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Question: Hi. I'm having a manic episode and took the mania assessment on this site. I have not been diagnosed with bipolar disease, but I recognize the mania. I am in poor physical and mental condition. I've been through a lot, spent three days in a psychiatric institution. Now, I am on good meds and have good support. However, I am coming down from the mania, and I am scared that I will fall backwards as far as anxiety, suicidal ideation, and depression. So, I need some advice to help me through this. I'm scared.
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Brief Answer:
You need to report these symptoms to your doctor.
Detailed Answer:
Hello and thanks for your query.
I understand your worries about your mental health issues. From your description of your current situation, there are two issues that are concerning:
1) If you've recognized a manic episode, then there is a possibility that this could get severe and you could even develop psychotic symptoms.
2) Even if the current manic episode resolves without getting worse, there is still a possibility that you could develop a depressive episode in the future.
Therefore, it is very important that you report these symptoms to your doctor, so that appropriate treatment can be started promptly. If a diagnosis of mania is confirmed, then you need to be started on a mood stabilizer medication in order to prevent future episodes of mania or depression.
Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
You need to report these symptoms to your doctor.
Detailed Answer:
Hello and thanks for your query.
I understand your worries about your mental health issues. From your description of your current situation, there are two issues that are concerning:
1) If you've recognized a manic episode, then there is a possibility that this could get severe and you could even develop psychotic symptoms.
2) Even if the current manic episode resolves without getting worse, there is still a possibility that you could develop a depressive episode in the future.
Therefore, it is very important that you report these symptoms to your doctor, so that appropriate treatment can be started promptly. If a diagnosis of mania is confirmed, then you need to be started on a mood stabilizer medication in order to prevent future episodes of mania or depression.
Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am currently on the mood stabilizer, Lamictal. I have not been diagnosed with bipolar disorder. I'm not sure why I become manic. Hope you can advise on this. I have insomnia and racing thoughts. Thanks for your help.
Brief Answer:
Clarified...
Detailed Answer:
Hi,
Mania can occur anytime and with anyone. Even in persons diagnosed to have another psychiatric disorder, for example psychosis, manic episodes can still be superimposed.
Lamictal is a relatively less powerful mood stabilizer compared to its counterparts and is usually not used as a first line medication when there are significant manic symptoms. in your case, where you are having a manic episode, Lithium or Divalproate sodium would be better choices. Also, in many instances antipsychotic medication like Olanzapine may also be used to quickly control the manic symptoms. so, I would advise you to report your manic symptoms to your doctor and get your medication altered accordingly.
Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
Clarified...
Detailed Answer:
Hi,
Mania can occur anytime and with anyone. Even in persons diagnosed to have another psychiatric disorder, for example psychosis, manic episodes can still be superimposed.
Lamictal is a relatively less powerful mood stabilizer compared to its counterparts and is usually not used as a first line medication when there are significant manic symptoms. in your case, where you are having a manic episode, Lithium or Divalproate sodium would be better choices. Also, in many instances antipsychotic medication like Olanzapine may also be used to quickly control the manic symptoms. so, I would advise you to report your manic symptoms to your doctor and get your medication altered accordingly.
Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Shanthi.E
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