Q: Can Surgery Trigger Episodes
I live with manic depression and will soon have surgery. My
mood has been stabile for quite a while now, but I am concerned that surgery
may set off some cycling, or worse yet, a horrible depression or psychosis.
Is there anything special I should do or anything I should look out in
order to prevent or minimize increased cycling? I am very anxious about
my upcoming surgery.
Dear Ms. L'
Stress can trigger episodes, all right, but I'm surprised that in my patients
I've not seen surgery be a sufficient stress very often. What I do is
look for early evidence of cycling and add a little more mood stabilizer; and
use medications for sleep, as when that is disrupted, instability is more
likely (e.g. lorazepam or Ambien, but work closely with your p-doc' and
surgeon to make sure you don't get oversedated with these and pain med's
Published July, 2001