Posted by judy1 on July 12, 2001, at 21:23:59
In reply to Re: AD-provoked hypomania - is it diagnostic? » judy1, posted by Elizabeth on July 12, 2001, at 19:42:45
> Akiskal is a very smart guy and has some great, original ideas, but in some cases I think he goes a little too far into left field. In particular, he seems to broaden the definition of "bipolar disorder" to the point where almost everyone would be considered bipolar (much like depression is now).
I couldn't agree more with your assessment (as does my pdoc). But Noa did point out in an earlier post that some of the docs that 'go into left field' do get other one's thinking, which never hurts.> Mood stabilisers won't necessarily stop depression. Consider an AD -- Lamictal and lithium have AD as well as antimanic effects, and Wellbutrin and MAOIs are supposedly less likely than other ADs to trigger mania. (Tricyclics are considered the worst.)
I've gotten manic twice on lamictal and on EVERY class of AD's- which had the added effect of increased cycling.> Huh. Does this happen with every AP? Have you tried all of the newer ones? Although this is seldom worthwhile, you might consider clozapine if Zyprexa, Seroquel, Risperdal, and Geodon all cause extrapyramidal symptoms or TD.
I have not tried clozapine, the side effects frighten me and I'm not very consistant when it comes to constant monitoring of meds (probably some denial going on here). I also have not tried Geodon, but have not read any real positive things on the board, and quite honestly I am terrified of TD.
> > The only medications that have been consistantly helpful to me is klonopin for panic disorder and opioids for depression.
>
> Bad luck that they're both controlled substances!
Well, not really, I happen to have an extremely sympathetic and bright shrink, if it works we use it,Thank you so much for your input- judy
poster:judy1
thread:69495
URL: http://www.dr-bob.org/babble/20010708/msgs/69918.html