Posted by med_empowered on August 15, 2005, at 17:26:46
In reply to Re: 2 years then Anxiety Attack... what would you do? » ed_uk, posted by ed_uk on August 15, 2005, at 17:07:34
hey! If you have a bipolar disorder, or some indications of it (sometimes you can have "soft bipolar," which usually means unipolar disorder with some sub-clinical bipolar features), then this could be indicative of a very brief period of hypomanic-type symptoms followed by a rapid "switch" into a period of "atypical" (sleeping too much, lack of focus, weight gain/loss) depression symptoms. Whether its a problem or not is really dependent upon you and the history of your mood-disorder. In some people, little "blips" on the radar screen like this can come and go and, although they're unpleasant, they can be handled without medication or a change in existing medication. On the other hand...for some people, little "blips" can be indicative of future full-fledged mood-episodes, so it may be something to be concerned about. It could also be medication-related (like ed said, celexa and the other antidepressants, especially the SSRIs and Tricyclics, can cause "switching"; SSRIs are now thought by some to cause an increase in "cycling" from high-to-low, even if the med doesn't induce a full-fledged manic, mixed, or depressive episode). I guess you could ask your doc about upping the depakote and/or seroquel but...that move could have some undesirable side-effects. If it were me, I'd probably ask about a reduction of the celexa (or a full-fledged withdrawal, if you think you can handle it) and possibly a bump in the Klonopin dose (I used to take Klonopin for the early signs of mania/mixed-episodes and/or rapid mood-switching; it helped me keep things under control without increasing my mood-stabilizer dose, which was nice). If you use the Klonopin to help control these kind of mood-shifts, you might be able to minimize the depakote and seroquel dose *and* adjust the klonopin dose up or down, depending on your needs...its really flexible. But, it really depends on you and your lifestyle; if this kind of thing is causing or could cause major disruptions in your personal life or work, then you may want to consider upping the mood-stabilizer...upping the Seroquel, or having some extra to take as-needed, could work as well. Good luck!
poster:med_empowered
thread:542006
URL: http://www.dr-bob.org/babble/20050811/msgs/542052.html