It was a good thing that I saw my psychiatrist today because there are some early warning signs that my depression could be getting worse again. I started feeling a lack of motivation and desire to do self-care. Furthermore, it was becoming difficult to utilize the cognitive behavioral therapy strategies that have been suggested. Self-praise was just not working to help me snap out of this funk.
I asked my doctor if she thought it might be that I am taking Geodon instead of Latuda and she answered that she cannot be certain that the medication change is the cause. There are just too many other variables at play. What she did say is that I will most likely need maintenance ECT either once or twice per month. I will be able to handle that frequency but if it is something to be done more often, then it is going to be an impossibility to do it as an outpatient. ECT is very difficult for me because it is initially sensory overload and then I do not feel good for at least 24 hours after.
My doctor also felt that it is time to increase the dose of the anti-psychotic that I am using to treat Bipolar depression. It is time to increase Geodon from 40mg to 60mg in the hopes that it will work better. I realized that I did not put up an article yesterday and that was because I spent most of the day unsuccessfully trying to migrate my blog away from Namecheap to a free Oracle Cloud virtual machine instance. Well, it did not work and it was a fair amount of time wasted.