Posted by porkpiehat on April 10, 2012, at 11:10:51
In reply to Re: Hey Zoloft, what's up...bipolar and lamictal? » porkpiehat, posted by phidippus on April 3, 2012, at 19:28:51
Switched the Zoloft back to mornings so I could sleep better. It is definitely activating, to the point of being racy a lot of the times. I've got half a verse from one song or another playing in a loop constantly in my head.
I am certain that I love the zoloft simply because I am not completely obsessed over every interpersonal interaction in my life. That is so freeing, and yet it isn't this fake "happy" that I normally associate with SRRI's
Now I just need to find out how to deal with the irritability. It's not the BLIND RAGE that I've had with things like Buspar or Wellbutrin. And to some degree I think it's healthy that I'm saying some of the things I'm thinking that I've always kept pushed down.
But as a massage therapist, I find myself racy during my sessions and quick-tempered, which makes it hard for me to work. It's not so bad in my day-to-day interactions or situations where I'm not already prone to annoyance.
On the Celexa, an adjunct of buspar really helped me with my focus and racing thoughts, but after a week or so irritability and sadness would really kick in and I'm talking EVERYTHING made me mad.
On the Celexa, Lamictal would activate and motivate me. It made me racy and in higher doses would eliminate any behavior except working on projects.
Now I feel like the Lamictal is sedating me. Weird...not sure where it even fits into my treatment right now. I'm also wondering if trying the Buspar again at small doses would help the raciness during my treatments. I'm scared that the rage might come back in spades seeing as it's always just under the surface. But it has a tendency of cutting into SSRI actions. For Celexa that was patience and "good feeling." Maybe on Zoloft it will be raciness??
I could also increase the klonopin as now I am taking such a low dose, to combat the raciness and anger, but I'm scared of the tolerance and apathy that could accompany.
TOO MANY VARIABLES!!! My pdoc is gone for three weeks. She thinks titrating in small doses of Celexa while cutting back some on the Zoloft is the way to go. But them I'm on two SSRI's, Lamictal, and Klonopin (which makes it hard to wake up in the morning even at the lowest doses). I think that's rabbit hole/Valley of the Dolls territory.I think I need a career change, as I've always resented having to take care of needy/high maintenance/weak people (past issues of course) but in the mean time I can't drive away all my clients with my short temper.
What is the take away?
-I want to keep the Zoloft to some degree. The interpersonal thing is going to save my life.-I don't want to be overmedicated.
-I worry that my pdoc has a tendency to over-diagnose and over-medicate. She bases her decisions of self-reporting and not talking to my psychotherapist. I however, over analyze and therefor might exaggerate a little in my self-reporting
-I'd love to stop managing/thinking about all this and return to living my life.
poster:porkpiehat
thread:1014650
URL: http://www.dr-bob.org/babble/20120328/msgs/1015321.html