So basically, I’m mentally insane.

Ok, I’m not going to elaborate completely as if I did, it would take probably multiple hours and this would be the length of a best selling novel, but I’ll just vent here a little, and if anyone wants to ask any questions – go for it.

I go through extreme mood swings each and everyday. Multiple times – daily. Probably at least 3-4 a day. It’s taken an extreme toll on my personal life with friends/relationships/and family. I fall into these moods of extreme negativity for weeks on end where I’ll take anything I’m conversing about with my friends and twist it into some negative bullshit that people eventually get sick of. On top of that are my daily mood swings.

I’ll be extremely happy at random for about a half an hour, and I’ll feel extreme anxiety, and I’m a very outgoing person with a GREAT sense of humor, the life of the party if you will, but I’ll feel like my mind is racing and I can start talking extremely fast like I’m in a rush. After about a half an hour of that I start feeling like a literal cloud is forming in my head and I begin to get a headache…I get very tired, HIGHLY easy to irritate and out comes my pessimistic, doesn’t want to be around anyone, side. I can go back and forth with those two moods a few times a day, but I’ll always end up drained from it and very pissy.
I constantly look for things that are wrong with others, and I’ve completely pushed away any and all girlfriends I’ve had because of this. I won’t trust them, I’ll explode over complete nonsense, and the worst thing I do – I’ll accuse them of doing 100 things they didn’t, just because when I’m in that mood I’ll refuse to believe anything positive could possibly happen.

I’m not a physical person whatsoever, so luckily this doesn’t escalate to me throwing punches or whatever, but it still hurts alot of people that stay in my life – which I thank them for, but just don’t understand how they possibly could.

I talk to myself way too much. Once I get some negative thought swirling I just basically lose all touch with logic and reason and spiral into a continuously building list of all these negative things that could possibly be an outcome of whatever situation I’m thinking of – I won’t look at ANY positives – then I almost trick myself into believing them with no basis whatsoever, and then accusing the person/people, and yelling at them for it.

I seriously feel like I am what the definition of a madman would be, and it sucks. I can talk myself out of my episodes when I’m alone, but if it involves someone else, I just completely lose it right away and after I blow up and yell about a bunch of nothing for 10 minutes, I’ll start cooling off and talking logically again.

I’m so tired of it. I just blew up on the girl I love and ruined our plans for st. patty’s day for something completely fucking stupid. I’m gonna lose her very soon if this doesn’t change, but I don’t want to change for her – I want to change for me. I’ve dealt with this for at least 9 years, and enough is just fucking enough. I can’t tell you how tired I am of yelling at people and feeling empowered by it, but then after logic sets in, immediately going in to apologetic pathetic mode to try and say I didn’t mean anything I said and make up for it, which is true..I really didn’t mean any of the stuff I say when I’m in that mood – I just completely lose my mind.

I have an appointment on Monday the 24th.

I think I’m Bipolar type 1 disorder..the extreme one, but everyone has a funny way to self-diagnose their own problems eh?

I’m just fucking scared I’m gonna really mess this relationship up. I already have to an extent, not to say she’s been an angel either, but when I can keep my moods at bay, we really do just fit together naturally. I just can’t stop myself from having all these negative thoughts..and it’s just a mess.

I guess that’s my immediate scare, but as I said I want help, not that I’m getting help because she thinks I need it.

My ‘in the future’ scare is that I’ll never allow myself to be happy, as it seems that’s what I’m afraid of. It’s like my mihd goes "holy shit, you could actually feel happy for once, I better get out of control so there’ll be no such thing".
Good luck. I’m glad you are going to see someone. Please update us with what he/her has to say and if they give you any medication.

Thanks, and will do. I’m just seeing a psychologist, but she’s also a registered nurse – so she has the ability to prescribe medication if she thinks it’s an extreme case. I really do feel that I’m going to fall into that extreme

Just focus on the positive for now. Keep thinking that she will be able to explain something to you that you didn’t know and you can grow from it and resolve problems.

Everytime I try and focus on positive things, my negative side, and the stress of working/college/trying to hold a relationship/keeping my friends on my good side just collapses everything.

I wish I had the money to just go on a week vacation..maybe just getting away would help me out.

Being on medication will be a godsend if it corrects this problem. I just hate going through the process of finding which medication will actually work for me I was on zoloft before – shit sucked..I was a robot.
Well I had my first therapist meeting yesterday. I have bi-polarism that runs through my family and she said it is largely a genetic thing, and due to that I most likely won’t be able to get better without getting on a medication to help get my mood levels straightened out.

She referred me to a psychiatrist who I’m seeing in 2 weeks. I said I hated anti-depressants as they make me feel like a robot, and she said she would think I’d benefit from a mood stabilizer, not an anti-depressant, and they are fast acting and wouldn’t make me feel like a drone.

I looked up some things and it looks like Lithium is the most popular mood stabilizer, however, it’s side effects are fucking scary and I really don’t think I want to try going on it. It looks like it’s basically toxic to the kidney’s and they’ll have to be closely monitored to make sure Kidney failure doesn’t occur, and fuck that.

I really don’t fall into a depression at all, I just have a million thoughts at once and all these irritable and distracting traits, so hopefully I can just benefit from an anti-anxiety drug, instead of going on something as serious as Lithium.

Lithium:

Common side effects include muscle , twitching, , (bone loss, , , etc,), kidney damage, (polyuria and polydipsia) and . Many of the side-effects are a result caused by the increased elimination of potassium.

My mother was a complete nutcase when my father started having an affair with the neighbor – and rightfully so, however screaming her head off in a tirade of swears and horrible things with me present wasn’t the best for me.

I’ve forgiven both of my parents for what they’ve done, and I have a good relationship with both of them now.

Seeing them fight and my father having affairs with different women and my mother crying on my shoulder when I was in 7th grade definitely set the tone for my relationships though. I don’t trust them, I push them away, when they start to go away, I have them come back. Rinse and repeat. They eventually start to go away and stay gone after awhile though. I don’t blame my parents for it, I blame myself for not being strong enough to overcome my trust issues and just let go of my fears and take a real shot at being happy. What’s the worst that could happen? The girl actually does betray me, and I move on and find another one of the billions of fish in the sea

Now, if only I could somehow make myself believe that and act on it.

My mother was a complete nutcase when my father started having an affair with the neighbor – and rightfully so, however screaming her head off in a tirade of swears and horrible things with me present wasn’t the best for me.

I’ve forgiven both of my parents for what they’ve done, and I have a good relationship with both of them now.

Seeing them fight and my father having affairs with different women and my mother crying on my shoulder when I was in 7th grade definitely set the tone for my relationships though. I don’t trust them, I push them away, when they start to go away, I have them come back. Rinse and repeat. They eventually start to go away and stay gone after awhile though. I don’t blame my parents for it, I blame myself for not being strong enough to overcome my trust issues and just let go of my fears and take a real shot at being happy. What’s the worst that could happen? The girl actually does betray me, and I move on and find another one of the billions of fish in the sea

Now, if only I could somehow make myself believe that and act on it.

Thats silly goosery. Your parents took you on an emotional rollercoaster of mood swings that probably set the tone for much of your life. Logically its easy to say that "oh, a relationship is nothing scary" but if your gut and the back of your head is telling you differently, you start to get anxious and panicky because you "KNOW" something is wrong, even though it clearly isnt. Thats the magic of phobias, and you parents did a good job giving you one. Its great that you forgive them and have a good relationship now, but it isn’t your fault you had the fucked up childhood, its theirs. You don’t need to be bitter at them for it, but you can certainly place the blame in the right place rather than on yourself.

And oh yeah, try out whatever your therapist recommends, but if after 2 months you don’t like it, tell her and have her ween you off. Therapists are trained to direct you to a psychiatrist for certain illnesses, and psychiatrists are trained to give you drugs for those illnesses. Personally I found talk therapy much more useful and couldn’t stand the drug side effects either (I was on anti depressants). Lots of excersize, eating good food (subway does not equal good food), and having a routine in many situations can do as well or better for mood correction.

Having a friend that is there for you no matter what, a SANE friend who takes things in stride, is also a huge plus. Get an outside friend and keep him/her away from all your other friends to keep them away from all the drama so that they can get a different perspective on it. They can help you laugh off a lot of those problems because emotions are contagious and their easy going attitude about your drama will rub off.

I looked up some things and it looks like Lithium is the most popular mood stabilizer, however, it’s side effects are fucking scary and I really don’t think I want to try going on it. It looks like it’s basically toxic to the kidney’s and they’ll have to be closely monitored to make sure Kidney failure doesn’t occur, and fuck that.

I really don’t fall into a depression at all, I just have a million thoughts at once and all these irritable and distracting traits, so hopefully I can just benefit from an anti-anxiety drug, instead of going on something as serious as Lithium.

Lithium:

Common side effects include muscle , twitching, , (bone loss, , , etc,), kidney damage, (polyuria and polydipsia) and . Many of the side-effects are a result caused by the increased elimination of potassium.

Great job at actually going to see someone to help with this! Lots of people here talk about it, but never do – props to you!

Hopefully the psychiatrist you’re going to see will be able to work with you to find a medicine you can both be comfortable with – something you’re ok w/ the side effects of (all drugs have some) and something they think will help you. Its a delicate balance.

I wouldnt count any rx out from info on the web just yet. Many, many rx’s and even OTC drugs have what look like scary side effects, but often times those dont occur as much as you’d think. The drug companies have to list the possible side effects and "common" often means that "when people had any side effects at all (something thats not frequent) these are the side effects they had" rather than "it was common for all people on this drug to experience these things." Besides, you’re going to be under the care of a trianed professional, with their guidance and watchfulness. If they prescribe anything, they’re going to know what to look for and what to tell you to look for as far as problems go.

Basically, try to go in with an open (and positive, which I know is hard) mind about it. This is your chance to get better and cope – take it by the horns!

Great job at actually going to see someone to help with this! Lots of people here talk about it, but never do – props to you!

Hopefully the psychiatrist you’re going to see will be able to work with you to find a medicine you can both be comfortable with – something you’re ok w/ the side effects of (all drugs have some) and something they think will help you. Its a delicate balance.

I wouldnt count any rx out from info on the web just yet. Many, many rx’s and even OTC drugs have what look like scary side effects, but often times those dont occur as much as you’d think. The drug companies have to list the possible side effects and "common" often means that "when people had any side effects at all (something thats not frequent) these are the side effects they had" rather than "it was common for all people on this drug to experience these things." Besides, you’re going to be under the care of a trianed professional, with their guidance and watchfulness. If they prescribe anything, they’re going to know what to look for and what to tell you to look for as far as problems go.

Basically, try to go in with an open (and positive, which I know is hard) mind about it. This is your chance to get better and cope – take it by the horns!

i would however advise against lithium. that will turn you into a drone. stay away from geodon (worse withdrawl symptoms than heroin). i personally take abilify, but i am type 2. i’m not sure what they give for type 1, but i imagine it’s similar. I’ve been prescribed most meds for add, adhd, bipolar disorder, seizure disorder, lots of other fucked up stuff. they didn’t knw what i had when i was growing up, so it was always a cocktail of different meds, and i think it fucked me up personally. i do still take a bipolar medication though, and it helps a lot.

I have an appointment on Monday the 24th.

I think I’m Bipolar type 1 disorder..the extreme one, but everyone has a funny way to self-diagnose their own problems eh?

I’m just fucking scared I’m gonna really mess this relationship up. I already have to an extent, not to say she’s been an angel either, but when I can keep my moods at bay, we really do just fit together naturally. I just can’t stop myself from having all these negative thoughts..and it’s just a mess.

I guess that’s my immediate scare, but as I said I want help, not that I’m getting help because she thinks I need it.

My ‘in the future’ scare is that I’ll never allow myself to be happy, as it seems that’s what I’m afraid of. It’s like my mihd goes "holy shit, you could actually feel happy for once, I better get out of control so there’ll be no such thing".

Do you have a primary care provider? Start taking notes on when this happens to you, document how you feel, and what you’re thinking. I think this is manifesting as Manic Depression, or as some say — Bi-polar disorder. This could have multiple causes, so it’s important to find out where to start. The primary care provider would be helpful, a therapist would be helpful and finally a psychiatric evaluation from a psychiatrist would be useful.

You may have mental health problems alone, or you may have other circumstances causing these mental health problems, and it’s important to find the root cause.

You’re doing the right thing by coming forward like this. I know exactly what you’re talking about. I went through the exact same thing. My problem isn’t probably the cause of yours, but the symptoms were the same in terms of that particular mental dysfunction.

Chances are the issue is a result of your past experiences, and those can be uprooted and worked through. I would not suggest Lithium. Rather Lamictal would be a good starting point, combined with a medication to relax you. An antidepressant may be useful, like Cymbalta
if you are not 100% honest with the therapist, itll be a huge waste of everyones time. Remember that.

Thats silly goosery. Your parents took you on an emotional rollercoaster of mood swings that probably set the tone for much of your life. Logically its easy to say that "oh, a relationship is nothing scary" but if your gut and the back of your head is telling you differently, you start to get anxious and panicky because you "KNOW" something is wrong, even though it clearly isnt. Thats the magic of phobias, and you parents did a good job giving you one. Its great that you forgive them and have a good relationship now, but it isn’t your fault you had the fucked up childhood, its theirs. You don’t need to be bitter at them for it, but you can certainly place the blame in the right place rather than on yourself.

And oh yeah, try out whatever your therapist recommends, but if after 2 months you don’t like it, tell her and have her ween you off. Therapists are trained to direct you to a psychiatrist for certain illnesses, and psychiatrists are trained to give you drugs for those illnesses. Personally I found talk therapy much more useful and couldn’t stand the drug side effects either (I was on anti depressants). Lots of excersize, eating good food (subway does not equal good food), and having a routine in many situations can do as well or better for mood correction.

Having a friend that is there for you no matter what, a SANE friend who takes things in stride, is also a huge plus. Get an outside friend and keep him/her away from all your other friends to keep them away from all the drama so that they can get a different perspective on it. They can help you laugh off a lot of those problems because emotions are contagious and their easy going attitude about your drama will rub off.

It was stupid of them to do, but I can’t erase it and have to somehow get out of that train of thought.

I will try any drug prescribed for me for awhile, you’re right on that. I don’t have time to exercise whatsoever.

I also don’t have an outside friend I can go to. I’m stuck alone in my head with this, with no outsource whatsoever except a therapist – which is much better than nothing. I wish I could have a friend like that, but sadly I don’t, and I’m definitely not going to find one that’ll want to just deal with all my emotional problems.

Great job at actually going to see someone to help with this! Lots of people here talk about it, but never do – props to you!

Hopefully the psychiatrist you’re going to see will be able to work with you to find a medicine you can both be comfortable with – something you’re ok w/ the side effects of (all drugs have some) and something they think will help you. Its a delicate balance.

I wouldnt count any rx out from info on the web just yet. Many, many rx’s and even OTC drugs have what look like scary side effects, but often times those dont occur as much as you’d think. The drug companies have to list the possible side effects and "common" often means that "when people had any side effects at all (something thats not frequent) these are the side effects they had" rather than "it was common for all people on this drug to experience these things." Besides, you’re going to be under the care of a trianed professional, with their guidance and watchfulness. If they prescribe anything, they’re going to know what to look for and what to tell you to look for as far as problems go.

Basically, try to go in with an open (and positive, which I know is hard) mind about it. This is your chance to get better and cope – take it by the horns!

thanks, it’s been long enough..and it’s just time to do it for myself. Lithium is a very scary drug, but I will be willing to try it if it’s prescribed for at least a short amount of time. I am doing all I can to stay positive about the situation, one of my worst attributes is I’m impatient as all hell, so these 2 weeks until I get in is going to feel like a damn eternity.

I will definitely bring up the fact I do not want to be turned into a robot, so if lithium does that, hopefully it’ll be ruled out. I just want one pill. Not a mixture of 10 things. I don’t believe in medication too much, except for extremes, and where I’m at right now, I’m extreme and look forward to getting on a medication to help me learn how to feel more ‘normal’ if you will.

Do you have a primary care provider? Start taking notes on when this happens to you, document how you feel, and what you’re thinking. I think this is manifesting as Manic Depression, or as some say — Bi-polar disorder. This could have multiple causes, so it’s important to find out where to start. The primary care provider would be helpful, a therapist would be helpful and finally a psychiatric evaluation from a psychiatrist would be useful.

You may have mental health problems alone, or you may have other circumstances causing these mental health problems, and it’s important to find the root cause.

You’re doing the right thing by coming forward like this. I know exactly what you’re talking about. I went through the exact same thing. My problem isn’t probably the cause of yours, but the symptoms were the same in terms of that particular mental dysfunction.

Chances are the issue is a result of your past experiences, and those can be uprooted and worked through. I would not suggest Lithium. Rather Lamictal would be a good starting point, combined with a medication to relax you. An antidepressant may be useful, like Cymbalta

I do, and I remember all of this stuff in my head. I rambled on for about 45 minutes straight of everything that’s going on to my therapist the other day and had much more to go, so I definitely won’t be leaving things out. I don’t feel depressed. I go into mania’s when i just talk a million miles a minute and can’t stop the thoughts that flow in and out of my head. I experience the normal stress/depression as any college student would with a failing relationship in my hands.

I saw my primary care therapist and she referred me to a psychiatrist for an evaluation in about 2 weeks. It’s just holding on until then.

I definitely believe a handful of it is genetics, and another handful is what I experienced from my parent’s relationship in terms of not being able to trust and general negative outlook’s on relationships as a whole.

Hopefully the psychiatrist won’t want to start me on such a powerful medicine either, but after evaluation if she thinks it’s best, I will give it a shot.

I’m 100% honest. It’s a good thing, and also can be a bad thing. In this instance with my therapist, it’s definitely a good thing

It was stupid of them to do, but I can’t erase it and have to somehow get out of that train of thought.

I will try any drug prescribed for me for awhile, you’re right on that. I don’t have time to exercise whatsoever.

I also don’t have an outside friend I can go to. I’m stuck alone in my head with this, with no outsource whatsoever except a therapist – which is much better than nothing. I wish I could have a friend like that, but sadly I don’t, and I’m definitely not going to find one that’ll want to just deal with all my emotional problems.

No of course not. You don’t want to involve this person in your emotional problems at all, so that the relationships remains drama free. If shit comes up within your cicle, this outside person will be oblivious to it and probably won’t really care. He or she will change the subject to something more relevant to them or something more fun. This will help you cancel those negative thoughts and simply look at the situation at hand. Now you have someone you can have some fun with so that when you go back to your original circle you haven’t been festering bad thoughts about them for the last few days. Many people maintain several circles casual of friends because it can make for much mroe stability and keeps them from focusing too much on problems within one group.
Xin, be aware that Bi-polar disorder doesn’t mean you suffer from the depressive episodes constantly, or much at all. Different people report having almost non-stop mania, some report much more depression, but the polarity is still present.

Everything you’re doing is right. Keep going. Also do some research yourself to learn what you can.

I see what you mean, and yeah…that isn’t happening at this moment either. I’ve always been kind of a homebody and I have closely knit group of friends.

When I’m in school or work I’m just there to focus on what’s at hand and get out. I barely even look at other classmates/coworkers.

Xin, be aware that Bi-polar disorder doesn’t mean you suffer from the depressive episodes constantly, or much at all. Different people report having almost non-stop mania, some report much more depression, but the polarity is still present.

Everything you’re doing is right. Keep going. Also do some research yourself to learn what you can.

I definitely can fall into depressed episodes, but it’s usually after an extreme fit of mania and it leaves my head hurting and I just get tired. I don’t get depressed in the sense of moping around, crying, and withdrawing myself from entertainment.

I understand what you mean though, and thank you. I’m doing my best. I just have to make it until my next therapy session before I’ll actually feel like progression is being made. I’m very impatient for it. I’ve been like this as long as I can remember and I’m very anxious to feel what it’s like to let myself be happy. Hopefully whichever relationship I end up in, in the future, it will be much more fulfilling and alot less worrysome.

Lamictal + antidepressant is a bad combination. lamictal isn’t a mood stabilizer, which you need in order to take an anti-depressant while bipolar. i learned this the hard way. I would strongly advise against lamictal and an anti-depressant. lamictal mixed with a mood stabilizer is how it’s usually prescribed for bipolar kids, i tried it last year. it didn’t do anything for me honestly. i got off of it after a month.

I see what you mean, and yeah…that isn’t happening at this moment either. I’ve always been kind of a homebody and I have closely knit group of friends.

When I’m in school or work I’m just there to focus on what’s at hand and get out. I barely even look at other classmates/coworkers.

IMO this would be good to work on. Putting all your eggs in one basket by having only one social group means you rely on them for all your social needs. When they don’t perform to your needs and expectations (they are only human afterall) its easy to get flustered and angry because it feels like your whole world is coming down and you may start to resent them.

Emotional stability comes from knowing that if something goes wrong, you will able to deal with it, and that usually comes from maintaining relationships with multiple groups of people. You can have one group that is your main group of your closest, longest time friends, but you need contacts outside of that group to give you perspective.
For an overview OP, it would be useful to read this article from Wikipedia on Bipolar disorder in order to get an overview of what we’re discussing. The link is in the reference below the first paragraph.

Bipolar disorder is not a single disorder, but a category of defined by the presence of one or more episodes of abnormally elevated mood, clinically referred to as . Individuals who experience manic episodes also commonly experience episodes or symptoms, or which present with features of both mania and depression. These episodes are normally separated by periods of normal mood, but in some patients, depression and mania may rapidly alternate, known as . The disorder has been subdivided into , and based on the type and severity of mood episodes experienced.

Reference:

Lamotrigine (Lamictal) has been successful in controlling rapid cycling and mixed bipolar states in people who have not received adequate relief from , and/or , possibly having significantly more antidepressant potency than either carbamazepine or valproate. It is useful as part of the treatment of some people with major (unipolar) depression, and has recently been reported to be a useful treatment for some people with (PTSD) and (BPD). A recent study reported benefeficial effects on individuals with schizoaffective disorder, bipolar subtype with depression.

Reference:

June 2003 – for the maintenance treatment of adults with Bipolar I Disorder to delay the time to occurrence of mood episodes (depression, mania, hypomania, mixed episodes) in patients treated for acute mood episodes with standard therapy. Additionally, the FDA has noted that findings for Lamictal maintenance treatment were more robust in bipolar depression.

Lamotrigine treats bipolar depression without triggering , , , or , and the 2002 American Psychiatric Association guidelines recommended lamotrigine as a first-line treatment for acute depression in bipolar disorder as well as a maintenance therapy

Reference: :

i learned this the hard way. I would strongly advise against lamictal and an anti-depressant. lamictal mixed with a mood stabilizer is how it’s usually prescribed for bipolar kids, i tried it last year. it didn’t do anything for me honestly. i got off of it after a month.

Sorry you didn’t have any results with the medication. 1/3 of patients don’t respond to the medication, with the other 2/3rds responding. It’s true, some physicians will mix two mood stabilizer for acute cases, but by itself, — which is how physicians are supposed to begin medications anyway, it often works well as an antidepressant alone, primariy at higher doses aorund 400-600mg, but especially it’s a strong mood stabilizer in it’s own right.

Among the anticonvulsants, only (Lamictal®) has strong antidepressant effects. Lamotrigine and (not an anticonvulsant) are the only drugs FDA-approved for the maintenance treatment of bipolar disorder. These are the only "true" mood stabilizers in that they possess antidepressant as well as antimanic properties. Of the two, lamotrigine is the more effective treatment for bipolar depression and lithium is more effective for mania (Calabrese, Vieta & Shelton, 2003).

Reference:

IMO this would be good to work on. Putting all your eggs in one basket by having only one social group means you rely on them for all your social needs. When they don’t perform to your needs and expectations (they are only human afterall) its easy to get flustered and angry because it feels like your whole world is coming down and you may start to resent them.

Emotional stability comes from knowing that if something goes wrong, you will able to deal with it, and that usually comes from maintaining relationships with multiple groups of people. You can have one group that is your main group of your closest, longest time friends, but you need contacts outside of that group to give you perspective.

I suppose I really don’t know where to begin at this point in my life. In about a year or so I see this being more possible.

Right now I’m a fulltime student mon-thurs and work 8 hours a day on saturday and sunday. My only day off is Friday, and that will be filled up with doing some service learning at the Hunger task force soon for my sociology class.

I have no time to even really see my close friends, much less go out and try to make new ones. Also, I’m at a Technical College right now, and let’s just say the experience is very much like highschool…and it isn’t a good place to get new friends like a 4 year university can be. I’ll transfer to a 4 year in about a year, so I’ll probably fall into a few people then.

yeah lithium will fuck your kidneys up to all holy hell, too.

abilify is good shit… seroquel is as well but that tends to make people fairly sleepy.
Lamictal sucks dude… didn’t do jack shit for me, and apparently it’s the same for a good number of people who take it.

Another friend took it and got the sudden seizure from stopping it abruptly.

The medication requires higher doses to work in some people. Most people aren’t patient enough to wait 6 months to reach 400mg. I’m not saying that’s you, but in general that’s the case as I’ve observed.

It says on the container as well as the pamphlet that the pharmacy is obligated to give the consumer, do not stop this medication abruptly or seizures may result.
I’ll try what’s recommended but I will voice my concerns with Lithium. I do not like the fact that I’ll have to have my kidney function closely monitored.

I was thinking to go on a mixture of 5htp and St. John’s Wort to deal with possible depression spells. They are a natural supplement which have been proven to be just as or even more effective than anti-depressant medications, without nearly any side effects.

If I can get on those, and then maybe an anti-anxiety med that will calm me down and stop me from thinking too much and freaking out – it may be the best route for me, with the least amount of side effects.

I’ll bring this up to my psychiatrist as well, and see what she says. Though, buying supplements won’t make her any money, so I highly doubt she’ll recommend that route
Little info on 5htp:

6. Can 5-HTP be taken with St. John’s wort extract?
Yes. In fact, the two seem to work very well together. St. John’s wort extract has been shown in over 25 double-blind studies to be as or more effective than antidepressant drugs in the treatment of mild to moderate depression. In more severe cases, I recommend using 5-HTP along with St. John’s wort. Be sure to use the St. John’s wort extract standardized for 0. 3% hypericin. The dosage for this extract is typically 300 mg three times per day. When using it in combination with 5-HTP I recommend 50-100 mg of 5-HTP and 150-300 mg of St. John’s wort extract three times daily.

7. Has 5-HTP been studied in the treatment of depression?
Yes. In fact, there is excellent documentation that 5-HTP is an effective antidepressant agent. 5-HTP often produces very good results in patients who are unresponsive to standard antidepressant drugs. One of the more impressive studies involved 99 patients described as suffering from "therapy resistant" depression (3). These patients had not responded to any previous therapy including all available antidepressant drugs as well as electro convulsive therapy. These therapy resistant patients received 5-HTP at dosages averaging 200 mg daily but ranging from 50 to 600 mg per day. Complete recovery was seen in 43 of the 99 patients and significant improvement was noted in 8 more. Such significant improvement in patients suffering from long-standing, unresponsive depression is quite impressive prompting the author of another study to state "5-HTP merits a place in the front of the ranks of the antidepressants instead of being used as a last resort. I have never in 20 years used an agent which: (1 was effective so quickly; (2 restored the patients so completely to the persons they had been and their partners had known; [and] (3 was so entirely without side effects" (4).

8. Are there any studies where 5-HTP was compared directly to antidepressant drugs?
Yes, there are several. 5-HTP is equal to or better than standard antidepressant drugs and the side effects are much less severe. The study with the most significance was one that compared to fluvoxamine, a "selective serotonin re-uptake inhibitor" like Prozac, Paxil, and Zoloft. In the study, subjects received either 5-HTP (100 mg) or fluvoxamine (50 mg) three times daily for 6 weeks (5). The percentage decrease in overall depression scores was slightly better in the 5-HTP group (60. 7% vs. 56. 1%). More patients responded to 5-HTP than fluvoxamine and 5-HTP was quicker acting than the fluvoxamine.

The real advantage of 5-HTP in this study was the low rate of side effect. Here is how the physicians described the differences among the two groups:

"Whereas the two treatment groups did not differ significantly in the number of patients sustaining adverse events, the interaction between the degree of severity and the type of medication was highly significant: fluvoxamine predominantly produced moderate to severe, oxitriptan [5-HTP] primarily mild forms of adverse effects. "

The most common side effects with 5-HTP were nausea, heartburn, and gastrointestinal problems (flatulence, feelings of fullness, and rumbling sensations). These side effects were rated as being very mild to mild. In contrast, most of the side effects experienced in the fluvoxamine group were of moderate to severe intensity.

I’ll try what’s recommended but I will voice my concerns with Lithium. I do not like the fact that I’ll have to have my kidney function closely monitored.

I was thinking to go on a mixture of 5htp and St. John’s Wort to deal with possible depression spells. They are a natural supplement which have been proven to be just as or even more effective than anti-depressant medications, without nearly any side effects.

If I can get on those, and then maybe an anti-anxiety med that will calm me down and stop me from thinking too much and freaking out – it may be the best route for me, with the least amount of side effects.

I’ll bring this up to my psychiatrist as well, and see what she says. Though, buying supplements won’t make her any money, so I highly doubt she’ll recommend that route

Ideas all worth considering. Let the doctor do his/her job, listen carefully and then voice concerns. Write down your questions and concerns on paper and bring it with you before you get to the appt.

You’d be surprised, doctors are changing and natural treatments are beginning to become increasingly useful. The issue with supplements and herbs is simple — it’s the company who makes the product and processes it that counts the most. If you buy Saint J W from one company it could be absolute shit compared to if you bought it from someone else.

So search out the best companies based on customer reports. Once you find a good company with consistent appreciation from customers you’ll recognize which products work the best.

As far as self treatment, remember — we’re all fundamentally responsible for our own health care. It’s our bodies, but it’s critical to be well educated and if possible to be well advised by a treating physician. In the end, it’s you popping the pills, your diet, sleep or whatever symptoms you have.

Ideas all worth considering. Let the doctor do his/her job, listen carefully and then voice concerns. Write down your questions and concerns on paper and bring it with you before you get to the appt.

You’d be surprised, doctors are changing and natural treatments are beginning to become increasingly useful. The issue with supplements and herbs is simple — it’s the company who makes the product and processes it that counts the most. If you buy Saint J W from one company it could be absolute shit compared to if you bought it from someone else.

So search out the best companies based on customer reports. Once you find a good company with consistent appreciation from customers you’ll recognize which products work the best.

As far as self treatment, remember — we’re all fundamentally responsible for our own health care. It’s our bodies, but it’s critical to be well educated and if possible to be well advised by a treating physician. In the end, it’s you popping the pills, your diet, sleep or whatever symptoms you have.

Will do, and that’s nice to hear at least. I was under the impression that most doctors didn’t like their patients going out and buying natural stuff because it doesn’t make them as much money than if they just went on a prescription med.

I have a very good vitamin shoppe down the street from me that people seem to really enjoy so I will most likely start there and see how it goes.

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