Posted by Optimist on October 13, 2005, at 11:52:54
In reply to Oops! Forgot to post my Dx's...., posted by Ame Sans Vie on October 13, 2005, at 7:55:32
Hello Ame,
If you have some possible cyclothymic activity and dysthymia, wouldn't a mood stabilizer be a possible positive addition? I searched the archives to see if you had taken lithium and couldn't find anything. Low dose lithium as an augmentation strategy may allow you to reduce the amount of other drugs you are on. Just a thought.
I seem to have a similar dx with lots of poop outs and yearly cycles to my atypical depressions. I would typically get a good response at the beginning of AD treatment(first 3 weeks), followed by diminishing returns, followed by more add ons with similar results.
Last year I was on Wellbutrin SR 450mg, Prozac 40mg, Adderall XR 30mg. This spring and summer I was on Parnate up to 100mg a day. Since yesterday I added 300mg Wellbutrin SR to the 5mg Selegiline that I've been on the last couple weeks and have had a nice boost. DLPA and Selegiline tended to be too anxiety provoking for me.
In the past I have also been on Lamotrigine, Moclobemide, and Effexor.
Starting next week I am going to add on low dose Lithium therapy aiming for a blood concentration of 0.4(I forget the units). I'm hoping it will prevent my winter dip that usually starts in November, and increase the efficacy of my current AD's.
My grandmother was bipolar 1 or 2. She committed suicide before I was born. And my sister is dx'ed with some sort of schizoaffective disorder which most possibly could be bipolar 1. Her med regimand is 60mg Celexa, 15mg Zyprexa, and Lithium therapy. The Lithium add-on greatly improved her well-being.
My dx depending on the day is: :)
Social anxiety
Atypical depression features
Dysthymia
Cyclothymia ?Brian
> Axis I:
>
> Major Depressive Disorder with Atypical Features
> Dysthymia
> Cyclothymia (?)
> Panic Disorder with Agoraphobia
> Social Anxiety Disorder
> Generalized Anxiety Disorder
>
> Axis II:
>
> Avoidant Personality Disorder
> Dependent Personality Disorder
> Obsessive-Compulsive Personality Disorder (fairly mild)
>
> Axis III:
>
> Hypertension
>
> Axis IV:
>
> none
>
> Axis V:
>
> GAF -- 39
poster:Optimist
thread:566362
URL: http://www.dr-bob.org/babble/20051010/msgs/566469.html