I'm sorry to hear of this latest situation.
I was hoping with the job at the fast food restaurant that he was going to continue doing OK.
Do you think there was anything that brought this on?
Was he complaining about
anything at work?
You said, "For the past 3 days, he has been very lethargic, super sleepy, and not interested in things."
Was he still working when he started into the depression?
You said, "He says he is not hallucinating and has no self harming/suicidal ideation." So it sounds like the meds held to a certain degree.
Was he able to see a psychiatrist within a short period of time? Did they increase his medicine?
You said you will see the psychiatrist on the 20th, and note "Other than asking about
a mood stabilizer or other meds, what questions do you think would be good to ask the psychiatrist."
Was he on a mood stabilizer before this situation happened?
When you first wrote, you said his meds are Abilify (net says anti-psychotic also used for bipolar) 15 mg, and Zoloft (net says for depression and panic attacks) 100 mg daily and trazodone (net says for depression, anxiety and insomnia) 150 mg at bedtime.
Above in this most recent post, you said about
his meds after the October 4th situation, "He is curently taking abilify 20 mg and zoloft 100 mg daily. He takes trazodone 150 mg as needed for sleep."
So the only change in meds after the latest situation is a 5 mg increase in Abilify, which is an anti-psychotic for bipolar.
So that sounds like a small increase since the latest situation. I'm on a mood stabilizer (Lithium, 675mg. at night) rather than an anti-psychotic, and I'm also on an anti-depressant, Mirtazapine.
At his doctor's appointment they might increase his present meds or, put him on a new med or two. I think that's probably right, that they will change and alter medicines until they can get him stable.
How are his spirits holding up, and yours?
You say, "Would it be plausible that he is a cycler with a 1-2 month duration?
As a bipolar myself, there probably are cycles, but I only get onto those cycles before I am put onto medicine. Prior to being put onto medicine, I'm usually very depressed.
I've also had the cycle of mania, with rapid thoughts and probably so many ideas I couldn't keep up with them. We think it's better than the depression, we usually think we're cured when prior to that we've been depressed awhile, and we don't want to be told we're still sick, but in another way.
So, come to think of it, I usually go to a psychiatrist on a depressed cycle, but in that condition, we're usually so low and negative, we don't think anything will help, and we have low energy and it's hard to get us off square one.
It is good that he has a place to go to when something happens.
It's also good that we live in an era when they do have medicine for emotional problems. As I think I mentioned, my grandmother, my mother's mother, had Bipolar, back in the 1930s and 1940s, and they didn't have anything for that.
They didn't even know what you had, they labeled it as schizophrenic, even in the early 1960s, when it was a new, undiscovered condition called manic-depression.
You didn't get to lay down on your mother's couch in between doctor visits, you got sent to the state hospital a long distance away.
So we can be thankful that they have a variety of medicines for this.
Post Edited (Tim Tam) : 11/16/2017 5:58:53 PM (GMT-7)