Suggest Treatment For Recurrence Of Anxiety Symptoms After Stopping Medication

Posted on Thu, 29 Jan 2015

Question: When they took me off anxiety, and mood stabilizer's suicidal thoughts started occurring again... Not sleeping at night maybe 1 or 2 hours if I get that much.... I was on remeron for sleep neurology took me off of it.... No meds for bipolar, mood,anxiety.... What do you reccomend????

Answered by Dr. Seikhoo Bishnoi (4 hours later)

Brief Answer:
Mood stabilisers should be given in bipolar disorder

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

Bipolar disorder is a mood disorder that runs in episodes and usually the medicines are advised to be taken for long periods of time. You have been taking mood stabilisers, anti anxiety drugs and drugs for sleep but was weaned off from drugs. Now you are not able to sleep properly even for 1-2 hours.

As per my opinion if you have been diagnosed with bipolar disorder and anxiety then medicines should be started again. You have developed suicidal thoughts and this should not be ignored. Suicidal thought itself puts you in severe depression and there is need to start medicines again. Most likely inability to sleep properly is resulting in suicidal thoughts and improvement of sleep will result in improvement in symptoms. As you have bipolar so conventional antidepressants like SSRIs as citalopram should be avoided because they may cause manic switch. For anxiety Buspirone and any other low dose drugs like Benzodiazepines will be sufficient.

For mood stabilisation drugs like Sodium Valproate, Lithium Carbonate, Lamotrigine etc prove useful. For sleep medicines like low dose Olanzapine can be utilised. The drug is also a good mood stabiliser drug and will help in good sleep also.

Currently you are on Kreppa (Levatiracetam) and Lamictal (Lamotrigine). Both these drugs are good mood stabiliser drugs and as per my opinion should help in your bipolar symptoms. These medicines are good anti epileptic drugs also and will control seizures also. For suicidal thoughts and poor sleep as per my opinion you should discuss with your psychiatrist to add some medicine and to complete prescription.

Thanks, hope this helps you. Please don't hesitate to ask again for more doubts.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Seikhoo Bishnoi (38 minutes later)

Dr. Bishnoi, As far as the answer you provided... I was taken off of 1 medication due to seizures it was a side effect....... Psychiatrist can't see me til end of the month...

What are other options?? I'm not sure I can wait til the end of the month... I may end up unsafe.... Because I'm not on nothing as of right now....

That's something that may put me in the emergency room I will try to let them know and see if they can get me in earlier.... Would this be something we could call a CRISIS??? I don't know how to answer that

They asked me about a crisis.... I just want
To know what they mean by that????

Answered by Dr. Seikhoo Bishnoi (7 minutes later)

Brief Answer:
Suicidal thought are emergency and need immediate intervention

Detailed Answer:
Hello thanks for asking a follow up question

As per my opinion to put you in ER they need some emergency situation (probably due to indifferent attitude of hospitals towards patients). Suicidal thoughts are emergency in psychiatrist and need immediate intervention. This can land you in ER. As you have mentioned that you have suicidal thought you can convey your thought to your parents or caregiver and can ask them to take you to ER.

Violent behaviour is also an crisis or emergency in bipolar patients but you are not violent at this state.

Thanks, hope this helps you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Seikhoo Bishnoi (18 minutes later)

No I never am violent toward others but I did attempt suicide in January of 2014.... and the police involuntarily had me committed to a psychological unit which when you are involuntary the psychiatric unit has got to hold u 72 hours

OK I am going to close this thread..... I just want to Thank you for your help.... Once u respond I can close the thread.... Also in case I need u again for further Queries
Can you give me A direct URL to your profile so that I can ask you directly Thank you sir...... Once I get that URL IM SIGNING OFF ALL QUERIES ARE ANSWERED FOR NOW.................... Have a good evening and The again

Answered by Dr. Seikhoo Bishnoi (36 minutes later)

Brief Answer:
You can contact me through my profile

Detailed Answer:
Hello thanks for asking again

If you never had violent tendencies then that can be taken as positive towards treatment. If you want to contact me in future you can visit my profile link which is given below and can click "ask me a question" and you can contact me directly.

http://doctor.healthcaremagic.com/doctors/dr-seikhoo-bishnoi/65151

Thanks, wish you a good health. Take Care

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju