Meds increased for seemingly no reason

At what point should I question the judgment of my treatment team? Yesterday my therapist said I was acting slightly hypomanic and called my pdoc to let him know. After seeing my pdoc, I had my Vraylar increased to 6mg to combat the alleged hypomania.

Now Vraylar has helped me out of a few depressive spells, but I really hate the restlessness that comes with it. Now it's going to be even worse with this higher dose, and I even mentioned it to my pdoc and he basically said I'd be able to deal with it if it meant stability.

It's all a load, though I think. I haven't been feeling the slightest bit manic this past week, in fact I feel more stable than I have in a long time. I was just really talkative when seeing the therapist yesterday. :/

I'm starting to get the idea they just want me on as many meds as possible to generate money for big pharma or something. I just don't get it.

That's tough. I think I'd have clearly stressed to the therapist that you were not hypomanic and given examples of why you weren't. Then talked to your pdoc about those examples. For now, I'd just pay very close attention to what the increase in medication can do to you and if there are any complaints, then make sure you bring them to your pdoc's attention asap. That's what I would do.

quietgirl2538 wrote:That's tough. I think I'd have clearly stressed to the therapist that you were not hypomanic and given examples of why you weren't. Then talked to your pdoc about those examples. For now, I'd just pay very close attention to what the increase in medication can do to you and if there are any complaints, then make sure you bring them to your pdoc's attention asap. That's what I would do.

Oh believe me, I spent a great deal of effort trying to convince them I wasn't hypomanic in anyway. I even had my therapist open the DSM to go over the symptoms and showed her my mood tracking app. Guess it wasn't enough.

Anyway, I'm definitely keeping an eye out for any symptoms getting worse.

If you've been on your medication for a long time, you might know yourself and your symptoms better than your pdoc. I would have them make it very clear why they are adjusting things. I would make sure you let them clearly know how you feel and if you have to, find a new doctor.

This has happened to me. I was on 400 mg Lamotrigine and 160 mg Latuda. And both started at 20 mg. The Lamotrgine I don't mind, but I don't know why she kept raising the Latuda. It turned me into a zombie! I had no emotions whatsoever other other than feeling miserable that I didn't have any emotions. I finally talked her into lowering it and now I'm off of it.

As Quietgirl said, that sounds like a lot of crap coming from your therapist, at least in my opinion. The therapist shouldn't just immediately assume there's something wrong and run to your psychiatrist. My therapist always asks me if there's something wrong. I've gone in there, completely manic, and I don't tell him to the end. I generally get it out of the way, but sometimes I get a bit "careless" with my mania, and want to have some fun with the situation.

As 7z7 said, that doesn't sound like a good team. My therapist would have scheduled me back a lot sooner than usual, but he would never have done that. Maybe try finding a new team if you feel they don't listen to you. You're the patient, the customer, they should be listening to you, not the other way around.