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Re: Bipolar type stuff? -- Mr. Scott » audrey

Posted by Mr. Scott on January 31, 2002, at 23:59:46

In reply to Re: Bipolar type stuff? -- Mr. Scott, posted by audrey on January 31, 2002, at 20:55:16

> Wow, Scott! Would you mind explaining what about my response made you think of Bipolar Disorder? Just curious -- no doctor has ever mentioned bipolar disorder to me before, and I honestly don't know much about it.
>
> Thanks,
> Bobbie
>
Paxil was the first thing I tried. It was horrible! I became even more anxious (which I hadn't thought possible!) I tried it for 4 weeks, hoping the excess anxiety would pass, but finally had to give up. I was bruxing 24 hours a day (as opposed to just when I'm sleeping, which I do now), I barely slept, I cried at least a couple times a day, and I just felt afraid. Now I just feel a slighter variation on all those things, with the Buspar. I am always nervous, I wake up every morning with my heart racing, I can't concentrate, and I freak out every time I have to go out of the house. I'm just sick of this, and thought klonopin might be a good way to go since the Buspar isn't helping.

Thanks for the advice though!

Well...take it with a grain of salt if there is a more obvious and simplistic explanation (like maybe you just can't tolerate SSRI's), but for you to become worse on an SSRI when trying to treat anxiety or depression is in stark contrast to all the clinical studies that suggest just the opposite should happen. It is however pretty common I think for a bipolar (and this has become a rather inclusive category recently) to have a depression become more agitated and to even intensify because activation is added to depression rather than having the depression relieved. Bipolar II also frequently has comorbid anxiety disorders attached to it. So really I think I was looking at your nonresponse or worsening of symptoms as potential red flags for bipolar disorder.

Again I am just theorizing... Most people think of bipolar disorder as having well defined periods of becoming totally high eventually leading to psychosis and deep melancholy depressions. However more and more attention is being given to milder or more mixed syndromes that might respond to similar treatments which include Lithium and a host of mood stabilizer anticonvulsants or in some cases newer atypical antipsychotics. Seems that some thought leaders are saying a mild hypo or mini mania may be missed in some depressives and give rise to Antidepressant failure or short lived success with them, and perhaps worsening of the illness entirely.

It is also possible that you just have a bad anxiety disorder and Klonopin is the way to go although I think you mentioned you were depressed as well.

Scott



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poster:Mr. Scott thread:91852
URL: http://www.dr-bob.org/babble/20020131/msgs/92472.html