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Re: what to do next? add on AD or more stabilizers? » Mr. Scott

Posted by JohnX2 on February 4, 2002, at 16:44:48

In reply to Re: what to do next? add on AD or more stabilizers? » JohnX2, posted by Mr. Scott on February 3, 2002, at 12:59:05


Well, I seem to get into different types of
hypomanic episodes. Most do not accompany
euphoria, grandiose thinking, etc. These are
mixed states where I feel kinda empty, but have trouble
falling asleep, have substantial psychomotor
agitation, have pressured speech, have a lack
of interest in things, trouble multitasking.
This is very common, but is not what has been
happening lately. Lately I had been full blown
manic which has settled somewhat into hypmanic.

What has been going on lately is as follows.
I labeled the ones that I considered
part of my full blown manic episodes and
not part of my hypomanic epsisodes.

- wild euphoria (Manic)
- mild euphoria (Hypomanic)
- pressured speech
- substantial increase in goal directed activities
- increased socializing (walking up to random
strangers and intiating conversations).
- trouble sleeping
- gobs of energy
- megalomania thought patterns (grandiouse thoughts)
- racing thoughts (tangential thoughts)
- confrontational attitude
- increased self esteem
- bizzare affinity to omnipotent forces (Manic)
- paranoia/feelings of conspiracies (Manic)

Regards,
John

> John,
>
> Can you describe for me a bit what hypomania feels like, and how you know you had/have it?
>
> Thanks,
>
> Scott
>
>
> > Scott,
> >
> > The hypomania has petered out over the
> > past few days. I'm actually ping ponging between
> > euthymia and hypomania with my latest Zyprexa
> > dosing bump and klonopin tapering. I actually feel
> > pretty good after a bit of an initial crash which prompted
> > the 1st post.
> >
> > My pdoc is having me to up the Zyprexa
> > dose again to 15 mg. I didn't really think of this option.
> > He told me at my appointment that he felt I was in
> > the best shape he had ever seen me (It just happened
> > to be the 1st day I felt euthymic).
> >
> > Regards,
> > John
> >
> > > Are you currently hypomanic?
> > >
> > > After you're totally stabilized I'd go Wellbutrin route if you need an AD and it worked in the past.
> > > However, I would exhaust completely ALL stabilizer options and combo's first.
> > >
> > > Scott


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