dr.a replied: "You are correct in saying that valproic acid is best for the manic states, however it is frequently and effectively used in bipolar."
shaneris5 replied: "See the bipolar chatsites in section 10, at ezy build, below, and CRAZYMEDS. A previous answer follows: See section 10, on bipolar disorder, at ezy build, below, and take the quiz, if unsure, and if the results are positive, ensure you get an expert diagnosis from a mental health professional, not doctors, who are much better dealing with physical ailments, and don't diagnose complex disorders like bipolar disorder, schizophrenia, and borderline personality disorder often enough to develop any real expertise.
Bipolar disorder usually involves major mood swings, which occur without apparent cause, and often over many months, or a matter of years, rather than days, as with most people (unless rapid cycling). I'd take 4 Omega 3 fish oil supplements daily, replacing 2 of them with cod liver oil supplements in the winter months, (or, as probably a better alternative to the 2 cod liver oil supplements: 1 teaspoonful of cod liver oil, with a little butter, to ensure its use; I take mine on sourdough rye bread, or toast, covered with fishpaste, and pepper, to mask the strong taste). Those people who receive adequate exposure to sunlight, daily, won't need the vitamin D from cod liver oil, but many people, particularly those in latitudes far from the equator, find this difficult, to achieve.
If you decide to use allopathy, (modern Western medicine) I recommend trying Lithium Carbonate, or Lithium Citrate. (regular tests are necessary, for these) before trying the other mood stabilisers, but if you aren't good at taking medications regularly, drinking adequate water, and keeping up your salt intake, something else, such as Lamictal, or Depakote, may suit you better. Check out "lithium" at, and and always research medications first, there, and at & (read, and keep the labels/information sheets) so you will be aware of the risks, and on the lookout for side effects. Personally, if I wasn't bipolar type 1, and didn't experience hallucinations, or serious delusional states, I know I'd first try the orthomolecular, and Omega 3 fish oil supplements, vitamins, minerals; a herbal remedy, and a mostly raw food diet, for several months. Note: St. John's wort, and also antidepressants, may cause mania, or hypomania, in people with bipolar disorder. I'd aso eat in accordance with my "nutritional type". Enter that term in the searchbar at
If not considerably improved, after a maximum of 6 months trial period, consult your primary mental health care provider: you may be one of those who need medications to prevent this serious disorder from worsening. If you have bipolar type 1, an antipsychotic medication may also be needed. Everyone should take the Omega 3 supplements, or preferably "krill oil" for its other health benefits: use the searchbar at . Some people refuse medication, using supplements, and a selective, mostly raw food diet (I do not recommended trying this, if bipolar 1, unless you aren't troubled by hallucinations, or delusional states).
Maintain the treatments for the depressive phase, in section 2, at: Some topics in section 10 include: treating bipolar disorder with supplements, vitamins, minerals, and herbal remedies (except for St. John's wort!). As with all medications, there are risks, and the possibility of side effects, which is why I inform people of the alternatives, to see if they can cope sufficiently well, without resorting to medications or, at least use less of them, with their attendant risks, and side effects. Don't use medications and supplements together, without medical advice, except for Omega 3, which is safe, anytime. It is not unknown for those discontinuing medication, and trying the alternative treatments, (which are not quick to work) to lose their jobs, because of unacceptable behavio(u)r, so I'd start 1 week before vacation, and closely monitor the situation, and use medical advice."
Am I Bipolar?Asking help from China ? Due to the backward medical care and doctors of impatience in my country, I have to turn to you, and hope you could give me some opinions and consultation.
1 family heredity
1My mother has had manic bipolar disorder with psychotic symptoms (auditory & visual hallucination) since 1991. Now, her manic and psychotic symptoms have subsided with Lithium 500 mg, valproic acid 400 mgand
risperidone 2 mg everyday. Currently, she is sleeping too much, and her mental ability, memory, and agility decline dramatically, unable to work, read and understand newspaper, making simple mistakes all the time. It seems that my mother is permanently "disabled" and there is no hope for her to recover.
My mother's younger sister has excitable and changeable mood, easy to make a angry fuss over dialy simple stuff. But she manages to work perfectly well.
(2) My father is easy to get angry and anxious as he is aging (I don't think there is anything wrong with him; his bad temper has a lot to do with family frustrations). And my father's mother got anxiety disorder (I am not so sure) during cu-l-tu-ral re-vo-lu-ti-on. Now she keeps worrying about my health and future.
2 My History
At the age 11, I suddenly felt the whole world was collapsing------that was typical depression (morning severe but at night felt better). With no medical intervention, it lasted 6 months and almost completely subsided, only I myself turned to be an introverted person with some sense of inferiority.
At the age 15, I felt the same again. Again, it lasted 8 months and gradually subsided, with residual minor symptoms like anxiety, and mild depression. Therefore, I sought psychiatristic help. That psychiatrist prescribed me fluoxetine. Taking it for 2 weeks, 20 mg/day, I felt very typical mild maniac symptoms (fast thinking, unusual excitement, need for less sleep, etc).
Then another psychiatrist diagnosed me as ultra rapid-cycling bipolar disorder (predominantly depression), and gave me low dosage of Lithium+carbamazepine+various antidepressants. And I took that combination for 2 years, but felt nothing at all , even no side effects. During that time, I felt as mild depressive as before, plus anxiety and very disturbing obsessive-compulsive thinking. With no effects at all, I decided to stop all medications.
Years went by, in 2005, I felt my memory declined and I couldn't focus for a long time, and the feeling of loneliness almost killed me. So I sought local psychiatristic help again. This time, I was prescribed with arbamazepine alone with no antidepressant, (800mg /day). Quite paradoxically and unexpectedly, I felt more agitation, anxiety, and anger than ever before. I could quarrel with my dear parents and threw precious items into pieces. Almost all the anti-maniac mood stabilizers (lithium, carbamazepine, valproic acid) seem to make me feel more emotionally turbulent
Now I am taking Lamotrigine (50MG/DAY), a mood stabilizer supposedly to work for the depressive symptoms. But I am feeling mental dullness, restlessness, and agitation. With addictive tranquilizes (like clonazepam), I could feel much better. I am trying to explain everything to local doctors, but they dismiss me as "somebody beyond redemption scolding me with impatience.
Other symptoms I am experiencing:loneliness, fatigue, lack of interest, erectile difficulty, premature ejaculation, and decreased orgasm.
3 I have some suspicions and questions:
(1) Is it a wrong diagnosis? Is it borderline personality disorder? But I clearly experienced mild maniac symptoms at the early stage. Every summer from 1998--2002, I got elevated mood mixed with mild depression. I even s-to-le things from stores and got a-rres-ted. But in the winter and fall, all goes down
(2) Why do anti-maniac mood-stablizing agents worsen my symptoms?
Taking any of them (lithium, carbamazepine, valproic acid), initially I was fuming with anger, agitation, and irritability. If those were the side effects, how long would them subside????
(3) Will a restart of a medication after short-term discontinuation worsen everything? Due to the discomfort felt, I had to discontinue mood-stablizing agents, and due to the unstable mood, I had to resume the old meds.
(4) How would I feel if taking mood-stablizing agents when I am unipolar depression or completely mentally normal??
Thank you very much for reading my long complaints, and Ive lost hope for life now. Since no doctor in my country could offer any help any more, I count on you really! I am in such a dilemma, and I am eager to hear any of your suggestions! I have to overcome the current ordeal, and find a job to make a living and support my family! Thank you again for your kindly help and advice!
(Access to this website is not easily available, pls email me: or )
lil bit replied: "It sounds like you have the same symptoms as me - depression, obsessive-compulsive thinking, racing thoughts, anxiety.
It sounds like you have Bipolar - but more depressive; along with anxiety and OCD (obsessive/compulsive)
I have found that I need to "fight" for my life sometimes with doctors. The best medication that has helped me is - Abilify (an antidepressant that helps bipolar). I also take Luvox (OCD), Wellbuterin (depression) and Klonopin (anxiety).
Each person reacts differently to the chemicals we put into our bodies which could explain why you have certain side effects.
My doctor doesn't worry about diagnosis - but treats my SYMPTOMS. Sounds like you need similar treatment
I am not certain how your body will react to different medications. For me, it has been 19 years of trial - until finding the best combination (listed above) but I am open to changes as recommended by the doctor. Again, Abilify has helped me the most; and Klonopin helps well with anxiety, but it kind of makes my thinking sluggish"
ginabrownshoes replied: "It does sound more like Borderline Personality Disorder to me. The two are often confused for one another but borderline is much less intense and predictable than bi-polar and also doesn't respond to medication, unlike bi-polar. Don't lose hope for life, this is a struggle but it will make you stronger when you overcome. The best advice I can give is to be introspective and notice what sets you off and try to avoid it. Try to think of things that will calm you down when you begin to feel upset, like count to ten, close your eyes and picture yourself someplace where you feel truly happy or think of a person or word that makes you laugh every time and say it or picture the person to distract yourself from what you are upset about."
Have bipolar and I need to know what drugs to increase till my dr. gets back from vacation.? I am 22 year olds, I have bipolar disorder and I need advise on my medications, my dr. is out of town and i don't know what to do. I take 100 mg of Seroquel and 200 mg of Lamotrigine at night which i increased about 10 days ago to 200 mg, and i take my pills before I go to bed, I have been having difficulty at work because I have been cycling, right now i just need to find out if I should increase the Seroquel or the Lamotrigine to make me stop cycling making me have terrible days, I feel icky in the am, around noon I feel good and just before I go to bed i feel icky. Just looking for advise can anyone tell me what to do with out seeing a doctor?
I have bipolar disorder and I need advise with medication because my dr. is on Vacation.? I am 22 year olds, I have bipolar disorder and I need advise on my medications, my dr. is out of town and i don't know what to do. I take 100 mg of Seroquel and 200 mg of Lamotrigine at night which i increased about 10 days ago to 200 mg, and i take my pills before I go to bed, I have been having difficulty at work because I have been cycling, right now i just need to find out if I should increase the Seroquel or the Lamotrigine to make me stop cycling making me have terrible days, I feel icky in the am, around noon I feel good and just before I go to bed i feel icky. Just looking for advise can anyone tell me what to do with out seeing a doctor?
Dr will be back in 10 days, if i increase lamotrigine would that help?
How do you get mental health medication (for bipolar disorder - a.k.a. manic depression) when away from home? I've run out of my medication for bipolar disorder a.k.a. manic depression. The meds I have to take are Lamotrigine and Sertraline. However, I'm miles away from where I live so I can't get a repeat prescription from my doctor and for the next week or so won't be settled in one place for more than a day or so (I've just finished a really big exam so am travelling around the country (Britain) visiting friends). Where can I go to get the medication the same day (as I say, I'm moving from place to place each day)?
Thanks very much in advance for any answers.