My psychiatrist changed my medicines

[MR_WHY]

My psychiatrist changed my medicines. Now, I'm on Lithium tablets 600 mg p.m. and 400 mg a.m.
Also, I'm on Lamictal 100 mg twice daily and seroquel 200 mg for 1 week after that increase the dose to 400 mg daily.

I hope this medicines useful this time.

Any advice.

[Bubulous]

I read your old post and understand that you live with your family.  I also understand that the med change has effected you tremendously so I do not want to take away from reality.
One of the patterns that I am noticing is that I do not hear from you when you are depressed.  I usually read afterwards.  I do not think you can verbalize how you feel when you are depressed and it is only after the low mood that you can understand what is going on.
The good thing is that you have a lot of self awareness which is key.  You know what is going on with you but are worried that it is always going to be like that but I can promise you that it will not.
Why does your family not know about your diagnosis or treatment?

[MR_WHY]

Continue,

I forgot mention that I have over activity during this night. I can not sleep until now!

[MR_WHY]

Summary of last day (1st day) after stopping my meds:


Bad depression during day. Mixed episodes during night but still depression more strong. Also, I had difficult to get sleep. I tried lorazepam 2mg but help.

[MR_WHY]

Since I stopped lithium, my moods are only low or status that be not normal, not high, not low.

I never try drugs or alcohol including these days. I'm not smoking too.

Now, my low mood became more especially last days and after I stopped seroquel and decrease lamictal dose. My low moods and depression symptoms increased before taking the second dose and after it. For example, If my second dose on 6:00 p.m., my symptoms increased at 4:00 p.m. to 7:00 p.m.

During work time, I don't feel worried related to work or other workers. I'm only feel bad, worried, negative thoughts when I deal with some workers that I'm not comfortable with or they put me on pressure or trigger my headache to be worse than before. That's not mean I don't have low moods during the work time, but this problem increased and trigger my low moods to be worse than before or stimulated it to begin.
This issues make me think about it during the day or at night only when I work with them. If days I don't work with them, I became less thinking or stop thinking. Last 2 days, I avoid work with them so I didn't think a lot related to my work but you should know that my low mood became worse due to changed my medicines.

My only solution when I have really strong depression episode is sleep.

I live with my family. They didn't know about my diagnosis and treatment.

Please read my older question:
http://www.medhelp.org/posts/Bipolar-Disorder/I-need-advice/show/2642570

[Bubulous]

As we heal in life we do it based on three.  Mind, body, and spirit.  There are also some other things in there but this is typical of what a normal person has to work with.
It sounds like your depression has already been triggered.  The symptoms you describe are those experienced from a person who is in a state of depression.
What are your after work activities like?  What do you do?
Are there any drugs or alcohol involved?  I'm not judging, that just plays a big part in understanding how a mind works.
Is your energy higher when you get in from work?  Does it peak at night a couple hours before bed?  Does it peak shortly after you get back from work?
Sorry to ask so many questions but I do this so that I give considerable attention to your worries instead of giving you the "easy answer".
What I am trying to find out is the rythm of your mood.  If it peaks in the morning it says something and if it is in the evening that says something too.
Do you live by yourself?

[MR_WHY]

I mean my memory became worse than before. My concentration is decreased during the day not only related to learning skills but during the day. I became forget many things and lose my focusing. I'm also loss my concentration during conversation with others specially during early morning and became absent minded. I hope now understood me.

I'm not getting exercise during this period because I did surgical operation before around 2 months.

Now, my psychiatrist determine stop my medicines. Stopping Seroquel immediately and Lamictal gradually. He decided this because my WBCs become lower than normal level. He requested for CT-scan.

It difficult to be strict in activities specially at the beginning of the morning, I still have some trouble with my sleep.

My condition is not stable until now. This make any actions very difficult.
I'm work on finding therapist around me. It's not easy to find one in hospital that I'm eligible to get treatment there.
I reject to get treatment in specialized hospital in mental diseases and addictions due to many causes.

********************

About my work:

My shift during the day.

I'm talking about relationship with some employees. or people that I don't feel comfortable with. This problem lead to increase my headache, feel sad and pressure. I became feel worry with more thinking. It may lead to trigger very depression episode.