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Asking For Self, Female 35, karachi
please convey my problem to physciatrist not physcologist i was diasgnosed with bipolar 1 when was i depressed doctor prescribe me antidepresseant without mood stabilizer due to not known i have bipolar i convert into hypomania and then severe mania currently i am eating 1000 mg of epival with 200mg qusel and antidepressant low dose i want to ask if i sleep only 3 hour sleep deprivation due to i have small child will i goto to severe mania with eating these medications or mania will be controllable
Please book consultation with a Psychiatrist to have detailed discussion regarding your medication and any possible risk of manic switch.
Your medication needs to be adjusted accordingly.
you need re evaluation, probably this high dose will protect you from mania ,this low dose of antidepressant should be stopped if signs of mania or hypomania develop,
no matter how busy you are get monthly check ups done.
it will save you from your next major episode
Best is to answer your doc. I would say u need to sleep well to be stable as sleep deprivation is one of the triggering factors for mania or hypo mania to be triggered.www.mamsafaisal.com. ,
sleep deprivation is one of majore risk facy of Mania,sound sleep is necessary for you no matter how much medications you are taking it won't benefit you if you don't work on your risk factors. so consult your psychiatrist and discuss your medications
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sleep deprivation is a trigger for mania.
For a detail assessment and further guidance plan kindly visit online
https://www.marham.pk/doctors/karachi/psychiatrist/dr-muhammad-ayub-baloch-gold-medalist
In Bipolar disorder due to high dopamine activity sometimes you feel happy and after drop of dopamine level your condition becomes worse. In Bipolsr disorder due to hypomanic episodes sometimes sleep issues becomes severe. Again for sleep issue patient take Bromazpam or Alprazolam but after 24 hours again insomnia issue returns back.
I strongly recommend to take few psychological sessions from me. You would rehabilitate. Your sleep issue will resolve in furst 2 sessions I.A.
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