Hello I've always been a pessimistic anxious person but the past 7 or 8 years my life has fluctuated between so-so and I wouldn’t get out of bed if my room was on fire depression, I also am in a constant state of varying anxiety from unstoppable intrusive thoughts to panic attacks causing derealization. I also get bout of severe rage and have broken, smashed property and even have cut myself out of frustration. My Dx is Severe Recurrent Major Depression, Severe GAD, Adjustment Disorder. Currently on lexapro 15mg, Abilify 5mg (just switched from Risperidone 2mg) Topamax 150mg, Klonopin 1mg qid, Dexedrin IR 15mg, Dalmane 30mg at bedtime. This isn’t helping enough! any suggestions on maybe bringing up other Dx or meds with my psychiatrist?
Hi, howie! Just from personal experience and because I used to be so much like what you describe I might suggest asking about trying lithium I know you're already taking Topamax, but that is an anti-convulsant not a true mood stabilizer like lithium.
I say this because I spent nearly 30yrs with a mish-mosh of changing diagnoses that really didn't respond to anything (and believe me I've tried 'em ALL). It was only after my new doctor started me on lithium that I started to straighten out: my depression, anxiety, hostility and rage which are all classic symptoms of a BP subtype.
Well, it's worth asking about it.
Good for you for taking charge and seeking advice and help. We're not professionals here, just ordinary folks like you happy to share ideas.
Good luck and best wishes to you. WCV
You seem to have drugs working against each other by taking klonopin (anti-anxiety) and dexedrine IR (a stimulant) during the day. These 2 drugs work at opposite purposes. I'm no expert on all of your problems, just observing this clash of drugs. You mention severe GAD, panic attacks and depression yet your meds don't seem like enough to handle those conditions and their severity. Add intrusive thoughts (OCD?), some severe rage, Adjustment Disorder and I'm wondering how your meds are supposed to be covering all of these problems. Lexapro 15 mg, abilify 5 mg and topamax 150 mg is supposed to do it? The Dalmane is a benzodiazepine (like klonopin) for anxiety at bedtime to allow you to rest.
I think there needs to be some major restructuring of your medications and your schedule. Please check this out. Start with your pharmacist. If he or she sees no problem with your medication schedule for a 24 hr. period, maybe I'm wrong. If he/she has doubts, get a 2nd opinion from another psychiatrist. You're worth it.
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