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Re: AD-provoked hypomania - is it diagnostic? judy1

Posted by Elizabeth on July 15, 2001, at 18:15:42

In reply to Re: AD-provoked hypomania - is it diagnostic? Elizabeth, posted by judy1 on July 12, 2001, at 21:23:59

> some of the docs that 'go into left field' do get other one's thinking, which never hurts.

Sometimes they have that effect. Other times they are just regarded as quacks and their ideas aren't taken seriously at all. (Akiskal is not really all that "out there," and he seems to be well respected. I have a great book about chronic depression which he co-edited (and wrote one of the articles).)

> I've gotten manic twice on lamictal and on EVERY class of AD's- which had the added effect of increased cycling.

Mania on Lamictal? There's one I'll remember.

> I have not tried clozapine, the side effects frighten me and I'm not very consistant when it comes to constant monitoring of meds (probably some denial going on here).

Maybe lethargy too. I have problems with that kind of thing as well. With clozapine it's crucial -- the blood dyscrasias are completely reversible, but you have to identify them if they happen.

> I also have not tried Geodon, but have not read any real positive things on the board, and quite honestly I am terrified of TD.

I've really been impressed by the decrease in EPS among psych patients in general in recent years. I strongly suspect that it's due to the switch to atypicals.

> > Bad luck that they're both controlled substances!
> Well, not really, I happen to have an extremely sympathetic and bright shrink, if it works we use it,

Ahh, if only they all had that attitude!





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