Lately I have extreme mood swings. I can be deeply depressed for a while and out of the blue I feel one day quite normal or at least not deeply depressed, restles however. I have mixed feelings of that, I get a bit of hope but also anxiety: how will tomorrow be? Will I get a good nights sleep, will I be back in the black hole tomorrow or can I pick up my life?
Those days that I feel better I get so many ideas and plans I almost wanna jump up and fly. But I know that this can or will be over soon. And that throws me back on the floor. Im on disability but on days like this I want to go to work. Buy my boss never accepts that tomorrow I can be depressed again. What can I do about this? Sometimes I wish that I was "just" depressed, at least that is a stable situation. Or always uplifted mood. But not this roller-coaster.
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Dx: Mix anhedonia with Bipolar II. Add some insomnia and chronic stress. Season with paroxetine and a pinch of ADD. Stir well to induce a couple of hypo/manic episodes. After the excess of energy is gone, remove the Paroxetine and serve chilled with some C-PTSD and GAD. Ready is your MDD.
Mx: To clean up the mess use lamotrigine, risperidon, mirtazapine and sertraline. Let it soak in for a while but keep a close eye on it. Meanwhile enjoy your desert of oxazepam/temazepam prn.
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