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Wife not getting medications- need to unload-kinda long
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<blockquote data-quote="GoingNorth" data-source="post: 332092" data-attributes="member: 1963"><p>TPaul, sounds like a nightmare. I did notice one thing that jumped out at me from your signature: your wife is on TWO SSRI antidepressants. They alone can cause mania, even in people who are not bipolar.</p><p></p><p>It takes very careful medication mgmt to handle SSRI dosing in BiPolar (BP) people. In fact, many psychiatrists simply won't prescribe that class of medications to BiPolar (BP) patients. I'm almost wondering if she's avoiding picking up her medications because she knows on some subconcscious level that they are making her feel worse.</p><p></p><p>Also, Lamictal, while an excellent mood stabilizer for many people, is known to be fairly activating. That is why it is usually given at bed time. That's another thing to consider.</p><p></p><p>Certainly, you are going to have to lay down the law as regards medication compliance. There is no question that she is manic, but I don't see medications in use for straight up treatment of mania. APs are often used for this.</p><p></p><p>You and your kids shouldn't have to live like this, and frankly, neither should wife.</p><p></p><p>Does wife realize that suddenly stopping her medications can cause all sorts of things like the mania, withdrawal syndrome from the SSRIs, and even seizures from stopping the mood stabilizer suddenly (they are actually anti-epilepsy medications)?</p><p></p><p>I would start now to seperate your business and finances from wife's. I'd also suggest talking to an attorney specializing in family law (they usually don't charge for the first phone consultation) so you can find out what your options are in case push does come to shove.</p><p></p><p>Sorry to hear you are dealing with this.</p></blockquote><p></p>
[QUOTE="GoingNorth, post: 332092, member: 1963"] TPaul, sounds like a nightmare. I did notice one thing that jumped out at me from your signature: your wife is on TWO SSRI antidepressants. They alone can cause mania, even in people who are not bipolar. It takes very careful medication mgmt to handle SSRI dosing in BiPolar (BP) people. In fact, many psychiatrists simply won't prescribe that class of medications to BiPolar (BP) patients. I'm almost wondering if she's avoiding picking up her medications because she knows on some subconcscious level that they are making her feel worse. Also, Lamictal, while an excellent mood stabilizer for many people, is known to be fairly activating. That is why it is usually given at bed time. That's another thing to consider. Certainly, you are going to have to lay down the law as regards medication compliance. There is no question that she is manic, but I don't see medications in use for straight up treatment of mania. APs are often used for this. You and your kids shouldn't have to live like this, and frankly, neither should wife. Does wife realize that suddenly stopping her medications can cause all sorts of things like the mania, withdrawal syndrome from the SSRIs, and even seizures from stopping the mood stabilizer suddenly (they are actually anti-epilepsy medications)? I would start now to seperate your business and finances from wife's. I'd also suggest talking to an attorney specializing in family law (they usually don't charge for the first phone consultation) so you can find out what your options are in case push does come to shove. Sorry to hear you are dealing with this. [/QUOTE]
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Wife not getting medications- need to unload-kinda long
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