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Re: Do we *all* need mood stabilizers w/ a..d.'s? » jay

Posted by KrissyP on March 10, 2003, at 18:23:28

In reply to Do we *all* need mood stabilizers w/ a..d.'s? , posted by jay on March 10, 2003, at 9:22:15

Hi jay,
I hear you YMMV and all the rest that goes with this issue. This is solely my experience and I really hope it helps.
I remember well when I first went for treatment for my depression. I had a great pdoc and my OCD was in full force. I had more ruminating thoughts/worrying.etc. but I also was majorly depressed. She started me on Anafranil and Prozac. I was new to it all and it took me a while to ask those "deeper" questions. I was in need of some serious help. *Come to find out later by a pdoc at UCI-California, I was diagnosed with rapid cycling*, which relates to your statement>>>"There is even some numbers to indicate that some (quite a few, actually) who are treated with just an a.d. may get some harm in future responses. (This being those prone to 'rapid cycling', and who fall into any place on the bipolar spectrum.)" Then I was eventually (after I think was a late diagnosis) Diagnosed with Bipolar II in Nov 1999-by another extremely great psychiatrist. I had done a *LOT* of suffering in between my journey that started back in 1995. You also point out>>"The mood stabilizers, and lithium in particular, as well as the antipsychotics, still hold more efficacy towards suicidal ideation than antidepressants"

Seroquel helped me, in adjunction to my AD for my suicidal thoughts/ideations-A LOT. I was always on "just" an AD and later in Nov 1999 was given a MS for the bipolar, etc. I hear you here.
Did this make sense, I would love to her further from you about this and anyone else.
Great post!
Thanks, Kristen:-)
==================================================================================================

Remember when you first went for treatment for your depression? How much of the spectrum of questions above did your pdoc or doc address, and how long did it take for you to ask some of these deeper questions? Even for those who have found some contented relief, there often was a *LOT* of suffering in between. What do you folks think?

Jay



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URL: http://www.dr-bob.org/babble/20030310/msgs/207825.html