I recently got diagnosed with bipolar II disorder. I have been on anti-depressants for over a year. a month and a half ago i upped my meds of 10mg of celexa to 50mg because i was not feeling better. 10mg is not a lot so it made sense for me to up them. I have been feeling better but I always get up in the morning very depressed and anxious. I feel better later on in the day and in the evening feel almost normal. One of the reasons my pysch thinks i have bipolar II is because my moods are still not stable and my morning depression seems to indicate this. He recommended taking 3000mg of omega 3 and if in a month I am still waking up depressed he will switch me to seroquil.
Is morning depression and anxiety, improving later on in the day something you experience as well?. Has your doctor prescribed omega 3? I still feel relatively down most of the time though not as seriously depressed as I was when i was on only 10mg of celexa. The major depression resulted after a breakup with my partner of 9 years (we have 2 children) but before that I was hypomanic with a great deal of impulsivity issues. I also think i was mildly depressive before the break-up (dysthymic).
Where to start – I am going to try starting at the end with the career issue. I also am struggling with where to go in my career. I am 48 and have worked as an attorney and manager most of my professional life but feel the need to transition into something else. I know that when I start thinking about it and facing the reality that the my former career is probably gone it drags me into a downward spiral. The best thing I have found on those days is to write. It helps me use my brain but in a new way and releases my creativity. I am not necessarily saying to write but try to find a creative outlet for yourself. Many of the greatest artists and creative people are or were bipolar. It helps me focus and gets me going. As to finding a new career all I can suggest is that for myself I am thinking more and more that my career is writing (even if I never make a dime on it) and I just have jobs to pay the bills.
This leads me into your question about the morning depression and anxiety. I also deal with this and for a long time tried to combat it with lots and lots of coffee (2 to 3 pots a day) and just napping away the mornings. I have recently started a new medicine that is helping with the lethargy (Nuvigil) and I also try to get around and go to work, writing, in the morning. I am finding that by not letting myself sit and stare at the TV and trying to release some creativity my mornings are going much better. I still have bad times – just this AM I went up stairs for a pair of socks and ended up laying in bed for 45 minutes because I was tired and depressed. What got me moving was the thought that I had to go to work. Here on my laptop. Granted I don’t get paid for it in money but the release of creativity and productivity pays me many times more than mere money could. Though I must admit I would love it if I could someday turn my love for writing into a paying career. Perhaps writing isn’t your thing but try gardening or poetry or drawing or anything creative to just release that side of what bipolar does for us and it may help.
As far as the Omega 3 I tried it for a while but the fish oil pills I took always gave me the fish burps so I quit taking them – I know this is a bad reason as there are other ones out there but so be it – I think I will try a different kind and get back on them as I have heard lots of good things about the benefits of Omega 3.
Note – Nuvigil, “armodafinil is used to treat excessive sleepiness caused by narcolepsy, . . . . shift work sleep disorder, . . . . [and] to prevent excessive sleepiness caused by obstructive sleep apnea/hypopnea syndrome, . . . . Armodafinil is in a class of medications called wakefulness-promoting agents. It works by changing the amounts of certain natural substances in the area of the brain that controls sleep and wakefulness.” http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000416/
My Doctor put me on this to try and combat the general lethargy and thankfully my sleep apnea diagnosis is getting the insurance to pay for it. I STRONGLY RECOMMEND NOT TRYING ANY TYPE OF STIMULANT TREATMENT WITHOUT CLOSE DOCTOR SUPERVISION AS THIS CAN SEND PEOPLE INTO FULL BLOWN MANIC ATTACKS.
Right now i am going through some serious anxiety about my career and am thinking about changing directions which is not easy at 51 years of age. this may be fueling my low moods.