Who would put you on TWO SSRIs! (Effexor and Lexapro). What kind of tests are you going through for BP II? If you are BP your worst enemy is antidepressants in that class. I surprised you're not in a straightjacket if you are BP on those. They cause mania in BPs very often, extremely on TWO!
OK, PMDD is actually not by itself the problem, it's normal to get a little moody during our cycles, most women do. But the ones who get beyond moody and just turn evil, lol are almost always suffering from some sort of mental illness, usually depression but oh, BP and PMS, baaaaad combination. I remember I would have about 1 good week a month, the rest I was a monster and kept thnking it was just bad PMS.
Lamictal is a very good medication for BP, it has a stabilizing effect and works as an antidepressant without the inherent risk of inducing mania. But, it isn't usually the first choice for a mood stabilizer, it doesn't do that good a job at stabilizing mania, so it's usually used with a mood stabilizer or with an atypical.
I'm so sorry about your bad experience. That doc ought to have his license revoked! Taking you off meds that help (abilify), and putting you on TWO that hurt, not bothering to include a mood stabilizer. Wow.
Were you afraid to go home because there WERE guns there and you thought you might hurt yourself, or were you delusional/paranoid at the time?
Well, hon, everything you have described is classic BP. Of course I cannot diagnose you, but you sound like it. And, the old "I don't think I am" is part of it too.
Truth is, there is NO easy organized solution. It's a constant daily battle to stay well, and many days we lose. But, on the right meds, the majority of the time we win and feel sooooooo much better. Losing the irritability, the spending sprees and the anger were the best part for me, unfortunately too late for the financial status - had to file bankruptcy.
I he decides you are BP, a ood stabilizer such as Lamictal would be ideal to start with. If you have trouble sleeping, like most of us do, Seroquel is an excellent medication to help with that, it also is an antipsychotic so it does help with psychosis in mania, too.
Dear Sassie and Sad
Hi! about the PMS thing, I have heard of 2 female drs in the states who actually medicated one of their patients with lithium for their BP and after several blood tests throughout her cycle, they establised a time where they would bump the dose of Lithium up for a few days then bring it back down. Apparently it took awhile to know when to bump it and lower it due to cycle fluctuations and possible lithium toxicity. Their approach was women should not have to suffer every month when some fancy footwork could alleviate it (they wrote a book called Women and their Moods). My pdoc told me that being on the birth control pill helps because it keeps those estrogen levels up (arrrgghh-more pills!) However I find I still get super aggressive 2 days before my period, he (to date) has give me the impressi0n that it is just one of those things I have to live with or take a benzo! Grrrrrr.
I'll let you know if I hear anything more, this can't be the end of this discussion!!!
Bipolar IIIt is a melancholy of mine own, compounded of many simples, extracted from many objects, and indeed the sundry contemplation of my travels, in which my often rumination wraps me in a most humorous sadness. -- William Shakespeare
Post Edited (serafena) : 1/12/2008 12:12:29 PM (GMT-7)