I might be noticing a pattern. I smoke marijuana & I think it could sometimes be contributing to rapid mood shifts. I tend to try to lower my excited unfocused energy by smoking when it starts to drive me batty, this I think causes me to switch to a more dysphoric mood, sometimes not always. I always smoke when I'm elevated in an agitated way, when angry & dysphoric & often it causes me to then become more excited & elevated in a more positive way. If I'm apathetic anhedonic & depressed, I just become more depressed.
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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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