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574118 tn?1305135284

rage

Yesterday as I had a rage which I was able to stop by an additional
seroquel of 25mg. Suppose this rage is mania and I had 2 previous months of stability before then this mania erupted
yesterday but I will not having it the coming days. My question is
would this mania be considered a full episode or because it's one
mania that was aborted then it isn't one. Because really I don't
understand the meaning of an episode (not the english meaning) but how
it lasts etc... i.e. when people say I had 2 manias in my last 3 years
say like I did, should I consider the one of yesterday a 3rd one even
it lasted for a day whereas the previous ones lasted longer periods.
thanks
ezz
5 Responses
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574118 tn?1305135284
I really appreciate your kind help. You've been very lucid
ezz
Helpful - 0
607502 tn?1288247540
Adel i thnk the pdoc who told you that should be delicensed or struck off or whatever they call it in other countries.

Bipolar does not go away after x years if you have less than y episodes - this is a fallacy and its a cruel one.

BP is not curable and it does not go away.  Those are the realities and some reading and research will show you that.  Yes its possible for symptoms to come and go and for people to go long periods of time between episodes but the illness does not go away.  If you are bipolar you are bipolar and that unfortunately is that.

The second piece of advice is that it really does not matter what your father or mother agree on - bipolar isnt something you can reason with and not believing in it does not make it less real.

And when I said Seroquel will calm rage in no BP's what I should have said is it works that way on everyone - its part of the mechanism of action of the drug.

Look I cannot comment on your drugs, its quite a cocktail.

As to theories on BP and once manic and all the other stuff..  Look here's the best advice I can give you ok.

Buy yourself a good book or 2 on bipolar and sit down and read the factual information.  Many forums are populated with people who are themselves sick, Ive seen some of the most dangerous advice ever handed out on depression forums and ive read things here even that make me go WTF out loud.

Source material is best and reading stuff written by doctors is the best way to get your head around it.  No BP isnt fully understood by the medical community yet but they are researching it and its understood a lot better than other people.

I am sorry Adel because I know where your head is right now, trying to find reasons, patterns and anything to cling to for hope and getting nowhere fast - if you want to know if you really are bipolar then there is one thing to do : forget your parents and your forums and get another psychiatrist and get a second opinion and see what an independant person says based on your history and presentation.

You need to take control of this for yourself I think -don't let other people or your disease dictate to you.

Helpful - 0
Avatar universal
Seroqual sure helps me, when I think one is coming on, or it's happening. My folks are the same way, but denial by family members is so common.  I, like you was doing well for a couple of months, then I started having hypomanic episodes and mixed episodes in the end of October. I thought the meds would fix this and I was frustrated. My pdoc said it's still going to happen, and it's made me very sad at times, I was counting like you, but in the long run it was making it worse.
I just feel, and stop thinking about BP as an enemy, it just is what it is.
Helpful - 0
574118 tn?1305135284
Hi Monkeyc
Thank you very much for your very prompt reply.

It may be silly to count them but because I heard one of the pdocs say if mania occured twice then recovery (prophylaxis) is in 3 years with mood stabilizers. But if more then I shall stay BP for the rest of my life.

it's rage because I destructed some furniture. I told my parents that they are objecting to buy something. So I got furious and became "manic" .

>Seroquel will calm rage in non bipolars.
It did calm me down, does it mean I am not BP.

my problem is that my father is convinced I am BP and my mother isn't. Now both my pdocs agree on BP but my original one who said BP tries to regulate my temper with AP's only and I was stable for 2 months with (1mg risperidone, 25mg seroquel, 2mg stelazin, 0.375mg xanax) until this rage erupted. In fact i started 2 weeks ago to sleep distubed, eat more,... but because perhaps I did a mistake of reducing xanax to 0.25mg only, so perhaps is the commencement of this eruption.

So my mother had hopes that these 2 months would continue indefinitely. My father who was puzzled by these 2 months of stability was betting that I shall plung into depression and concluded with my other pdoc that lamictal is the right med as an MS. However I didn't take it. The strange thing it was rage and not depression which happened. My original disease was OCD and after using an AD alone I turned manic thus BP (I know you object on this that I must have been BP from start) but never had mania except with AD in 2006. Now this is the 1st time I didn't take an AD and yet had rage. So I am very confused because it may prove now that I am definitely BP. In another forum a person said once manic one stays manic or easily recurrent. i.e. once set-off it's finished it will come back and it occured now although I take AP's only.

I know or am sure that seroquel is my magic pill because it stopped the mania twice. But since it is not an MS so to speak (some consider it an MS in 400mg- dose) then I fear that even if it kills any coming mania but not the adequate med. I increased my dose of seroquel to 50mg.

Sorry for a long monologue. I am just perplexed. If I turned from depression to more becoming manic so it's the lithium (fear from it) or depakote (fear even more : weight gain and hair loss). Or perhaps stay on my seroquel. I am sure this subject of BP is not easily understood by the scientific media
thanks once more
adel
Helpful - 0
607502 tn?1288247540
Adel I have read your comments for some time and I have a concern that you are trying to read too much into this and over analyse it.

It doesnt matter if an episode is full, arrested or half baked - the reality is it happened and the path that I think you need to go down is why it happened rather than how many times its happened.

Causes can speak to duration and severity -is there more stress in your life right now, new drugs, drinking more or less, changed foods you eat, sleeping more or less.  You need to understand where the mania came from and why so you can learn to adapt.

Sometimes it just happens.

I honestly do not understand why you are counting your mania's ?  aside from diagnostics there's not much point - and rage is not neccesarily mania BTW it can be hypomania manifesting or just plain anger - Seroquel will calm rage in non bipolars, its one of its matters of action.
Helpful - 0
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