I totally agree with Nickie, any pdoc that diagnoses you in 5 minutes is a quack IMO. BP is difficult to diagnose and things like ADD and extreme anxiety with major depression are mistaken sometimes, but the features are really quite different.
This criteria is from the National Institute of Mental Health, the major organization in the US for mental health information on all illness. Pay special attention to the last paragraph and know that hypomania or mania consists of either euphoria or extreme irritability - if euphoric, three symptoms must be present at the same time, and if irritable, 7 must be present at the same time. True BP cannot be diganosed without at least one episode of mania and it has to have lasted a week or more all day, every day.
Like Nickie said this is not to diagnose you over the internet; but to give you a clearer understanding of what BP is and isn't. It seems many GPs and BPs alike are overdiagnosing BP and giving people meds that make them just tired, but do not really relieve their symptoms. Meds are very different for BP and depression/anxiety even tho anxiety is usually present in BP along with several personality disorders.
In my following post I will also give you a link for a short test, giving you a better understanding still of your personal experiences and it is a really good one. A GOOD doc or pdoc will give you written tests to help diagnose you, too. These tests are very very important.
A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present.
Firstly, I hope I didn't offend you in any way in my last post to you; if I did, I apologize.
I did read that Remeron affects seratonin the same way as SSRI, and norepineperin, too, but also dopamine, like you said. How? The same way as wellbutrin? Does it block the effects of dopamine, or increase production? I am curious about that.
And I also have to add that the main difference between hypomania (type II and full blown mania type I, as you know, this is for Rianna) is that type I has psychotic features, like hearing voices, hearing someone call your name frequently, smelling things that aren't there, losing touch with reality, etc. - you are totally right about BP II not having full mania, only hypomania (only, like it's nothing! Same as mania without psychosis) and just as dangerous ruining lives.
Also, Rianna, about SAD. It seems to be a major feature in BP, but can also greatly affect people who are not, and it is the lack of sunlight that is the culprit. Nickie's right about the lightboxes as therapy during fall/winter and an antidepressant as well.
Hope this helps,
Thanks for writing back, ckgMD -
But, I only understand about half of that, haha! I guess I just wanted to know if it worked on dopamine the same way as wellbutrin, and it sounds like it does. It is one of a kind, and I'm interested to see how more people react to it.
Actually, my doctor wanted me to d/c the Seroquel, I just didn't hear her, lol! (Selective hearing maybe, I love Seroquel). I cannot sleep without it, nothing else works, we've tried it all. I am the kind that even "stable" will be up the entire night, and develop psychosis very easily from that if I don't have something of a horse tranquilizer! So, I'm taking 50mg Seroquel now (was 250) and .5mg klonopin. Not sleeping more than 4-5 hours a night, so I will be calling her tomorrow to see what else we can do, I don't like to take any controlled substances, but admit klonopin is great at 1mg or more (for me). The thing is Abilify doesn't really cause drowsiness, so it's a little different in that respect, but nonetheless an atypical, and shouldn't be taken with another.
The Abilify has made me probably the most stable of anything I have ever tried, and that would be everything but Topamax. But I also take Trileptal, Seroquel (for now), wellbutrin, and Lamictal. It was the piece de resistance!
Have you written Abilify for anyone yet? I know it's so new and really not as proven as others, not to mention $$$$$$$$$$$$$$. There are three of us on here that tried it and all had really good results, tho.
Glad to see you back!
My doc rxd regular Ambien for me - even with 50mg Seroquel I slept a total of 3 hours!
I didn't know there was a CR version - I'll try that or Lunesta, I read it has a 6 hour half life, so that may be a good idea, thanks! I'll ask her tomorrow.
I love Abilify, but the sleep issue is a problem, unlike with Seroquel, but Seroquel didn't stabilize me this well, and at the higher dosage (400+) for me anyway, somnolence was an issue. I just wish it would be safe to take both! If it would just make you sleep at night, it would be awesome!
How many BPs do you treat, average? Do you see a lot?
Is your wife bipolar or are her mood swings due to the pituitary adenoma? What did her neurologist (not psychiatrist) say about that if anything? Or is he treating her with the Remeron?
Post Edited (psychnurse) : 10/18/2005 12:00:07 PM (GMT-6)