Posted by SLS on March 6, 2016, at 8:52:01
In reply to Re: Triggers » SLS, posted by J Kelly on March 6, 2016, at 6:10:03
Hi Jade.
Well, you answered my question about your sleep habits while traveling. I'm not surprised. Sleep deprivation by itself can precipitate mania. I hate to see you limit your traveling. Strategic use of sleeping medication can prevent the sleep deprivation and jet lag. You can also use chronotherapy to regulate and gradually adjust your sleep cycle.
At this point, I don't think your short-term plans should depend on understanding the kindling model or even producing a firm diagnosis. I would simply assume that your illness lies somewhere along the bipolar spectrum and treat it accordingly. This means the use mood stabilizers and/or antipsychotics to function as antimanics. You might even be able to eventually discontinue the antidepressants and take Lamictal and perhaps Trileptal or low-dose lithium if your depression hasn't lasted too long or there have been multiple episodes - maybe 3 or more.
There is one MAJOR caveat that applies to Nardil. It often happens that it works perfectly for someone for an extended period of time. The decision is then made to discontinue Nardil. The patient might feel well for months before relapsing. When depression becomes serious enough to restart Nardil, it no longer works or works less well. I do not have any statistics to present you with, but the frequency with which this happens is not at all rare.
Just so that we are clear, how many episodes of depression have you had in the past, and how long has your current episode lasted? Have all of your episodes been associated with traveling?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1086734
URL: http://www.dr-bob.org/babble/20160306/msgs/1086804.html