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What Causes Bipolar Disorder? I have some basic questions about bipolar disorder and the medications used to treat it.

Question:
My parents took my sister to a psychiatric hospital where she was diagnosed as having bipolar (prevalent in our family, btw) and she was put on four medications: Depakote, Paxil, Zyprexa (sp?), and a sleeping pill I don't know the name of. After about two weeks in the hospital, she had made a very good recovery and spent about another two weeks recuperating at home.


Answer:
Sounds exactly what I experienced when I was first treated for bipolar disorder. Stressors are the number one precipitating cause of major mood changes in individuals with a bipolar disorder. Depakote, Paxil, and Zyprexa are all very sedating drugs. For me, Depakote was the real villian--even though my psychiatrist eventually put me on Ritalin to combat the mental fog and inability to concentrate that I experienced with Depakote, I struggled with it until I convinced my doctor that this was not the best mood stabilizer for me. My therapist later told me that while I was on Depakote, I was like an empty shell of a person. I also experienced an increase in my appetite when I started taking Depakote and Zyprexa, and gained some weight. All of those meds cause somnolence in many patients. In addition some can cause severe cognitive deficits. My doctor switched me to Neurontin in place of the Depakote, and the cognitive difficulties I had disappeared.



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