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Help for bipolar friend

Posted by banga on August 23, 2011, at 5:02:46

Hi-
I strongly suspect my friend has Bipolar II Disorder (Im a psychologist, but not ethical to dx friends!) Overactivity, overtalkative, risky behavior, hypersexuality, over-texting!, comorbid anxiety are some core symptoms I gleaned (he has been rather tight-lipped until last week). He said no problem with sleep...then I learned he drinks nightly to fall asleep! He did not speak much of depressive symptoms; it is clear its the manic/hypomanic sxs which are wreaking the most havoc in his life.

I know some of the good atypicals have the nastiest side effects,esp. weight gain and somnolence......wondering if you were a "fresh" bipolar, where would *you* start? (I have a great, think-outside-the-box doc who actually listens and goes along with my suggestion unless contraindicated somehow-he is a genius who will take risks, which harnessed my ;untreatable 'depression)).
I LOVE Abilify, it is my butter on desipramine/lamictal toast! but worry it may be too agitating....

Thanks in advance for any input!


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poster:banga thread:994619
URL: http://www.dr-bob.org/babble/20110822/msgs/994619.html