Should i just give up and accept this behavior?

[lilyberry]

I have severe mood swings, I have  agitated depression, when i have "a manic freakout" which usually lasts a couple of minutes and then comes the guilt for having the freakout. My question is I have tried many medications for this throughout the years along with counseling. Zoloft, celexa, effexor, trazadone, wellbutrin(allergic) prozac(allergic) cymbalta and pristique with lexapro, they helped a little with the depression but not the horrible mood swings or episodes of freaking out. i seriously lose it momentarily and then i feel absolutely horrible about myself after. what else is there to try for this behavior. I do have xanax prn but it's usually too late by then.

[Hensley258]

You need to research a condition called Bipolar 2 dissorder which none of the meds you listed will adresss.

Bipolar 2 is much different than Bi-polar 1. Bi-polar 1 sufferers go for extecned periods of uporic mania, to prolonged periods of very deep depression. Not the case with Bi-polar 2 as with it, Uporic mania is seldom a symptom.

With Bi-polar 2 the symptoms can be more rapid cycling and move to a kind of agitated hypomania that is NOT at all uporic and can be explosive and anxiety filled.

Not many regular doctors understand Bi-polar 2 well enough to effectivly treat it, but a good Psychiatrist will know. They have meds for this and it sounds like you have never tried any of them. Just an idea and could be your un-diagnosed issue.

[birdie0907]

Are others around? After a freak out with someone else around, how do you deal with the other party? Are they accepting of the problem?
Don't answer any of my questions if you feel they are too personal or irrelevant, but I was just asking to see if you thought other people's reactions might be enabling your emotions, or helping to keep them in check. It is midnight here, and not the highest probability time time to post intelligent questions, so I am signing off.

[ILADVOCATE]

Actually what you describe sounds like an "agitated mixed state" which is the feelings of depression but the speeded up quality of mania. It can seem like a person is angry or in a rant. Also as to feeling guilty as long as you have not done anything destructive you don't have to experience guilt over any feelings but feelings of guilt are part of depression too. My best suggestion is to discuss this all over with your psychiatrist as perhaps you might have bipolar instead of depression and mood stabilizers such as Lithium, Depakoate and Lamictal are used for that and anti-depressents sometimes worsen mania. Speak to your psychiatrist about the moodswings and let them come to a conclusion as perhaps it could be rapid cycling (going from manic to depressed in a short period of time). Bipolar like depression is of course very treatable.