View Full Version : Managing bipolar disorder with drugs
Does anyone know of any psichadelic that has a positive effect over a bipolar disorder type 2 ?
Any experiences of effects of psichadelics on bipolar subjects will also be appreciated.
In my case, I have noticed that marijuana seems to trigger short
intense manic stages [few days] followed by much longer depressive
stages [a week or more].
Apart from simply trggering the cycles, it also makes them longer and
more intense than usual, as I would usually have much shorter manic
stages, followed by interrupted depressive stages.
Lsd in large dosages tends to trigger long deppressive stages in me,
the longest one I recall was over 7 months long, with only short manic
stages [few hours].
I have also noticed a depreesing effect of cannabis lasting a couple of days,depending on how long I've been smoking. Iam not diagnosed as bi-polar, but neither as not bi-polar. I get somewhat agitated the day after smoking, but am able to relieve this somewhat by yoga and meditation, if I have been smoking daily for weeks it's a little bit more difficult.
As for psychedelics compatible with bi-polar disorder, I am not sure, but have you tried ayahuscha? It's probably one of the safest psychedelics to ingest since yor brain is already familiar with DMT and structurally similar compounds, the pineal gland has been reported to produce DMT on it's own. Do some research on it, cause I don't know how it would interact with such a disorder. A lot of people suggest not using any drugs when suffering from bi-polar disorder, especially psychedelics.
Thnx for the feedback, I'll investigate ayahuasca better.
I know that a few amphetamine deribates are use for threadment of
bipolarity, amphetobutamone is one of those [brand name wellbutrine],
so might be a lead.
Emperiorjack
29-01-2005, 05:54
You could try some Salvia. Tell us how this all works out mang.
Doparius
30-01-2005, 02:43
I am bi polar aswell and been on severeal meds,but cannabis is the best mood stabilizer for me tho hallucigens u have to be careful,I have had bad depression periodsafter a bad trip or an emotional,<ie, breaking up with the girl u love>sumtimes lasting weeks or longer
Alquimista
30-01-2005, 03:08
sorry for a dumb question.. but what is this polar/bi-polar?
some quick overview and links to study it more perhaps?
Interesting to know Doparius. I've had depressive states following trips as well, and a few trigger by emotional situations.
************************************************** *
Alquimista, there are no dumb questions; actually yours is quite essential to the subject.:D Here's an extensive answer.
Introduction
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a person's mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide. But there is good news: bipolar disorder can be treated, and people with this illness can lead full and
productive lives.
More than 2 million American adults, or about 1 percent of the population age 18 and older in any given year, have bipolar disorder. Bipolar disorder typically develops in late adolescence or early adulthood. However, some people have their first symptoms during childhood, and some develop them late in life. It is
often not recognized as an illness, and people may suffer for years before it is properly diagnosed and treated. Like diabetes or heart disease, bipolar disorder is a long-term illness that must be carefully managed throughout a person's life.
"Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it; an illness that is unique in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering and, not infrequently, suicide."
"I am fortunate that I have not died from my illness, fortunate in having received the best medical care available, and fortunate in having the friends, colleagues, and family that I do."
Kay Redfield Jamison, Ph.D., An Unquiet Mind, 1995, p. 6.
(Reprinted with permission from Alfred A. Knopf, a division of Random House, Inc.)
What Are the Symptoms of Bipolar Disorder?
Bipolar disorder causes dramatic mood swings—from overly "high" and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods of highs and lows are called episodes of mania and depression.
Signs and symptoms of mania (or a manic episode) include:
Increased energy, activity, and restlessness
Excessively "high," overly good, euphoric mood
Extreme irritability
Racing thoughts and talking very fast, jumping from one idea to another
Distractibility, can't concentrate well
Little sleep needed
Unrealistic beliefs in one's abilities and powers
Poor judgment
Spending sprees
A lasting period of behavior that is different from usual
Increased sexual drive
Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
Provocative, intrusive, or aggressive behavior
Denial that anything is wrong
A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present.
Signs and symptoms of depression (or a depressive episode) include:
Lasting sad, anxious, or empty mood
Feelings of hopelessness or pessimism
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in activities once enjoyed, including sex
Decreased energy, a feeling of fatigue or of being "slowed down"
Difficulty concentrating, remembering, making decisions
Restlessness or irritability
Sleeping too much, or can't sleep
Change in appetite and/or unintended weight loss or gain
Chronic pain or other persistent bodily symptoms that are not caused by physical illness or injury
Thoughts of death or suicide, or suicide attempts
A depressive episode is diagnosed if five or more of these symptoms last most of the day, nearly every day, for a period of 2 weeks or longer.
A mild to moderate level of mania is called hypomania. Hypomania may feel good to the person who experiences it and may even be associated with good functioning and enhanced productivity. Thus even when family and friends learn to recognize the mood swings as possible bipolar disorder, the person may deny that anything is wrong. Without proper treatment, however, hypomania can become severe mania in some people or can switch into depression.
Sometimes, severe episodes of mania or depression include symptoms of psychosis (or psychotic symptoms). Common psychotic symptoms are hallucinations
(hearing, seeing, or otherwise sensing the presence of things not actually there) and delusions (false, strongly held beliefs not influenced by logical reasoning or explained by a person's usual cultural concepts). Psychotic symptoms in bipolar disorder tend to reflect the extreme mood state at the time. For example, delusions of grandiosity, such as believing one is the President or has special powers or wealth, may occur during mania; delusions of guilt or worthlessness, such as believing that one is ruined and penniless or has committed some terrible crime, may appear during depression. People with bipolar disorder who have these symptoms are sometimes incorrectly diagnosed as having schizophrenia, another severe mental illness.
It may be helpful to think of the various mood states in bipolar disorder as a spectrum or continuous range. At one end is severe depression, above which is moderate depression and then mild low mood, which many people call "the blues" when it is short-lived but is termed "dysthymia" when it is chronic. Then there is normal or balanced mood, above which comes hypomania (mild to moderate mania), and then severe mania.
In some people, however, symptoms of mania and depression may occur together in what is called a mixed bipolar state. Symptoms of a mixed state often include agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking. A person may have a very sad, hopeless mood while at
the same time feeling extremely energized.
Bipolar disorder may appear to be a problem other than mental illness—for instance, alcohol or drug abuse, poor school or work performance, or strained interpersonal relationships. Such problems in fact may be signs of an underlying mood disorder.
Diagnosis of Bipolar Disorder
Like other mental illnesses, bipolar disorder cannot yet be identified physiologically—for example, through a blood test or a brain scan. Therefore, a diagnosis of bipolar disorder is made on the basis of symptoms, course of illness, and, when available, family history. The diagnostic criteria for bipolar disorder are described in the Diagnostic and Statistical Manual for Mental Disorders, fourth edition (DSM-IV).
Descriptions offered by people with bipolar disorder give valuable insights into the various mood states associated with the illness:
Depression: I doubt completely my ability to do anything well. It seems as though my mind has slowed down and burned out to the point of being virtually useless…. [I am] haunt[ed]… with the total, the desperate hopelessness of it all…. Others say, "It's only temporary, it will pass, you will get over it," but of course they haven't any idea of how I feel, although they are certain they do. If I can't feel, move, think or care, then what on earth is the point?
Hypomania: At first when I'm high, it's tremendous… ideas are fast… like shooting stars you follow until brighter ones appear…. All shyness disappears, the right words and gestures are suddenly there… uninteresting people, things become intensely interesting. Sensuality is pervasive, the desire to seduce and be seduced is irresistible. Your marrow is infused with unbelievable feelings of ease, power, well-being, omnipotence, euphoria… you can do anything… but, somewhere this changes.
Mania: The fast ideas become too fast and there are far too many… overwhelming confusion replaces clarity… you stop keeping up with it—memory goes. Infectious humor ceases to amuse. Your friends become frightened…. everything is now against the grain… you are irritable, angry, frightened, uncontrollable, and trapped.
Suicide
Some people with bipolar disorder become suicidal. Anyone who is thinking about committing suicide needs immediate attention, preferably from a mental health professional or a physician. Anyone who talks about suicide should be taken seriously. Risk for suicide appears to be higher earlier in the course of the illness. Therefore, recognizing bipolar disorder early and learning how best to manage it may decrease the risk of death by suicide.
Signs and symptoms that may accompany suicidal feelings include:
talking about feeling suicidal or wanting to die
feeling hopeless, that nothing will ever change or get better
feeling helpless, that nothing one does makes any difference
feeling like a burden to family and friends
abusing alcohol or drugs
putting affairs in order (e.g., organizing finances or giving away possessions to prepare for one's death)
writing a suicide note
putting oneself in harm's way, or in situations where there is a danger of being killed
If you are feeling suicidal or know someone who is:
call a doctor, emergency room, or 911 right away to get immediate help
make sure you, or the suicidal person, are not left alone
make sure that access is prevented to large amounts of medication, weapons, or other items that could be used for self-harm
While some suicide attempts are carefully planned over time, others are impulsive acts that have not been well thought out; thus, the final point in the box above may be a valuable long-term strategy for people with bipolar disorder. Either way, it is important to understand that suicidal feelings and actions are symptoms of an illness that can be treated. With proper treatment, suicidal feelings can be overcome.
What Is the Course of Bipolar Disorder?
Episodes of mania and depression typically recur across the life span. Between episodes, most people with bipolar disorder are free of symptoms, but as many as one-third of people have some residual symptoms. A small percentage of people experience chronic unremitting symptoms despite treatment.
The classic form of the illness, which involves recurrent episodes of mania and depression, is called bipolar I disorder. Some people, however, never develop severe mania but instead experience milder episodes of hypomania that alternate with depression; this form of the illness is called bipolar II disorder. When four or more episodes of illness occur within a 12-month period, a person is said to have rapid-cycling bipolar disorder. Some people experience multiple episodes within a single week, or even within a single day. Rapid cycling tends to develop later in the course of illness and is more common among women than among men.
People with bipolar disorder can lead healthy and productive lives when the illness is effectively treated (see below—"How is Bipolar Treated") Without treatment, however, the natural course of bipolar disorder tends to worsen. Over time a person may suffer more frequent (more rapid-cycling) and more severe manic and depressive episodes than those experienced when the illness first appeared. But in most cases, proper treatment can help reduce the frequency and severity of episodes and can help people with bipolar disorder maintain good quality of life.
Can Children and Adolescents Have Bipolar Disorder?
Both children and adolescents can develop bipolar disorder. It is more likely to affect the children of parents who have the illness.
Unlike many adults with bipolar disorder, whose episodes tend to be more clearly defined, children and young adolescents with the illness often experience very fast mood swings between depression and mania many times within a day. Children with mania are more likely to be irritable and prone to destructive tantrums than to be overly happy and elated. Mixed symptoms also are common in youths with bipolar disorder. Older adolescents who develop the illness may have more classic, adult-type episodes and symptoms.
Bipolar disorder in children and adolescents can be hard to tell apart from other problems that may occur in these age groups. For example, while irritability and aggressiveness can indicate bipolar disorder, they also can be symptoms of attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder, or other types of mental disorders more common among adults such as major depression or schizophrenia. Drug abuse also may lead to such symptoms.
For any illness, however, effective treatment depends on appropriate diagnosis. Children or adolescents with emotional and behavioral symptoms should be carefully evaluated by a mental health professional. Any child or adolescent who has suicidal feelings, talks about suicide, or attempts suicide should be taken seriously and should receive immediate help from a mental health specialist.
What Causes Bipolar Disorder?
Scientists are learning about the possible causes of bipolar disorder through several kinds of studies. Most scientists now agree that there is no single cause for bipolar disorder—rather, many factors act together to produce the illness.
Because bipolar disorder tends to run in families, researchers have been searching for specific genes—the microscopic "building blocks" of DNA inside all cells that influence how the body and mind work and grow—passed down through generations that may increase a person's chance of developing the illness. But genes are not the whole story. Studies of identical twins, who share all the same genes, indicate that both genes and other factors play a role in bipolar disorder. If bipolar disorder were caused entirely by genes, then the identical twin of someone with the illness would always develop the illness, and research has shown that this is not the case. But if one twin has bipolar disorder, the other twin is more likely to develop the illness than is another sibling.
In addition, findings from gene research suggest that bipolar disorder, like other mental illnesses, does not occur because of a single gene. It appears likely that many different genes act together, and in combination with other factors of the person or the person's environment, to cause bipolar disorder. Finding these genes, each of which contributes only a small amount toward the vulnerability to bipolar disorder, has been extremely difficult. But scientists expect
that the advanced research tools now being used will lead to these discoveries and to new and better treatments for bipolar disorder.
Brain-imaging studies are helping scientists learn what goes wrong in the brain to produce bipolar disorder and other mental illnesses. New brain-imaging techniques allow researchers to take pictures of the living brain at work, to examine its structure and activity, without the need for surgery or other invasive procedures. These techniques include magnetic resonance imaging (MRI), positron emission tomography (PET), and functional magnetic resonance imaging (fMRI). There is evidence from imaging studies that the brains of people with bipolar disorder may differ from the brains of healthy individuals. As the differences are more clearly identified and defined through research, scientists will gain a better understanding of the underlying causes of the illness, and eventually may be able to predict which types of treatment will work most effectively.
How Is Bipolar Disorder Treated?
Most people with bipolar disorder—even those with the most severe forms—can achieve substantial stabilization of their mood swings and related symptoms with proper treatment. Because bipolar disorder is a recurrent illness, long-term preventive treatment is strongly recommended and almost always indicated. A strategy that combines medication and psychosocial treatment is optimal for managing the disorder over time.
In most cases, bipolar disorder is much better controlled if treatment is continuous than if it is on and off. But even when there are no breaks in treatment, mood changes can occur and should be reported immediately to your doctor. The doctor may be able to prevent a full-blown episode by making adjustments to the treatment plan. Working closely with the doctor and communicating openly about treatment concerns and options can make a difference in treatment effectiveness.
In addition, keeping a chart of daily mood symptoms, treatments, sleep patterns, and life events may help people with bipolar disorder and their families to better understand the illness. This chart also can help the doctor track and treat the illness most effectively.
Medications
Medications for bipolar disorder are prescribed by psychiatrists—medical doctors (M.D.) with expertise in the diagnosis and treatment of mental disorders. While primary care physicians who do not specialize in psychiatry also may prescribe these medications, it is recommended that people with bipolar disorder see a psychiatrist for treatment.
Medications known as "mood stabilizers" usually are prescribed to help control bipolar disorder. Several different types of mood stabilizers are available. In general, people with bipolar disorder continue treatment with mood stabilizers for extended periods of time (years). Other medications are added when necessary, typically for shorter periods, to treat episodes of mania or depression that break through despite the mood stabilizer.
*Lithium, the first mood-stabilizing medication approved by the U.S. Food and Drug Administration (FDA) for treatment of mania, is often
very effective in controlling mania and preventing the recurrence of both manic and depressive episodes.
*Anticonvulsant medications, such as valproate (Depakote) or carbamazepine (Tegretol), also can have mood-stabilizing effects and may be especially useful for difficult-to-treat bipolar episodes. Valproate was FDA-approved in 1995 for treatment of mania.
*Newer anticonvulsant medications, including lamotrigine (Lamictal), gabapentin (Neurontin), and topiramate (Topamax), are being studied to determine how well they work in stabilizing mood cycles.
*Anticonvulsant medications may be combined with lithium, or with each other, for maximum effect.
*Children and adolescents with bipolar disorder generally are treated with lithium, but valproate and carbamazepine also are used.
Researchers are evaluating the safety and efficacy of these and other psychotropic medications in children and adolescents. There is some evidence that valproate may lead to adverse hormone changes in teenage girls and polycystic ovary syndrome in women who began taking the medication before age 20. Therefore, young female patients taking valproate should be monitored carefully by a physician.
Women with bipolar disorder who wish to conceive, or who become pregnant, face special challenges due to the possible harmful effects of existing mood stabilizing medications on the developing fetus and the nursing infant. Therefore, the benefits and risks of all available treatment options should be discussed with a clinician skilled in this area. New treatments with reduced risks during pregnancy and lactation are under study.
Treatment of Bipolar Depression
Research has shown that people with bipolar disorder are at risk of switching into mania or hypomania, or of developing rapid cycling, during treatment with antidepressant medication. Therefore, "mood-stabilizing" medications generally are required, alone or in combination with antidepressants, to protect people with bipolar disorder from this switch. Lithium and valproate are the most commonly used mood-stabilizing drugs today. However, research studies continue to evaluate the potential mood-stabilizing effects of newer medications.
Atypical antipsychotic medications, including clozapine (Clozaril), olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel), and ziprasidone (Geodon), are being studied as possible treatments for bipolar disorder. Evidence suggests clozapine may be helpful as a mood stabilizer for people who
do not respond to lithium or anticonvulsants.
Other research has supported the efficacy of olanzapine for acute mania, an indication that has recently received FDA approval. Olanzapine may also help relieve psychotic depression.
If insomnia is a problem, a high-potency benzodiazepine medication such as clonazepam (Klonopin) or lorazepam (Ativan) may be helpful to promote better sleep. However, since these medications may be habit-forming, they are best prescribed on a short-term basis. Other types of sedative medications, such as zolpidem (Ambien), are sometimes used instead.
Changes to the treatment plan may be needed at various times during the course of bipolar disorder to manage the illness most effectively. A psychiatrist should guide any changes in type or dose of medication.
Be sure to tell the psychiatrist about all other prescription drugs, over-the-counter medications, or natural supplements you may be taking. This is important because certain medications and supplements taken together may cause adverse reactions.
To reduce the chance of relapse or of developing a new episode, it is important to stick to the treatment plan. Talk to your doctor if you have any concerns about the medications.
Thyroid Function
People with bipolar disorder often have abnormal thyroid gland function. Because too much or too little thyroid hormone alone can lead to mood and energy changes, it is important that thyroid levels are carefully monitored by a physician.
People with rapid cycling tend to have co-occurring thyroid problems and may need to take thyroid pills in addition to their medications for bipolar disorder. Also, lithium treatment may cause low thyroid levels in some people, resulting in the need for thyroid supplementation.
Medication Side Effects
Before starting a new medication for bipolar disorder, always talk with your psychiatrist and/or pharmacist about possible side effects. Depending on the medication, side effects may include weight gain, nausea, tremor, reduced sexual drive or performance, anxiety, hair loss, movement problems, or dry mouth. Be sure to tell the doctor about all side effects you notice during treatment. He or she may be able to change the dose or offer a different medication to relieve them. Your medication should not be changed or stopped without the psychiatrist's guidance.
Psychosocial Treatments
As an addition to medication, psychosocial treatments—including certain forms of psychotherapy (or "talk" therapy)—are helpful in providing support, education, and guidance to people with bipolar disorder and their families. Studies have shown that psychosocial interventions can lead to increased mood stability, fewer hospitalizations, and improved functioning in several areas. A licensed psychologist, social worker, or counselor typically provides these therapies and often works together with the psychiatrist to monitor a patient's progress. The number, frequency, and type of sessions should be based on the treatment needs of each person.
Psychosocial interventions commonly used for bipolar disorder are cognitive behavioral therapy, psychoeducation, family therapy, and a newer technique, interpersonal and social rhythm therapy. NIMH researchers are studying how these interventions compare to one another when added to medication treatment for bipolar disorder.
*Cognitive behavioral therapy helps people with bipolar disorder learn to change inappropriate or negative thought patterns and behaviors associated with the illness.
*Psychoeducation involves teaching people with bipolar disorder about the illness and its treatment, and how to recognize signs of relapse so that early intervention can be sought before a full-blown illness episode occurs. Psychoeducation also may be helpful for family members.
*Family therapy uses strategies to reduce the level of distress within the family that may either contribute to or result from the ill person's symptoms.
*Interpersonal and social rhythm therapy helps people with bipolardisorder both to improve interpersonal relationships and to regularize their daily routines. Regular daily routines and sleep schedules may help protect against manic episodes.
*As with medication, it is important to follow the treatment plan for any psychosocial intervention to achieve the greatest benefit.
Other Treatments
*In situations where medication, psychosocial treatment, and the combination of these interventions prove ineffective, or work too slowly to relieve severe symptoms such as psychosis or suicidality, electroconvulsive therapy (ECT) may be considered. ECT may also be considered to treat acute episodes when medical conditions, including pregnancy, make the use of medications too risky. ECT is a highly effective treatment for severe depressive, manic, and/or mixed episodes. The possibility of long-lasting memory problems, although a concern in the past, has been significantly reduced with modern ECT techniques. However, the potential benefits and risks of ECT, and of available alternative interventions, should be carefully reviewed and discussed with individuals considering this treatment and, where appropriate, with family or friends.
*Herbal or natural supplements, such as St. John's wort (Hypericum perforatum), have not been well studied, and little is known about their effects on
bipolar disorder. Because the FDA does not regulate their production, different brands of these supplements can contain different amounts of active ingredient. Before trying herbal or natural supplements, it is important to discuss them with your doctor. There is evidence that St. John's wort can reduce the effectiveness of certain medications. In addition, like prescription antidepressants, St. John's wort may cause a switch into mania in some individuals with bipolar disorder, especially if no mood stabilizer is being taken.
*Omega-3 fatty acids found in fish oil are being studied to determine their usefulness, alone and when added to conventional medications, for long-term treatment of bipolar disorder.
A Long-Term Illness That Can Be Effectively Treated
Even though episodes of mania and depression naturally come and go, it is important to understand that bipolar disorder is a long-term illness that currently has no cure. Staying on treatment, even during well times, can help keep the disease under control and reduce the chance of having recurrent, worsening episodes.
Do Other Illnesses Co-occur with Bipolar Disorder?
Alcohol and drug abuse are very common among people with bipolar disorder. Research findings suggest that many factors may contribute to these substance abuse problems, including self-medication of symptoms, mood symptoms either brought on or perpetuated by substance abuse, and risk factors that may influence the occurrence of both bipolar disorder and substance use disorders. Treatment for co-occurring substance abuse, when present, is an important part of the overall treatment plan.
Anxiety disorders, such as post-traumatic stress disorder and obsessive-compulsive disorder, also may be common in people with bipolar disorder. Co-occurring anxiety disorders may respond to the treatments used for bipolar disorder, or they may require separate treatment. For more information on anxiety disorders, contact NIMH (see below).
How Can Individuals and Families Get Help for Bipolar Disorder?
Anyone with bipolar disorder should be under the care of a psychiatrist skilled in the diagnosis and treatment of this disease. Other mental health professionals, such as psychologists, psychiatric social workers, and psychiatric nurses, can assist in providing the person and family with additional approaches to treatment.
Help can be found at:
*University—or medical school—affiliated programs
*Hospital departments of psychiatry
*Private psychiatric offices and clinics
*Health maintenance organizations (HMOs)
*Offices of family physicians, internists, and pediatricians
*Public community mental health centers
People with bipolar disorder may need help to get help.
*Often people with bipolar disorder do not realize how impaired they are, or they blame their problems on some cause other than mental illness.
*A person with bipolar disorder may need strong encouragement from family and friends to seek treatment. Family physicians can play an important role in providing referral to a mental health professional.
*Sometimes a family member or friend may need to take the person with bipolar disorder for proper mental health evaluation and treatment.
*A person who is in the midst of a severe episode may need to be hospitalized for his or her own protection and for much-needed treatment. There may be times when the person must be hospitalized against his or her wishes.
*Ongoing encouragement and support are needed after a person obtains treatment, because it may take a while to find the best treatment plan
for each individual.
*In some cases, individuals with bipolar disorder may agree, when the disorder is under good control, to a preferred course of action in the event of a future manic or depressive relapse.
*Like other serious illnesses, bipolar disorder is also hard on spouses, family members, friends, and employers.
*Family members of someone with bipolar disorder often have to cope with the person's serious behavioral problems, such as wild spending sprees during mania or extreme withdrawal from others during depression, and the lasting consequences of these behaviors.
*Many people with bipolar disorder benefit from joining support groups such as those sponsored by the National Depressive and Manic Depressive Association (NDMDA), the National Alliance for the Mentally Ill (NAMI), and the National Mental Health Association (NMHA). Families and friends can also benefit from support groups offered by these organizations.
What About Clinical Studies for Bipolar Disorder?
Some people with bipolar disorder receive medication and/or psychosocial therapy by volunteering to participate in clinical studies (clinical trials). Clinical studies involve the scientific investigation of illness and treatment of illness in humans. Clinical studies in mental health can yield information about the efficacy of a medication or a combination of treatments, the usefulness of a behavioral intervention or type of psychotherapy, the reliability of a diagnostic procedure, or the success of a prevention method. Clinical studies also guide scientists in learning how illness develops, progresses, lessens, and affects both mind and body. Millions of Americans diagnosed with mental illness lead healthy, productive lives because of information discovered through clinical studies. These studies are not always right for everyone, however. It is important for each individual to consider carefully the possible risks and benefits of a clinical study before making a decision to participate.
In recent years, NIMH has introduced a new generation of "real-world" clinical studies. They are called "real-world" studies for several reasons. Unlike traditional clinical trials, they offer multiple different treatments and treatment combinations. In addition, they aim to include large numbers of people with mental disorders living in communities throughout the U.S. and receiving treatment across a wide variety of settings. Individuals with more than one mental disorder, as well as those with co-occurring physical illnesses, are encouraged to consider participating in these new studies. The main goal of the real-world studies is to improve treatment strategies and outcomes for all people with these disorders. In addition to measuring improvement in illness symptoms, the studies will evaluate how treatments influence other important, real-world issues such as quality of life, ability to work, and social functioning. They also will assess the cost-effectiveness of different treatments and factors that affect how well people stay on their treatment plans.
The Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) is seeking participants for the largest-ever, "real-world" study of treatments for bipolar disorder. To learn more about STEP-BD or other clinical studies, see the Clinical Trials page on the NIMH Website http://www.nimh.nih.gov (http://www.nimh.nih.gov/), visit the National Library of Medicine's clinical trials database http://www.clinicaltrials.gov (http://javascript%20popWindow%27http://www.clinicaltrials.gov%27), or contact NIMH.
dstyle347
30-01-2005, 07:45
I was in the military and have PTSD along with BP type2. I can't
smoke weed to save my life. I'll go insane off one hit. I'm all about
the white. I need lots of xanax though when I do yay, it's kinda of a
really nice balanced but non-paranoid energetic uphoria. I get
wellbutrin too which is buproprion HCL 600mg's a day, not whatever the
hell was said earlier, same crap they give you to quit smoking, targets
the same receptors as cocaine, well addiction in general. You can sniff
that too if you don't mind the sting for a small high. I have about 50
bottles of olanzapine stored up cause I hate it. Although it helps when
I feel like goin to do some really crazy stuff, like rob somebody or
shoot something or someone, I'd rather leave that crap in the past when
I was young. Half the people that are bi-polar don't know and half that
think they are are'nt. It's no science at this point thats for sure.
Everything is going to be different for each situation, regardless of
if you share the diagnoses of bp type2. for instance i also have
anxiety, panic disorder, agoraphobia (STAY AWAY FROM METH W/ THIS) and
obviously sever manic - depressive episodes. My suggestion is to get
egvery script you can, that way you have a toolkit to counter any bad
reactions..... :P
OneDiaDem
30-01-2005, 09:50
For an anti depressant, salvia has great after effects that last for a few days. I absolutely cannot live without my xanax, as I am a rapid cycler, and predominately manic. Mushroom seem to offer a sense of well being for up to a week after. Ive tried some experimentingwith very small 1/4 gram doses daily, and that seemed to help also. It all depends on what side of the pendulum you hang out on most of the time.</font>
I go through periods of time. There are periods when I would be mostly manic, and there are periods when I would be mostly depressive, but even during those periods I do switch from one state to the other, just that one is always dominant.
I found that writting does help me a lot while depressed, plus I do some of my best writting in that state. And drawing helps me a lot while manic, and some of my best paintings come from that state of mind.
I also have AADD [adult attention deficit disorder], and a mild anxiety disorder. Im currently on effexor [venlafaxine, SSRI; 150mgs per day], it's worked out quite nice actually, it takes the anxiety away [anxiety use to trigger most of my depressions], It helps me a lot, specially in social situations where I'm usually paranoic.
The only thing is that it gives me this weird dreams...
Effexor is not an SSRI, I found some info on erowid.
Venlafaxine (Effexor) is an oral antidepressant. It is the first in a class of antidepressants known as the SNRI's (Serotonin, Norepinephrine Reuptake Inhibitors)</span>. It is also a weak inhibitor of the reuptake of dopamine. Venlafaxine is indicated in the treatment of depression and generalized anxiety disorder. It is structurally unrelated to known antidepressants and anxiolytics. Venlafaxine has an active metabolite, O-desmethylvenlafaxine (ODV).
It shouldn't be mixed with MAOI's [no ayahuasca for me:cry:]
I'm bi-polar as well. Mostly intense mania and not-so-bad depression. I'm on Lithium and Seroquel.
Anyway, I smoke pot pretty requently, it helps with my anxiety
(sometimes, if I go overboard it's the opposite). I've also taken
mushrooms. Before and during medication. The two or three trips I had
before I was diagnosed were amazing, lots of visuals, intense
conversations and scenarios. But now my trips are very dim, I enjoy it
still but I kind of have to fight to feel it. Strange.. must be some
interaction.
I've done a lot of coke, which made my manic stages explode, leading to bad things. I just stay away from this stuff now.
Now I pretty much just smoke pot. I really enjoy kava kava every now and then. Or a hot cup of coffee and a cig. mmmmmm...
seraquel workes good to be able to unwind and sleep. i always had a
spinning head and found it hard to sleep. self medicating w/
drugs isn;t such a good idea. that will only enhance your ups and
downs. making even your ups turn to anger and rage.
that's true, one has to be quite carefull when combining medications with trips ans such...
I took seroquel for a little while but it made me sleep WAY too much, like 20 hours a day... and the remaining 4 hours I was falling asleep... no good.
license2chill
30-06-2005, 13:13
The two or three trips I had
before I was diagnosed were amazing, lots of visuals, intense
conversations and scenarios. But now my trips are very dim, I enjoy it
still but I kind of have to fight to feel it. Strange.. must be some
interaction.
I am pretty sure this is the lithium @work. I have had the same
experience with MDMA. Lithium is not a sweety. It has interactions with
a lot of drugs and it has a great risk of being neurotoxic, even on
therapeutic levels!
I have decided to discontinue my lithium intake because the medicine was worse then the disease.
~lostgurl~
05-07-2006, 21:56
SWIM is bipolar, PTSD
Medication Reactions:
Diane 35 & Estelle (birth control) caused manic, depressed and mixed episodes
Arapax - alone worked in bringing SWIM out of a depressive state. Weight gain
Citalopram - caused frequent manic episodes with risky (and stupid) behavior
Venlafaxine/Effexor - seemed to take away depressive mood but not depressive symptoms. It also decreased methamphetamine craving.
Lithium - almost completely stabilized the manic, but left SWIM very numb, no creativity, and SWIM really missed her emotions. Weight gain, even when SWIM was smoking lots of meth.
Clonazepam/Klonopin - helped slightly with anxiety from PTSD, but mostly just made SWIM sleepy. SWIM could not get high off it, she would fall asleep before that could be achieved. Weight Gain
Zopiclone - has worked long term for sleep, causes drowsiness the following day but no obvious affect on mood.
Lorazepam did nothing
Drug Reactions and Interactions:
Ecstasy - fantastic, followed by mixed episodes. While on anti depressants (SSRI & SSNRI) Ecstasy had opposite affect, no nice feelings, just sick and hot, difficulty moving fast. Weight loss with weekly use.
Heroin - of course was amazing. Withdrawal was the worst torture SWIM ever experienced, followed by lengthy depressive state. Massive weight loss.
Acid & Musrooms & Exodus (Party pill) took SWIM on awful trips, she totally lost it and thought she would never come out of it. SWIM was on anti depressants when acid trip occurred but was not on any meds with the other two. Understandably SWIM did not repeat!
GBL & 14B was incredible (happy, friendly, confident)when taken during stable and depressed states but when SWIM was having manic and mixed episodes GHB worsened those symptoms 10 fold (while high) but minimal effects in days following. GBL was toxic at a much lower dose while taking daily Rx Clonazepam, and made dosing, especially repeat dosing very hard to judge.
Cocaine - Very little effect
Crystal Meth - Creative, Intuitive, motivated, talkative, obsessive, intense drug craving, insomnia. Venlafaxine helped with craving, zopiclone helped with sleep, GBL took the edge off. In following days/weeks SWIM felt tired, unmotivated, bored, craved more, anxiety, symptoms of PTSD worsened and SWIM had no desire for anything other than drugs. Slight weight loss while un-medicated, weight gain while medicated and weight gain during days following use.
To summarize, I'd have to say SWIM is unbalanced and highly irregular
(< :crazy :( :eek: :confused: :p (< :D :cool: :smoker:
Well, SWIM has had horrible mood swings, violent episodes, depression, etc. for SWIMs whole life (even when SWIM was a yery young). Never gotten a DX (deliberately - call SWIM paranoid..) and found that GHB and cannabis worked well to control most of the symptoms and allow SWIM to be functional and not dangerous to others. Problem is, GHB ran out and SWIM has mostly just had cannabis, which is not as effective. Seems the weed stabilizes mild mood fluctuations, but not the big ones. SWIM is considering Effexor as an alternative, along with a legal RX for a benzo for the really bad episodes.
SWIM has not had any real problems with psychedelics and mood swings. Seems the mood swings don't really care about them, though the day after SWIM might be a little more susceptible. SWIM is concerned about the Effexor dampening or eliminating the effects of psychedelics, and prohibiting the use of MAOIs, which is why SWIM has avoided them. When on prozac a long time ago, SWIM took 2 hits of known strong LSD and nothing happened. Made SWIM very resistant to mushrooms as well. SWIM did not like that at all!
SWIM feels the best help for bipolar disorder is recognizing it. SWIM spend a long time not realizing what was happening, and once SWIM figured it out, it was easier to control. It is often very difficult for SWIM to recognize mood swings when they come on, particularly the powerful ones, and sometimes other people around SWIM need to point it out. (ie - hey, you're acting like a moron all of a sudden!).
illuminati boy
06-07-2006, 01:37
I've also taken mushrooms. Before and during medication. The two or three trips I had before I was diagnosed were amazing, lots of visuals, intense conversations and scenarios. But now my trips are very dim, I enjoy it still but I kind of have to fight to feel it. Strange.. must be some interaction.
Humbly submitting that I might know a thing or two about the pharmacology of quetiapine (Seroquel), I would submit that as long as you are on an ‘atypical’ antipsychotic medication you will likely get greatly diminished effects from 5HT2 psychedelics. That being said, you probably know better than I the perils of abrupt discontinuation of medications that support mood stability. If your meds are keeping your mood stable, keep taking them. Unfortunately though, an atypical antipsychotic medication is a surefire way to crash a trip from most of the ‘classic’ psychedelics (Serotonin 2 action agents).
Also, taking ayahuasca is something that should not be entered into lightly. Part of the 2 component brew is a MAOI which will drastically increase the effects of a wide spectrum of medications. Taking a MAOI while on a medication (or possibly even the wrong diet) could be the last mistake one might make.
If one has a serious mental illness any decisions to alter ones consciousness, mood, or neurochemistry should be considered carefully.
I B
Hey I'm bipolar I. I'm curious about E. What are the pros/cons of someone trying this with my condition? Any research on this?
Thanks =)
Forthesevenlakes
18-09-2006, 05:53
Please contact the moderator of the forum and ask them to change the "I" to "SWIM" in your post.
Before proceeding to post in these forums, you MUST first familiarize yourself with the rules here. Pay close attention to the rules regarding self-incrimination and learn to use SWIM (Someone Who Isn't Me) or equivalent. Proceeding without abiding by our rules can and will get you banned.
The rules can be found here:
http://www.drugs-forum.com/forum/announcement.php?f=43&a=1
Thank you & Welcome.
enquirewithin
18-09-2006, 09:54
Hey I'm bipolar I. I'm curious about E. What are the pros/cons of trying this with my condition? Any research on this?
Thanks =)
Should SWIY think about taking "E" (MDMA), he/she should be cautious. Googling "MDMA bipolar" yielded this:
Complications with (Ecstasy and) Bipolar Disorder: Some users, most especially those who frequently take Ecstasy or take high doses, experience depression when coming back down. Those already struggling with depression (unipolar or bipolar) may find that Ecstasy exacerbates the condition (DanceSafe).
http://bipolar.about.com/cs/dualdiag/a/dual_ecstasy.htm
If you have a bipolar disorder, then you should avoid taking MDMA.
http://ecstasy.org/qanda/q74.html
MDMA ("E") is basically a stimulant. If SWIY is taking medication, there could possibly be complications.
Thank you for this information! SWIM was always wondering about how these two things related.
Nagognog2
18-09-2006, 14:06
There are reports from people who have bipolar-disorder - but over the years learned to deal with it drug-free. They learned to step back from their minds and not interact with the "show." They, too, reported a stronger depressive curve following MDMA. But were not drawn into such, and had a wonderful time.
This is certainly not recomended for one who has not learned to deal with their condition naturally. And many of the drugs currently in use for bi-polar would negate the effects of MDMA, aside from an uncomfortable sense of over-stimulation.
Heretic.Ape.
01-06-2007, 22:12
SWIM was diagnosed with bipolar disorder in his early twenties. The sympoms had started in his mid teens. When he was 17 he started smoking cannabis regularly and was mainly symptom free for the next few years while smoking regularly. When he turned twenty one he swiched to drinking regularly (he was, after all, at university ;) ) and his symptoms returned and were augmented by the alcohol consumption.
He has noticed since then that when he does rarely smoke it has a calming effect and causes him to "step back" a bit, enabling him to view his emotions more objectively. This applies both to depression and mania, the cannabis acting as a sort of equalizer without the apathy of pharmaceuticals.
SWIM is wondering if anyone else is either
a) bipolar with similar experiences
b) follows medicinal marijuana closely and has heard anything about this (studies, et cetera), or
c) just has any thoughts :)
h.a.
SWIM also has epilepsy and while he was regularly smoking pot was the longest time he went without having seizures. He's heard of a few other people here and there that claim marijuana helps them with epilepsy. Any information or thoughts on that? SWIM is thinking cannabis is pretty much a gift from god all round :)
If only he could just smoke pot legally :(
SWIM found that cannabis helped with bipolar disorder initially but after smoking for a decade or so, it did not help control it as much. However, SWIM believes that SWIM is worse without it so still feels it is beneficial, just not enough... SWIM finds that, as stated, it blunts the mood swings and calms SWIM down. For a bad manic episode, though, SWIM needs something more powerful and sedating..
JDreaming
07-06-2007, 04:01
SWIM has had a history of depression in his past, and was once diagnosed bipolar (though he would contest that diagnosis and really has no history of mania). In times when SWIM was depressed, light pot smoking helped his mood. But at times, under the pressure of the depression, SWIM would start smoking like a junkie and the pot would become a negative factor rather than a positive.
SWIM recommends depressed people who are not being helped by anything they've tried to carefully experiment with cannabis... you might find a way to use it to regulate your mood, but be careful not to overindulge. SWIM finds to this day that it has therapeutic value in moving on from bad things that have happened. If something happens that gets under SWIM's skin and he later is still seething over it though he knows he should not care anymore, a bowl of pot helps SWIM realize the trivialness of what happened and stop obsessing over it.
Heretic.Ape.
07-06-2007, 04:11
Basically what the bipolar baboon noticed is that cannabis makes him think more about his thoughts and moods. For example, he may not realize that he is hypomanic but will smoke a bit and realize that the way he has been thinking has been, well, not very grounded. Or he may be depressed and ends up smoking (usually he doesn't feel like smoking when depressed because he sees smoking more along the lines of the cherry on top of a good mood rather than a remedy for a bad mood) and will realize that he really has no reason to be so down, that he's been obsessing over something trivial, etc. It tends to make him think more clearly rather than making him "feel better".
They say most people who do have serious problems with drug abuse
most of the time its cocaine
swim finds that the use of drug controls the depression and makes one feel more sane
and calms down the mania to the point were it can be controlled and understood
Anyone here have this illness and use drugs?
Heretic.Ape.
13-06-2007, 19:47
I've noted elsewhere (in relation to cannabis) that my lab monkey has bipolar. He does not have a problem with drugs, in fact he rather likes them :)
He doesn't really even use anything much these days, though he used to be prolific in his experiential meanderings. Now he just does some blow every once and a while (maybe once every few months) and smokes the occasional bit of cannabis (maybe once a month or so). This may have more to do with him being older and not having any access now that he's out of the loop and is much more daunted at the notion of asking around than he was in his more wreckless youth, but even when he was doing a variety of substances with some regularity he never had any issues with abuse.
I've noted that cannabis evens out his thinking (no "I am speaking with gods! :crazy" or "I am the total shit of existence :( "). Blow seems to have more of a calming effect on him than he would expect from other peoples reactions; he doesn't know if this has anything to do with the disorder. His wonderful hypomanic enthusiasm probably did have something to do with his overall experimental exuberance that leads him to want to try everything at least once (and then to do it again, again!), but that just might be a personality trait known as sensation-seeking, related to low levels of MAO.
Monkey wouldn't recommend anyone using drugs that might prove detramental to their condition as self medication who have the disorder, it's a wierd disorder and can be very unpredictable. But monkey tends not to be as cautious as he encourages others to be ;)
Bananas293
22-06-2007, 19:38
Swim suffers from depression in the form of anxiety attacks.
Cannabis is a double edged sword, it usually helps in that it helps relax the mind and thus control the train of thoughts that usually lead to an attack, it offers comfort at a time when little else can and more often allows to continue life functioning properly. The bad side is that it only masks the problem and can often push into a paraniod agrophobic depression that makes confronting and managing the anxiety very difficult.
Whatever your circumstance regarding mental health it is important that your doctor knows about any past or present drug taking(they cant bust you!) In Swims sitiuation they chose not to use prescription medication after looking at Swims history yet they have not discouraged(nor condonned) the use of cannabis along with the current cognitive behavioural therapy being undertaken.
A friend of mine stays comfortably in hypomania (not going into mania) with cannabis and low doses of lithium orotate (that is, about 1/10 of carbonate dose typically prescribed.) He does not consider bipolarity to be a disorder for him, though he knows that others for various reasons have a more difficult time of things. He is one of the most productive, daring, and creative fellows I know. *shrug*
SWIM also uses bipolar tendencies to SWIM's advantage. SWIM does not use any drugs before or at work and can go for 15 + hours with no breaks at twice the speed of anyone else. SWIM cannot function this way when not occupied, and then becomes really manic. So in a sense, SWIM has learned to use this problem to SWIM's advantage. Sometimes it is difficult when the depression takes over, but there is still that baseline hyperactivity that rears its head as soon as the serum THC levels drop.
Well, if you truly do have tendencies to mania, I have a feeling that effexor will be ... not good.
But in any case I have an older friend in a law firm as well, who tells me almost everyone working there is a hypomanic. Couldn't handle it otherwise.
Intellectually speaking, the degradation of brain matter (which lithium prevents) is troubling. Probably due to chronic stress (conclusively demonstrated to be neurotoxic) -- abnormally stressed when you're up, abnormally stressed when you're down.
Henry Miller stayed sharp as a tack. :) I think it is probably going to vary widely from person to person. There are folks whose borderline state is depressive, for instance, with rare violent, dysphoric manias -- others who stay pretty ensconced in a hypomanic phase. Virginia Woolf was elated for most of her life -- her illnesses, however, were extremely severe and long-lasting when they struck.
If I can get off my butt I think I am going to write a little monograph on the possible use of low-dose lithium orotate, which is considered by some reseachers to be a trace mineral, and which I think is worth investigating for many manic-depressives who find normally dosed lithium carbonate too dulling. It may help remove the sharpest edges of the problem without strapping one to the ground so to speak. On a chemical level, lithium is both neuroprotective (preventing the destruction of brain matter -- it seems to block overstimulation) and neurotrophic (encouraging new nerve cell growth). But it can also be quite toxic, to numerous organs -- especially as dosage increases.
thewomaninagreenhat
08-10-2007, 17:52
Swim has bi-polar disorder, and smokes throughout the day, every day. Swim hasnt been on prescribed meds for the bi-polar for more than 7 years now, and is actually doing much better without them. Pot helps her keep her emotions in a closer to normal range. She has also adjusted her life and has to avoid certain things, but she is doing much better with just pot than with pot and meds from a doctor.
Euthanatos93420
14-10-2007, 20:46
Swim has bipolar. He doesn't like cocaine. He tried meth a few times and think it may have reduced his ability to produce dopamine surged manias. Hence mellowing out his swings. Swim used cannibis to medicate for about four years and quit when it stopped helping. Though that was due to other circumstances skewing reality. Fucking narcissitic bitches. Swim uses DXM, Salvia and weed occaisionally (once or twice a month, individually or in combinations). nowadays and treats his self with white peony root for mood stabalization. Melatonin and chamiomile at night to sleep. Swim gets along just fine without life-altering delusions of granduer (though he entertains the thoughts from time to time he doesn't act on them). Swim is able to seperate depression and mania from 'reality' and act as one should despite mood. He has learned that the nature of bipolar is that the mood will pass eventually :D
thewomaninagreenhat
14-10-2007, 22:19
Swim has bipolar, and after having terrible terrible terrible side effects from numerous prescribed medications, swim decided to take matters into her own hands. She altered her lifestyle to get rid of as many stressful situations as possible, reducing the swings significantly. She also uses pot to keep her mind straight, as she is sure her mind would explode if not suppressed some.
Swim used to shoot up with coke, meth, and oxy. She used many excuses for why and how it helped her at the time, but now realizes that it just made her life even more of a mess. She doesnt recommend using these things to anyone, but doesnt judge those who chose to.
Altering her life is what has made the best impact for Swim. Working from home, limiting in-person contact to real friends and family whenever possible.
Swim thinks that changing her diet would make improvements as well, but that is so hard to do. :s
Heretic.Ape.
14-10-2007, 22:45
Cutting out stress is definitely valuable when dealing with this disorder: stress=swings. I have also heard good things about changes in diet but have never had the self discipline to carry out dietary changes :p
Welcome to the forums :)
h.a.
thewomaninagreenhat
14-10-2007, 22:53
Thank you for the welcome! Im sure that all of us would be better off if we had the discipline needed to have healthy diets. That darn chocolate and sugar has me hooked! :)
Speaking of healthy foods, pizza just arrived. :laugh:
I look forward to getting to know people around here! It seems like a great forum, and one that I will be donating to as soon as I get the info.
ps....I hope that it is ok for me to say "I" here instead of Swim, as there is nothing incriminating in this post at all. If it is NOT ok, please, could someone let me know. I dont want to break the rules.
A friend of mine finds that, with his bi-polar condition, it is easy for him to become dependant on cannabis because of it's anxiolytic properties when he is on the down swing. He finds that cocaine, whilst replicating the manic periods reasonably accurately messes far too much with his moods on the come down. In fact, he has left off using all drugs apart from alcohol and cannabis because of their great and lasting effect on his mood. As for understanding the condition - he has no experience with things like LSD, Ibogaine or Psilocybin which supposedly are useful for introspection, but finds that only sober analysis is useful.
Euthanatos93420
15-10-2007, 18:32
Hmm...Swim finds pot very easy to quit. There was a time when he was psychologically addicted to it. But not chemically dependant. A few months without and he's back to using or not at will. Is more often without than stoned. Lately he's been once every week or two. But still it averages out to about once a month. Swim's favorite book just came in the mail and he wishes he had a nice joint to sit back and enjoy some poetry :D But other than that it's not a big deal.
Diet has had the biggest impact on Swim's moods. He doesn't drink soda AT ALL. Never, Not diet, nothing. THe only exception is a root beer float he had about a month ago and he only used half a can. And a ginger beer the other day at a friends house because he'd never tried one before. Swim stays away form sugar Unless it's in his vegetables. No cake no sweets. The only exception is when his mother bakes cookies. OMG they're better than X....not that Swim would know what X is like but he thinks the cookies are that damn good.
It's okay to have pizza or sugar once in a while. But the key is moderation. One skate meal a week is fine. Swim is a professional cook even if he doesn't do it professionally anymore and has studied diet and nutrition. Swim does a fairly routine series of excersies he learned in teh military as well as riding his bike 3-4 times a week (Low impact, SAVE THE KNEES! :D)
His favorite snacks are Tamato & basil Wheat Thins with Extra sharp white cheddar cheese or Stilton. And a nice glass of shiraz or Vegetable juice depending on his mood.
Swim was watching a short scene from Oprah his parents were watching the other day while making himself a snack and they were talking about pasting up vegetables and putting em in food. Swim thinks it was Jerry seifeld's wife who wrote a book on it or something. If vegetables are difficult for Swiy or Swiy's family This might be something to look inot. Personally Swim love all veggies except Bell peppers.
I always speak for swim. The last thing I need to do is develope MPD too :D LOL
thewomaninagreenhat
15-10-2007, 18:47
Swim likes sugar too much to get rid of it. There are always fresh fruits and veggies at swims house too though. Swim does eat too much of some things, like pasta, potatoes, beef, sweet things. Also lots of cheese and yogurt. Swim absolutely HATES seafood of any type, even though it would be good for her. Swim also doesnt like chicken or pork or any other meat besides beef really, and eats beef almost every day.
Swim is sure that a better diet and more exercise would help with the mood swings, for sure, but some things arent worth giving up. Cutting the stress has worked wonders for her, and she is very level in moods, almost always happy.
Euthanatos93420
19-10-2007, 16:15
Swim likes sugar too much to get rid of it. There are always fresh fruits and veggies at swims house too though. Swim does eat too much of some things, like pasta, potatoes, beef, sweet things. Also lots of cheese and yogurt. Swim absolutely HATES seafood of any type, even though it would be good for her. Swim also doesnt like chicken or pork or any other meat besides beef really, and eats beef almost every day.
Swim is sure that a better diet and more exercise would help with the mood swings, for sure, but some things arent worth giving up. Cutting the stress has worked wonders for her, and she is very level in moods, almost always happy.
Beef is god. Sugar in general is bad. Natural, Non-caloric substitutes for stimulations of the sweetness taste buds are available. Licorice is 50 times sweeter than sugar and contains 0 calories unless prepared in a medium with sugar. Sugar is bad for you, Worse than crack and tabacco and equally as addictive.
Excercise is far more potent in maintaining health than diet. But it is best to work the two hand in hand.
mitchellca
05-12-2007, 14:55
Swim has bi-polar disorder and found everything doctors gave swim didnt help at all. (Mainly citalopram and diazepam)
Swim however found that almost any substance such as alcohol, weed, coke, ketamine or anything had the same effect of just numbing the depression.
The mania part is different though, with swim still not finding anyway of 'controlling' this.
Heretic.Ape.
06-12-2007, 05:28
monkey is currently having a good deal of success with a combination of depakote, keppra (these two primarily for epilepsy) and zyprexa and citalopram explicitly for bipolar, as long as he is regular with them.
Euthanatos93420
08-12-2007, 07:26
Swim has bi-polar disorder and found everything doctors gave swim didnt help at all. (Mainly citalopram and diazepam)
Swim however found that almost any substance such as alcohol, weed, coke, ketamine or anything had the same effect of just numbing the depression.
The mania part is different though, with swim still not finding anyway of 'controlling' this.
For the longest time swim doubted he even had manic-depression. From what he has heard from a lot of other manic-depressives, most are unable to discern their state of mind while manic, depressive, or dysphoric. Swim wondered if he was just "moody" and not manic-depressive because he has always been able to discern his state of mind while manic, depressive or dysphoric. Acknowledgment has always given him a little bit of power over his swings when he excercises mental control methods to adjust his state of mind and thought patterns. Swim considers him self highly self-analytical and introspective and thinks that this may have something to do with it. Swim did confirm that he is manic-depressive after visiting the psych who perscribed him several different meds but stopped taking everything altogether and went back to his DOC (MJ) after the doc wanted him to take Geodon. Swim spent his entire life explicitly avoiding opiates, and from anecdotal reports of Geodon swim told the doctor his natural therapy has proved to be far more effective than the pharmies. This isn't a reccomendation for any bipolar, it is merely an anecdotal. Swim doesn't even use MJ anymore and copes extremely well with his bipolar atm.
SWIM is bipolar and has had all kinds of serious drug habits and has shunned mood-stabilizers, though has been on SSRIs and benzos. GHB and weed worked well to control mood swings, but GHB is no longer legal and weed no longer works. However, SWIM does not think SWIM could function at SWIM's high stress, rapid thinking job if SWIM here not in a manic state all the time. In fact, SWIM does not smoke on work days to allow all that excess energy and activity to ride through the long shifts.
SWIM wonders how many other bipolars are unwilling to give up on the energy, in spite of the often crippling suicidal depression and various degrees of irrational moods and behaviors which upset, alienate and even drive away loved ones and friends. Truly a curse for which SWIM has no clear solution.
SWIM has stopped most drugs and alcohol at this point since they can trigger major manic episodes which are scary for all involved and could in a night ruin SWIM's life if SWIM did not have very tempered mental fortitude. SWIM is almost possessed in theses states and can barely refer back to the SWIM's normal frame of mind. Alcohol and stims have been the biggest trigger for these episodes, and almost always accompanied by stress or a crisis. Never been set off by pot or psychedelics, ironically enough.