I am diagnosed bipolar 2, OCD, GAD, and at one point ADHD although the psychs can’t decide if it’s true or not.
wellbutrin xl 450 mg in morning
lamictal 200mg at night
lexapro 10mg morning for the GAD and OCD my OCD is the obsessive thoughts type.
My issue being mainly that I lack motivation and am tired all the time as well very hungry and have gained weight but can’t find the hunger control to diet and can’t find the motivation to exercise.
yes it’s terrible and could be affecting all of this but for years it’s the only way I can function half a pot or a whole pot of coffee in the morning and occasionally a monster or two in the afternoon I practically live on caffeine.
i sleep ok usually about 7-8 hours a night.
luckily I have a job currently although I’m a serial job hopper.
somehow I have a wife and daughter who put up with me. I’m on my 20’s
im 6 foot tall and was originally 225 when I was exercising but after wife’s pregnancy and post partum and life of course I’m now 289.
just trying to see if anyone has experienced similar cocktails because although I’ve been under treatment off and on since 15 I have honestly not tried many meds more so favoring trying different doses of the same med because I have enough of a hard time holding a job without the med game happening.
i have tried seroquel which is a never again
strattera which messed with blood pressure. Gabapentin which is absolutely not. Adderall which was obviously awesome but is likely bad for the bipolar. Abilify which made me feel mentally handicapped. Buspar which made me practically forget my own name.
Just found this place and basically looking for any experiences, thoughts etc.
My old psych-NP gave me seroquel for sleep around the end of December last year. I haven't taken it every night as she wanted or else I wouldn't be still sitting here almost 11 months later with around 50 or 60 25mg pills left.
I have used it randomly for particularly tough nights where I know I can't sleep or I just feel really amped up/anxious and don't want to take more than 1mg of Klonopin.
Is this ok to do?
When I do use it, it ranges from 25-75mg and I sleep like a baby.
And I don't mean sleeping 1-2-3 hours a night, I mean several consecutive nights of ZERO sleep...
The longest time I went with absolutely no sleep was 5-6 days. I don't know why I wasn't hallucinating. I was actually driving around and going to my classes. It's almost like my brain went "Fuck it" around the third or fourth day of no sleep and flipped. I was no longer tired. Bipolar is a funny thing sometimes.
I have bipolar II, and I have been hypomanic for about two weeks. I would like to come down now, because the lack of sleep is getting to me and I'm not that euphoric or even productive anymore. I'm trying to utilize the extra energy while making reasonable choices to not go higher up, but at this point I would just like to come down and get some sleep. I'm wired physically and sitting still is close to impossible, but it feels like something in my brain is tired and needs to rest. Evidence says I'm not at my best right now, at least I don't code as well as I usually do, even though I have a lot of ideas and every thought that comes through my head feels like the best idea ever.
I'm not taking a mood stabilizer and I don't think I really need one most of the time. Most of them wouldn't be worth the side effects, since antidepressants actually helped somewhat with the depressive episodes while not preventing all of them and hypomania is infrequent. I rapid cycled in the beginning, but I don't since switching to Wellbutrin from Zoloft. Also I stopped doing insanely stupid things while hypomanic after I understood what it was and got some practise dealing with it, and I don't tend to crash into severe depression although it has happened.
I would have considered cutting the Wellbutrin in half if my 300 mg pills were splittable, which they aren't because they are sustained-release. The only thing I have on hand that could help me sleep is Remeron, but I don't know how smart it would be to take an antidepressant just for the antihistamine side effects. It helped a great deal in the past when I was depressed, so that's why I'm unsure about taking it now.
If anyone has ideas about how to get down from here safely and preferably soon, I'm all ears. I could use more than two - four hours of sleep tonight, and the time says that's probably not happening. In an ideal world I would be discussing these things with a psychiatrist, but I don't have one since moving six months ago. I have a therapist, and I have an appointment with her this Friday. I could ask her to ask a doctor to prescribe something for sleep, we talked about it last time I was there, but I don't know what and I won't just take anything. I'm never taking antipsychotics again, not even at a low dose. I have tried four, and I tend to get terrible akathisia at low doses, and then sleep most of the day at higher doses. I got them while I had depression with psychotic symptoms before I was diagnosed bipolar, and they didn't even help with that.
The thing is I'm not prepared to take medications with life-altering side effects just to prevent hypomanic episodes that are far between and usually don't end in long-lasting depression. Maybe just a short-acting sleeping pill for a short period of time or something like that. I don't know if the whole antidepressant monotherapy thing is a good idea either considering I'm hearing voices from lack of sleep right now (don't worry, I've been there before), but it's been way better than atypical antipsychotics at preventing depression with none of the side effects and Lamictal literally did nothing for preventing depression or anything else. Any ideas about what I could do after this long ramling post is greatly appreciated. Medication-wise or non-medication-wise.