Posted by Ritch on November 23, 2002, at 13:09:02
In reply to Re: Mitch!!! » Ritch, posted by Mr.Scott on November 23, 2002, at 11:42:57
> Hey Mitch,
>
> Thanks for that in depth response! I will surely try some of your methods.
>
> Actually come to think of it...I did come out of a nasty and lengthy depressive episode 3-4 weeks into a clear cut 2-3 day hypomania (induced by antidepressant change) and now I am kind of mixed I guess. It might be the recently substituted Lexapro for Effexor XR however that is 'jacking me around' where I might be otherwise euthymic.
>
> I'm irritable, and I awoke this AM feeling like a truck had run me over. I know not what happened to my alarm clock...I swear I set it though. I'm not sure if this is euthymic and anxious or mildly hypo and irritable. It all starts to get confusing...
>
> Scott
>Scott, so you probably have a DME pattern too. My 3-week (actually about 20 day) cycles are burned in really well as far as peak to peak timing goes. What changes is the *duration* and *intensity* of the hypomanias and depressions and those changes are seasonal. The depressions lengthen in Nov/Dec to the point where they hit 14-days out of 20 and I technically have a major depressive episode, and I will get a hypomanic spell suddenly but just for a day or two at most and it is fairly mild. The "normal" or euthymic days dwindle down to nil as well. The next depressive spell is due next week right at Thanksgiving and then the next one (which usually is a whopper) will be before Christmas, but I should have a mild hypomanic spell the day before and Christmas Day, so that's a relief. I guess I will put this new med regime to a test. OH, the easiest way I can predict these things it to make a mark on the most remarkably hypomanic day (during a period of relative hypomania), and then look exactly 20 days forward and then make a question mark. The depressions are harder to predict but I know I will be depressed the most the few days before the highpoint. I noticed you aren't taking any mood stabilizer except Klonopin and Fish Oil. Have you considered a little Depakote? The ONE thing it seems to work the best on for me is grouchiness for sure.
Mitch
poster:Ritch
thread:128143
URL: http://www.dr-bob.org/babble/20021122/msgs/128940.html