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In the interest of making this forum more clinical, I wanted to bring this question that I encountered today.
I just saw an 18 year old female with depression, ADHD and borderline personality disorder. She's on Prozac 60mg qam, Abilify 5mg at bedtime (increased fromg 2mg to 10mg about 1 month ago when she went inpatient due to cutting/SI which I decreased to 5mg due to pronounced sleepiness), Vyvanse 30mg qam and has completed a year of DBT. Fluoxetine and Vyvanse dose have been stable for a while now.
Today she mentioned that over the last 3 weeks or so she has been experiencing sleep paralysis, where she wakes up in the morning and can't move.
Is this a common phenomenon with SSRI's and/or Abilify? Any recommendations?
I just saw an 18 year old female with depression, ADHD and borderline personality disorder. She's on Prozac 60mg qam, Abilify 5mg at bedtime (increased fromg 2mg to 10mg about 1 month ago when she went inpatient due to cutting/SI which I decreased to 5mg due to pronounced sleepiness), Vyvanse 30mg qam and has completed a year of DBT. Fluoxetine and Vyvanse dose have been stable for a while now.
Today she mentioned that over the last 3 weeks or so she has been experiencing sleep paralysis, where she wakes up in the morning and can't move.
Is this a common phenomenon with SSRI's and/or Abilify? Any recommendations?