I am bipolar, age 84,, having recurrent symptoms of teeth grinding, edginess, jittery feeling. My MD at diagnosis prescribed Celexa 40 mg AMand zolpidem 10 mg, nortriptylene 100 mg PM. I also take thyroid AM. I saw MD and he is not even interested in changing anything. Any ideas? I think I should take another 5o Celexa PM as I seem to stay ok for about 12 hours and then I realize I've broken another bit of tooth and am nervous feeling. My son said I should tell MD of symptoms, he said I'm taking maximum allowable dose of meds and dismissed me. I could just spit I feel so upset.