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paradoxical effects on mood stabilizers and atypic

Posted by porkpiehat on July 23, 2021, at 21:01:07

Sadly, my mom is back in trouble again since they put her on topomax. She complained about the apathy, weight gain, and bad thoughts she has been having on Celexa. They added topomax 50-100 mgs and she got very manic and confrontational.

She is like a different person to me. A lot of the confrontationalism is her getting agency for the first time and she sounds like a proper adult rather than a kicked dog. But it is overboard and it is accompanied by slurred speech and she is confused. she is super excited about doing stupid things and particularly aggressive.

It seems like every time they have given her an atypical antipsychotic or some of the mood stabilizers, this behavior comes out. She doesn't see it and she thinks we are all "challenging" her.

I have similarly paradoxical responses on the atypicals and feel uncomfortably dissociated from people, after a brief period of agency and lack of paranoia.

Her mother was schizophrenic and she has a complex trauma history and occasional borderline dx. I'm trying so hard to help her and help direct her meds. The ER docs all assume she is bipolar and want to pile up the mood stabilizers, but I think she is more trauma/personality disorder/destabilized.

I feel over my head and my heart is breaking, but I can't leave her to her own devices or the medicare/clinic doctors that won't give her proper considerations.

What are everyone's thoughts on this paradoxical response to mood stabilizers and atypicals?

thanks so much!




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