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Emotionless WHAT DO YOU DO when they simply don't care?
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<blockquote data-quote="susiestar" data-source="post: 467998" data-attributes="member: 1233"><p>MANY people have NO idea how off they are until they are not "off" again. My mom went on and off prozac for years. She would stop it because she was coping well and enjoying life and it would be fine for months or up to a bit over a year. then she would have problems and not see it and then end up back on it. It has been this way for a couple of decades. There are a few behaviors that start at the beginning of depression for her, and after a few years of it all, she would have me tell her or her doctor or therapist if she started them, then she would go on medications and it worked well. A lot of her depression is from having a chronic illness (several actually) and the pain. </p><p></p><p>SO that is normal.</p><p></p><p>Has he ever been evaluated for mood disorder/bipolar? The cycle you are explaining COULD be bipolar. Not all people experience the stereotypical "high" of mania. It can present differently or a person can get into a "mixed" state. </p><p></p><p>If he hasn't ever been on ONLY mood stabilizers or mood stabs and an atypical antipsychotic, then that might be a road you want to try. </p><p></p><p>Why not antidepressants? Well, they can cause mania in some people. they also cause mood cycling in those with bipolar. Seems odd, as though the depressed part of bipolar should be treated with antidepressants. It just doesn't work that way. WHen you find the right mood stabilizers/antpsychotic cocktail, it can get rid of all of the depression and other symptoms of things like adhd, etc.... If it doesn't but moods are stable, then you can add adhd medications, antidepressants, etc.... in small amounts.</p><p></p><p>Or it might be really really persistent depression. Wiz is on THREE antidepressants. One for adhd (strattera), one for depression (luvox) and one for insomnia (trazodone, a tricyclic antidepressant). Also, not all antidepressants are ssri/snri medications. there ARE other types and for some people the ssri/snri ad's just don't work well but the older types are more effective. It would be worth researching the types of ad's available and then asking the doctor about that or about trying the medication protocol approved by the board of psychiatrists for bipolar (using mood stabs and antipsychotics until stable, then treating whatever sx are left).</p></blockquote><p></p>
[QUOTE="susiestar, post: 467998, member: 1233"] MANY people have NO idea how off they are until they are not "off" again. My mom went on and off prozac for years. She would stop it because she was coping well and enjoying life and it would be fine for months or up to a bit over a year. then she would have problems and not see it and then end up back on it. It has been this way for a couple of decades. There are a few behaviors that start at the beginning of depression for her, and after a few years of it all, she would have me tell her or her doctor or therapist if she started them, then she would go on medications and it worked well. A lot of her depression is from having a chronic illness (several actually) and the pain. SO that is normal. Has he ever been evaluated for mood disorder/bipolar? The cycle you are explaining COULD be bipolar. Not all people experience the stereotypical "high" of mania. It can present differently or a person can get into a "mixed" state. If he hasn't ever been on ONLY mood stabilizers or mood stabs and an atypical antipsychotic, then that might be a road you want to try. Why not antidepressants? Well, they can cause mania in some people. they also cause mood cycling in those with bipolar. Seems odd, as though the depressed part of bipolar should be treated with antidepressants. It just doesn't work that way. WHen you find the right mood stabilizers/antpsychotic cocktail, it can get rid of all of the depression and other symptoms of things like adhd, etc.... If it doesn't but moods are stable, then you can add adhd medications, antidepressants, etc.... in small amounts. Or it might be really really persistent depression. Wiz is on THREE antidepressants. One for adhd (strattera), one for depression (luvox) and one for insomnia (trazodone, a tricyclic antidepressant). Also, not all antidepressants are ssri/snri medications. there ARE other types and for some people the ssri/snri ad's just don't work well but the older types are more effective. It would be worth researching the types of ad's available and then asking the doctor about that or about trying the medication protocol approved by the board of psychiatrists for bipolar (using mood stabs and antipsychotics until stable, then treating whatever sx are left). [/QUOTE]
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