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Need help want depression and impulses in control

Posted by jalapeno on September 7, 2016, at 1:13:47

Hi, I have a diagnosis of bipolar (with the possible differential of schizoaffective). For years I suffered from severe depression with extremely violent rage attacks. I'm right now taking Trifluoperazine 20mg per day divided with gabapentin 800mg (which doctor raised yesterday). I cannot tolerate most atypical antipsychotics or most conventional mood stabilizers like lithium, valproate, carbamazepine. I can seem to tolerate standard APs like haloperidol and trifluoperazine so I'm looking for standard APs. Actually, doctor won't give haloperidol long term and trifluoperazine imperfectly controls rage impulses and attacks though it clamps it down a little bit. The problem also is I'm a devout Orthodox Christian and I'm getting spells of uncontrollable sexual impulses which I did not get with so much frequency before and I end up sinning. Before when meds were stopped, I did get extreme sexual highs and heights of uncontrollable sexual euphoria even though I was depressed. But otherwise I do not have such problems like when I used to be on risperidone for years, except I cannot tolerate atypicals. I'm also getting very depressed right now and have feelings of marrying a foreign girl singer I listened to online once singing classical choral music and I have not even met her so it feels a bit deluded to have these feelings. And every time I sin, I get a tendency to hurt myself because I feel I have been infidelous.

I would like to know if another standard AP would be better for 1)the imperfectly controlled rage impulses 2)the sexual impulses and 3)the breakthrough depression. And also I get chronic sleep reversal, I cannot sleep at night but in the day.

pls advise.




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