thanks everyone. yeah seasonal for sure, and then stress more of a trigger now that ive been diagnosed for a while, prob because of the illness progression.
yeah I broke through when my vraylar wasn't refilled for 3 days, then this spring so we increased lamictal to 400, and again recently even on lamictal 400 because I was stressed.
luckily they have just lasted a day or so because Seroquel knocked them out. it wasn't even very noticeable it was just like I drank coffee and immediately was like "wow this is way too much energy".
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Dx: BP1 + Substance Abuse
Rx: Lamictal 400, Vraylar 6, Seroquel 50 (PRN)
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