Posted by SLS on January 16, 2014, at 14:19:24
In reply to Shout out to SLS - Scott, posted by Sheilac on January 16, 2014, at 12:42:46
Hi Sheila.
I can't tell you how much your warm sentiments mean to me. Thank you so very much.
How are you feeling right now?
I guess the next thing to do is to get a handle on your residual flat affect. What is it about the way you feel at 600 mg/day of Trileptal that compels you to keep reducing the dosage? I know it is a struggle to "stick with the plan", but sometimes time works to our advantage. Could it be that the longer you stay on Trileptal, the less of a problem the flat affect is? Perhaps there is a residual depression after the hypomania is taken away. That you suffer from a mixed-state leads me to believe that this is possible.
Coming down off of a hypomania is sometimes precipitous. It occurs often that people feel their worst depression immediately after the hypomania resolves. I guess you could call it a rebound or "over-shoot" of sorts. People very often bounce back and stabilize, becoming euthymic.
It is possible that Trileptal is the culprit for producing the flat affect after all. If this is true, there may be ways to treat the depression and flat affect that remains. Meanwhile try hanging in there with the 600 mg/day. Half the battle is won.
Have a nice day.
:-)
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1058663
URL: http://www.dr-bob.org/babble/20140104/msgs/1058669.html