Posted by phidippus on June 12, 2015, at 19:19:04
In reply to Re: I'm just so tired of the same fight... » phidippus, posted by b2chica on June 12, 2015, at 18:55:28
OK I needed that info. Especially this bit:
"gabapentin calms me down and relaxes me mentally so that im not so psychotically anxious (i have bad anxiety)"This anxiety you're describing would be the extent of your mania. With some folk, severe anxiety along with a depressed state constitutes a mixed state, with the anxiety being the mania. Gabapentin works so well because it has some mood stabilizing properties and gets rid of pesky thoughts. How much do you take?
>dx does included ADHD, and i DO know i have that. and adderall does most certainly make a Huge difference in my life.
I'm glad it works so well for you.
>every mood stabilizer ive been on has made me worse (except this latuda well maybe)
Latuda is an antipsychotic and not really a mood stabilizer. It should help with your mania/anxiety and keep you from becoming psychotic. It probably won't help with depression-I don't think it will pack enough punch.
>(thats why its termed psychotic depression) because it is not usually delusional.
If you are bipolar and experience psychosis in a depressed state, its just bipolar and not psychotic depression. Being bipolar kind of excludes the psychotic depression diagnosis. With bipolar you can become psychotic on both ends of the spectrum which seems to have happened to you.
>i need to at least see if this fetzima works i need to give it a fair try.
My concern is without a mood stabilizer an antidepressant is just going to destabilize you and either send you into a terrible funk or make you manic, with increased anxiety. Maybe the Latuda will keep you from going off the rails, but I wouldn't bet money on it. Gabapentin may help, but your dose would need to be pretty high.
I take back my statement that you do not need lithium.
I think you need to try it. No other mood stabilizers have worked for you, but lithium is completely different and might just be the only 'true' mood stabilizer.
Eric
poster:phidippus
thread:1079621
URL: http://www.dr-bob.org/babble/20150520/msgs/1079711.html