u/Tiny-Nothing-7249

What is rapid cycling like? What's a mixed episode like for you?

I'M SORRY FOR THE LONG POST! The questions I need answered are in bold.

I'm usually very depressed, but earlier this year I started on fluoxetine and 2 days after, I showed symptoms of hypomania, which lasted for 5 days and was followed by an immediate crash into depression. We immediately changed the medication and my doctor said I should stop with fluoxetine immediately because I might experience rapid cycling. I don't know what that is. The internet says if you experience 4 or more episodes a year but is that not normal?

Recently I also increased my dose of lamotrigine and I know I was still feeling the depression, but I was also very irritable, excitable, and reactive. I only have 3hrs of sleep a day but feeling relatively okay in the morning (and this is with quetiapine too lol), I wrote a lot, exchanged comments with strangers and was acting like a troll. That may be normal behavior for others but my mind was racing and I had this itch to just argue with people, I didn't eat for 2 days, I didn't drink for an entire day, I wasn't doing any self-care at all. I spent days just being online and typing. Actually it's still going on, I feel like trash, my mind is racing, I am looking for discussions I can join or arguments to have with strangers. Does anyone know if lamotrigine can cause symptoms of hypomania?

Anyway, all these to say, what are rapid cycling and mixed episodes like for you? How long do episodes last? I know my depression lasts for almost a year, even when productive I'm depressed. But there are times when symptoms of hypomania show up within the depression, they exist for a very short time, just a week, then I'm back to depression. Honestly I feel like depression might just be the baseline for me, sometimes hypomania shows up, severe depression visits more frequently.

I don't know. I just want to understand what bipolar is like for others so I can understand my experience, maybe all I need is just better regulation skills, maybe meds are really needed for episodes (if they are even considered episodes).

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u/Tiny-Nothing-7249 — 2 days ago

I thought I was aware of my mental state, but I'm apparently not

LOL nakikita niyo yata ako lagi sa sub na 'to lagi if lurker ka here). Hnggg I should've listened to my therapist, I should've tracked my mood, I should've written down my emotions.

I just looked at my comment/post history sa reddit, and it's bad. It's reallyyy bad. I mean, today lang ako nag-snarky comment, kani-kanina lang meron akong comment dito sa sub na not great, which is what made me check my history. In this sub, I recommend things people could do, see a professional, go seek help, answering questions about medications I've tried, personal anecdotes, pricing, etc. Outside this sub meron din akong activity lol like comments and post.

The problem is the amount of comments I wrote even just the past 24 hours. This post? Imagine 10 comments of similar length. Those are just what's posted and I already deleted some (kasi ang kalat), my drafts are worse. And this didn't happen just the past 24 hours, my activity was gradually increasing in this platform and 2 other platforms. I just realized ngayon na my sleep is very poor, I haven't eaten since yesterday, my last proper meal was the other day, in the past 48hrs less than 500ml yung water na nainom ko.

I hate pathologizing my human experience but oh dear lord I know this isn't right, this isn't me, this is not what stability looks like!!

I'm not super worried, I caught it naman, there are systems in place to help me. This is just a phase that I can get through. Medyo worried lang na it could become mixed state, I'm aware of the depression pero racing thoughts, gigil na gigil, increased activity but less sleep, etc., pero again, I'm not gonna pathologize my human experience. I noticed what's happening, I can regulate and I can manage. My doctor also believes in me, magleleave siya for a couple of months so di ko siya makikita eh I usually see my doctor every 2wks. Sabi niya tingin niya I'll do well so long as I continue therapy, and I'm consistent naman sa therapy.

Ang lesson ay magtrack kayo so you can catch yourself before it gets worse.

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u/Tiny-Nothing-7249 — 3 days ago

What does akathisia feel like?

I have this restless feeling that feels so uncomfortable like I have to rock my whole body, clench and stretch my muscles, it feels like my body needs to turn itself inside out? Not sure how to describe the feeling honestly but it's a physical feeling, I wouldn't say I feel anxious or nervous because emotionally it doesn't feel that way but the physical anxiety?? is present? Sometimes my heart races or beats strongly when it comes.

This feeling isn't 24/7. It lasts for a minute or 2, leaves a lingering feeling like my body needs to be stretched out, then it's gone. It comes back, sometimes it happens multiple times within an hour, sometimes it takes hours before it comes back again.

I've always been fidgety and I've always experienced this even years back, but it just happens frequently these days that I started researching on it and found out about akathisia. I'm wondering if this could be akathisia or is it just a normal thing people experience?

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u/Tiny-Nothing-7249 — 7 days ago

What does akathisia feel like?

I have this restless feeling that feels so uncomfortable like I have to rock my whole body, clench and stretch my muscles, it feels like my body needs to turn itself inside out? Not sure how to describe the feeling honestly but it's a physical feeling, I wouldn't say I feel anxious or nervous because emotionally it doesn't feel that way but the physical anxiety?? is present? Sometimes my heart races or beats strongly when it comes.

This feeling isn't 24/7. It lasts for a minute or 2, leaves a lingering feeling like my body needs to be stretched out, then it's gone. It comes back, sometimes it happens multiple times within an hour, sometimes it takes hours before it comes back again.

I've always been fidgety and I've always experienced this even years back, but it just happens more frequently these days. I'm wondering if this could be akathisia or is it just a normal thing people experience?

For context: 25F, BD2, Lamotrigine (current 125 going to 200) Quetiapine 12.5mg (just started, won't be increasing dose). I increased my dose yesterday from 100 to 125mg of lamotrigine, I'm slowly increasing the dose until I reach 200mg. Just asking here to see if this is a worry or not. I just met my doctor a few days ago and I don't want to schedule another appointment if this is something that isn't too big of a concern.

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u/Tiny-Nothing-7249 — 7 days ago

Hello!

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Rates:
• ₱200 – Written/tutorial assistance
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Disclaimer: I am currently not affiliated with any review center or organization. My tutoring experience is mainly from one-on-one, in-person discussions of math concepts for college entrance exam preparation.

Feel free to send me a message if you’d like to check my credentials or ask questions. Thank you!

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u/Tiny-Nothing-7249 — 16 days ago

Hello!

I’m offering tutorial and review assistance for future Civil Service Exam (CSE) takers as a side hustle.

For context, I ranked among the Top 10 examinees nationwide in the CSE – Professional Level during my batch, with an overall rating of 96%+, and a perfect score in the Numerical Ability portion.

If you’re struggling with a specific concept or topic in any of the CSE subject areas, I can help explain them in a simple and personalized way based on what you find most difficult.

What you can expect:
• Detailed and beginner-friendly explanations
• Personalized guidance based on your weak areas
• Practice worksheets/problem sets (if needed)
• Tips and techniques I personally used during preparation

Rates:
• ₱200 – Written/tutorial assistance
• Additional ₱100 – Live call discussion/tutorial session

Disclaimer: I am currently not affiliated with any review center or organization. My tutoring experience is mainly from one-on-one, in-person discussions of math concepts for college entrance exam preparation.

Feel free to send me a message if you’d like to check my credentials or ask questions. Thank you!

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u/Tiny-Nothing-7249 — 16 days ago

meron bang lamotrigine sa pharmacy ng NCMH, magkano, and what requirements do i need to bring if galing private practitioner yung reseta (aside from prescription and ID)?

sana may sumagot bc ang hirap icontact ng pharmacy or even NCMH OPD.

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u/Tiny-Nothing-7249 — 17 days ago

Tinatry ko tumawag sa 122 for a medical concern and nung unang 2 tawag hindi man lang nagring, the last 4x nagring lang siya for 2mins tapos wala na. Wtf?? Dahil ba labor day? Dahil ba maghahatinggabi na? Ganito ba lagi yung hotline? I've seen posts dito na mabilis lang naman sumagot, one-time issue lang ba 'to? Contacting different clinics nalang kasi di talaga maasahan 122 ngayon.

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u/Tiny-Nothing-7249 — 21 days ago