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    jlookabill posted:
    Hey guys my wife has recently been diagnosed with Bi-polar. Back in August I went out of town for a work related class for 1 week. While I was gone she had a episode that made her not sleep, slurred speech, arguementive,and out of control. My Daughter took her to the hospital where they placed her in a behavior unit for 5 days. After they sent her home they started her on lithium.After her two weeks of classes she started going down hill. Before her episode in August she may have one every 6-8 months. Now it seems like every other day she is out of it. Eyes dialated and just totally out of it. She went to her follow up appointment and they increased her dosage, but it just seems like she is getting worse rapidly and no better. Is there hope and what should I do?
    ddnos responded:
    Hi jlookabill, and I'm sorry for what is going on with your wife.

    This sounds more like a question to ask Dr. G, the Psychiatrist that volunteers his time here on this board to answer questions we may have. Because of the title, he may automatically look at this post and reply, but you might want to just go ahead and repost, but change the title to include Dr. G.'s name.

    I hope the best for your wife and that she gets the best possible care with a doctor or doctors who can figure out what is going on with her.

    Forgiveness is letting go of the hope that the past could have been any different --Unknown
    slik_kitty responded:
    is she getting her blood tested for lithium levels? that is important so the doc can know if she is at a therapeutic level and that it isn't at a toxic level.
    Joseph F Goldberg, MD responded:
    Dear jlookabill, I would agree with an earlier posting in response to yours that lithium levels need to be monitored to assure no drug toxicity. Presumably also her doctor is confident there aren't other factors at play that can cause slurred speech, dilated pupils and seeming out if it (sounds almost like opiate withdrawal). Assuming no substances being abused and the diagnosis of bipolar disorder alone is accurate, lithium is commonly paired with an antipsychotic medicine during acute episodes; its value tends to be more for relapse prevention than acute episodes, at least as a single drug therapy. All critical things for you and your wife to be discussing with her doctor. Dr G

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