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ADD from TBI, new weight loss and CBT, now "manic-like"

Hi,

I had a TBI from a car accident 20 years ago, at 13. I have inattentive ADD from the TBI, and major depression. A leader in the field of bipolar is on the fence as to whether I'm truly bipolar (I do have SAD). I was on a boatload of medications, which I have cut down on substantially. Now I'm on Adderall (75mg at wake, 15 at noon - it was necessary before), clonazepam (.5 mg TID), mirtazapine (30mg at bed), and Seroquel XR (300mg at bed, 50 at wake, 50 at noon). When I was coming off my other meds, and now, I see an AMAZING CBT guy pretty much every week.

I've had amazing amounts of increased control over my emotions, gradually and in fits and starts from the CBT, I've been exercising and eating better (and lost about 40 lbs in the past 10 months), and lately, I've rooted out some core beliefs that were making things difficult. My life has turned around.

A new problem has arisen. I have too much energy, at least some times. It feels like, well, when I was in my teens at the height of summer and felt I could do anything when I'm not cognitively in control. When I am cognitively in control, it's just too much energy. (And it's ironic the days are getting shorter. Usually my energy, etc., would be going downhill right now.)

One thing I've read is that with ADHD/ADD from TBI, it's not just about how much whatever you take for your ADD you take, it's how much control you have. And my control has increased substantially. I'm a while away from being able to talk to my pdoc, and while I have permission from her to change meds slowly if I deem it necessary, although not in writing, since now that I know basically what does what, I've never, in the time that I've been on Adderall, ever thought of changing it without monitoring. I've also never thought of decreasing it.

But, while I can control the extra energy, it tends to slip out. And I'm actively interviewing.

Any suggestions? Thanks
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replied January 23rd, 2019
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
You would need mental state examination to rule out borderline personality trait and delusional disorders.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
Khan
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