Posted by desolationrower on January 18, 2009, at 6:09:26
In reply to Welbutrin disaster, posted by rho on January 17, 2009, at 12:19:42
> My Bf ( a surgeon) believed for many years he suffered from unipolar depression. He self treated with high dose Prozac (up to 120 mg) plus PRN Valium for many years. for years ago he went off and went into a hypomanic state. He later saw a pscyhopharm who dx'd agitated depression and tx'd him with Welbutrin 300 mg alone. After again becomming hypomanic Lamictal was added and he was somewhat stabilized until last spring when he self prescribed Chantix to stop smoking. This thru him into acute Mania complete with affairs, promiscuity, irritablity, violence etc... He stopped the Chantix, saw a new pdoc who added lo dose prozac to control his psychomotor agitation. 6 months later and the Mania returned. I finally got him to a new psych to dx'd him as Mixed Mania, rapid cycling exacerbated by the Welbutrin. He is now slowly being tapered off the Welbutrin but still seems agitated and somewhat hypersexual (again on the internet looking for other women). Two weeks ago he broke off our 10 year relationship I think because he believes if I go away; so will his diagnosis. In the interim he is putting in well over 70 hour work weeks often operating all nite and now he wont have anything to do with me. Ive been in touch with his doctors (now 3) who say last week his affect changed and he became very dogmatic although 2 days ago he was tearful
> What should I expect and
> is he ever going to return to the wonderful loving partner he was or will he always blame me for this awful problem. Lastly why is insight such an issue and is there anything I can do to help him. he is stuggling so much I am afraid once he realizes what he has been doing he may get suicidalWell i don't know what he's like, and for people with bipolar its harder than normal to know what your 'real' personality is...but i think you're right, he'll probably have problems with too much guilt once the mania ends...i'd say to help the main thing is getting mania controlled and not letting him hurt anyone at work...prozac is an odd choice to decrease agitation from mania...he really needs to be on a real mood stablizer, i don't know if he is refusing it, or the doctors don't think he needs one? sounds like a rough time for you, hope it works out
-d/r
poster:desolationrower
thread:874509
URL: http://www.dr-bob.org/babble/20090104/msgs/874691.html