Posted by Christ_empowered on June 4, 2015, at 12:52:01
Currently, I have a diagnosis of Bipolar I w/psychotic features. I dunno. It seems to be mostly psychotic depression that just doesn't stop, at least not completely. I had a major crack up 7 years ago, but even that started as psychotic depression and wasn't even euphoric mania...more a mixed episode (psychotic, of course).
I take: 30 Abilify, 1200 Trileptal, 100 Lamictal, 400 Wellbutrin SR. I have tiny amounts of gabapentin (100mgs) that I can take daily. More often, I just take a bunch on those rare nights I need chemical assistance to sleep.
The depression is much, much better. I finally caved on got an AD. Wellbutrin has been good to me, although I've had some jitters when the dose went from 200 to 400. Fairly normal, I think, and it seems to be simmering down.
I'm wondering...to get over the depression fully, do you think maybe Remeron at night? Fetzima? Even Cymbalta? I'm not looking for apathy--I mean, I take a high dose tranquilizer already--but I am still dealing w/ very mild paranoia and such and impaired concentration, along with weird mood switches during the day (not really Bipolar switches; more like I'm depressed and I get in and out of the darkness, if that makes sense).
Ugh. TCAs are out, btw. This doc found out I'd been RX'd Tofranil, and he wasn't too pleased. Something about long term cardio toxicity.
SSRIs do work for me, for a while...when I'm intensely agitated, having obsessive stuff going on, etc., they calm me down. Problem is, 5-6 months in, I feel zombie-fied and I drop them. Ugh.
Suggestions? Like I said, Wellbutrin has been great for me, and I think I'm not only feeling, but also doing, much better. I'm better able to concentrate, more productive, there's more clarity to my thinking and writing, etc.
Its mostly the remaining stuff from what I think is psychotic depression I'd like to be rid of...mild obsessive stuff, mild paranoia, weird mood shifts, now and then voices, etc.
Thanks.
poster:Christ_empowered
thread:1079447
URL: http://www.dr-bob.org/babble/20150520/msgs/1079447.html