u/minimous27

Can SNRIs trigger bipolar hypomania

Hi, I’m 28 and have been diagnosed with generalized anxiety 3 years ago with no luck on SSRIs. A month ago, my new psychiatrist put me on Venlafaxine (Effexor).
The first week was insane, I felt restless, was incredibly talkative, loved life, and couldn't wait for the morning to come.
After two weeks, I went back to normal. My psychiatrist today said he suspects a hypomanic episode and is tracking my sleep, though no official bipolar diagnosis yet.

I always thought bipolar shows up in early youth. Is it common to get a first hypomanic episode at 28?

I had anger issues as a kid, could that be related?

Has anyone else had an SNRI trigger a brief period of intense happiness before it calmed them down?

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u/minimous27 — 1 day ago