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Patients Bipolar disorder

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Topic of the discussion


Posted on

Hi. This is my first post here. I have officially been diagnosed with bipolar for 9 years now. Of course I know it's been going on longer since being a teenager but then I was always in a "bad mood" no one knew. I'm now in 150 of Sertraline. Have been for 7 years. I don't feel that I'm getting any respite from it. It's constant. My husband is my rock but I feel that he's taking the brunt of all my anger and I'm afraid it will be too much for him eventually.  I just need a bit of advice. I'm 48. Do I come off the tablets slowly and try to regulate myself or carry on not feeling right, yo yoing between emotions? 

Thank you

Beginning of the discussion - 18/07/2016

Bipolar Hell
1


Posted on
Good advisor

Hi Jules

I wouldn't change your medication at all without seeking specialist advice. Do you see a psychiatrist or are things dealt with by your GP ? It sounds like Sertraline isn't really adequately controlling your bipolar. There are plenty of alternatives but getting the right one is probably better handled by a psychiatric specialist. You could ask your GP to refer you to your Community Mental Health Team, which is the next step up the ladder from primary care. Finding the best drug is still a matter of trial and error but you are more likely to find it there.

You could ask your GP to review your medication if you don't fancy a CMHT. Sertraline is sometimes given with Quetiapine, an anti-psychotic. You could change to a specialist mood stabilizer like Lithium or Depakote rather than rely on an anti-depressant like Sertraline. I think that is more common these days. Several of the manufacturers of Sertraline don't even recommend it for use in bipolar. I looked up Pfizer who first made it I think and they don't.

I think you stand a good chance of achieving an improvement. A discussion with your GP about the efficacy of Sertraline is probably your first step. Best of luck.

Love

Steve

Bipolar Hell

Posted on

Steve

thank you so much for your reply. I am not with a mental health team yet, which is my fault really as I have all the information for contacting them. I have tried to be strong. Silly really. 

I shall make an appointment with my GP and explain what you have told me and have found out about sertraline. 

Many many thanks for your help and time.

Julie x

Bipolar Hell
1


Posted on
Good advisor

You might like to look at something on the drug treatment of Bipolar. This is a reasonable introduction. Good luck.

      http://www.helpguide.org/articles/bipolar-disorder/bipolar-medication-guide.htm

Bipolar Hell

Posted on

I have just had my first appointment with mental healt. They want to regress me as a lot of my childhood is locked away. I have my next appointment near the end of the wee. just waiting on the call x

Bipolar Hell
1


Posted on

Hi jules, 

After reading your email, I'm really worried that you're on sertraline for bipolar. It's for depression,  not bipolar. I'm glad you're now seeing mental health. I'm bipolar and have been since age 11. After years of trial and error with medication I'm now on mirtazapine (anti depressant) and olanzapine (anti psychotic) both of which have saved my mind and my life. If ever you need to talk, I'm always around. 

Good luck 

Hugs, Sarah xx

Bipolar Hell
1


Posted on

I'm on 50mg of sertraline for schizoaffective disorder and 800mg quetiapine, the sertraline has lifted my mood slightly.

Bipolar Hell
1


Posted on

bipolar is depression (manic depression) i was on sertraline for 2 years was ok but need to change every few years

Bipolar Hell

Posted on
Good advisor

Good to hear from you again. I'm glad you have made it to a Community Mental Health Team, that can only be a good thing. They don't actually plan to regress you, as in taking you back by some means to re-experience when you were young I hope. I thought that variety of weirdness hadn't survived the 60's. I guess they just want to explore your early life with you a bit, which is fair enough.

Most importantly have you made any progress in getting off Sertraline and on to a more efficient mood stabilizer ? I hope you have but if you haven't you are in the right place to do it. Good luck with the therapy.

Steve 

Bipolar Hell
1


Posted on

Hi I have suffered from Bipolar for16yrs now and am currently in remission. I want to help people who are suffering the same. I am a local author and have written about my experiences and so I understand when things get tough. Feel free to message me. Catwoman123 x