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Re: Question about depression!!!!!!!!!!!!!!!

Posted by SLS on May 13, 2005, at 10:05:44

In reply to Question about depression!!!!!!!!!!!!!!!, posted by woolav on May 13, 2005, at 9:21:37

I think that your thoughts of suicide reflect both the severity of your current biological state combined with the content of your thoughts and feelings at this juncture in your life. In other words, it might be that where you are at psychologically at the time helps determine what your thoughts and feelings will be once you enter the depressive state. It should also be taken into consideration that, very often, the severity of mood states grows worse and worse with the number of episodes experienced.

Your self-description seems to be indicative of bipolar I. The best way to prevent the lows is to eliminate the highs. Stabilization is the key to managing your illness. This can be accomplished using a variety of drugs. If I had bipolar I, I think I would opt for a combination of lithium + Lamictal. If the depression does resolve, and you are tolerating the lithium, you might need to add an antidepressant. However, to add and antidepressant without the presence of a mood stabilizing drug is to take a chance that you will precipitate another severe mania. Lamictal by itself is usually inadequate to prevent mania. If you do not tolerate the lithium, then you can move on to other anticonvulsant mood-stabilizers and/or atypical neuroleptics.


- Scott

 

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