Jump to content
CrazyBoards.org

Could use some support....


Recommended Posts

Hi,

My name is Jill, and I think I've posted a few times before in this forum. I'm doing sooo poorly right now. I'm in a horrible mixed state. My depression is too deep to describe. My parents, who are so supportive, are telling me I'm not doing my part to get well. About a week ago, I developed TD symptoms on Seroquel, and was yanked cold turkey. Now, I'm back on that drug, but at a lower dose (100mg as opposed to 350mg). I'm a tiny person, and these drugs are powerful. I'm just feeling so hopeless. I tried lithium, but I swear, it's making me sicker. I feel like it triggered my present state. It makes me feel activated in the middle of the night. I just want to know why my Pdoc is so obsessed with Seroquel! I had to call him today about what do about my downward spiral. His response? "Up the Seroquel." WTF? No! I can't go any higher on the medication. It may help me sleep, but I swear it makes me depressed, too.

I'm getting a second opinion, but I don't know what that will do. Antidepressants sent me into mixed states (that's how my correct diagnoses came about), so they're out of question, even with mood stabilizers. I can't go higher on the Trileptal, as it causes nasty side-effects like triple-vision, Depakote made me so nauseous I couldn't turn my head, etc. Can being yanked off SSRI's cold turkey spin someone into a mixed-state? (This happened at the end of October, when the Pdoc finally believed me that SSRI's were indeed making me sick.) The anxiety and depression are overpowering, and I feel so alone.

Thanks for reading this,

Jill

<{POST_SNAPBACK}>

Hi Jill:  I hope that you will feel better soon.  It's hard, and I really feel for you right now.  Keep searching.  I think it's a great idea to get a second opinion. I went something like 13 years and 4 Psychiatrits without finding a suitable med that I could take and feel somewhat normal.  I'm on Seroquel monotherapy. I take 100mg, sometimes only 50mg, and I've been pretty stable taking it with ativan.  It works for me, but that's just me.  Seems to keep me from getting depressed, too. I'm suprised that you have been on such a high dose.  I can't handle any more than 150 mg.  Antidepressants, specifically Zolft, don't mix well with my BP1, they send me into manic/mixed states.  Even without the help of an SSRI,  untreated, my mania's go into mixed states with alot of irritability and anxiety.  Take care, and best of luck with your meds.

Sincerely, Sean

Link to comment
Share on other sites

Can being yanked off SSRI's cold turkey spin someone into a mixed-state?

Hi, Jill,

Absolutely. And nasty ones at that. They can last for a few days to a few weeks. So hang on. All is not lost. Try to take things easy and let yourself stabilize. This will get better.

You're not alone. You've got lots of company here who know what you're talking about.

Greeny

Link to comment
Share on other sites

Hi

I know this feels like a never ending quest, but there is a correct combo for you out there somewhere.  If your pdoc isn't budging on making changes then it is indeed a good idea to see someone else.  Getting your meds sorted is extremely important and more tha 50% of the therapy.

I've had bad experiences coming of anti-depressants cold turkey, but not everyone does.  I went into a psychotic state (but there was also a lot of crap going on in my life that helped push me over the edge).

I'm very glad you have a supportive family.  That helps more than anything.  It took me a while to get my parents to come around to admitting I had a MI even after multiple suicide attempts and subsequent hospitalizations.  Now they're fantastic and extremely supportive and it is a huge help.

Good luck to you you and I'm sorry your having a rough time of it right now.

Link to comment
Share on other sites

Jill: Greenyflower is so right on.  It will get better.  I should have mentioned that the last time I used an SSRI and got into a mixed state, I was taken off Zoloft cold turkey.  It did seem to make it worse.  It DID get better.  Hang in there!

Link to comment
Share on other sites

I am glad you are getting a second opinion.  Perhaps the seroquel is not the drug for you.  It can take years to get the right med combination.  I too was diagnosed after antidepressants triggered a manic/mixed episode from hell.  I went off cold turkey and wanted to kill people just for the sport of it.  Luckily that desire didn't last long.

Good luck to you and keep us updated.

Link to comment
Share on other sites

If I were you, I would ditch the first pdoc and find a new one.  A few things here raise red flags for me.  First of all is his insistance to hang onto the Seroquel.  Most pdocs know that getting the right combo for treating BP-II is a real trial and error kind of thing and won't insist on hanging on to drugs like he seems to be doing.  Second of all, losing control of himself (yelling at you for crying) is beyond unprofessional.  My advice?  Run far and fast.

Don't lose hope.  Finding the right drug combination takes time, but you WILL find what will work for you. 

Link to comment
Share on other sites

Hi,

My name is Jill, and I think I've posted a few times before in this forum. I'm doing sooo poorly right now. I'm in a horrible mixed state. My depression is too deep to describe. My parents, who are so supportive, are telling me I'm not doing my part to get well. About a week ago, I developed TD symptoms on Seroquel, and was yanked cold turkey. Now, I'm back on that drug, but at a lower dose (100mg as opposed to 350mg). I'm a tiny person, and these drugs are powerful. I'm just feeling so hopeless. I tried lithium, but I swear, it's making me sicker. I feel like it triggered my present state. It makes me feel activated in the middle of the night. I just want to know why my Pdoc is so obsessed with Seroquel! I had to call him today about what do about my downward spiral. His response? "Up the Seroquel." WTF? No! I can't go any higher on the medication. It may help me sleep, but I swear it makes me depressed, too.

I'm getting a second opinion, but I don't know what that will do. Antidepressants sent me into mixed states (that's how my correct diagnoses came about), so they're out of question, even with mood stabilizers. I can't go higher on the Trileptal, as it causes nasty side-effects like triple-vision, Depakote made me so nauseous I couldn't turn my head, etc. Can being yanked off SSRI's cold turkey spin someone into a mixed-state? (This happened at the end of October, when the Pdoc finally believed me that SSRI's were indeed making me sick.) The anxiety and depression are overpowering, and I feel so alone.

Thanks for reading this,

Jill

<{POST_SNAPBACK}>

Being yanked off ssri's cold turkey can cause problems.  You can have a withdrawal syndrome that will affect your mood.  As of mixed states, I'm familiar with heavy depression and mixed states.  Been there.  I'm having good results with zyprexa and celexa.  Seroquel and depakote helped me too in the past but I'd say zyprexa is better.  Since you don't seem to tolerate anticonvulsants like depakote well, perhaps you should try atypical antipsychotics. Other than seroquel if you don't like that one.  Atypicals can work well on bipolar disorder, esp. mixed phases.

PBF

Link to comment
Share on other sites

What's up with the diagnosis questions?  It sounds like your pdoc, in concert with the rest of his Personal Issues, likes to be the know-it-all discoverer of every patient.  He couldn't possibly let someone else's diagnosis stand!  He wants to plant his own flag on your ass and name your case at will.  Should it not be abundantly clear, I think his attitude is wholesale bullshit, and ditching him will be a credit to you... as soon as you've got somebody else to write the scripts. 

I'm relieved to hear that your therapist is helping you find someone a wee bit more competent than the aforementioned nutcase.  I mean, there's nothing wrong with nuts treating nuts, but only after their own issues have been resolved.  At the moment, I'm doubting whether I should trust myself with a kitchen knife.  I'm certainly not about to volunteer to teach toddlers the fine art of paper filigree (doomed to fail) whilst holding a pair of very sharp scissors.  Once I'm a less capricious person, then I'll go back to preschool. 

There are good to middling psychiatrists out there.  The latter are wonderfully useful; the former may save your life.  So far your instincts seem to be good.  You can tell when something is not right, and you say so.  Combine that with perseverance, and you're bound to find a psychiatrist you can work with to gain control over your mental cooties.  Treatment is a process, sometimes a long one, but it's worthwhile.  We're here to read about any further hiccups you encounter, or -- miracle of miracles -- successes.  Post away.  ;)

-Ella,

who today writes on paper circles

Link to comment
Share on other sites

Hi Jill, I just went through sort of the same thing. up the seroquel - lower the seroquel. geez. then anger/rage. totally out of control. He put me on Abilify. just started on Friday. not too bad so far and some inprovement.

I also take Lamictal for the BP. I can't remember if you are on that but has been a miracle drug for me. There have needed to be minor tweaks but ever since I got on it I felt like a real person again. I've heard lots of people love it and a few hate it but it couldn't hurt to research it and mention it to your PDoc.

Good luck and keep posting!

C@

Link to comment
Share on other sites

YMMV= Your Mileage May Vary. I.E., one person's experience won't necessarily reflect your own, one size does not fit all, and no one is always right. It's a nice little four-letter disclaimer.

I've been rather pissed off and... well, everything today, so my rambling needs to be taken with a bit more salt than usual. If I command you to bow before me, Crowned Queen of Plasticine, run.

A trend of human nature is to, yes, assume every problem you see falls within your expertise. This has been expressed by CNS and others with the saying "when all you've got is a hammer, everything looks like a nail." This is one of the reasons why people should be deeply suspicious of diagnoses handed out on internet message boards -- asking "hey, am I bipolar?" of a group of bipolars is more likely to gain you a bipolar 'diagnosis' than if you were to ask a crew of Mennonites -- but it can also happen amongst medical professionals, despite their pre-specialization training.

A medical professional once told me about seeking proper treatment for a relative. She was suffering from a strange assemblage of symptoms which were absolutely psychosomatic in origin, according to a psychologist, ocular in origin, according to an opthamologist (or was it optomotrist?), or caused by an inner ear problem, according to the inner ear specialist. Just on a lark, the inner ear specialist sent her across the street from his office to have a quick scan done by the neurologist, even though it was definitely an inner ear problem. She turned out to have a brain tumor.

I don't know about the specifics of bipolar diagnosis -- I think hypomania on ADs leads directly to a BP label, but I'm not sure -- but your experience seems to clearly show that SSRIs are a bad bad bad idea for you. If being diagnosed bipolar is the only way for pdocs to recognize that they're about as friendly to you as caged scorpions, then it might be a good label to keep around.

This whole mess is definitely something to discuss with the new pdoc when you go in to see him. Do you know how long your appointment will be? See if you can summarize and edit your concerns to a clear, concise list that you can easily cover in a third of that time. Humanity is notoriously sucky at answering everything correctly and instantly (and pdocs, evil though some may be, bear title to that race), but a competent psychiatrist really is your best bet for solid answers.

You are, of course, free to question those answers, seek alternate professional opinions, and analyze every word five times over on the message board.

I'm rambling, aren't I? Yes yes. Time for chocolate milk, folded laundry, and sweet, sweet sleep.

Good luck.

Link to comment
Share on other sites

I thought that experiencing hypomania (or worsening depression) on an antidepressant warrants an automatic BP diagnosis, right? Well, one or the other happened on every SSRI I've tried in the past. Then there's the case of imipramine, my beloved drug, that pooped out on me for no reason in February. This pdoc has put me on SSRI's while I've been on Lamictal, and I've still flipped out. (Prozac, I'm going to hunt you down. Be afraid. Be very afraid. ;) ) And get this; he wants to put me back on an SSRI on Thursday!

<{POST_SNAPBACK}>

Experiencing AD induced hypomania is usually an automatic BP diagnosis.  Navy posted a nice thread that talks about the different categories of BP here.  These are not the categories according to the DSM, however.  It is all a little subjective or maybe a lot subjective.  Some pdocs have different opinions on what fits BP and what doesn't, so one could go to two different pdocs, list the same symptoms and get two different dxs.  Which is why I, and others here, prefer to try to treat my symptoms instead of treating my dx.

Based on your reaction to SSRIs on mood stabilizers and off, which is similar to mine, I would say going back on one would not be a good idea.  I personally will not take a SSRI again.  But that is just my opinion.

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.

×
×
  • Create New...