[tecomsin]

It's when symptoms start to break through and it's time to change meds.

No one wants to be overmedicated and suffer more fatigue than they already do but... on the other hand, these symptoms can quickly escalate beyond the point of no return. That is what i mean by the slippery slope. What does it take to regain stability?

I'm currently facing disruptions in my sleep and having to change meds because of that.

The next stop is a spiralling catastrophe. There's . reason people are so scared of mania... If one crashes into a deep depression no one really cares unless you are suicidal, but if you are not, you can be depressed for years if not decades and literally no one gives a hoot about it.

[Victoria'smom]

I wish pdocs and NP would treat both sides of bipolar.

[wiretwister]

If one crashes into a deep depression no one really cares unless you are suicidal, but if you are not, you can be depressed for years if not decades and literally no one gives a hoot about it.
__________________

if you really think your pdoc does not care ... maybe time to change

it is so hard to find an understanding pdoc ... I got lucky ... my does ...

hang in there ... post away ... I post the most when I feel crappy ... so post away ....

thinking about you ... some of us care ... Tigger ....

[tecomsin]

Thanks Tigger. My experience in Canada is that it isn't easy to get another pdoc. Here you have to go to your GP and get a referral and then the pdoc decides if they will take you as a patient. If you already have a pdoc then they generally say no. That is what happened to me when I tried to find another pdoc.

The only way to do that is to give up the one I have now. Then it is months for them to decide and then a waiting list of many months too so it would be at least a year I got to see a new pdoc unless I picked one who had no waiting list, but all the good ones do.

[~Christina]

I’m sorry that your healthcare works that way. Is there an option to want a second opinion? While keeping your current one ??

[happywoman]

Thankyou ticomsin for this thread. Over the last decade I have had more up than down episodes but your post reminds me of the fragility and danger of the down and what goes with depression and suicide.
After an episode of pychosis and hypomania I’m on my way down but I hope the slippery slope reaches a plateau even if it is a new low level line on the graph.
The new podc has offered me the same as the previous pdoc, nothing new so I’ve come to consider that modern psychiatry can offer me no cures and nothing new in 10 years.
I hope that there are new research breakthroughs each day!
I remember the last times I had depression they were must harder to treat and took a lot of medication , different medical opinions, a truckload of patience and much love and support from family and friends.
I wish you care and support as you work towards regaining stability

[tecomsin]

Originally Posted by ~Christina

I’m sorry that your healthcare works that way. Is there an option to want a second opinion? While keeping your current one ??

Thank you Christina, like so many things in our health care system, it is theoretically possible but in practise not going to happen. The pdoc would have to decide to give a second opinion and that is just down on their list of priorities when they have months long waiting lists of patients who have no psychiatrist at all.

My pdoc is willing to try any med I would suggest. I learned about Rexulti on this forum and it turned out he had samples in his office he had never given anyone so I got those and have been on this med since.

I've also been in IP many times in the manic phase and have gotten the same meds from them: either olanzapine or oxycarbamazapine, that's it.

I don't get hospitalized when I am depressed, at least not so far.

Originally Posted by happywoman

Thankyou ticomsin for this thread. Over the last decade I have had more up than down episodes but your post reminds me of the fragility and danger of the down and what goes with depression and suicide.
After an episode of pychosis and hypomania I’m on my way down but I hope the slippery slope reaches a plateau even if it is a new low level line on the graph.
The new podc has offered me the same as the previous pdoc, nothing new so I’ve come to consider that modern psychiatry can offer me no cures and nothing new in 10 years.
I hope that there are new research breakthroughs each day!
I remember the last times I had depression they were must harder to treat and took a lot of medication , different medical opinions, a truckload of patience and much love and support from family and friends.
I wish you care and support as you work towards regaining stability

I also hope you find a plateau that you can climb your way out of. You are fortunate to have the support and love from family and friends.

There are a few new meds that have come out in the last few years but finding a psychiatrist who prescribes them is a different story. I am on one of these meds, rexulti, which is an AP approved for schizophrenia and in trials for bipolar. This is ok since the main symptom that gets me into trouble are delusions.

Last time I was really depressed my pdoc added wellbutrin, when I asked for it, and it helped lift me out of the worst of the depression but then just made me anxious so I stopped. I have this chronic, anxious depression that is my usual state. Now sleep is disrupted so it is back on olanzapine at night until I stabilize.

[clydeblack]

Maybe this is just me but I feel like a lot of doctors treat mania/hypomania and kind of ignore the depression.

[Wild Coyote]

I hope your sleep improves soon!


WC