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Antidepressants useful for bipolar 2?

Azelka

Azelka

Well-known member
Joined
Dec 6, 2018
Messages
152
Hey, I've noticed that each time I switch to an antidepressant for another, I have hypomania and when the antidepressant starts working I fell in depression again, can anyone relate ?
 
H

Hail

Well-known member
Joined
Jun 3, 2019
Messages
237
Location
Somewhere
Here a a opinion from about antidepressants and bipolar:

Is my first time taking an antidepressant ( 3 weeks) and yes I feel more depressed and numb with it.

Maybe the body does not respond to that medication or you need more time to see a result.
 
E

EstherRose94

Well-known member
Joined
Mar 2, 2019
Messages
1,829
Location
USA
I think they tend to be at a therapeutic dose after 6 weeks.
 
Jess96

Jess96

Well-known member
Joined
Apr 20, 2019
Messages
55
Location
Manchester
Hey, I've noticed that each time I switch to an antidepressant for another, I have hypomania and when the antidepressant starts working I fell in depression again, can anyone relate ?
I have been on this cycle and it’s draining I’m on duloxatine at the moment and find them really good maybe consult your doctor you may need them adjusting hope you feel better soon x
 
J

Jstark

Member
Joined
May 28, 2019
Messages
5
Location
Pa
I am taking pristiq and lamictal. I have been for a while. It may be time for a change but that combo has worked for me. I have always been somewhat functional but they help take the edge off so I can be moreso.

Before I was diagnosed with bipolar type 2 they had me as major depressive disorder since the crashes into the depressive episodes can last for years at least for me.

I tried 10 or more singular depression specific antidepressants and none really helped on their own plus I just couldn't tolerate them physically. I'd try for months and for most of that time I'd feel foggy and very nauseous for most of the day. I was also subject to some of the male sexual or sensation side effects as well as dramatically lowering my libido. That made my marriage a bit strained as my wife couldn't help taking that a bit personally. TMI maybe but it's fair I think to share that to inform as needed.

I'm 37 and for many years I feel I was misdiagnosed. To be fair it's hard to differentiate when depressive episodes last for years at a time. I was only correctly, at least in my mind, diagnosed a few years ago. It made a big difference. I'm still subject to swings up and down but they are less severe for the most part and much easier to manage with meds and therapy.

I did have a very bad downswing over the past year or year and a half. It was triggered by the sudden death of my father who I'd been estranged from for a long time. We had a great Christmas eve with all of the original family, him, my mother, my sister, and me and my wife had a great time. It was like we were a true family instead of the broken and separated one we'd become over the years. Without that I would've had a much harder time dealing with it. He died of a head injury suffered in a fall. 57. Too young. It left me feeling guilty because I could've contacted him years ago and we couldn've put all the shit behind us. He could've also but we are so similar that anxiety made that very hard. Still seeing him living on machines, which he specifically said he did not want, was very hard. My sister and I made the decision, as per his wishes in this case, to take him off life support and let him go. The memory of his last breath is etched in my mind. It was the right thing to do but it still was very hard.

That and some other things took me down hard. Then several months later I met someone who I quickly became friends with. She had had a very tough life and had faced trauma and depression as well as seeing herself on the edge of suicide also. Her friends and family who she'd reached out to failed her by yelling at her and calling her selfish etc.

We'd talk about very personal things often and I promised her I'd be there if she was ever facing suicide again. Well apparently I become a horrible person who is the opposite of who I want to be when I really fall into the abyss. As I went down I treated her worse and worse. Instead of being there to ease the deep pain I saw in her I made her life much worse. (I'm not sharing how) I was blind to it until, months later, she finally called me out on it. When I realized who I'd been it broke me. I felt so extremely guilty. How could I have been that man? It was made infinitely worse by the facts of what she's been through and how I promised to help if I could.

I can't apologize, I can't try to make things right, there is no going back. I'm sure she hates me. A couple of attempts to own up and be as honest and open as I can be completely blew up in my face. We avoid each other as much as we can now and it's hard to see her anywhere. I feel so bad about that that I couldn't tell my therapist for months after.

Anyway wild tangent over.

My thought is that regular antidepressants on their own are not very effective for type 2 bipolar disorder.
 
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