Anyone had an improvement of anxiety symptoms on a particular mood stabiliser? Lithium didn't help anxiety. Neither did either the snri or ssri I've tried. Both snri/ssri caused agitation, restlessness & hyperactivity enough to land a bipolar II dx. I feel like the ADs make it all worse in a way.
The first med I tried for depression & anxiety was pristiq, it was horrific & caused dysphoric hypomania, I didn't know this at the time & my GP decided it was best to increase the dose, which made it even worse then finally got a psychiatric referral. That pdoc started lithium with a suspicion of bipolar which helped a lot but didn't get rid of the depression. I ended up stopping the lithium because I thought it was blunting my emotions too much. Kept taking pristiq & ended up in another dysphoric hypomania.
Then chenged to prozac only, & almost immediatly bumped up to 40mg as a new pdoc in the area I have moved to thought it was just depression & anxiety. I had a somewhat euphoric hypomania in response & was restated on lithium again. I've since stopped all meds & although I can tell I'm far more volatile & mercurial I actually feel better overall.
I am adamantly against antipsychotics at this stage. I have concerns about D2 receptor antagonism. After having used meth for 3 years, I had taken metaclopramide (maxalon) an antiemetic that also antagonises D2 receptors multiple times when using due to the nausea it created & the maxalon ruined the experience every time. The feel good wellbeing & comfort was replaced by an anxiety driven unstable energy but at the same time I was totally unmotivated all of a sudden. This is the experience I've been struggling with on a daily basis so I'm not about to start an antipsychotic anytime soon until I've given everything else a go.
Anyway anyone know of the miracle anxiolytic mood stabiliser I'm after?
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Dx: Bipolar II, GAD, past substance abuse, temporal lobe epilepsy.
Rx: Lamotrigine 125mg, Sertraline 50mg, Clonazepam 0.5mg prn.
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