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Date of last update: 8/24/2017.

Forum Name: Psychiatric Topics

Question: Bipolar triggered insomnia and restlesness

 Roland - Mon Dec 15, 2008 4:12 am

Dear Doctor

A psychiatrist diagnosed me with severe depression and anxiety earlier this year at the age of seventeen. Only after a hypomanic episode, self-cutting and a suicide attempt did he diagnose me with bipolar disorder. I also abused benzodiazepines and was hospitalised for a week. I rarely sleep more than 4 hours an evening and suffer from severe anxiety accompanied by physiological symptoms like tremors, sweat, increased heartrate etc. I am undergoing cognative and behavioral therapy at a psychologist. I am on Seroquel 300 mg, Epilim 300mg and Wellbutrin (bupropion) 150 mg daily. Sometimes I feel so restless I go and lie in a cold tub of water. I suffer from night terrors as well. Is there an EFFECTIVE non-benzodiazepine anxiolytic and a solution to my insomnia and anxiety attacks?
 Faye Lang, RN, MSW - Wed Dec 17, 2008 3:05 pm

Hello Roland,

Your situation is complex. Any mediction generally produces a desired effect; however, each of us may respond differently to a medication. You are receiving appropriate treatment, so your question would best be answered by your physician. There are many options with medication, and you may be able to take a non-bensodiazepine successfully. Sometimes it takes several attempts to find the medication that is best for you. Discuss your concern with your doctor and psychologist. They need all information that you can give them in order to provide the best treatment.

Good luck to you.
Faye, RN MSW

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