Hey, I'm back. I guess I've been through the complicated world of emotional and mental issues while not active on this site. The doctor is raising the lamictal in what seems to be a very slow manner. I am now on 150 after over 6 weeks of being on it and he is leaving the cymbalta at 30 because of the anti depressant effects on bipolar.
I think I might need a raise on cymbalta. He and I have discussed my "mixed" mood states and my anger episodes. I swear, when i tried the 150 mg the first day, i think it had a wonderful effect the first day and then it went away. I do not whatsoever think it was placebo. It's so frustrating because my energy and performance at work is profoundly hindered by the newly discovered bipolar illness that I have had for years. The doctor feels it's bipolar and I agree. The other doctor put me down as having dysthimia.
I do have social bashfulness at times and I hate that I stutter and i have had a rough past in school, but overall, the bipolar seems to be the verdict of most of my suffering. I do struggle socially, but overall, I think this bipolar illness needs to get into remission because I want to do well. So, how long should I give this combination? he said clinically I look better. The cymbalta already kicked in, but the bipolar has suffered the effects from anti depressant use. The lamictal is somewhat treating the mixed effects... do you think I am at the target dose? I don't think so... I'm actually very lost as to which med needs tweaking. I have definitely learned an important detail, anti depressants with bipolar don't put bipolar into a good state along. monotherapy doesn't work...so maybe the lamictal or the mood stabilizer concept as a whole needs tweaking...he told me remission is possible and that shocked me... I do want remission from this affliction.