need a psych nurse's opinion

TitaniaSidhe · Dec 12, 2003

Zyprexa is antipsychotic...I would think if the only 2 meds he were on were that + Paxil then I would lean more to something Schiz. Usually with Bipolar some sort of mood stabalier is used such as Depakote, Lithium- something of that nature in conjunction with other meds. Also in my facillity the docs usually try to stay away from antidepressants with Bipolars to prevent inducing mania.

LilgirlRN, ADN, RN · Dec 12, 2003

Thnks for the reply. He has finally agreed to go back to the doctor. We'll see what's what when he goes I suppose. Hope he doesn't go off the deep end in the mean time.

MAGIK GIRL · Dec 15, 2003

:eek:

you also have to wonder who scripted the meds in the first place. often times i have seen patients who have been placed on psyc meds for whatever by thier internist. when some of these patients present to the er with suicidal or homicidal ideations i often find that they were seen by the internist who means well but were not refered for therapy.

it is my understanding that meds like paxil are meant to bring you to a plane where you can except the therapy. unfortunatly, alot of these pts seem to fall thru the cracks. i would want to know if your bf's nephew is also getting therapy and if not, strongly encourage it! stress is a terrible thing and can cause all sorts of behaviors. i think the internists mean well but they have to realize that the meds may only mask the problem. the problem must be delt with on all levels. yes, i know there are some organic problems that just crop up and therapy just does not cut it, but i think it is worth a try along with the meds and the right kind of doctors.

good luck!

mg:devil:

sanakruz, ADN · Dec 17, 2003

ssri's can cause a bipolar person to become manic, quickly.

The 2 meds you mention are quite often given to someone with schizophrenia or schizoaffective disorder. A person with schizoaffective d/o can present as hypomanic or manic. It's sometimes takes a while to make a definative dx

This young man should have a positive outcome if he stays on his meds. Here lies the challenge as it goes against human nature to 1) admit one is ill and 2) to take pills when you feels well

MAGIK GIRL · Dec 17, 2003

Here lies the challenge as it goes against human nature to

1) admit one is ill and

2) to take pills when you feels well [/b]

________________________________________________________________________________________________________

how true, how true. human nature, it is a funny thing.

that seems to be one of the number one issue of all realms of medicine.

happy holidays:p