Our expert says:
Hard to tell at a distance, so your treating shrink is the person you need to consult about this, as he/she will lnow the intricacies of your Bipolar Disorder, as you're on a complex regimen of meds. Sometimes up-swings in bipolar show mainly in irritability rather than a more pleasant "high" and elation. Add the loss of sleep and poor concentration --- this is an upswing. I have no direct experience of adding Diane to such a mix in such a clinical situation, but anything that afects your hormonal balance could disturb the sometimes precarious mood balance. Geodon and also some of those other mood stabilizers can cause some mild nausea of other loss of appetite. Call your doctor again, I'm sure he'd rather be in the picture and have the chance to help you get things back under control. Let us know what he suggests
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