- Dec 6, 2020
- that pale blue dot
Wishbone, how long have you been taking Depakote and has the effect on your sleep remained the same, or has it diminished in time?
This sounds really good. I've never had perfect sleep, I always wake up multiple times. The question is: will I fall asleep again? Now, that takes too long. On lithium it was better. It sounds to me like Depakote can have a similar effect.Off the top of my head I'd say a couple years and if anything my sleep, especially since switching the dosage around, has improved over time. Don't get me wrong, it's not perfect sleep I get, just much improved on what it was. Five or so years ago I was in a phase where I was waking up every night about six times, not being able to fall asleep for ages etc. I'm far better now. I know I could take any of the antipsychotics and get guaranteed sleep, but the lethargy hangover effect the next day is not something I want, I want to be able to function. Depakote allows the functioning whilst also improving my sleep.
Her typical dose is 750mg but it has been increased to 1000mg during her current mood swings. So she is already on the higher does than usual. I don't think her psychiatrist or my wife will want to increase it again. I don't think it will help much anyway. Given all the things we've tried, I'm pretty sure the bad sleep is tied to her current mood. In the past, as her mood improved, her sleep slowly did also. Hoping for the same again.Keith, your wife could always ask for a slightly higher dose of Depakote rather than adding too many other things? 1000mg isn't all that much (depending on her size etc, of course).
Yeah this is my wife's issue right now. She can initially fall asleep at night. But she often wakes up in the middle of the night. One some days she can fall back asleep in 15-30 minutes. On other nights she simply cannot and has to reach for the benzo.Yeah I used to be the same. I'd wake many times but it wasn't just waking for two minutes then sleeping again, it often took ages.
She's tried all the usual things. She has a very healthy diet with no alcohol or caffeine at all. She does 30 minutes of cardio once in the morning (jogging outside) and once in the afternoon (HIIT exercise) before dinner. Goes outside for a 1 hour daily walk. No screentime one hour before sleep. Does relaxing yoga and meditation in the evening. Journaling. Consistent bed time. She has tried melatonin. She sleeps with binaural beats music with sleepphones. Still nothing has stuck enough to give consistent sleep. She still has some base anxiety that she just can't seem to shake despite all the CBT/DBT/meditation/etc that she tries. Any other suggestions are most welcome.Does she practice all of the 'sleep hygiene' stuff as well Keith?
quetiapine does not have the same risk of triggering mania like an antidepressant. It doesn't work that way. If you feel yourself heading towards mania, it is not because of the quetiapine. In any case, it would be good to have a medication to also guard against mania. At 400mg+, quetiapine should also help against mania/psychosis.Could it be the quetiapine, at this dose, is acting the same as antidepressants with me? Lift the depression but cause a mixed state? This happened to me multiple times with ADs, with two of those episodes even ending in psychosis.
Back then they told me the brief psychotic episodes were part of my personality disorder, in particular the borderline traits.
My current psychiatrist says it's the bipolar because it's during hypomania.
I thought quetiapine was a mood stabiliser and couldn't cause hypomania. I guess I was wrong?!
That is a pretty low dose so I image you got started on that dose to ramp you up slowly and observe for any side effects. You'll need to get up to at least 750mg before you really get any benefits. Good luck!Talked to psychiatrist. Will start on 300 mg of Depakote.