welcome to HCM!
I have read your question carefully and from that it appers that you have bipod disorder, have been on several medicines for that, but had one or other side effect and prefer
lorazepam. your doctor does not agree to give you much of lorazepam, and you have asked what should you go for?
From my clinical experience I can say that your doctor is right in hesistating in giving you lorazepam or may be
clonazepam, because-
1. they are just symptomatic managers and will not help in taking care of the disorder
2. both have good addiction potential
3. if taken for long time irrelevantly, can lead to multiple body problems, like liver disorders
4. they just relieve
anxiety or help sleep, nothing more,.
I can understand that you have had varied side effect with bipolar medicines, but there are still good choices yet to be tried and one has to try out drugs till he finds something which suits his body most. It is seen many time that the
psychiatrist have to change the main drug 2-3 times, due to uneasy side effects. But it is required that both the doctor and patient should be persistent and maintain calm during this period. If the patient start loosing Hope and trust in doctor, the it becomes difficult to control the disease and find the best suitable medicine.
The medicine of psychiatric illnesses, one like BPAD goes on for many years, so, it is a necessity that we choose what is best for you, even though it takes time, and some side effect are encountered.
There are still few mood stabilizers which can be tried in your case, may be second line, (as there are disturbing side effects with lithium,
quetiapine, or soduim valporate).
Your second diagnosis,
anorexia nervous a can be handled along with it, plus an additional
anti depressant may be required.
I think that treating bipolar will automatically help in managing anorexia. So, please understand why your doctor does what he does and not want you to go for drugs like lorazepam. loosing Hope does not help anyone ever!
Your doctor would know of other choices for bipolar management.
Hope you get well soon
Feel free to ask more queries
Dr. Manisha Gopal
MD psychiatry