Posted by Amelia_in_StPaul on June 16, 2009, at 18:33:35
In reply to How would you medicate this?, posted by Maoiman on June 16, 2009, at 15:59:39
The euphoria followed by a crash leads me to immediately think bipolar II. Esp. since med trials have failed. I understand your fear of mood stabilizers, I really really do, it's always scary to jump from one class of drugs to another, esp. if the first class was hard to deal with, but if ADs aren't working, you really need to try something else...alternately, you could try ECT or see if you would be a candidate for TMS.
Woah--just reread. Are you still planning suicide? Get thee to ER right away if so...
Best of luck to you. Meds are a b&tch, I know...
> Hi there everyone,
> Perhaps somebody has a suggestion on how to handle this:
> Sense of mounting desperation and impending doom.
> Suicidal thoughts, (even planning the method, location.) I've had 3 major depressive episodes, all were preceeded by a couple of weeks of euphoria, then crash, (for many months). No substance abuse, just boughts of various meds, all pooped out after 3-8 months. these were,
> Venlafaxine, Amisulpride, Sulpride, Tianeptine,
> Moclobemide, Bupropion, Reboxetine, Fluoxetine various benzos and sleep meds. Some like the SSRI's caused uncharacterist behaviors . Could this be bipolar? if yes is there any solutions other than heavy duty meds like Lithium, Valproate
> ( which I've never tried, too scared)
>
> Any suggestions most welcome.
>
> Thanks.
> MM.
>
poster:Amelia_in_StPaul
thread:901344
URL: http://www.dr-bob.org/babble/20090611/msgs/901374.html