Last December I was diagnosed with BD1 and gradually worked my way up to 900mg of lithium a day. On the 900mg I felt 100% stable. Everything was going well and my blood level was found to be .84, (not in the range for manic episode prevention but somehow it prevented the mania?). But then I had to switch doctors. I like my new doctor much better, however he raised my lithium to 1200mg a day instead of 900mg. After being on the higher dose for a few weeks I went for the routine blood work and we found that my level had been .74 and I had not done a single thing to lower my levels so that to me is baffling.
But my big question is my mood right now: what the Hell is it? I'm very clearly majorly depressed, I'm rotating between insomnia and hypersomnia, I am pretty much always excessively crying, I'm extremely fatigued, I have days where my mood is very good, not manic, just, well, good but then I am also currently the light switch of anger: any little thing can set me off and I'm suddenly tantrumming like a child; screaming, sobbing, cursing, slamming doors, locking myself away in my room and punching holes in my walls, ect. But just as quick as the anger came on, it goes away.
With all of the listed symptoms, what exactly is my mood? Am I in a certain episode, (mania, hypomanic, normal, depressed, mixed, ect). I see my psychiatrist fairly soon but I would like to know ASAP.
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Dx: BD1  , ADHD-combined type, possible Asperger's Syndrome, panic disorder, compulsive skin picking, and some possible personality issues.
Rx: AM 300mg lithium-carbonate and 15mg adderall. NOON 15mg adderall, and 0.5mg klonopin. PM 600mg lithium-carbonate, kelnor 1-35, and 2.5mg klonopin.
D/C Rx: PM 30mg celexa, (amazing for my depression, until it induced my first ever manic episode) and 100-175mg seroquel, (made sure I slept every single night. other than sleep? worst med EVER).
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