Problem description: The more obvious time of onset was 2008. At the beginning, I did not like to talk, was afraid of seeing people, was suspicious, and couldn’t sleep. Later, I experienced mania and became depressed after a period of treatment. After taking the medicine, it can be slightly better, and once the irritation is encountered, the above symptoms will appear again.
Question date:2021-05-14
Patient information:Age: 41 years old Gender: Female
Question analysis: If you have alternate episodes of depression and mania, you need to diagnose bipolar disorder instead of unipolar depression.
Guiding suggestions: The treatment principle of bipolar disorder is based on mood stabilizers rather than antidepressants, and this disease is a chronic disease and requires long-term medication. In general, taking medicine for the first onset of illness requires long-term medication for multiple illnesses within a year. It is recommended to use quetiapine for treatment, 400mg per day, if there is manic manifestation, it can be increased appropriately. This medicine has relatively little effect on the teratogenicity of pregnancy and is relatively safe. The main side effect is lethargy, appetite, and weight gain.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection