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Re: 45mg Nardil='psychotic features'. 30=ok? Lamdage22

Posted by SLS on December 4, 2021, at 16:22:15

In reply to Re: 45mg Nardil='psychotic features'. 30=ok?, posted by Lamdage22 on December 4, 2021, at 6:18:42

Hi, Lamdage.

> Hm 45 mg was enough to shoot over the target in a psychological way. I seem to be different in that way. I got belligerent, although with reason, but much more than without the med. Maybe I am not belligerent enough right now, as my Psychologist suggests.
> I wonder if my depression serves the purpose of lessening aggression. I seem to take too much stuff(interpersonal stuff, not meds). Learning in therapy how not to be manipulated.

When I first began to respond to Nardil, I was aggressive and easy to anger. Now, I would call myself vociferously assertive. What you describe could be the result of several things.

1. Normal for a healthy you.

2. An initial exaggeration of a healthy you as the result of not having in place a system of self-discipline and impulse control as you emerge from an inhibiting depresson. This will resolve with time, practice, and probably without intervention.

3. A true hypomanic mixed-state / manic dysphoria triggered by Nardil. In TRD, an alternative to simply discontinuing Nardil is to leave it in place and treat the hypomania. In the case of people who whose hypomania is more euphoric, but who remain happy and functional (hyperfunctional), smart doctors often don't attempt to rock the boat.

4. Nardil is known to produce a hypomania-like state *at first* that fades rather quickly. Many people fall into the trap of thinking that this initial euphoria is what they are supposed to feel, and are forever chasing the lost high. Your initial hypomania-like state might be more angry or rageful than euphoric.

What do you think?

- Scott

Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.




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