Quote:
Originally Posted by caringmum
What would help with the depressive crash following severe mania and psychosis? My son is on invega sustenna and still has some residual psychotic symptoms but he is crashing hard and wants a med to counteract this - what would you recommend? Wellbutrin, lamictal, a stimulant? An SNRI contributed to the manic switch to start with, but I am hoping there is something out there that will help him.
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It's quite common with bipolar not to have insight into anything other than the depressive episodes. Perhaps you can convince him that in order to feel better he needs to be on several meds, including a mood stabilizer or antipsychotic. If he went manic before on an antidepressant then that would be an exceptionally poor choice without another medication to stabilize him.