Ha! remember I had one of those double yolkers a while back? The little one died off in the end.
Thanks for the offer to help, GF. Your mother must be a special person to do the work she does. My son is 21. He has acute type 1 bipolar disorder. He's a great kid. He was lucky to inherit his mother's good looks. Unfortunately, he also inherited that demon from her. Interestingly, his half brother (31) has the same disease. His half sister (26) does not have bipolar, but has some serious anxiety issues. They manifested when she was 16 as a life threatening case of anorexia. Sister is a beautiful person, worked and still works with counselors and doctors to manage her illness, received her master's in psychology last spring, and is a great role model for her little brother. It would be difficult for your mom to help since she is so far away, doesn't have access to medical records, etc.
Both his mother and older brother have never stuck with any treatment for long and they are total train wrecks. I met and married his mother during one of her short stable periods not having a clue that there were some major problems. Son and daughter look at mother and brother and realize that treatment is beneficial.
I also had an adopted sister with the same illness who never stuck with treatment, preferring to drink heavily. She was found dead of a lung infection on her couch almost 20 years ago now.
Given my experience with dealing with the illness and my nature, you can imagine that I'm well educated about it. My son has an excellent psychiatrist and a fantastic counselor. We went through several looking for a good match. He had his first hypomanic episode about a year and a half ago, followed closely by the second. At the time he was living with his mother after being single parented by myself since he was 6. In his late teens he wanted to spend some more time with his mom and moved to live with her. He was in California when he became symptomatic, and moved back here when he became ill. He lives up by my Mom and went to a local community college there last year. There were a few bumps as he got settled and the school didn't go well, but he held a job the whole time, is much valued at his work place, and has lived by himself for the first time in his life.
He is actually moving down here this weekend into a place about a block away from me to go to school. It is a real bummer that he's hit this bump in the road right as he is making that transition. At the moment I am not with him since I have some meetings I don't want to miss today and tomorrow. I'll head back up tomorrow night and help him with his move. I'm only a phone call and a quick drive away if there are any serious issues before then. He has a good support system in place where he is, too.
He has been taking Lactimal (lamotrigine.) Skin disorders are a fairly common issue including one rare serious type that is potentially fatal. Stick a fork in Lactimal, that one is done. That's why when he informed me of the rash I sent him to the ER right away, and why I was there first thing yesterday morning to go with him to the psychiatrist. At the ER they told him to stop taking his medication and take Benadryl and contact his doctor as soon as possible.
We had a long meeting with his doctor, and could not come up with an environmental cause for his skin affliction (which had improved quite a bit over night.) So, basically, we had two choices. One, he could go into an inpatient facility and remain off his medication for a week until the rash was completely gone and then try the Lamictal again to see what happened under close observation. Two, we could change medication. His doctor felt fairly confident that the Lamictal was the cause of the rash, and that if he did option one he could have a much more severe reaction when he started it again. Inpatient psychiatric facilities are not fun places to hang out for a week, either.
Junior went to work last night (second to last shift at his job) and took his first dose of Trileptal (oxcarbazepine) last night after work. He stayed at Mom's house last night. The trileptal reaches therapeutic blood levels much more quickly than more traditional bipolar medications like lithium. It's just a matter of waiting and seeing if it's effective and he tolerates it well at this point - sort of like sitting on a powder keg. Hopefully it doesn't detonate.
While Junior must avoid cannabis (we've actually seen that smoking it causes him all sorts of problems) it is great for the PTSD like symptoms I have from dealing with folks with bipolar illness over the years.