
So, was wondering if anyone has, I don't know, tips maybe.
I seem to float untethered from mood to mood. My lack of control is starting to make me restrict and vomit my food up. All for a sense of control. I have not had an eating disorder ever in my life, unless you count amphetamine abuse. I will talk to Tdoc and pdoc about this. But want to hear from others.
I try to stay present, I try distraction, I even hide in sleep.
Just can't seem to stay stable for any period of time.