Okay, third visit. . .
-Keep on keeping on with my current meds. Paxil should start kicking in soon. Probably in a week.
-He's not sure whether to treat me for depression or for bi-polar depression
-He prescribed a mood stabilizer (don't remember what it's called) and he wants me to call him tomorrow with info on how I'm feeling
-He wants me to make another apointment in a week
__________________________________________________________
I was reading up on bi-polar on the internet and symptoms of mania and depression. They had great things to say about the "mixed episode" which sounds basically like what I'm going through
Mania
feeling high, euphoric, or irritable
plus at least 4 of the following
-needing little sleep yet having great amounts of energy
-talking so fast that others cannot follow you
-having racing thoughts
-being so easily distracted that your attention shifts between many topics in just a few minutes
-having an inflated feeling of power, greatness, or importance
-doing reckless things without concern about possible bad consequences (e.g., spending too much money, inappropriate sexual activity, or making foolish business investments)
Hypomania
Hypomania is a milder form of mania that has similar but less severe symptoms and causes less impairment. During a hypomanic episode, the person may have an elevated mood, feel better than usual, and be more productive. These episodes often feel good and the quest for hypomania may even cause some individuals with bipolar disorder to stop their medication. However, hypomania can rarely be maintained indefinitely, and is often followed by an escalation to mania or a crash to depression.
Depression
In a major depressive episode, the following symptoms are present for at least 2 weeks and make it difficult for the person to function:
Feeling sad, blue, or down in the dumps or losing interest in the things one normally enjoys
plus at least 4 of the followin symptoms
-difficulty sleeping or sleeping too much
-loss of appetite or eating too much
-problems concentrating or making decisions
-feeling slowed down or feeling too agitated to sit still
-feeling worthless or guilty or having very low self-esteem
Mixed Episode
Perhaps the most disabling episodes are those that involve symptoms of both mania and depression occurring at the same time or alternating frequently during the day. Individuals are excitable or agitatated as in mania but also feel irritable and depressed. |