Quote:
Originally Posted by ultramar
Hi Mandrec,
From what you say, it sounds like the ultrarapid episodes you were having were triggered by the citalopram you were taking and with taking Zyprexa it got better? If that was the principal cause, do you think not being on that antidepressant may mean no more episodes? Although you mention a hypomanic episode after that, I think. To what extent do the hypomania episodes bother you/interfere negatively in your life? If they're mild enough not to cause too many problems, might that tip the scale more towards not taking the Zyprexa you have such reservations about? Then again, it seems your psychiatrist wants you to take it.
I think it was you (please correct me if I'm wrong) who mentioned you were considering the possibility that some of your symptoms might be more due to BPD? I bring it up because although ultra-rapid cycling exists, of course, in Bipolar, also very rapid shifts in mood are pretty characteristic of BPD (including shifting to being hyper, etc.). Have you been able to figure out which might be more at play here? Or does it depend what's going on? I know it can be a difficult differential diagnosis.
I wish you the best of luck.
Hugs to you!
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Hello! Yes, this is what happened: Citalopram triggered ultra-rapid cycling, and I'm not on it now. I still have ultra-rapid, it hasn't gone away, but zyprexa + lamictal took away the highest highs and lowest lows. It didn't make me less depressed, I think, just more stable depressed. Now I'm off both these pills and back to "normal", high functioning (I would say, anyway) though incapacitating roller coaster bipolar 2. I like it because it feels like me, even though it's hell. Zyprexa didn't feel like me. Maybe this is so important to me because I'm recovering from BPD and starting to figure out what identity means. About the hypomania, I said the important stuff in the post above I think. But yes, pdoc and T seem to think this is so serious that I need up to 10 mg zyprexa and 200 mg lamictal. 2,5 mg probably won't do much, as I've tried that once before.
No, that was someone else.

I've figured it out

and BPD feels very different. They're similar but also very different.
Thank you!
Quote:
Originally Posted by genetic
(If the first thing they do is pour on the meds, be alert. You may
feel quite different on the second visit and the psychiatrist could easily
recognize that what appeared to be a serious state on the first visit
wasn't necessarily a typical one for you.)
There is risk of damage to the brain over a period of years if you go untreated. The risks for psychotic breaks are more severe in bipolar I, but the depressions of bipolar II are severe.
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No, I've been in therapy for years. Three professionals have evaluated me and they all agreed that it is bipolar 2, and that it is not caused by drug abuse. It is probably not caused by diet either since I've had very varied diets from living different places at different times (parents, friends, bf's family, alone), but I will certainly try changing it again!
Yes, I think the psychotic break thing could be what my pdoc and T are afraid of. I'm sure that's not going to happen though. I have pseudohallucinations, but I know they're not real and it doesn't happen very often.
Thanks all! I hope maybe some of you will reply again to the new info I added, if you have time.