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Re: Ultra Rapid Cycling Stopped Using Valdoxan

Posted by morgan miller on October 28, 2010, at 2:32:45

In reply to Re: Ultra Rapid Cycling Stopped Using Valdoxan » morgan miller, posted by Ron Hill on October 28, 2010, at 2:11:32

> Morgan,
>
> I made the statement to a patient who is ultra ultra rapid cycling. Giving an antidepressant to a bipolar patient is controversial, with research on both sides of the aisle. However, giving an ultra ultra rapid cycling pt an SSRI without any anti-manic medication is like pouring fuel on the fire.
>
> I'm very happy to hear that you are doing well.
>
> -- Ron
> ----------------
>
> > >You're bipolar II, correct?
> >
> > >If so, I'm very concerned about you having an SSRI on-board.
> >
> > Let's not make the same mistake psychiatrists make and put all us bipolars in a box. I'm bipolar(don't know if it's I or II, don't know if it matters, and I don't really care) and I had been on an SSRI by itself for years and did pretty damn good. I was able to escape all the possible mind numbing/cognition wrecking side effects of mood stabilizers. I was able to live a full life.
>
>

I understand, it would be very risky and not a risk worth taking. What do you think about giving a patient an SSRI in the midst of a mixed manic episode? I took Prozac during my first mixed manic episode(I know this now, at the time I just thought I was depressed, anxious, and had major OCD) and felt great 3 weeks into it. My point is, it is possible that someone in all states of bipolar may benefit greatly from an antidepressant. I do understand, giving a patient in the midst of a bipolar state an SSRI or other antidepressant is not usually the wisest of choices.

I'm really not doing well. I WAS doing fine on Zoloft for 7 years. I quit Zoloft not knowing that I was bipolar and thinking that I did not need medication anymore. 5 months later the perfect storm of events and circumstances(including not being on Zoloft anymore) sent me into a major mixed episode. I have not quite recovered since. I'm dealing with other issues now aside from just bipolar depression and anxiety.


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URL: http://www.dr-bob.org/babble/20101020/msgs/967209.html