Quote:
Originally Posted by BethRags
Cyclist makes a very important point. Treating only the depression of BD is a mistake. At least, it was for me and for others with BD that I've learned from. For years I was treated with only SSRI's and the mania would go haywire - causing the plummet into depression to hit harder. And mixed states (the real bugaboo for me) were out of control, altogether.
BD requites treatment from all sides. I've mentioned before that I do know a few people who are BD2 and treat it with only Lamictal. But they do not have any psychosis. They're natural state is hypomania or moderate depression. Nothing way out there, no mixed states.
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Yes, the mixed states are the worst in my opinion. My Pdoc did propose an SSRI at some point (Olanzapine + fluoxetine) but I said no because I heard SSRIs can make mixed episodes worse, so I didn't want to risk it. I've heard they are tricky to treat with meds, unfortunately.
