![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by starfox on June 20, 2007, at 7:44:08
After 4 years of not knowing what was wrong with me I have been diagnosed with mixed state bipolar disorder. My p doc has put me on 500mg of depakote per day and mirtazapine 30mg at night. I have recently split from my girlfriend after 5 yrs and Im at rock bottom. I cant even face work and i spend most of my days locked in my flat cryin. I have lost 2 stone in weight and Im a mess. I constantly go thru moods of euphoria to extreme depression with suicidal thoughts everyday. Im scared ill lose my flat because i cant face work and have lost interest in life. Im scared to take depakote because i dont want my hair to fall out. I want to just run away and dissapear,even as I write this message im in tears. I cant sleep thru the night without waking up after severe nightmares then can never get back to sleep. I wonder how much longer i can go on. I feel like i need to go in to rehab but cannot afford it. Will depakote help me? Ive been on mirtazapine for about 4 months at 30mg and it has not touched the depression one bit. I would like to try effexor but from what ive heard it can cause insomnia and i already have plenty of that!. Just feel like i need a mega potent AD to pull me from depths of despair. I should be at work today but im stuck in here yet again, it's like i just cant face life anymore, i been fighting for so long and im gettin tired and losin faith :-(
Posted by polarbear206 on June 20, 2007, at 8:21:20
In reply to Diagnosed with mixed state bipolar, posted by starfox on June 20, 2007, at 7:44:08
> After 4 years of not knowing what was wrong with me I have been diagnosed with mixed state bipolar disorder. My p doc has put me on 500mg of depakote per day and mirtazapine 30mg at night. I have recently split from my girlfriend after 5 yrs and Im at rock bottom. I cant even face work and i spend most of my days locked in my flat cryin. I have lost 2 stone in weight and Im a mess. I constantly go thru moods of euphoria to extreme depression with suicidal thoughts everyday. Im scared ill lose my flat because i cant face work and have lost interest in life. Im scared to take depakote because i dont want my hair to fall out. I want to just run away and dissapear,even as I write this message im in tears. I cant sleep thru the night without waking up after severe nightmares then can never get back to sleep. I wonder how much longer i can go on. I feel like i need to go in to rehab but cannot afford it. Will depakote help me? Ive been on mirtazapine for about 4 months at 30mg and it has not touched the depression one bit. I would like to try effexor but from what ive heard it can cause insomnia and i already have plenty of that!. Just feel like i need a mega potent AD to pull me from depths of despair. I should be at work today but im stuck in here yet again, it's like i just cant face life anymore, i been fighting for so long and im gettin tired and losin faith :-(
You should get relief from the depression once the Depakote kicks in. The only way any antidepressant you take is going to work for you the way it should is with a mood stabilizer. There are many other mood stabilizers to try if depakote doesn't work out for you. How long have you been on the depakote? Are you taking a benzo when needed to help you get through this rough time? The most important thing right now is stopping the mixed states with the depakote. It will get better soon!!Polarbear206
Posted by Phillipa on June 20, 2007, at 11:00:54
In reply to Re: Diagnosed with mixed state bipolar » starfox, posted by polarbear206 on June 20, 2007, at 8:21:20
Polarbear not to hyjake the thread but I wanted you to know I admire you. Babblemail again maybe? Love Phillipa
Posted by linkadge on June 20, 2007, at 15:27:07
In reply to Re: Diagnosed with mixed state bipolar » starfox, posted by polarbear206 on June 20, 2007, at 8:21:20
Depakote may not be sufficiant on its own to control depression if this is a prominant symptom. Ie more prominant than manic symptoms. I was diagnosed with bipolar and put on depakote and off an antidepressnat. The depakote left me very flat. It helped mood changes but not depression very well at all. I hope you fair better.
>The only way any antidepressant you take is >going to work for you the way it should is with >a mood stabilizer.
That is if you are actually bipolar. "The way it should" is doesn't make a whole lot of sense. There is not a lot of conclusive data that treating bipolar with AD's is any more effective than treating it with just mood stabilizer alone.
Remeron can also make some unipolar people very irritable. Ie. REM rage. If you are getting a lot of ittirability or dysphoria, this may be a side effect of remeron and not indicative of bipolar.
I hope that mood stabilizers work out for you, but I would not go so far as to make these diagnosis so cut and dry.
Linkadge
Posted by polarbear206 on June 21, 2007, at 8:01:58
In reply to Re: Diagnosed with mixed state bipolar » polarbear206, posted by Phillipa on June 20, 2007, at 11:00:54
> Polarbear not to hyjake the thread but I wanted you to know I admire you. Babblemail again maybe? Love Phillipa
Thanks, you are so sweet. I'll touch base with you soon.Laura
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.