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Mania vs. Anxiety


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I think I may be headed into mania but I am not entirely certain. My anxiety level has been pretty high the past week and I'm having a lot of trouble sleeping, despite the Trazodone. I have only slept 3 hours in the past 2 days. I have nighttime anxiety due to PTSD and I wonder if it's just worse right now bc I'm more anxious in general. However, we did increase my Zoloft recently, so it could be mania. I find myself taking my Klonopin more than usually to take the edge off.

I don't feel very tired despite the lack of sleep and have been getting a lot amount of stuff done. And adding more to my plate.

I feel antsy and restless. But also stressed out. I want to spend, but am broke. Definitely feeling more social and chatty. But didn't like being around a group of people on Friday (was at an AA mtg) and left right after instead of staying to socialize.

I tried to get an appt with my pdoc for Wednesday but she's out of town. I left her a vm to see what we can work out over the phone. It's hard for me to get up to see her (nope on a car) so we do a lot of our stuff on the phone. Hopefully she can call back soon. I might email my tdoc, too, and see what she thinks.

I know you guys can't diagnose but was curious as to if anyone has experienced this mix of feelings. A quick reread of what I just wrote makes me think mania, actually. I'm concerned that not sleeping is going to trigger mania. Thoughts?

 

:wall:

 

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Just going on your post (obviously), you are coming across as anxious and speedy.  And the sleep issue is a big red flag.  My pdoc always uses my sleep patterns as an indicator of where I'm at, and for me, less sleep = a steady slide to mania unless it's caught early enough.  I hope you a get a call back soon.

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Trazodone alone does not make me sleep either. I think if you get something else to help you sleep you can stop yourself from becoming manic. I take a small dose (200mg) of seroquel to sleep as well as 1mg of klonopin. It still takes me hours to fall asleep and I wake up consistently during the night.

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I'm concerned that not sleeping is going to trigger mania.

 

Not sleeping for me will trigger mania and increased hallucinations.  Stress for me will increase hallucinations also.  It gets anxiety-provoking when I hallucinate because I know it is happening and I just want it to stop and not get worse, but I am afraid it won't (or will take a long time to do so).  So I try really hard to get enough sleep, rest, and have a low stress life. 

 

I hope you get a call back from your pdoc so if this is something like mania starting you can get a handle on it before it gets out of hand.

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I have also experienced (hypo)mania manifesting with severe anxiety as well. I was sleeping very little, I was talking very fast, starting projects. racing thoughts and running around all over the place. So, it was typical hypomanic behaviour for me. Only thing is, I was having extreme anxiety too. Like, butterflies in my stomach, feeling like I'm gonna puke, and my head was spinning-type anxiety. It was awful. I felt like I was going to explode at any moment. 

 

I agree, leave another message with your pdoc and contact your tdoc. You wanna stop this, whatever it is, ASAP. The lack of sleep could easily trigger mania. 

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Thanks for the replies, everyone. I'm going to call again today for sure. I drifted off for 2 hours, thankfully. Vision had started getting blurry after 6am. I might take a little extra Trazodone tonight and see if that helps. I'm guessing my pdoc will want us to increase my Trileptal. I was on a higher dose previously but we reduced the last time we did a med tweak when I was feeling depressed. I respond really well to Trileptal so i am optimistic.

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Thanks, thankfully I haven't had urges in a long time but I cherish my recovery and know what to do if they arise. I've been going to mtgs several days a week. 6:45am most days! I'll have 4 years of sobriety in December, pretty pumped. If you ever wanna talk about recovery, I'm here! : )

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I feel like we're (pdoc & I) always a step behind my moods. It's frustrating. Hopefully increasing the trileptal will get this under control b/c I really don't wanna go into full blown mania. Feel crazy enough as it is right now. And lonely. My bf left for NY this am & will be gone for 5 days. I don't like being by myself when I am like this.

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