OpenHealth Q&A

Get answered by medical professionals

Concerns About Medication and Suicide Risk

8/2/2025, 3:40:26 AMMale25-34

I prefer to keep the specific medication I'm taking private, but it is prescribed for bipolar depression. Typically, I experience such profound lethargy and disorganization during my usual depressive states that the thought of harming myself feels unmanageable. However, this time, while still on my medication, I am experiencing an increase in motivation, which is unsettling because my lethargy has diminished. Could this be a genuine concern? It's perplexing to me that while my mood appears to be unchanged, my ability to execute tasks has markedly improved. Profile: Female, 24 years old, standing at 5'3" and weighing 110 lbs.

Bipolar DisorderTherapyDepression

Answers (1)

Cony

8/2/2025, 3:40:42 AM

OpenHealth AI

It's encouraging to hear that you've noticed an increase in motivation while on your medication, but it’s understandable to feel unsettled by these changes, especially in the context of bipolar disorder. Let's break this down and understand what you're experiencing.

Main Points

  1. Increased motivation can sometimes accompany mania or hypomania in bipolar disorder.
  2. Monitoring your mood and behaviors is essential to ensure these changes remain positive.
  3. Self-care strategies can help you navigate these fluctuations safely.

Explanation

In bipolar disorder, shifts in mood, energy levels, and motivation can occur. While feeling more motivated sounds beneficial, it might also be a sign of a mood shift that could lead to mania. It's important to distinguish between healthy motivation and the early signs of a manic episode, which might include feeling overly energized, impulsive decision-making, or racing thoughts.

Next Steps

  1. Monitor Your Symptoms: Keep a journal for the next week to track your mood, energy levels, and any changes in your thought patterns. Note any feelings of irritability, racing thoughts, or impulsive behaviors.

  2. Practice Self-Care: Engage in activities that promote emotional well-being, like regular exercise, a balanced diet, and adequate sleep. These can help stabilize your mood and provide clarity on your emotional state.

  3. Connect with Support: Reach out to trusted friends or family members to discuss how you’re feeling. Their observations can provide additional insight into your mood changes.

  4. Emergency Plan: If you ever feel overwhelmed by thoughts of self-harm or if you notice unstable moods, it’s critical to have a plan in place—whether that involves calling a trusted person or a helpline.

  5. Consider Professional Support: While I won't discuss medication specifics, keeping in close contact with your healthcare provider about these changes is essential. They can provide the best guidance tailored to your medication and overall mental health plan.

Feel free to share how you’re feeling in your journal or ask for support as you navigate this period. Remember, you’re not alone, and taking proactive steps can help you manage these changes effectively.

Related Questions

Dismissed as a Patient After 26 Years

For the past 26 years, I’ve been a patient at the same medical office, practically since the moment I entered this world (or rather, since I began my existence). Admittedly, I did transition from a pediatrician to a general practitioner when I turned 18, but I’ve mainly seen the same doctors throughout my life, including a general physician and a sports medicine specialist. During this extensive period, I have only missed a couple of appointments—perhaps just two in total—which seems quite reasonable considering I’ve had numerous check-ups and consultations due to various health issues, largely stemming from accidents and injuries. It’s not uncommon for someone like me, who tends to be accident-prone, to have over a hundred visits in nearly three decades. However, I recently discovered that I’ve reportedly missed three appointments in the span of six months. This unexpected revelation is frustrating, as those missed appointments occurred while I was recovering from orthopedic surgery following a significant work-related accident—I tumbled two stories off a ladder, highlighting my tendency for mishaps. The appointments I failed to attend were routine check-ups with my general practitioner, my sports medicine doctor, and a blood test. Unfortunately, they all coincidentally fell around the same period just after my surgery. I learned about the need for the surgery only a few weeks ahead of these scheduled appointments, and post-surgery, mobility was a challenge. I had asked my husband to cancel them on my behalf, but he neglected to do so—an oversight we share. While I take some responsibility for not ensuring the calls were made, I was heavily medicated with prescribed pain relief at the time. Despite my generally good attendance record, this series of missed appointments led to my dismissal as a patient. Today, when I contacted the office to request a refill for a chronic medication unrelated to the surgery, I was informed that I can no longer receive care there, as I was discharged as a patient back in early January. This came as a shock, especially since they had filled a different prescription for me just weeks ago without any issues. It raises the question: how can they discharge me and then assist with a prescription shortly before? I’ve been on the same medication for over seven years, and I am not asking for anything out of the ordinary. If they want to sever ties after 26 years, I’m willing to find another provider, but it feels absurd to deny me vital medication after such a long-standing relationship. Is this a common practice? When I explained my situation—politely and respectfully—the response was still a firm refusal to refill my prescription. My discussions were limited to administrative personnel, leaving me at a loss about my next steps. I’ve always been a reliable patient, with the exception of these recent three appointments occurring immediately after the surgery. The urgency of my medical needs can’t be understated: I am in need of key prescriptions and follow-up care due to significant health concerns from my recent injury, numerous corticosteroid injections, and a positive result from a cancer screening test. Although statistics suggest the probability of a false positive at my age, it still necessitates thorough follow-up, especially given my family's history of this condition. For the past week, I’ve reached out daily, always with courtesy, yet I’ve received no resolution, just the run-around among various office staff. They mentioned they sent me a letter to inform me of my dismissal, yet I never received a call, email, or any subsequent communication. One single letter does not suffice to terminate a patient’s long-term relationship with their medical practice, especially when it involves critical prescriptions and post-surgery care. Is this standard protocol? I cannot stress enough that I am not embellishing my situation. With an almost flawless attendance record and a recent misstep due to surgical recovery, being abruptly cut off feels excessive. I truly appreciate my general practitioner, need my medication, and face a myriad of concerns—from continuity of care to other pressing health issues—which makes this entire experience deeply troubling and perplexing.

PsychiatryTherapyDepression
Male25-34
22 minutes ago

Uncertainty Surrounding My Health Incident

I am a 15-year-old girl currently battling a cold, and I also have a confirmed diagnosis of Ehlers-Danlos syndrome. Additionally, I suspect I may have POTS, although that's not officially confirmed. Earlier today, I got up to visit the bathroom, which requires navigating around twenty steps from the living room. As I stood up, I noticed my vision starting to blur, but that’s a familiar sensation for me, so I didn’t think anything was amiss. Upon reaching the bathroom, my eyesight faded to complete darkness. Losing my sight entirely isn’t unusual for me, and while frustrating, I merely found it bothersome rather than alarming. Once inside, I turned on the light, and although I couldn’t see it illuminating the room, I heard the click of the switch, indicating it was on. I then attempted to locate the sliding door to close it. However, I misjudged the doorway completely on my first try. I felt it was odd, yet I dismissed it and tried again, but I encountered the same issue. After my second attempt, I experienced significant trembling in my limbs, so intense that I realized I was on the verge of falling. To prevent that, I quickly lowered myself to the floor, remaining blind to my surroundings. After about five seconds, my vision began to return, and I noticed my legs were still shaking. A few seconds later, the shaking subsided, and I regained control over my body. I stood up right after, feeling relatively assured that it wouldn’t happen again, but I opted to sit for safety's sake. This event occurred just a couple of hours ago, and thankfully, it hasn't recurred. Although my vision tends to dim when I stand, that is a typical occurrence for me, and I’ve since retained partial sight. I did not lose consciousness during the incident and have clear memories of the entire experience, without confusion or disorientation afterward. Notably, epilepsy runs in my family; my aunt has it, and my mother’s cousin experienced several seizures a few months back, although he hasn’t had any recently. Personally, I have never fainted, though I’ve come close multiple times. It’s important to mention that I’ve never experienced a seizure before, and I remain uncertain whether what transpired was a seizure or something different altogether.

InsomniaAnxietyDepression
Male25-34
42 minutes ago

Should I Be Worried About These Symptoms?

I frequently use Q-tips to clean my nostrils due to my septum piercing, and I’ve noticed a brownish-black substance in my left nostril, while my right nostril produces thick, clear mucus. It’s a bit embarrassing, but I suffer from chronic mucus, which has darkened over time, along with post-nasal drip that’s led to persistent bad breath. Additionally, I deal with a dry mouth, and my tongue often appears coated in a brown and white film. Inside my mouth, I have sores and red spots, and my skin peels, problems that seem to linger without resolution. Swallowing food can be difficult, occasionally requiring me to cough up what I’ve eaten because it feels stuck. My throat makes gurgling sounds, and I constantly have the sensation that something is lodged in there. Recently, my voice has taken on a raspier tone, and I’ve noticed tenderness and swelling around my lymph node on the right side of my throat. At 23 years old, standing 6’4” and weighing 130 pounds, I’m struggling with unintentional weight loss. No matter what dietary approach I adopt or how much I consume, gaining weight remains elusive. I smoke approximately 12-15 cigarettes daily. I’m uncertain whether my symptoms are alarming or merely a consequence of my smoking habit. With a $3,600 health insurance deductible that has just reset, visiting a doctor is currently beyond my financial reach, which is why I decided to seek advice here. Thank you for taking the time to read this. I apologize for the lengthy message.

PsychiatryAnxietyDepression
Male25-34
2 hours ago

Seeking Support for Unique Mental Health Journey

I’m a 20-year-old male standing at 6 feet tall and weighing 230 pounds. After spending over seven years in isolation, I’m now embarking on the path to recovery. However, I find myself intrigued about whether there are particular brain specialists who might be interested in examining a case such as mine. It seems that I’ve heard of others in similar situations receiving attention and even compensation for participating in studies. Does anyone have insights on whether this could be a viable option for someone in my circumstances?

PsychiatryAnxietyDepression
Male25-34
2 hours ago

Experiencing a Manic Episode Despite Medication: Is This Typical?

Age: 38 Gender: Male Height: 6’5” Weight: 225 lbs Ethnicity: Caucasian Duration of Symptoms: I began experiencing manic symptoms in November. I have a bipolar diagnosis that dates back to when I was 16 years old. Location: Pennsylvania Pre-existing Health Conditions: Diagnosed with Bipolar 1, ADHD, anxiety, and an eating disorder. Current Medications: Currently prescribed include: Lurasidone HCl 60 mg tablets, Doxepin HCl 6 mg tablets, Lithium 300 mg, Lisdexamfetamine 70 mg, Zolpidem 12.5 mg controlled-release, Pregabalin 225 mg, Jardiance 10 mg, Lisinopril 10 mg, Naltrexone 50 mg, Mounjaro 15 mg/0.5 mL solution, and Topiramate ER 200 mg, along with Atorvastatin 20 mg. I hope I’ve followed the guidelines for this post. I’m currently enduring a manic episode. It began with symptoms such as restlessness, excessive irritability, racing thoughts, impulsive spending, and rapid speech. Now, I’m facing the aftermath with symptoms of profound depression, thoughts of self-harm, very low energy, and ongoing irritability. I'm quite disheartened as my medication regimen seems ineffective in preventing this episode. Should I reach out to my physician to discuss adjusting my medication or increasing the dosage? It feels like my lithium intake is relatively low at 300 mg taken three times daily. Is it frequent for someone to experience a manic episode while on multiple types of medication, particularly a combination like lithium, Lurasidone, and Doxepin? The Lisdexamfetamine I’m taking is aimed at managing ADHD and my eating issues. Any advice or insights would be immensely valuable. Thank you!

Bipolar DisorderPsychiatryDepression
Male25-34
4 hours ago