Posted by cb on August 15, 2001, at 7:23:42
In reply to Re: Bipolar meds/anxiety-follow up from anxious mom » cb, posted by Mitch on August 15, 2001, at 0:27:43
> > >
> So, given the lithium, Wellbutrin, and Zyprexa your son is still showing mixed anxiety and depression but the manic symptoms are currently being controlled, right?
yes.
Given the prominent anxiety he has displayed and sensitivity to SSri's I would wonder if the Wellbutrin dosage may be much too high (he could be experiencing primary anxiety/agitation that is feeding the depression).
>
> First, I would consider dropping down the Wellbutrin and see if his anxiety falls off and given the reduction of anxiety his mood *improves*. I mean, you haven't seen him depressed without being anxious and agitated, correct?Actually, we have only seen the mania in response to the AD. His predominant problem is the depression - the anxiety is a pretty new symptom (last 3 months).
>
> Another thing to consider after that, would be the possibility that the Zyprexa could be causing agitation as well.
>
> I wouldn't be surprised if he could be on lithium+ a low-dose of Remeron or Serzone (something somewhat sedative and anxiolytic) and respond quite well.
>
Thanks, we'll ask the dr about this.He's getting pretty frustrated since he hasn't felt "good" in 6 mos. (including 3 in the hospital), and senior year of high school starts in 3 weeks!
poster:cb
thread:75085
URL: http://www.dr-bob.org/babble/20010814/msgs/75121.html