Currently, my meds are managed by an internal medicine specialist that my primary doc sent me to because she's so heavily booked.
My primary put me on seroquel and prozac for bipolar, and I actually felt better. I've always been a rapid cycler, but I noticed distinct cycling on the prozac, and initially was going to ask to raise the dosage - on my therapist's suggestion.
My primary sent me to the IM doc, and he immediately took me off the prozac as he pretty much refuses to let bipolar patients use SSRIs. He put me on wellbutrin, but it gave me terrible stomach pain and my depression was awful.
So he took me off that, doubled my seroquel dose, and now I am on lamotrigine. I haven't noticed anything really, except that my depression is back to my pre-medicated state, meaning I'm having random anxiety, want to cry for no reason, feel empty and am vaguely considering self-harm.
I understand a lot of doctors (understandably) do not like bipolar patients on SSRIs or antidepressants, but if I had to pick any medication I've been on - I'd want to go back on prozac. I felt less weighed down on it, I felt more comfortable being honest and communicating with others, and I generally felt in a good mood most days. I think it could really have worked out for me if I hadn't been taken off it.
I'm scared to even suggest it to my doctor. He's usually perfectly polite, but I get the sense that I'm becoming an annoyance or just a difficult case for him. He also ignores my anxiety as he believes it will "clear up" once my moods are stable, despite my social anxiety being separate from my bp.
Does anyone have any advice on how to talk to my doctor about this? It almost feels like this doc doesn't take me seriously or believe I truly just want to manage the depression in order to live a better life. (I'm already looking at seeing a psychiatrist/psychologist outside of this clinic because they don't have any within 45-70 minutes of where I live.)
Sorry for the lengthy post!
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Control what you can | Confront what you can't.
DX: Bipolar II with Rapid Cycling
Social Anxiety Disorder
Depersonalization Disorder
Binge Eating Disorder
Maladaptive Daydreaming
RX: Lamictal 200 mg
Zoloft 50 mg
Wellbutrin XL 150 mg
Seroquel 200 mg
Prozac 20 mg
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