Posted by petters on February 5, 2002, at 0:51:40
In reply to Re: what to do next? add on AD or more stabilizers? » Mr. Scott, posted by JohnX2 on February 4, 2002, at 16:44:48
>
> Well, I seem to get into different types of
> hypomanic episodes. Most do not accompany
> euphoria, grandiose thinking, etc. These are
> mixed states where I feel kinda empty, but have trouble
> falling asleep, have substantial psychomotor
> agitation, have pressured speech, have a lack
> of interest in things, trouble multitasking.
> This is very common, but is not what has been
> happening lately. Lately I had been full blown
> manic which has settled somewhat into hypmanic.
>
> What has been going on lately is as follows.
> I labeled the ones that I considered
> part of my full blown manic episodes and
> not part of my hypomanic epsisodes.
>
> - wild euphoria (Manic)
> - mild euphoria (Hypomanic)
> - pressured speech
> - substantial increase in goal directed activities
> - increased socializing (walking up to random
> strangers and intiating conversations).
> - trouble sleeping
> - gobs of energy
> - megalomania thought patterns (grandiouse thoughts)
> - racing thoughts (tangential thoughts)
> - confrontational attitude
> - increased self esteem
> - bizzare affinity to omnipotent forces (Manic)
> - paranoia/feelings of conspiracies (Manic)
>
> Regards,
> John
>
> > John,
> >
> > Can you describe for me a bit what hypomania feels like, and how you know you had/have it?
> >
> > Thanks,
> >
> > Scott
> >
> >
> > > Scott,
> > >
> > > The hypomania has petered out over the
> > > past few days. I'm actually ping ponging between
> > > euthymia and hypomania with my latest Zyprexa
> > > dosing bump and klonopin tapering. I actually feel
> > > pretty good after a bit of an initial crash which prompted
> > > the 1st post.
> > >
> > > My pdoc is having me to up the Zyprexa
> > > dose again to 15 mg. I didn't really think of this option.
> > > He told me at my appointment that he felt I was in
> > > the best shape he had ever seen me (It just happened
> > > to be the 1st day I felt euthymic).
> > >
> > > Regards,
> > > John
> > >
> > > > Are you currently hypomanic?
> > > >
> > > > After you're totally stabilized I'd go Wellbutrin route if you need an AD and it worked in the past.
> > > > However, I would exhaust completely ALL stabilizer options and combo's first.
> > > >
> > > > Scott
Hi...Probably the Zyprexa is not enough for you. You need adding Lamictal or Topamax or Litium, to you current regime.
Best Wishes...//Petters
poster:petters
thread:92412
URL: http://www.dr-bob.org/babble/20020131/msgs/92925.html