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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 21 of 21. This is the beginning of the thread.
Posted by Phillipa on December 3, 2007, at 12:31:03
Some have said I may have an aggitated depression cause of the anxiety. I have no ideat what it is any help with definition and meds? thands Phillipa
Posted by rskontos on December 3, 2007, at 13:19:14
In reply to What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 12:31:03
Phillipa, I found this description no info on meds. Need to research further will do later.....rk
Agitated Depression
------------a state of clinical depression in which the person exhibits irritability and restlessness-----------------
This term is applied to depressive disorders in which agitation is prominent. Agitation occur in many severe depressive disorders but in agitated depression, it is particularly severe. Agitated depression is seen more commonly among the middle aged and elderly than among younger patients. However, there is no reason to suppose that agitated depression differs in other impotent ways from the other depressive disorders.
Definition of Agitated Depression
A major depression with agitation that may be driven by hypomania.
Although many people experience symptoms such as feeling slowed down and lethargic when they are depressed, others may experience just the opposite. They may feel anger, agitation and irritability. This is what "agitated depression" refers to.
Agitated depression was once called melancholia agitata. It is now also known as mixed mania.
Agitation occurs in many severe depressive disorders, but in agitated depression it is particularly severe. There is no reason to suppose that agitated depression differs in other important respects from other depressive disorders.
Diagnostic Criteria for Agitated Depression
Major Depressive Episode
At least two of the following symptoms:
Motor agitation
Psychic agitation or intense inner tension
Racing or crowded thoughts
Agitated depression meets the criteria for major depressive episode but not those of a mixed bipolar disorder according to the DSM-III-RClinical Forms of Agitated Depression
Psychotic agitated depression
Proposed name: Melancholia
Non-psychotic agitated depression
Meets the RDC criteria
Excites anxious depression
Provisional name: Psychic agitation and racing or crowded thoughts.
Agitated depression in bipolar I disorder: ResearchThe occurrence of agitated depression in bipolar I disorder is not rare and has significant prognostic and therapeutic implications. Whether the co-occurrence of a major depressive syndrome with one or two of these symptomatic clusters makes up a "mixed state" remains unclear.
Agitated Major Depressive Disorder
At least 2 of the following manifestations of psychomotor retardation (not more subjective anxiety) are required for several days during the current episode
Pacing
Handwringing
Unable to sit still
Pulling or rubbing on hair, skin, or clothing
Outbursts of complaining or shouting
Talks on and on, or can't seem to stop talking
Posted by Phillipa on December 3, 2007, at 13:30:33
In reply to Re: What Is An Aggitated Depression?, posted by rskontos on December 3, 2007, at 13:19:14
Sounds like me right now can't wait drives me crazy for husband to find receipts for some stuff and I gotta get outta here and Im old 6l. Valium 20mg at night and luvox 50mg so need med. Thanks rk hope you find the meds as I'm driving myself crazy and husband especially. Phillipa
Posted by rskontos on December 3, 2007, at 15:20:11
In reply to Re: What Is An Aggitated Depression? » rskontos, posted by Phillipa on December 3, 2007, at 13:30:33
Phillipa, Read this article, here is the link http://www.mcmanweb.com/mood_spectrum.htm. I dont know how to make it an active link with my computer so just copy and paste it into your address bar. It has interesting information as to the fact that ad dont work for this agitated depression and that it is a form of mania. You really should read it. It is though a long article so look at when you are rested. rk
Posted by bleauberry on December 3, 2007, at 18:48:39
In reply to What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 12:31:03
> Some have said I may have an aggitated depression cause of the anxiety. I have no ideat what it is any help with definition and meds? thands Phillipa
I'm not sure Phillipa. I've never been a fan of giving labels to symptoms. It just isn't much help to me. I've seen SSRIs be the best mood stabilizers for bipolar people when mood stabilizers were not. And vica versa. And all kinds of off-label drugs treating various conditions much better than the drugs that were highly correlated with the supposed condition.
All I can say is, if you are to consider other meds, look at what you have not tried, whether it makes any sense or not, and go there. I mean for example, hyperactive kids can be calmed down with a powerful stimulant like ritalin? People whos anxiety is still overwhelming even with 20mg klonopin? And yet it is almost completely cured with lithium instead? You know what I mean?
Posted by Phillipa on December 3, 2007, at 19:39:03
In reply to Re: What Is An Aggitated Depression?, posted by rskontos on December 3, 2007, at 15:20:11
Thanks all. Phillipa
Posted by tecknohed on December 3, 2007, at 20:52:20
In reply to Re: What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 19:39:03
Are you still yet to try an MAOI? If not then would you? I could see you doing well on Nardil.
teck
Posted by tecknohed on December 3, 2007, at 21:20:40
In reply to Re: What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 19:39:03
Clomipramine would probably be very good for the aggitation. Good AD too. Different to all other tricyclics, its more like a powerfull SSRI than a typical TCA, though it does still inhibit reuptake of norepinephrine too, but to a lesser extent than serotonin. Very good for OCD which involves much aggitation. Even small doses can be beneficial.
Phillipa, do you think you may have some mild OCD symptoms?
teck
Posted by Phillipa on December 4, 2007, at 0:12:58
In reply to Re: What Is An Aggitated Depression? » Phillipa, posted by tecknohed on December 3, 2007, at 21:20:40
Tech know I do used to count and add til the low dose luvox and I compulsively pick my cuticles. Big fish you caught. Love Phillipa
Posted by yxibow on December 4, 2007, at 1:09:11
In reply to Re: What Is An Aggitated Depression? » tecknohed, posted by Phillipa on December 4, 2007, at 0:12:58
There are a lot of types of depression, psychotic depression, etc. Some things that could help are Lamictal and Seroquel, possibly. Its depression that presents as anxiety, agitation like akathisia, insomnia, panic NOS, and "a general sense of dread."
Posted by llurpsienoodle on December 4, 2007, at 7:41:25
In reply to Re: What Is An Aggitated Depression? » Phillipa, posted by yxibow on December 4, 2007, at 1:09:11
I have "agitated depression". My pdoc views it as a variant of bipolar disorder. I'm treated with an atypical AP (abilify) a mood stabilizer (lamictal) an antidepressant (zoloft) an anxiolytic (klonopin) and a prn antipsychotic (zyprexa zydis)
it's really complicated, and the symptoms come and go. therapy helps too, to learn better coping strategies etc.
-Ll
Posted by Jeroen on December 4, 2007, at 8:15:52
In reply to What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 12:31:03
agitation is always linked to worsening of psychosis or the start like me on lamictal or high dose abilify :| you get it?
Posted by bulldog2 on December 4, 2007, at 9:09:14
In reply to Re: What Is An Aggitated Depression?, posted by Jeroen on December 4, 2007, at 8:15:52
The 50 mg of luvox you're on may not be enough to control your symptoms. I know you have problems bumping up the dose because of anxiety. You might try adding 12.5 mg every couple weeks until you hit the right dose. You may be able to tolerate such small increments.
Posted by nellie7 on December 4, 2007, at 14:14:30
In reply to What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 12:31:03
Has anyone here developed a "slowing down" depression many years after having suffered from the agitated kind all his life?
Posted by Phillipa on December 4, 2007, at 18:27:13
In reply to question regarding agitated depression, posted by nellie7 on December 4, 2007, at 14:14:30
Yes seems mine has changed from panic to wanting to go places and do things and then can't or have a hard time going. And something is wierd with the valium. Feel good or better at night and then wake up late in the morning and feel like dying. And want to get out of here as soon as possible to forget how I feel. Driving my husband crazy. Bulldog I can up the luvox no problem don't feel a thing from it why? Love Phillipa
Posted by nellie7 on December 5, 2007, at 10:49:41
In reply to Re: question regarding agitated depression » nellie7, posted by Phillipa on December 4, 2007, at 18:27:13
Hi Phillipa,
Sorry about the problems the meds are giving you.
I wish I could give you some answers.Take care,
Nellie.
Posted by bulldog2 on December 5, 2007, at 16:28:29
In reply to Re: question regarding agitated depression » nellie7, posted by Phillipa on December 4, 2007, at 18:27:13
> Yes seems mine has changed from panic to wanting to go places and do things and then can't or have a hard time going. And something is wierd with the valium. Feel good or better at night and then wake up late in the morning and feel like dying. And want to get out of here as soon as possible to forget how I feel. Driving my husband crazy. Bulldog I can up the luvox no problem don't feel a thing from it why? Love Phillipa
because you had a good response to it years ago at a high dose. Maybe you have to try going high again but very slowly to avoid anxiety.
Posted by Phillipa on December 5, 2007, at 19:28:21
In reply to Re: question regarding agitated depression, posted by bulldog2 on December 5, 2007, at 16:28:29
If I've been on it for years low dose you think it could still work at high doses? I'd think it was a moot thing and everyone says to move on to another med. but not putting up with side effects. Did that too many times. Love Phillipa foot massage tonight?
Posted by bulldog2 on December 6, 2007, at 8:55:14
In reply to Re: question regarding agitated depression » bulldog2, posted by Phillipa on December 5, 2007, at 19:28:21
> If I've been on it for years low dose you think it could still work at high doses? I'd think it was a moot thing and everyone says to move on to another med. but not putting up with side effects. Did that too many times. Love Phillipa foot massage tonight?
It might be worth another try at higher doses until you decide on another med. It's been a long time since you've been at higher doses of luvox. Yes foot massage and foot kisses tonight.
Very good for reducing anxiety.
Posted by Phillipa on December 6, 2007, at 19:23:36
In reply to Re: question regarding agitated depression, posted by bulldog2 on December 6, 2007, at 8:55:14
Missed you last night but added 12.5mg of luvox and downed the valium by 5mg and a better day. Phillipa counting on those kisses.
Posted by bulldog2 on December 7, 2007, at 9:36:43
In reply to Re: question regarding agitated depression » bulldog2, posted by Phillipa on December 6, 2007, at 19:23:36
> Missed you last night but added 12.5mg of luvox and downed the valium by 5mg and a better day. Phillipa counting on those kisses.
Stay with this dose a couple weeks and see how you feel. Than try another 12.5 if you want to see if you get an even better response. Problem with ad's some people attempt to go up to fast an experience to much anxiety. Kisses on your bare soles.
This is the end of the thread.
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