Posted by fuchsia on November 8, 2005, at 6:21:18
In reply to AD start-up S/Es vs. induced hypomania, posted by cache-monkey on November 8, 2005, at 1:09:31
> So, I'm four days into Lexapro at this point. Yesterday I was groggy and out of it. Today I feel all wound up. Mentally I'm kind of irritable. Physically I feel like my muscles are tight and tingly, my veins are bulging a bit and my head is kind of buzzing. But I'm also quite energized in some positive ways.
>
> Because of the worry about soft bipolarity I'm a little concerned that this is a hypomanic reaction. At the same time, I wonder if this might be just part of the start-up side effects -- I'm generally med sensitive.
>
> I'm wondering if there's a way to differentiate between the two. I.e., could hypomania occur so early? Or is it more likely something like akathisia that can come from starting an SSRI? Would an increase in positive energy very early in the course of treatment be indicative of hypomania?I don't think akathisia feels that positive.
In my experience a quick positive response _is_ associated with hypomania. I have bipolar II and I used to respond within a week to a/ds.
poster:fuchsia
thread:576631
URL: http://www.dr-bob.org/babble/20051106/msgs/576650.html