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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by SpacedOutKid on December 2, 2005, at 18:49:52
Hi all. I have OCD and Bipolar. I think I have ran out of options. I am on a lot of medication and nothing seems to work for my mood. my OCD is a lot better though. I take:
200mg Anafranil
1000mg of Depakote (blood levels are in the "high" range of normal which is weird seeing that im on a low dose)
15mg of Abilify
2mg of Benztropine (to control the akathisia from Abilify)
15mg of ValiumThats about it. My Pdoc tried to stop Depakote but i became hypomanic I think (according to my family) and I basically ruined the relationship with my partner because of the way I was (I get really angry when I get hypomanic but especially when I am manic. However, I am not physically violent and I am deeply sorry for the things that i do and in no way do I blame anyone but myself for my actions.)
I dont know what else to try. I have pretty much been on everything. Anyone have any ideas? Thank you and take care.
Re-starting the Depakote has
Posted by Phillipa on December 2, 2005, at 19:24:44
In reply to OCD + Bipolar I + Paranoia + Anxiety, posted by SpacedOutKid on December 2, 2005, at 18:49:52
Give it some time the answers will come in . Fondly, Phillipa
Posted by med_empowered on December 2, 2005, at 21:52:45
In reply to OCD + Bipolar I + Paranoia + Anxiety, posted by SpacedOutKid on December 2, 2005, at 18:49:52
Hi! Sorry. Your situation sucks. I dont really know what you could do med wise...when I went from trileptal+abilify to just abilify I felt better (not good, just better). When my paranoia had been better for a long time I was able to go back to just Trileptal. Maybe you could ramp up the Abilify (I think the max is 30), up the benzo, and then maybe drop the depakote? The only other thing I can think of is adding BuSpar...it sometimes helps with OCD and depression, and is OK at dealing with general anxiety. In addition, it seems to make neuroleptics more tolerable, at least for some people, so you might have less of a problem with akathisia. I found 30mgs/day (15mgsX2) to be helpful; I think its dosed up to 60mgs/day.
The paranoia is a pretty common part of BP, although Ive only had a doc talk to me about it a few times. I guess its a sort of sub-clinical psychosis...it can go away or respond to mood-stabilizers. Odd.
This is the end of the thread.
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