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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by qbsbrown on August 23, 2006, at 1:38:15
I'm looking for those w/ experience in this area. My PDOC now believes that I might be experiencing this.
She assumed that w/ my OCD tendancies that we had to get high on an SSRI immediately (40-60mgs celexa), and now 20mgs lexapro.But I found that going down to 10-15 of lexapro decreased my anxiety significantly. Could be in public places easier etc, although my physical anxiety was worse, probably just due to the drop i would imagine.
I'd love to hear experiences.
Thanks,
Brian
Posted by JahL on August 23, 2006, at 2:07:12
In reply to SSRI induced hypomania: what are the symptoms?????, posted by qbsbrown on August 23, 2006, at 1:38:15
> I'm looking for those w/ experience in this area.
Hi Brian.
My own experiences of SSRI-induced hypomania can be summed up as follows (in no particular order):
***Elevated mood (above and beyond euthymia).
***Pressure of speech.
***Increase in goal-orientated activity.
***Flight of ideas (ie a rush of racing, often very creative thoughts).
***Increaded sociability.
***Increased motivation and 'energy'.
***Distractibility.
***Marked increase in self-esteem.
***Decreased need for sleep.
***After a period of time - possible irritability.
***Participation in 'risky' behaviours (unsafe sex, excessive gambling etc).
The risk is of course that hypomania has the potential to develop into full-blown mania - not good.
I personally enjoyed my bouts of hypomania (as do many people) but after a while they can become wearing and emotionally taxing, and a 'crash' is never far away.
Take care,
Jah.
Posted by qbsbrown on August 23, 2006, at 2:13:40
In reply to Re: SSRI induced hypomania: what are the symptoms????? » qbsbrown, posted by JahL on August 23, 2006, at 2:07:12
These are the ones that I'm experiencing
> ***Pressure of speech.
>
> ***Increase in goal-orientated activity.
>
> ***Flight of ideas (ie a rush of racing, often very creative thoughts).
>
> ***Distractibility.
>
> ***After a period of time - possible irritability.
>I don't enjoy most of them. So now my debate is to go to 10 or 15 mgs lexapro. And i wonder if splitting doses helps prevents this more.
Thoughts?
Brian
Posted by qbsbrown on August 24, 2006, at 11:51:46
In reply to Re: SSRI induced hypomania: what are the symptoms?????, posted by qbsbrown on August 23, 2006, at 2:13:40
I understand that many are low dose responders. What if you took a low dose responder and but them on a high one. Could that have a counteractive effect.
I once responded beautifully to 10mg paxil, but doc wanted to go higher and higher. As w/ lexapro now, she wants 20-30, when i feel they're too high. Once i lower them, anxiety such as going to movies, eating lunch in public etc lowers, but physical anxiety increases, perhaps just the initial drop i guess.
Thanks,
Brian
This is the end of the thread.
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