Quote:
Originally Posted by BirdDancer
Even if your mania hasn't been dangerous, it doesn't sound mild. The problem is that if you have had full blown mania with psychosis, that someday if not treated properly (or at all) it could become dangerous or cause significant ramifications. People with hypomania generally do not hallucinate or have paranoia to the point of needing hospitalization. It's possible that you don't have full insight into your behavior during the time you describe.
Lithium is a traditional first medication for people with bipolar type 1. In that case, it's not generally considered particularly "hardcore", but that's not saying it isn't a serious medication with potentially serious issues attached to it, for some people. I will say that my assumption about clozapine is that it is often a last resort medication because of the risks and need for frequent blood testing. Invega seems to be more commonly prescribed, from my observation.
As fern wrote, antipsychotics are very common for people prone to mania. I see many even with bipolar 2 regularly taking them. In any case, ideally we want to be on the fewest medications possible that are still effective, and the most side effect friendly (or tolerable). Many psychiatrists like patients to have a good length of time stable before cutting down medications. How long have you been stable?
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Well said BirdDancer.
It may feel minor to you 251turnaround, but I can see why they might be suggesting the approach they are considering the psychosis and breakthrough symptoms. Maybe you can request small doasages and then moving up only if symptoms persist. There is a happy medium to find. They are not your boss. You are a team, so asking for a plan that makes sense and works for you is more than reasonable.