Unipolar / Bipolar|
I have been diagnosed with "unipolar," chronic depression since puberty, and it has responded to SSRIs only moderately well (Paxil and Remeron seem the best). I always seem to cycle back down, though, and it has gotten to the point where I feel as though my entire life is on hold. After a particularly arduous event, my doctor suggested that I might have some atypical bipolar characteristics and we should try Depakote in addition to the Paxil (45 mg) and Remeron (45 mg) as well as Topamax (200 mg), which I am taking to counteract the insidious appetite increase problems with Remeron. After two days with 1000 mg Depakote, I felt just wonderful--and I have for the past three weeks. My racing thoughts and obsessive nitpickings are gone and I truly do not feel depressed.
MY PROBLEM: I can't wake up in the morning. I sleep through my alarm, sometimes up to two hours (!) late. I've tried every behavioral fix I can think of, and am even falling asleep at 9p to get up at 6a, but inevitably don't get out of bed before 7:30. My doctor was--as am I, obviously--very pleased with the Depakote, and so has suggested cutting down the Remeron to 30mg.
1) should I be taking all these meds? your webpage was wonderfully interesting and helpful for me--not enough is said about those of us for whom SSRIs just don't cut it. I just worry that maybe these antidepressants may be causing more problems than they're alleviating.
2)what can I do about over-sleeping, phamacologically speaking? is my doctor's advice sound, in your opinion, or should he be doing more?
Thanks much for your time. You're doing a wonderful job.
Dear Anouk --
Published April, 2001