Posted by phidippus on May 29, 2014, at 19:15:06
In reply to Re: Psychosis after decreasing nardil, posted by Yukio on May 29, 2014, at 10:36:36
>I know what mania looks like, and he only had it when he was bumped up to 75 mg of nardil.
You need to understand the diagnosis of bipolar is given even if their is only a single incidence of mania and whether or not an antidepressant is involved. The antidepressant unmasks the illness.
>Besides negatively changing his personality while on the 60 mg,
These negative changes you previously described are textbook hypomania. You stated "he was arrogant", which is a classic display of hypomania. Also the increased productivity.
>He's on 150mg Effexor now, but I'm pretty sure it's not working
He's not going to do well on antidepressants-he's either going to have personality changes you won't like or he may even become more depressed like he is now or he's going to become manic and may experience psychotic symptoms like he did on the Nardil.
What's it going to hurt to try him on Lithium?
Otherwise you're going to continue the rollercoaster ride you're on.
Eric
poster:phidippus
thread:1065960
URL: http://www.dr-bob.org/babble/20140512/msgs/1066256.html