QUESTIONS ABOUT BI POLAR DISORDER.
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My fiance has recenty been diagnosed with having bi-polar disorder. when are using public treatent because we have no ins yet and have a baby due in mos. The dr.'s have put him on paxil for the time being. We haven't been given any information about the disorder and dont realy know if the rug is helping. Iheard that he should be on lithium to keep him form loosing cotrol. Even though paxil has made a difference he is still getting very depressed and tends to loose his temper sometimes.
Answer:
(Please read this for what it is..... My opinion, I am not a doctor nor do I fully understand the many ways this illness is treated... I only know how I have come to deal wit hit for myself....) Lithium is prescribed as a "mood stabilizer" or to enhance the performance of an anti-depressant (AD) medication. Lithium, however, is only one form of mood stabilizing medication. If this is the first diagnosis he has recieved regarding any mental health condition then the doctors may first wish to see how well he reacts to Paxil as an AD before adding any other medications. In general it is better to be able to attribute any changes in a person's condition to one drug specifically, by prescribing multiple meds at one time it is hard to define which drug is causing which effect. As far as Paxil goes that is a matter of the patient. Some people have great results from it, others will get no benefit at all... Unfortunately prescribing AD meds is a crap shoot... Personally I have tried 8 ADs and currently use a combination of 3 plus lithium to stay at even keel. The only way to find a drug which works for a specific person is to try different drugs until you find one. It is good that he has had some response to Paxil and most likely his doctors will try adjusting the dosage to help with the continued depression, the general starting dose of most of these medications is the minimum theraputic level. Also it is important to remember that most AD meds need a period of weeks to reach a blood level high enough to be truly effective, usually 4-6. The temper is an area in which I personally do not have too much experience... this is where other drugs seem to get involved as a mood stabilizer. I would definately bring the outbursts of temper to the doctor's attention, especially if they pose any danger to your husband, you, or anyone else. Bipolar is usually treated with one or more mood stabilizer such as lithium. A mood stabilizer is used to stabilize the mood shifts (i.e. from a high manic state to a low depressed state) those with bipolar illness have. Paxil is an antidepressant and one of the more expensive ones at that. You and your fiance should talk to the doctor about starting on a mood stabilizer as soon as possible. There is a risk that your fiance will "go manic" from the antidepressant if the bipolar illness is not treated too. Antidepressants take a while to take full effect depending on the specific antidepressant and the individual. This can range from three weeks to a month or so. And the doctor can increase the dosage after a few weeks if your fiance is not responding. After about two months with no effect, the doctor should try another antidepressant if your fiance is not responding to it. Everyone reacts differently to each antidepressant and it may take trying several different ones to find the one that is effective.
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