Posted by SLS on October 18, 2015, at 7:44:13
In reply to Re: @SLS does diagnosis matter that much?, posted by Lamdage22 on October 18, 2015, at 3:27:52
> i dont know if i am bipolar or unipolar. I would say most likely unipolar. Hypomania on Maoi in the beginning isnt necessarily a sign of bipolar.
I don't think I said hypomania. Maybe I did. I don't remember. I think Nardil is known to do this. However, an antidepressant-induced switch to psychotic mania is a different story. While people here would debate me on this, I think it is likely that it be a sign of bipolar when a mood illness is already present. There is, in my opinion, a bipolar spectrum. Some people will react to the same antidepressant differently, depending where along that spectrum their illness lies.
> I think my diagnosis works in the way that it indicates the right course of action. I know what i need and i know that to avoid.
If you have schizoaffective disorder, there might be a bipolar component along the bipolar spectrum rather than just having a depressive component. How do you feel and behave just before you become psychotic? Do you talk a lot or loudly? Are you expansive in your ideas? Do you have anxiety or insomnnia? Are you easily distracted and find yourself starting too many projects and finishing none?
If you have psychotic depression, you might consider a regime that includes Parnate + Lamictal + Abilify. If you have a bipolar component, you might choose to replace the Parnate with Wellbutrin. I would begin taking lithium carbonate beginning at a low dosage (300 - 450 mg) for a depressive component.
Or not.
That's just me.
Just trying to help!
- 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:1083544
URL: http://www.dr-bob.org/babble/alter/20150301/msgs/1083577.html