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Today i had psycho education. She said mixed episode (both depressed and manic at the same time) doesnt exist. Only rapid cycling. I think she is wrong, my last episode started mixed I'm certain about that: crying spells, suicidal, but at the same time grandiose thoughts, unlimited energy and the rest of the ****...
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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.
Last edited by pearlys; Oct 26, 2015 at 09:10 AM.
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