this post was submitted on 10 Dec 2025
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Mental Health

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Hi all. Been taking lamotrigine off label from my psych provider. Intended to help with emotional instability.

I have been slowly titrating up. Had some ups and downs but now I feel like I'm nearly at the worst I've ever been.

I have been on 200 for the past 3 weeks. My mood has not stabilized in that time and I am getting much worse.

A few days after the increase to 200 my coworker noticed an immediate and dramatic negative shift in mood and appearance. Prior to that, I was on 150 for 5 weeks. Initially I was doing pretty good but I had a steady decline for the entirety of the 5th week before I was upped to 200.

My bros please help. This is destroying my career and relationships. It has immediate and significant impacts on my life.

I sent my provider an urgent message in her portal but yeah I need to figure out this shit asap.

Not sure if I am having a paradoxical reaction to every psych med I am trying or what??? Also yes I am in therapy but in the process of changing to one who is a lot more strucutred in her approach and less of a talk therapist.

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[–] Broadfern@lemmy.world 1 points 2 weeks ago

I suppose dosing standards may also differ on condition, region, and medical provider which is fair.

None of what I said was meant to be directed at you in a way that places blame. I’ve had family members who were mis- or over-medicated and that same worry and sympathy bubbled up when I was reading your post.

I’ll admit I peeked at some of your past posts and I would feel/react similarly in your work situation. Being even vaguely “neurodivergent” and having a stronger sense of justice and higher sympathy/empathy level is difficult, especially in a toxic work environment. It sucks that bullies seem to be able to sniff it out and make your life hell over it, too. There’s a lot of bullshit and injustice in this world, and I’m sorry you’re dealing with so much of it.

I hope you’re able to find some small relief/reprieve, and can at some point find a better work situation too. You’re not crazy for being upset or sensitive to stress. However you manage to cope with it all is valid.