Posted by TemporarilyBob on October 29, 2012, at 0:28:44
In reply to Re: I give up » TemporarilyBob, posted by ChicagoKat on October 27, 2012, at 16:40:41
> Thanks for sharing your experience. I will broach the possibility of some sort of bipolar thing going on with me, but I can tell you I've used Lithium in the past and it did nothing for me. All the pdocs and therapists I've ever seen for decades now say I have unipolar depression
I tried Lithium as well. It left me extremely agitated, to say the least. I can't remember if it was in combination with Zoloft. Prozac, or Nortriptyline -- this was 10 years or so ago ... but it was used in combination with an AD and it left me feeling far worse.
Hmm ... now that I think about it, it might have been Prozac and my response to it might have been what pushed my pdoc at the time to trying me on nortriptyline.
One of the things about the newer variants of bipolar that are coming out in the literature is that they are treatment resistant -- particularly in not responding well to "traditional" single or multiple drug therapies. It's not just an issue of the traditional approaches not working, but quite possibly them making matters worse. SSRIs are classic cases for these and poor response to SSRIs is used by some as a diagnostic criterion for these other dx's on the bipolar spectrum.
So, if your pdoc is up on the lit on this he should know not to take a standard approach. If he's not up on the lit, he might want to look into bipolar spectrum research and see what new directions it's being taken.
Great wits are sure to madness near allied,
And thin partitions do their bounds divide.
poster:TemporarilyBob
thread:1029778
URL: http://www.dr-bob.org/babble/20121018/msgs/1030166.html