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  #26  
Old Mar 29, 2018, 05:35 AM
Americano Americano is offline
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Member Since: Apr 2017
Location: US
Posts: 149
Quote:
Originally Posted by Fharraige View Post
I can tell from my previous episodes what to look for. Loss of sleep, hyper focused on a specific activity for hours on end, spending lots of money for that activity right away, and a big sense of impatience with everybody.

How do I control it? Coordination with my pnurse for more meds or different meds. Work with my T on my behaviors. Having the support of my family. Sometimes IP if I need it.
I do that hyper focused all the time where I want to do one thing constantly and think about nothing else, didn’t realize it was mania. I wish I could translate it into something positive and constructive. Also my normal sleep cycle is to stay up until dawn, sleeping during the early day.
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Anonymous41462

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  #27  
Old Mar 29, 2018, 09:27 AM
Anonymous46341
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I'm not qualified to know what medications would work best for others, but I can share my experience. What causes me mania more than anything else are the following:

* Being unmedicated
* Drinking alcohol with or without medications
* Taking any kind of antidepressant (though I know many people with bipolar disorder benefit from them)
* Taking a stimulant (like Provigil)
* Taking bipolar medications that are activating for me. In my case, Lamictal and Abilify were quite activating. I do take a small dose of Lamictal now and have for a while, but I take it along with an antipsychotic and a large dose of a moodstabilizer that is not activating for me (Tegretol XR aka carbamazepine ER).
* Being on bipolar medications that just don't have enough umph to fight my mania
* Being under great stress (being triggered by that). Sometimes the great stress is even an extremely positive one.
* I often get upswings in the spring. This year it has been controlled well, though.

If I avoid all of the above, I can usually (but not always) fight off mania.

I won't go into detail about my manias because they pretty much include everything in the symptom list. I do get elated manias, but often either during the elated mania or towards the end, it gets extremely irritable. Often my manias become mixed.
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