I cant seem to find the right meds. Sometimes Personally
i think that I am ADD. On the other hand am
definitely Bi Polar. What is your opinion about abilify.
39yrs old, 204 lbs ( down
from 235 within the last 3-4 months) The meds We are on now just
dont often work
excluding the Lamictal. ( current med stack/. . lamictal 200mg. Zoloft 100mg. seroquel. 25mg)Litium wasn't any good
together with nuerontin and depakote. Zyprexa
proved helpful but skyrocked my cholesterol (replaced by seroquel) seroquel gives
us a hangover
and also nasty. . grouchy inside AM) What could I want to increase
abilify. . Lamictal plus an anti depressant
I am believing that Zoloft might not exactly
be the greatest choice. Also . . We have anxiety. . used
to take kolonopin or valium. My throat closes up/. . gag refelex to the stage I vomit. . I have
gone into
vomiting fits where I need to get Adavan injection to prevent it. ( 30 mins or
more) Currently
I vomit or gag in the morning for 10-20 minutes before work or
before a substantial appt before a CEO
or board of directors (highly stressful
job) Sales. . I additionally run 2 corporations being a Pres. as well as
a CFO. Please advise. . I
am for the point where my wife is going crazy and I am sure
my 4 yr old and 6 yr
old are increasingly being effected.



Thanks

Darrin

Dear Darrin
--

As you know, it will be inappropriate will be able to tell someone where to start
because of
their medications; instead I generally seek to point people toward
information they could use because they check with their doctor
what direction to go. From
your comments, listed below are several ideas. I'm not sure much about aripiprazole
(the one
with the smarmy trade name we ought to all boycott which appears inside
4th sentence of the note) because I
still haven't tried on the extender much. I avoid
using new medications so long as I'm able to stand it
and let other individuals find
out just what the real problems and real applications of the medication are. But I've/>ever done it in 10 possibly even patients. My colleagues wonder why I'm still holding back,
no doubt. So, I
can not inform you of aripiprazole.

The other idea is a that will ring a bell if
you've read
most of my stuff: generally when situations are not running nicely for
someone looking to find a good mood stabilizer,
there's one first question
I wish to ask; I believe this can be pretty close to a 100% always, in/>fact: "are yourself on an antidepressant" I always hope the answer then is yes, because
it means probably the most
effective tools for stopping cycling, inside my
experience, is available: taper slowly off the antidepressant. Again,
this can be something
to become discussed with your doctor, to not be achieved yourself. Available for you, that's particularly so due to anxiety
symptoms you
describe. As a general way of thinking, I'd encourage your doctor to
consider (to not expect this is
true; it will cease) that the ADHD-like
symptoms, and the anxiety-like symptoms, could be portion of the bipolar process. There
is a substantial precedent for this thought processes, that you can find
discussed within the review article by Freeman and
McElroy which I've summarized on
the
Anxiety and Bipolar
page on my small website. But it's not a standard thought
processes about anxiety
symptoms so expect when your doctor, or any other people, give you credit like
"where did you
have that idea"

However, should you consider the anxiety symptoms
by doing this, look what happens: the emphasis only
falls more strongly on finding a
mood stabilizer combination that can stop cycling of symptoms. That's where I
cross my
fingers and hope that making the antidepressant out may also help things
erase and minimize anxiety overall, however i would
expect you'd still have
substantial anxiety symptoms leftover. However, the ones that remained might
considerably more amenable to some cognitive-behavioral
strategy including outlined inside the
treatment workbook for CBT in Generalized Anxiety (just in case you can't
discover a skilled
CBT therapist in your area; you can purchase two manuals and work
through it with any therapist who is smart
and wants to learn). Visit Amazon and
search for Mastery of one's Anxiety and Worry -- the workbook, not the
therapist
manual; or perhaps the little cards that go by using it, you may make those found on your personal.
Is really a
link to the novel
unless they move it. That's one treatment I am able to recommend and
describe because
it would be tough to harm yourself using this type of one! Most people even
without the need
of particular symptoms could still enjoy the techniques in this
book!

As you can observe, what I'm dealing with
here all falls
under the well accepted general principle of treating bipolar disorder when
"co-morbid" conditions (ADHD, some anxiety thing)
are mixed together: treat the
bipolar disorder first. (I merely extend that principle just a little further: treat
the bipolar
first, then seek out in whatever way to deal with the rest of the symptoms
without adding an antidepressant href="http://buydetrolonline.com">order detrol online. There are numerous psychiatrists who'd
disagree to be able extension). Dolphins, good luck the process. I really
hope it assits you
to have those corporations running well (and after that hand off several of the
responsibility, perhaps,
and thereby lower stress levels Just a thought. . . --
which surely has occurred for your requirements often times
at the same time).

Dr. Phelps

Published February, 2006