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Should I tell my psychiatrist about hypomania?
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Should I tell my psychiatrist about hypomania?

I've been on 25mg prescribed Zoloft for about three weeks, and went up to 50mg a few days ago. I was due to up my dose to 75mg today but I think I am experiencing hypomania. I didn't get a wink of sleep last night despite having exercised the day before, going to bed at normal time and with normal routine prior, and laying in bed for hours trying desperately to sleep - but I just couldn't. All day I have had never ending energy, been silly, giggly, positive, confident, had the urge to draw, write, go out, even climb out my window and sit on the roof top. I have lost all appetite. It is now 1 am and I still am not the slightest bit tired and I think another sleepless night is ahead.

So, what should I do from here? I know that if I ring my psych and tell her all of this, she will put me on either an anti psychotic/mood stabilizer and I will go back to feeling depressed, empty and numb again. I have tried two other antidepressants and went hypomanic on both - so that is why I can recognise the signs. But I love feeling hypomanic so I don't want it to end. Is it likely to pass after a few days? Can I just wait it out and see what happens?
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Avatar_f_tn
I have never heard of antidepressant mania passing, just getting worse.

Have you switched up your mood stabilizer/anti-psychotic. Because sometimes it takes the right combo before it works. I have only ever been on lamotrigine (can't take Lithium due to previous kidney issues). As an antipsychotic I tried Risperadol - worked great - made me lactate - deal breaker. Seroquel - zombie. Geodone - anorexic, tired. Ziprexa - wonderful drug, best my mind has ever been - spike my trigycerides to dangerous levels - deal breaker. Finally I tried Abilify and it works great in combo with the lamotrigine. I feel like myself. Not depressed, not elevated, just me. I have different friends who have found different meds that work.

I would seriously consider not taking any more Zoloft and calling your psychiatrist. You don't want to end up in the psyc ward. Be honest with her and tell her your concerns. Maybe she'll have some ideas. You may also want to consider a new pdoc. In my mind any pdoc that gives a bipolar person an antidepressant without a mood stabilizer is not a good one.
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Avatar_f_tn
I know what you're going through, all too well.  Zoloft happens to be the antidepressant I fear the most.  It also induced a hypomanic state in me..  While I enjoyed the reduced social anxiety, the uncharateristic anger and sleeplessness were unbearable.  I suggest you tell your doctor everything and trust that he or she will make the right decisions for your treatment.  Do not stop taking it until your doctor sees how to best wean you off the medication.  I wish you success in your treatment, and may you find the peace we all deserve.
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574118_tn?1305138884
this is classic

hypomania right now is euphoric but soon will turn dysphoric. So you better stop it right away.

What pdocs usually opt to is to give a typical antipsychotic like hiperidole, haldol, stelazin then once depression starts revert to an atypical AP or an MS e.g. seroquel, etc...

good luck

Of course tell your pdoc
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Avatar_m_tn
Taking Abilify for 1 week an I'm waking up at 3:00 an then sleeping again, does the eventually subside? is there a doctor out the? Or do we have answer ourselves
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574118_tn?1305138884
Abilify brings some anxiety this is why it's good for depression like lamotrigine. some pdocs add akineton. You should ask your pdoc
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