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Re: ECT or switch up medication or stay put

Posted by CheckTest on August 8, 2018, at 15:07:30

In reply to Re: ECT or switch up medication or stay put CheckTest, posted by linkadge on August 8, 2018, at 9:11:11

I've had the mood inconsistency for some time- was briefly given a tentative bpII diagnosis many years, but had a steady depressed mood for over two years, and certainly never been hypomanic. Was highly anxious and functioning at a previous depression. Mixed. Not bpII by psychs for 5+ years.

I don't appear to be reactive to good stimuli or really bad when I am very off. It is variable. Tried exploring with psychotherapy, but they usually put me back in touch with the psych.

Doesn't appear to be med timing related. 10Mg extended release. Never had problems with low moods from methylphenidate. Sometimes I just wake up very slowed, sometimes it happens during the day. At worst I have bad mornings, gets a bit better, and bad at night. I would guess relapse for days at times.

Oftentimes I have a prodromal period before bad periods of inconsistent thought vs. mood and activity. Can feel very off but have generally positive thoughts, or have rather negative thoughts but function well, or sometimes just be slowed but overall ok. Or a pervasive feeling something is off even though things are good. Out of sync I guess.

Perhaps lithium again. I was on 1200mg, maybe 1500mg and was very flat at the time. Clumsy. Mainly stopped because I still had SI and seemed ineffective. Or a low dose lamotrigine.

Thank you for your time!


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poster:CheckTest thread:1100159
URL: http://www.dr-bob.org/babble/20180728/msgs/1100167.html