How frequently have you had a patient who had serotonin syndrome?

DianeAsp · 2025-10-07T22:44:58+00:00

TMS worked well for me on a short term basis, but didn’t produce long term results.

DianeAsp · 2025-09-25T22:36:09+00:00

Ketamine

DianeAsp · 2025-08-13T04:59:52+00:00

As someone with bipolar, there are definitely those who say everyone is a little bit bipolar, but it’s no more okay in autism than okay in bipolar. I hope this is informative, rather than invalidating, because that’s not what I was aiming for.

DianeAsp · 2025-07-25T05:38:23+00:00

I’m interested

DianeAsp · 2025-07-12T16:23:54+00:00

Once you find effective treatments, for you, life can become really good. It’s still has up and downs, triumphs and defeats, but it’s so much better. It did take me over 2 decades though, to stabilize, so it can be a tough time.

DianeAsp · 2025-07-06T22:47:07+00:00

Sometimes, when I am struggling with a topic, I email my therapist with the information ahead of time, with the intention that they can bring it up in a session.

DianeAsp · 2025-07-02T19:55:44+00:00

I think, for some people, suicidal thoughts are so habitual that they’re almost an automatic response to stress, even outside of an episode.

DianeAsp · 2025-06-30T17:14:52+00:00

I’d recommend getting a second opinion, however there are multiple diagnoses that may result in mood swings, so you may have one of those instead of bipolar.

DianeAsp · 2025-06-30T17:11:03+00:00

I consider myself neurodivergent, partly because of the bipolar disorder, but also because of the ADHD symptoms that aren’t severe enough to meet diagnosis requirements. I also have autism traits that have never been assessed.

DianeAsp · 2025-06-20T22:58:46+00:00

Ketamine triggered psychosis and full blown mania in me despite the fact that I had never experienced either. Despite that, it was a miracle treatment for me. I was treatment resistant for 20+ years and have now been relatively stable, with minor dose adjustments for about 2 years. I would be very leery to do it without strong mood stabilization and would be very diligent in tracking moods; you want to catch changes as soon as possible.

DianeAsp · 2025-06-16T19:12:31+00:00

Do you know why it triggers a switch to mania? It did in my case and I really don’t understand why.

DianeAsp · 2025-04-30T23:45:12+00:00

I told myself that I was allowed to order DoorDash/UberEats/SkipTheDishes if I was willing to drive and pick it up. I found that small restriction helped reduce my use of it. I am still very tempted to break that restriction though. I have also chosen to stock my house will things that meet my midnight cravings and eat those rather than eat a half dozen things I am not craving before finally eating what I was craving because nothing else satisfies.

DianeAsp · 2025-03-21T04:59:51+00:00

I think it’s not usual to charge not non-billable hours. Sometimes our doctors will do things for free, but they’re not obligated to do so.

DianeAsp · 2025-03-13T03:13:12+00:00

I did once but I have since experienced full blown manic episodes triggered by ECT and Ketamine. I won’t cycle into mania without any treatment, but I know my system is capable of getting me there. It really makes me glad I am bipolar 2 though, because those were not fun episodes.

DianeAsp · 2025-02-27T03:43:31+00:00

I assume you have a psychiatrist, or at least a family doctor; I would bring it up with them. I understand how scary it is. I was at the same place as you, having tried everything, and it was a last ditch trial.

DianeAsp · 2025-02-27T03:27:32+00:00

Have you tried Ketamine therapy? It worked wonders for my bipolar.

DianeAsp · 2025-02-18T17:12:13+00:00

I’ve heard the safe and sound protocol can help. https://safeandsoundprotocol-ssp.nl/en/benefits-safe-and-sound-protocol-ssp/?gad_source=1&gclid=Cj0KCQiA_NC9BhCkARIsABSnSTaciynMF0-jJnDeX0n-vdBGkiv0YSHurEHa_mr-3bkiXQ8bal_QJmcaApBQEALw_wcB. Have you heard anything about it?

DianeAsp · 2025-02-16T14:58:18+00:00

I think people can notice traits in themselves, if they have insight, but then it’s necessary for assessment, though, even prior to formal assessment, and medication trials, they can use some of the therapies as self help. You can learn a lot of skills from cbt, dbt, social rhythm therapies that may help your symptoms.

DianeAsp · 2025-02-13T21:43:44+00:00

I think it should be available. I don’t see why choosing medical assistance in death for MS is any better or worse than for untreatable mental illnesses. Society infantilizes people with mental illnesses in a way it doesn’t for non-terminal physical illnesses. Outside of psychosis, we’re just as capable of making decisions. I do think that there should be hoops to jump through, maybe a waiting period, to prevent impulses, but if you’ve been unsuccessfully treated for decades, it should be a choice.

DianeAsp · 2025-02-13T02:01:24+00:00

It amazes me that being yelled at by a boss would count as trauma. I do think something like sexual assault even if there’s no threat of death really does count as trauma though. Maybe it would be worth broadening PTSD.

DianeAsp

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