is mania always followed by depression ?

Hi

is mania always followed by depression, i.e. once the mania (due to an excess antidepressant) was stpped by antipsychotics one should slip down to a lower mood or not necessarily so



thanks ezz

[Xila31]

In my experience with hypomania it depends. Sometimes yes, sometimes no. But with mixed state and rapid cycling I can't really give you a clear answer. Does it always end in the brutal depression for me? No. But it can easily go from me being ok to not ok at the drop of a hat.

[theguts]

In my experience mania is followed by depression.  This is just my experience though.  It could be different for you.  I am glad you stopped the mania though, it can be really destructive.  Keep us update at to how you are doing please.

[adel_ezz]

thank you for showing concern. i am ok now actually my depression is not severe, just lethargic. the mania was terrible because it is always accompanied by a mixed state and suicidal ideation. thx to the seroquel it extinguished it right away but in a fortnight
thx
ezz

[Malaksharif]

Hi Ezz,

i believe if we compared mania or hypo mania to the mood that follows ,it will be always  a lower mood or in some cases depression according to the severity of the mania . in addition to the anti psychosis meds which is one of the main causes for depression as am sure you know.

in my experience of sever hypo mania and a couple of mild ones, always followed by depression. The first time, depression lasted for almost a year as my hypo mania (as i can recall)  seemed like mania

hope you are doing well these days and if your mania is over, you could left up lower mood fast

[adel_ezz]

Thanx Malak

You put it right. The more the mania is severe the greater the depression will be. In fact with a bit of reflexions, we engineers see this as a sine wave with the upper cycle as mania, and depression for the lower one. Now the larger is the amplitude (of the mania say) the larger becomes the slope of the curve so it will head down at a higher rate. It sounds very logical to me. On the contrary a mild hypomania shouldn't be followed by a severe depression.

In fact what made my mood worse is that the boss asked the group to go for a course. i hesitated, my mother urged me saying you will be ruled out from any promotion later. my father objected as it will trigger my bad mood based on my past experience when i left college as i failed in my final year. I still remember this dark history well. i was an A student all my life then bipolarity struck in my final year in college and i failed and failed and left for a modest university and got my degree, but still remember when i was almost at the top of the mountain but couldn't advance one further and final step to get to the platform i just couldn't.

Yesterday i made up my mind typed my resignation and went to see my boss. The guy was astonishingly kind said i won't accept it. Apparently he knew what triggered me he reckoned the course and he knew of my illness as i told him before. Either he is extremely kind or that he doesn't realise exactly the type of illness i have. So i am back to work.

thx GOD
thanks to you all