Antidepressant medications are the primary medical treatment for the depressive symptoms of bipolar disorder. Examples of antidepressants that are commonly prescribed for that purpose include serotonergic (selective serotonin reuptake inhibitor or SSRI) medications like fluoxetine ( Prozac ), sertraline ( Zoloft ), paroxetine ( Paxil ), citalopram ( Celexa ), escitalopram ( Lexapro ), vortioxetine (Trintellix), and vilazodone (Viibryd); there are also combination serotonergic/adrenergic medications (SNRIs) like venlafaxine ( Effexor ), duloxetine ( Cymbalta ), desvenlafaxine ( Pristiq ), and levomilnacipran (Fetzima), as well as bupropion ( Wellbutrin ), which is a dopaminergic antidepressant. While antidepressant medication remains a mainstay of treatment for the sadness of bipolar disorder, the prescribing physician will remain watchful since there is some risk that antidepressants can induce a manic or near-manic (hypomanic) episode or to the rapid mood-cycling pattern of symptoms.
Living in Baltimore and own a retreat in Montana? Congratulations! You better leave early, or be a pilot. Storing up sick and vacation days that can be used at the last minute can be key. There may be times that the handwriting is appearing on the wall, and those days are used several times over a few years on events that don’t materialize, thus allowing a return to life as normal without quitting a job after acting in haste. First, its great training and dry runs always pay off later. One day, it’ll pay off as the collapse deepens quickly and you’re a day ahead of the stagnate freeways filled with zombies, rather than seconds too late. One day, the event may be upon us in a spit second, but all that training pays off in a well executed bug-out mission. One never knows, but that’s half the fun of being a Prepper, right?