|
I don't have a formal plan in place, but after the episode before my last manic episode, my therapist and I talked about him helping me be aware of it and as soon as possible so it wouldn't get to the point it did then. He knows my baseline very well, as well as how I am when manic, so he's a very good person to help with this, plus I see him once a week and if things were to get bad in this way I could contact him.
I haven't had any episodes since, but he helped me with a kind of hypomanic reaction to prednisone and a reaction to trying to lower my Seroquel when I was too messed up to realize what was going on.
My pdoc has told me I can increase the Seroquel prn; it's helpful knowing it's there, if you take enough, it's pretty much a horse tranquilizer.
I know I could contact my pdoc, but his availability is pretty poor and I prefer my therapist, I only would if absolutely necessary. During my last manic episode, though, my pdoc did have me call him every day until we found a dose of Seroquel that finally started to help and scheduled a couple of appointments 2 weeks apart; it still took a while after the daily contact to completely get back to baseline, but I don't like bothering him too much.
Luckily my episodes are few and far between so it's not something to often be on the look-out for, but it's so important to catch it early, makes all the difference in the world.
I'm glad you brought this up. I know that when I'm in that state I have very very poor self-awareness, my thinking is all over the place, etc. It really is a good idea to have a plan in place.
|