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Racing/Anxiety Thoughts, Need Opinion

Posted by cycling on July 29, 2010, at 14:49:07

To all who are familiar with the term racing thoughts,
I've been to three different pdocs that have all agreed I have Bipolar. The catch is, is that I don't really have mood swings, rather I have symptoms that are attributed towards mania - racing thoughts, random thoughts, high confidence, etc. These types of symptoms are usually attributed towards BP1, and I have been treated as such. I first started out on Lithium (900mg), which I saw an improvement. I found that I was less edgy than I used to be. But, that did not take care of my racing thoughts. So we tried Lamictal all the way up to 400mg, but, that didn't do anything. Now we're tapering off (I'm at 200mg as of now). I didn't really feel as if Lamictal did much for me. It elevated my mood a little, but nothing too significant that I could've got out of another drug. So next, my pdoc prescribed seroquel, hoping this would do the trip with the racing thoughts. Nope. I was taking 150mg seroquel xr before bed.My thoughts still go very fast and I have no control over them. This symptom has ruined my ability to concentrate on tasks at hand and my memory has also been significantly affected... whether it was due to the medication or not, I'm not sure. All of this started from my OCD. The OCD eventually manifested itself into racing/random thought patterns and edgyness. I believe that most of my symptoms stem from my OCD rather than being Bipolar. I believe that my symptoms may look like i have bipolar, but I'm not getting depressed all the time. I don't swing. I'm not sure where to go from here. We're getting off the Lamictal so I'll be left with Seroquel and Lithium, but the Seroquel didn't really do much for me. One question I do have is that whats the difference between racing thoughts driven by bipolar mania versus racing thoughts driven by anxiety?

Any thoughts? Possible opinions on my treatment?

Medications:
900mg Lithium Carb
150 mg Seroquel
200 mg Lamictal and weaning


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