Posted by J Kelly on March 6, 2016, at 11:12:11
In reply to Re: Triggers » J Kelly, posted by SLS on March 6, 2016, at 8:52:01
Hi Scott.
> Sleep deprivation by itself can precipitate mania.
I suspect that I am VERY sensitive to changes in my sleep patterns. I think I'm sensitive to change in general, now that I think about it.
>I would simply assume that your illness lies somewhere along the bipolar spectrum and treat it accordingly. This means the use mood stabilizers and/or antipsychotics to function as antimanics
I'm currently taking Zyprexa and not doing that well so maybe its time to add a mood stabilizer and possibly Nardil. No current mania, however, so should I try Nardil first?
>You might even be able to eventually discontinue the antidepressants
A girl can dream...
>and take Lamictal and perhaps Trileptal or low-dose lithium if your depression hasn't lasted too long or there have been multiple episodes - maybe 3 or more.
I have been in some state of depression for years. Sometimes I can function. I've had two major depressive episodes where I really could barely get out of bed. The first lasted at least a few months, this second time I am at the 2 month+ mark I would say. This current episode started as soon as I returned from travel the end of December. I felt recently improved after this recent episode but now find myself slipping. Both followed trips out of the country. Coincidence? Maybe. I'm thinking the lack of sleep and sleep disruption definitely contributed, especially with this recent episode, but considering everything (see below) it's probably not that simple.
>
> Just so that we are clear, how many episodes of depression have you had in the past, and how long has your current episode lasted? Have all of your episodes been associated with traveling?A total of two major depressive episodes. Years of a milder depression. Current (second) episode 2+ months. Yes both major episodes occurred upon return from travel.
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> - ScottPS-I'm about to muddy the waters further. In preparation for my trip, and at the recommendation of my pdoc, I dc'd the meds I was taking. I now see how ill-advised this was. I weaned off 10mg Zyprexa, 3mg Klonopin, and 90mg Ritalin. I did this over a period of months. I felt relatively okay during that time. I was done with Zyprexa in November, Ritalin in September, and took my last .5mg/day klonopin the day before I left which was Dec 9th.
I can hear you all the way over here "WELL NO SH*T"
I'm wondering, as I'm sure are you, if in addition to the sleep deprivation/disruption I was experiencing protracted withdrawal. But wait, there's more. A couple of weeks after my return, I went to my GP and told her how I was feeling. Physically lousy/bad fatigue. She did blood work and later called to say my tests came back positive for Mono.
I restarted Ritalin early January, I added back in .5 klonopin and 10mg Zyprexa mid February. I thought I was feeling much better by late feb but now I feel I'm slipping. Help.
Jade
poster:J Kelly
thread:1086734
URL: http://www.dr-bob.org/babble/20160306/msgs/1086808.html