Posted 9/15/2019 12:50 PM (GMT -6)
It’s good that you reached out for help.
I also have bipolar and am on Lithium for the mania and Mirtazapine anti-depressant for the depression.
You said, “I suffer from Bipolar , depression and anxiety disorder."
You also said, “I'm currently taking Cymbalta 60mg. 1x a day, and I have Xanax but don't take it b/c it makes me feel worse the next day.”
Webmd.com says: “Cymbalta (duloxetine) is a selective serotonin and norepinephrine reuptake inhibitor antidepressant (SSNRI).
“Cymbalta is used to treat major depressive disorder in adults. It is also used to treat general anxiety disorder in adults….”
Well, that deals with the depression part of bipolar, or manic-depression, and Cymbalta also helps with the anxiety that you talked about.
But what medication are you taking for mania?
You mention anxiety (“I can't work because my anxiety is so bad it literally makes me feel paralyzed”) and depression (“I am also depressed and can not concentrate.”)
You then say, “I am arguing with my family and have terrible mood swings.”
So you do have mood swings. Healthline.com says about mania:
"Mania is a state of elevated mood. During manic episodes, you may feel very high-spirited, energetic, and creative. You may also feel irritable. You may engage in high-risk behaviors, such as substance abuse or increased sexual activity. You may spend money foolishly, make bad investments with your money, or behave in other reckless ways.
“Manic episodes can last for a week or longer”
So if you have the mania also, are you taking anything for that? Again, I take Lithium for the mania and Mirtazapine for the depression. If you’re only taking an antidepressant and you are bipolar, it can throw you into mania. It has me.
These ailments are often inherited, as in my case for I got my bipolar from my mother’s mother. It can skip a generation. My mother did not have that condition. Is there anxiety or bipolar in your family?
Also, this same grandmother of mine who had bipolar, there were no, or very few, psychological medicines for mental illness at that time, 1930s and 1940s. She spent her life in a mental institution 150 miles from her house and diagnosed as schizophrenic because they didn’t know about bipolar at that time.
So, we can be glad they have medicines today that treat these conditions. Very glad.