Posted by NKP on November 12, 2008, at 2:20:05
In reply to Suppose you have unipolar depression --, posted by NKP on November 11, 2008, at 14:47:44
Thank you all for your responses.
I do not want anyone who may be emotionally fragile to get upset, so if that is the case, you may not want to read further.
The person in question is not me, but someone I know. The diagnosis made by her first pdoc was unipolar depression. She was treated with various combinations of SSRIs, APs, and benzodiazepines.
During this period, she attempted suicide twice by overdose. On both occasions she ended up in hospital for several days. The second time was extremely serious. She very nearly died.
After the second attempt, she spent two weeks in a psychiatric clinic receiving extensive counseling and therapy. In this clinic she was assigned one of their pdocs, who she has since stayed with for treatment. She has not gone back to her old pdoc.
The new pdoc diagnosed her with bipolar disorder.
Initially he put her on a variety of meds including lamotrigine. After a few weeks, she developed a bad rash on her arms and legs, so he took her off the lamotrigine and replaced it with lithium. She is still titrating the lithium dose.
Her current med regime is:
8 AM:
60 mg fluoxetine (Prozac)
10 mg buspirone (Buspar)
0.5 mg clonazepam
200 mg lithium6 PM:
10 mg buspirone (Buspar)
0.5 mg clonazepam8 PM:
200 mg lithium9 PM:
200 mg quetiapine (Seroquel)
11.25 mg zopicloneAfter she left the clinic, there was a dramatic improvement for a few weeks, but these last few days (especially since dropping the lamotrigine) it seems she is getting worse, not better. Considering her history, this is of great concern for me.
Any thoughts?
Thanks.
poster:NKP
thread:862336
URL: http://www.dr-bob.org/babble/20081106/msgs/862477.html