It’s true I’ve been absent again. It’s been another roller coaster ride the last few weeks. The Latuda was so hopeful when it started. That first week on it I felt like I was coming to life. But as we adjusted and the medication built up the hypomania gave way to pure unadulterated panic attacks. These weren’t like anything I had ever experienced in my life. At least twice I was ready to check myself into the ER because I was coming out of my skin. So my doc gave me some anti-anxiety meds – Clonazepam with a side of Hydroxyzine – it took about a week for me to be able to sit still again and sleep. Honestly it was one of the worst mental health crisis I’ve had in awhile only to be topped by the coming depression. I was incapacitated. Couldn’t sleep, couldn’t watch tv I was that agitated. Plus now I was on 3 meds instead of one which I despise. Additionally because I was so sensitive to the Latuda and it has no XR option I had to take it 3 times a day split up to keep from going into freakout mode. Now this wouldn’t have been so bad but they had to be taken at very specific times and I had to eat 350 calories minimum when I took them. Eating when you take them helped them be better bioavailable but also prevented nausea. (I tried to cheat a few times and the nausea was BAD) So my days felt like I was tied to my meds. No mistakes allowed. So after three months of trying, and only getting up to 40mg (for like 3 days immediately had to drop back down to 30) and after gaining 8lbs, and after so many terrible panic attacks- we decided to call it quits and try something else.
But BOY HOWDY DO YOU DO – trying to fight the panic/mania triggered a depression and then coming off the Latuda? well that’s when I knew for sure it was good at keeping depression at bay because it was like falling off a cliff. I wasn’t just down I was out…I was in freeze mode. Dissociation mode. Can’t Even plus ultra mode. And no amount of ANY suggestion was getting me out of it. I could barely eat. And at the end of it all I spent a whole day just crying. that was fun. My suicidal thoughts came back triple fold and again I had a few days were I wondered if I needed to be under observation. I do not like to feel that way…mostly because logically I know I don’t want to die but my brain goes off the rails and the thought was nearly constant in a way I hadn’t experienced for a few years and hope it stays away for a long, long time.
So I started on Lithium. 150mg to start for the first week. And then about 6 days ago I upped my dose to 300mg. (we are hoping to get me on XR tablets because I just seem to do better when things are spread out and not happening all at once) and in the last three days it’s like a veil has lifted. I did get a little hypomanic today so I have to watch myself and not take on too much or make too many crazy decisions. Sometimes coming out of a deep depression I can get over zealous because it just feels so good. But I was able to make plans and PHONE CALLS this week without freaking out, even answered unknown phone numbers a few times today — that’s crazy! LOL (for those that don’t know me I have suffered with terrible phone phobia for over a decade and it has really affected my life fairly significantly so this was a pretty big deal)
Normally? panic attack city being on the phone at all, let alone answering an unknown number… today just casually said “Good Afternoon this is Aminda”. So nice.
So once again feeling hopeful and hope we can get a dose that keeps me out of the depths but doesn’t send me into a frenzy. Last week when I was still deep in the depression my therapist and I discussed things like ECT (Electroconvulsive therapy) for people who have medication resistant depression. I’m hoping that this time we can not go down such dark paths. See I’m anxious to get this mood stabilized a bit because we can’t focus on my ADHD until that happens. So fingers crossed this medication can get me to a place of alert without being a basket case. OH also my appetite is back to normal so that feels good!
Anywho that’s about it for now. Just a peak at the trials we have to go through to get our medication right. I’m 4 months in now and we are still trying so if you are going down this road you have to have patience and persistence. I hope I’ve found my therapeutic answer, and I hope you do too!