Posted by SLS on December 15, 2009, at 7:02:16
In reply to Re: Parnate + Lithium for a unipolar depressive » SLS, posted by Girlnterrupted78 on December 15, 2009, at 6:20:47
> > Well, perhaps you don't want to go with the nortriptyline so quickly after all. I think it is important to get a better idea as to whether or not bipolarity is involved.
> What makes you think I'm possibly bipolar?
> Was it my elaborate explanation as to why I'm NOT bipolar that made you come to that conclusion?
> Or did you just ignore it altogether and went on to advice pretending I never wrote anything?
I did no such pretending.
> I find it strange that once I ask you to elaborate on something, you simply change your mind. Almost like you never really thought about what you wrote.
I would be remiss if I weren't to suggest examining the possibility of bipolarity when recommending that someone take a tricyclic antidepressant.
> You could have at least acknowledged that I explained I was not bipolar, and even challenged/disagreed with it, but not even considering it seems rude, imo.
Rude or not, I thought it important to look at your description of lack of sleep more closely.
> >The prevailing sentiment has been that tricyclics is the group of antidepressants that is most likely to cause a switch into, or exacerbate, mania. These drugs can also precipitate rapid cycling. I find it awfully disrespectful when people don't even acknowledge that you said something on the matter.
> If that were the case, then taking Nortriptyline would tell me for sure whether I'm bipolar or not, and I could discontinue + start a mood stabilizer. But I'm already on Parnate + Adderall, and I'm not manic, so I doubt I'm bipolar.
> I've never had a manic episode in my life
Many bipolars never recognize their manias, and are often triggered to become angry when anyone suggests that they are.
> and staying up all night not knowing where to begin with all the things that I've procrastinated is more related to obsessive compulsive than mania.
I'll refrain from commenting any further about your illness. Although you might be very accurate in your appraisal of your condition, I believe I was very prudent in being cautious when making treatment suggestions, a behavior of mine that I should perhaps reevaluate.
I can only react to the information I am presented with. As someone discloses or updates more information about their condition, I feel obligated to update my thinking.