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Re: OCD + Bipolar I + Paranoia + Anxiety

Posted by med_empowered on December 2, 2005, at 21:52:45

In reply to OCD + Bipolar I + Paranoia + Anxiety, posted by SpacedOutKid on December 2, 2005, at 18:49:52

Hi! Sorry. Your situation sucks. I dont really know what you could do med wise...when I went from trileptal+abilify to just abilify I felt better (not good, just better). When my paranoia had been better for a long time I was able to go back to just Trileptal. Maybe you could ramp up the Abilify (I think the max is 30), up the benzo, and then maybe drop the depakote? The only other thing I can think of is adding BuSpar...it sometimes helps with OCD and depression, and is OK at dealing with general anxiety. In addition, it seems to make neuroleptics more tolerable, at least for some people, so you might have less of a problem with akathisia. I found 30mgs/day (15mgsX2) to be helpful; I think its dosed up to 60mgs/day.

The paranoia is a pretty common part of BP, although Ive only had a doc talk to me about it a few times. I guess its a sort of sub-clinical psychosis...it can go away or respond to mood-stabilizers. Odd.


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