Q. I was diagnosed bipolarII earlier this year but stopped taking medication (Celexa, lithium, Seroquel) when the depression lifted. I've lived with symptoms for decades now and am adapted and generally tolerant of the effects and wanted to track the moods (with the new knowledge of the cause) without drugs to confuse things. My doctor was ok about this. Now the depression is apparently back (after 2months mild mania). My biggest complaints (both depression and hypomania) are self-injury, extreme irritability (everything way too loud i.e. breathing, chewing), anger and head 'noise' mostly music sometimes talking sometimes other noises, and (when depressed only) miserably negative outlook / low self-esteem, many violent visions and suicide thoughts. Also some OCD. Sometimes I feel persecuted. My therapist recently asked me to reconsider medication. What drug(s) would you recommend I try first that would have the least effects on creativity and sexual function - potentially the simplest solution (vs. a combination)? The drugs I tried before made me numb and slow- I didn't feel anything. Also is the only difference between bipolar I and II the severity of the mania? I seem to 'internalize' mine and get effects inside my head.
