Depressed Medication

Question:

Haven’t been following this, but there’s lots of confusion in this group with respect to OCD, bipolar illness, and the incidence of comorbidity.  Up to 35 % of bipolars, somewhat less for unipolars, have comorbid OCD that meets the diagnostic criteria. A common pathophysiology has been proposed–go to Medline…  http://www.ncbi.nlm.nih.gov/PubMed/  … enter "bipolar OCD" — Lithium is used adjunctively in OCD.. SSRI’s improve both depressive and OCD symptoms.. your son needs a good psychopharmacologist who’s aware of the comorbidity in these disorders. – Hide quoted text — Show quoted text – >Dear Betsy, >I am emailing you for your opinions about >my son’s delusionary obsessions.  What >do you think?  Could he have som >form >of hypomania? >Thanks, Bonnie >> My son has OCD and had a manic reaction to Prozac.  He exhibits hypomania >most > of the time, IMO.  His obsessions are delusionary, where he really believes >it >> is happening, even though it is totally irrational.  He knows later that >it >> wasn’t real, but at the time, he cannot be convinced otherwise.   >> What I want to know is this >Also can a person be in a hypomanic state and be bipolar, even if they >don’t >> exhibit a depressive state? >> I am interested in looking into this after undergoing CBT for my son and >his >> psychologist calling his >obsessions delusions. >> I know that adolescents don’t have to have insight into their obsessions >under >> the DSM IV criteria for OCD, but the nature of his obsessions seem more >> delusionary than what is expressed by others with OCD.  For example, the >> trigger for one of his obsessions is his father’s voice.  The obsession is > "Rax image"  (he calls it by this name after some video game character) >where >> Rax is a 12 year old girl with a beard and fishing T-shirt on who does >sexual >> things to him.  It is very disturbing and disgusting to him and >his >compulsion >> to "undo" this image is a serious of movements and video game noises >symbolic >> of his defense against the Rax image (hence another diagnosis of Tourette > Syndrome).   >> Once he "gets it out of his system" he doesn’t react this way again until >> several hours later or the next day. >> He must be busy and occupied at all times >> (hypomania?).  I am wondering if I need to explore this possibility.  Can >> anyone please >> give me feedback? >> Warmly, >> Bonnie

Response:

Does anyone here take meds for ocd?  If so, what meds?  

Response:

I DO,FOR OCD AND BI-POLAR DISORDER. CAN YOU BELIEVE THAT?THAT REALLY STINKS DOESN’T IT?RIGHT NOW I’M TAKING DEPAKOTE AND KLONOPIN BECAUSE MY DOCTOR SAIS THAT IF HE GAVE ME PAXIL FOR THE OCD IT WOULD MAKE ME MORE HYPOMANIC.BYE ANSWER ME.KEEP THE FAITH.

Response:

> I DO,FOR OCD AND BI-POLAR DISORDER. CAN YOU BELIEVE THAT?THAT REALLY STINKS > DOESN’T IT?RIGHT NOW I’M TAKING DEPAKOTE AND KLONOPIN BECAUSE MY DOCTOR SAIS > THAT IF HE GAVE ME PAXIL FOR THE OCD IT WOULD MAKE ME MORE HYPOMANIC.BYE ANSWER > ME.KEEP THE FAITH.

I have OCD and Bipolar disorder also and am not on any antidepressants because they will make me hypomanic or manic.  I take Depakote, Neurontin, Topamax , Synthroid, and Maxzide but am being taken off Neurontin. Betsy

Response:

Dear Betsy, I am emailing you for your opinions about my son’s delusionary obsessions.  What do you think?  Could he have some form of hypomania? Thanks, Bonnie – Hide quoted text — Show quoted text -> My son has OCD and had a manic reaction to Prozac.  He exhibits hypomania >most > of the time, IMO.  His obsessions are delusionary, where he really believes >it > is happening, even though it is totally irrational.  He knows later that it > wasn’t real, but at the time, he cannot be convinced otherwise.   > What I want to know is this familiar to anyone? > Also can a person be in a hypomanic state and be bipolar, even if they >don’t > exhibit a depressive state? > I am interested in looking into this after undergoing CBT for my son and >his > psychologist calling his obsessions delusions. > I know that adolescents don’t have to have insight into their obsessions >under > the DSM IV criteria for OCD, but the nature of his obsessions seem more > delusionary than what is expressed by others with OCD.  For example, the > trigger for one of his obsessions is his father’s voice.  The obsession is >a > "Rax image"  (he calls it by this name after some video game character) >where > Rax is a 12 year old girl with a beard and fishing T-shirt on who does >sexual > things to him.  It is very disturbing and disgusting to him and his >compulsion > to "undo" this image is a serious of movements and video game noises >symbolic > of his defense against the Rax image (hence another diagnosis of Tourette > Syndrome).   > Once he "gets it out of his system" he doesn’t react this way again until > several hours later or the next day. > He must be busy and occupied at all times > (hypomania?).  I am wondering if I need to explore this possibility.  Can > anyone please > give me feedback? > Warmly, > Bonnie >Bonnie, >I have OCD also but am not on an antidepressant because my psychiatrist >won’t prescibe it.  Email me and I will answer some of your questions >because I don’t want to go into them here.  Plus its late 4:15am and I >want to go to sleep. >Betsy

Response:

– Hide quoted text — Show quoted text – > My son has OCD and had a manic reaction to Prozac.  He exhibits hypomania most > of the time, IMO.  His obsessions are delusionary, where he really believes it > is happening, even though it is totally irrational.  He knows later that it > wasn’t real, but at the time, he cannot be convinced otherwise.   > What I want to know is this familiar to anyone? > Also can a person be in a hypomanic state and be bipolar, even if they don’t > exhibit a depressive state? > I am interested in looking into this after undergoing CBT for my son and his > psychologist calling his obsessions delusions. > I know that adolescents don’t have to have insight into their obsessions under > the DSM IV criteria for OCD, but the nature of his obsessions seem more > delusionary than what is expressed by others with OCD.  For example, the > trigger for one of his obsessions is his father’s voice.  The obsession is a > "Rax image"  (he calls it by this name after some video game character) where > Rax is a 12 year old girl with a beard and fishing T-shirt on who does sexual > things to him.  It is very disturbing and disgusting to him and his compulsion > to "undo" this image is a serious of movements and video game noises symbolic > of his defense against the Rax image (hence another diagnosis of Tourette > Syndrome).   > Once he "gets it out of his system" he doesn’t react this way again until > several hours later or the next day. > He must be busy and occupied at all times > (hypomania?).  I am wondering if I need to explore this possibility.  Can > anyone please > give me feedback? > Warmly, > Bonnie

Bonnie, I have OCD also but am not on an antidepressant because my psychiatrist won’t prescibe it.  Email me and I will answer some of your questions because I don’t want to go into them here.  Plus its late 4:15am and I want to go to sleep. Betsy

Response:

My son has OCD and had a manic reaction to Prozac.  He exhibits hypomania most of the time, IMO.  His obsessions are delusionary, where he really believes it is happening, even though it is totally irrational.  He knows later that it wasn’t real, but at the time, he cannot be convinced otherwise.   What I want to know is this familiar to anyone? Also can a person be in a hypomanic state and be bipolar, even if they don’t exhibit a depressive state? I am interested in looking into this after undergoing CBT for my son and his psychologist calling his obsessions delusions. I know that adolescents don’t have to have insight into their obsessions under the DSM IV criteria for OCD, but the nature of his obsessions seem more delusionary than what is expressed by others with OCD.  For example, the trigger for one of his obsessions is his father’s voice.  The obsession is a "Rax image"  (he calls it by this name after some video game character) where Rax is a 12 year old girl with a beard and fishing T-shirt on who does sexual things to him.  It is very disturbing and disgusting to him and his compulsion to "undo" this image is a serious of movements and video game noises symbolic of his defense against the Rax image (hence another diagnosis of Tourette Syndrome).   Once he "gets it out of his system" he doesn’t react this way again until several hours later or the next day. He must be busy and occupied at all times (hypomania?).  I am wondering if I need to explore this possibility.  Can anyone please give me feedback? Warmly, Bonnie

Response:

Hi I know everyone will cringe but… there are some studies on valine-an amino acid that stops a lot of ocd. I use it when I get repeative thoughts. Worth a try? No I don’t make any $ for this. Any health food store will have it in a branch chain amino form or you can drink milk. TRF – Hide quoted text — Show quoted text -> I DO,FOR OCD AND BI-POLAR DISORDER. CAN YOU BELIEVE THAT?THAT REALLY STINKS > DOESN’T IT?RIGHT NOW I’M TAKING DEPAKOTE AND KLONOPIN BECAUSE MY DOCTOR SAIS > THAT IF HE GAVE ME PAXIL FOR THE OCD IT WOULD MAKE ME MORE HYPOMANIC.BYE > ANSWER > ME.KEEP THE FAITH. > I have OCD and Bipolar disorder also and am not on any antidepressants > because they will make me hypomanic or manic.  I take Depakote, Neurontin, > Topamax , Synthroid, and Maxzide but am being taken off Neurontin. > Betsy

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