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Anon, I'm so glad you wrote. Dealing with bipolar and/or depression is a constant struggle for so many people.

So you were 31 when you were diagnosed? Or it's just been the last 10 years that you've been on this dose of Lithium?

I have a friend who is a rapid cycler, and she can go through her cycle in just a few days. She also has struggled with meds, but has recently had some improvement when her doctor added Abilify to her regular meds. Do you feel that your psychiatrist is interested in your symptoms and how they change, or has it become sort of just a routine visit where you go in, talk a bit, and he writes the same prescription over and over? Do you feel that he listens to you when you feel that things are changing?

It may be that since you feel your rapid-cycling is getting worse that you need to see him monthly for a while; is that possible?

Do you also have a therapist who helps you work through the everyday aspects of living with bipolar?

There's a wonderful, wonderful chat room called:

www.mixednuts.net

for bipolar and depression chat. They are a group of people who are all dealing with ups and downs, meds, doctors and everyday life, but they also don't forget to laugh once in a while. It is a forum where anyone can ask a question and get answers from others' experiences, and it sure feels good to know you aren't the only one dealing with an issue.

Here is a page about medicines and treatments used for rapid-cyclers; it may be that there is something here you could discuss with your psychiatrist:

http://www.medscape.com/viewarticle/495236_4

How are you sleeping? Are you dealing with insomnia? If so, do you take any meds to help with that? Sleep patterns are very important to help stabilize a rapid cycler.

At 41, you are also almost certainly in perimenopause, and it may be that your hormone levels are changing -- and affecting your bipolar. Do you have a good ob/gyn who could test your hormone levels and see what they are doing? Thyroid levels, also? Here is a page that says some studies have found a correlation between thyroid hypofunction and rapid cycling. It's written for doctors, but it may be something you'd want to print out and ask about:

http://www.psychiatrist.com/bauer/bauerG.htm

You mustn't feel alone -- at least 20% of all people who are bipolar experience rapid-cycling at some point.

Acupuncture practitioners work with many bipolar patients. Have you ever looked into this as part of your treatment?

Don't give up. I am sure that in the last 10 years you've come upon many books about bipolar, some which have helped and some which haven't, but there's a book called Bipolar 101 that was just released this month and might give you a more current view of medications and treatments. It was written by a psychologist and a mental health expert who has bipolar herself:

http://www.amazon.com/gp/product/product-description/1572245603/ref=dp_proddesc_0?ie=UTF8&n=283155&s=books

And the average review that customers give this next book is 4 1/2 stars: Take Charge of Bipolar Disorder: A 4-step plan For You And Your Loved Ones To Manage the Illness and Create Lasting Stability. It was written by Julie Fast, a woman who was also diagnosed at age 31, along with a specialist in bipolar disorder, John Preston. Here's the link:

http://www.amazon.com/Take-Charge-Bipolar-Disorder-Stability/dp/0446697613/ref=pd_sim_b_3

Julie Fast also founded Bipolar Happens, an online resource where she also blogs. She's pretty honest about her ups and downs, which makes the blog very readable:

http://bipolarhappens.com/bhblog/

Take care, don't give up, and please write back and let us know what more we can find out for you.

February 1, 2009 - 1:01pm

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