![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by medievil on January 17, 2007, at 1:43:15
i dont think my doc would give me a stimulant with a maoi (i know it might be possible tough :p) but i was wondering, does a mood stabiliser work for ADD's mood swings? or do they only work for bipolar?
also thinking of making a combo with provigil and aricept, but i'l see later :)
Posted by SLS on January 17, 2007, at 7:11:58
In reply to mood stabilizers for ADD?, posted by medievil on January 17, 2007, at 1:43:15
> i dont think my doc would give me a stimulant with a maoi (i know it might be possible tough :p) but i was wondering, does a mood stabiliser work for ADD's mood swings? or do they only work for bipolar?
>
> also thinking of making a combo with provigil and aricept, but i'l see later :)
ADD and bipolar disorder often occur together comorbidly. How confident is your doctor that bipolar disorder can be ruled out? It is very difficult to make such a differential diagnosis."Most recently, Adler and colleagues[7] reported data from the National Comorbidity Study Replication, indicating that 32% of ADHD patients also meet criteria for unipolar depression; 21.2% meet criteria for bipolar disorder; and 9.5% meet criteria for anxiety disorders"
http://www.medscape.com/viewarticle/549973?src=mp
I am unsure as to the potency of a stimulant to treat moodswings. Interestingly, they can have an anti-manic effect in some people.
If bipolar disorder is present, Depakote would be worth a try.
Can you describe better what you experience as "mood swings". Why was an MAOI chosen? My doctor, who works quite a bit with ADD, does use MAOIs from time to time, so I know there is a precedent for doing so. However, I would like to know the exact reasons for why it was chosen in your case.
- Scott
Posted by medievil on January 17, 2007, at 7:24:32
In reply to Re: mood stabilizers for ADD? » medievil, posted by SLS on January 17, 2007, at 7:11:58
i chose a maoi myself actually, because i suffer from social anxiety
so are you saying if no bipolar is present a mood stabiliser is useless?
because besicly, just by a stupid tought i can be in a total differend mood, like something "why i did that?" and i feel depressed because i thought i said something stupid or something
Posted by SLS on January 17, 2007, at 7:57:03
In reply to Re: mood stabilizers for ADD?, posted by medievil on January 17, 2007, at 7:24:32
> i chose a maoi myself actually, because i suffer from social anxiety
Ok.
> so are you saying if no bipolar is present a mood stabiliser is useless?
I can't say that for sure. ADD isn't my area of focus. A Medline literature search didn't turn up anything indicating otherwise, though. However, I think it is possible that you have bipolar disorder given the presence of social anxiety.
> because besicly, just by a stupid tought i can be in a total differend mood, like something "why i did that?" and i feel depressed because i thought i said something stupid or something
That sounds like something CBT (cognitive behavioral therapy) could help with. Not all thought patterns are the result of, and dependent on, the presence of a biological disorder. Having said that, there are behavioral manifestations of ADD that are treatable with a variety of drugs like Strattera and TCAs. I really don't know how well stimulants would help in this area.
If you do have comorbid ADD and bipolar disorder, it might be ideal to add Dexedrine and Depakote.
Is Nardil helping in any way?
- Scott
Posted by Phillipa on January 17, 2007, at 11:22:59
In reply to Re: mood stabilizers for ADD?, posted by SLS on January 17, 2007, at 7:57:03
I know a babbler who is taking straterra and lithium for TRD. He'd been through ECT and EMSAM and the MAOI's. In l3 days he's in remission is this just wishful thinking on his part or could be true? Seems kind of fast to me. Love Phillipa
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.