Posted by betternow on September 30, 2004, at 23:02:05
In reply to Re: Chronic Agitation, Anger, Impatience, posted by HappyGirl on September 30, 2004, at 21:29:07
> Hi:
> >>>> mood stabilizer that helps one sleep. What side effects should I expect? <<<<
>
> --- 'Not able to sleep well'is a part of Bp II symptoms, ... due to either depressive, manic side, or even both sides of Bp II. Then, you certainly need a mood-stabilizer. In my personal opinion through the experience, Lithium is one of best mood-stabilizers as your Bp II sounds like a bit more 'manic' side than depressive one. For this form of Bp II, Lithium has a good reputation among its takers. As a matter of fact, I'm one of 'loyal' Lithium takers and quite happy about its results. However, Lithium does not offer a significant effect on your 'dysphoric'/rageous form of manic as you described in your previous/first post. Lithium has a good effect on both, depressive and manic sides, however a small capability to the dysphoric/rageous mania. Because, the dysphoric mania is a type of 'stubborn type' which is not easily controlled by traditional mood-stabilizers. For this manic, most of psychiatrists(pdocs.) rx anti-psycho.med., such as Zyprexa, Risperdal and Seroquel(milder anti-psycho.med.)in conjuction with Lithium.
>
> That be said, in Bp II, there are many different form of Bp, some saying even 15-20 classifications. For this reason, it's quite hard to distinguish to which form of Bp your symptoms belong. Only your pdoc. is able to dx properly and rx appropriate mood-stabilizer. Also, if you are quite manicky, anti-depressant must be avoided until your mania is semi-controlled. Because, any of anti-depressatns, particularly SSRIs, are prone to produce 'manic' episodes which, I believe you definitely hate to happen.
>
> In my suggestion, first of all, you need to make an appt. with your psychiatrist ASAP.
>
> Please let us know how you're doing afterwards.
> H.G.
>
>
Hi HappyGirlThanks for you additional input. I did see my doc today. He stopped Cymbalta and started Celexa saying it was more calming. He also started Lamactil to help provide additional mood control.
I will keep you up to date with progress.
If you have any experience with these let me know.
Thanks
Betternow
poster:betternow
thread:397057
URL: http://www.dr-bob.org/babble/20040927/msgs/397673.html