|
Q: Treatment for Dysphoric Manias
First thanks for this Forum.
I am Bipolar and My Mania's are Dysphoric. When I was first diagnosed, I was
given only Paxil which stopped the Depression, and the Dysphoric Episodes also
were almost non existant.
The Paxil which had a few side effects in the Sexual Dysfunction area, when I
would Yawn my knees would start to buckle at times, and eventually my lower back
was in great pain.
I am now on Eskalith 1350mg a day and Effexor XR at only 75mg a day after having
been up to 225 on the Effexor.
What it all boils down to is What is the best treatment for someone with
Dysphoric Manias?? I would not wish them on anyone, especially when I live with
2 other Bipolars...
Dear Allen
In the view of most mood experts, which are summarized on my website
under the treatment section of the material on bipolar II, the two most
important principles are: rely on mood stabilizers, and be extremely cautious
about using antidepressants, generally avoiding them if possible.
Dr. Phelps
|