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The problem with SSRIs is that they can have wildly different effects on different people. Compounding that issue is clinicians misdiagnosing patients quite fre
by Jubjubz 10y ago
The problem with SSRIs is that they can have wildly different effects on different people. Compounding that issue is clinicians misdiagnosing patients quite frequently because it's all subjective. You take a few questionnaires and they score them and say "this number means you're mildly/moderately/severely depressed."
In my case, as with many others with bipolar, Zoloft sent me into a hypomanic episode where I didn't sleep for 3 days and was severely agitated. I had never been diagnosed with bipolar in the ~15 years I had been in treatment. A change in my medication resulted in serious complications.
Recommending specific medications without experience is dangerous. Even doctors with years of experience can't get it right. It turns out for me SSRIs are a poor choice. I was prescribed lamotrigine and it changed my life. I no longer feel depressed for months at time, I sleep well, my libido is normal and I can ejaculate whenever I want.
- joelmeckert 10y agoTrue that, lamotrigine has been life changing as well, it took the edge off the depressive features. I initially dismissed lithium, but with long-term use, it has reduced episodes, agitation, with mild emotional blunting that I have learned to deal with. I've had to cycle off lamotrigine three times so far due to poopout, they call the protocol a washout, and it gets reintroduced at a starting dose until it is effective again, with a typical dose around 100 mg after washout.