Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Visit our Crisis Assistance Link for resources. For immediate help, get to the ER.

    *No Dr Outside Contact Please*
    Includes Expert Content
    (Dr G) Bipolar 1 disorder and PTSD medications
    avatar
    reneegigliotti posted:
    What medications could be most effective when trying to treat both rapicd cycling bipolar 1 disorder with psychotic features and an increase in PTSD symptoms during depressive episodes? Do the medications over-lap? Current regiment, lithium (1125 mg), depakote (2500 mg), and seroquel (600 mg).

    Renee
    Reply
     
    avatar
    Joseph F Goldberg, MD responded:
    Dear Renee, There isn't much overlap between medicines for psychotic mania and for PTSD. PTSD is usually treated with antidepressants, whereas antidepressants would be a bad idea during mania, or in people who have multiple episodes per year. There is no excellent treatment when 4 or more annual episodes occur other than to avoid antidepressants and use combinations of mood stabilizers, which appears to be exactly what your doctor is doing. There is a little research to support the use of prazosin specifically for nightmares in PTSD. Seroquel also has a little bit of preliminary research in PTSD, as does Depakote. Dr G.
     
    avatar
    reneegigliotti replied to Joseph F Goldberg, MD's response:
    Thank you Dr. G. I will include your sage comments in my discussion with my Dr. G on Wednesday. He's trying to work with 2 problems simultaneously, rapid cycling bipolar 1 disorder with psychotic features and PTSD. He's taken a wait and see approach with the PTSD up until this point. He wanted to see if psychotherapy could improve the symptoms without medication. It hasn't. They are worse, particularly during depressive episodes.I think my treatment team and I agree we are past the watchful waiting point. Everyone is a bit frustrated and I'm worn out. I just want it to end.


    Renee


    Featuring Experts

    Joseph F. Goldberg, MD, is a Clinical Professor of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY. He also maintains a private prac...More

    Helpful Tips

    Differentiating bipolar disorder from borderline personality disorderExpert
    Borderline personality disorder is a condition in which people can very easily become angry and upset in response to stresses -- especially ... More
    Was this Helpful?
    116 of 133 found this helpful

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.