Tag: psych meds

When the Bipolar Medication Isn’t Working — Treatment-Resistant Bipolar Disorder

I have spent years of my life with bipolar medication not working — or, at least, bipolar medication not working to the extent that one would want. I know this isn’t the common refrain around medication — the common refrain being, take bipolar medication and get better — but it is a reality that many of us live with. So, the question is, what do you do when the bipolar medication isn’t working? What do you do when you have treatment-resistant bipolar disorder?

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Why Do People Refuse to Try Psychiatric Medication?

I take psychiatric medications daily and what I want to know is, why do people refuse to try psychiatric medication for serious mental illnesses? Why do people think they don’t need it? Why do people think they should ignore their highly-trained doctor’s advice? Why do people feel that taking psychiatric medication makes them less of a person? Why is it okay to take heart medication but not psychiatric medication? Why do people think that psychiatric medication doesn’t work? Why do people think that I know of some secret alternative? Why do people refuse to even try psychiatric medication?

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Why I Don’t Tell People My Bipolar Medications, Treatment Plan

And Why You Shouldn’t Tell People about Your Bipolar Medications Either

At least once a week someone asks me what medication I’m on or what my bipolar treatment plan is, but I have a policy not to talk about my treatment plan or medication. I typically won’t even get specific about my experience with specific medications. I don’t tell people what medications I’m or what my treatment plan is for a good reason – it’s no one’s business but mine and my doctor.

I get a little peeved that people ask me about my medications and treatment plan because it’s private people. But people think that just because I’m a writer I’m a public commodity and people should get to know whatever they want about me. Well guess what, you don’t. You get to know what I choose to tell you, nothing more, nothing less.

People Want to Know about my Bipolar Medication Why?

And really, why is it that people want to know about my bipolar medication? I’ll tell you why – either they want to copy it or they want to judge (like judging ECT) it and I have no interest in facilitating either of those things.

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Psychiatric Medications Don’t Work – a Fact?

Again, a commenter last night popped onto the blog to tell me how psychiatric medications “do more harm than good” and how “I [the commenter] know for a fact that these meds no not work.

Sigh.

I’m not sure how so many people confuse “fact” with “opinion.” It is the opinion of some people that psychiatric medications don’t work. It is the opinion of some people that psychiatric medications do more harm than good.

I am not of that opinion. And I actually have facts on my side.

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Under the Influence of Drugs – I Can Think Just Fine

I’m on Twitter. Not a surprise there. And I have a pretty active following there. Most of the people are fans, but a few aren’t. A few quite disagree with me and what I have to say. Which is fine. People can have their views.

And recently, I was tweeting along, minding my own business when someone said this to me:

and have you been on antidepressant, mind altering drugs all these years. Making choices while under the influence

My first reflex was to reply,

and have you been making choices all this time while being an ignorant, sanctimonious ass?

Sigh.

But I’ve heard through the grapevine that wouldn’t be professional. So I said nothing. If Mr. Twitter wants to judge me for taking medically prescribed medication, that’s his right. Even if it is a small-minded, uncompassionate, hateful thing to do.

And really, I have snarky answers for many of the asinine comments people make to me. However, I don’t tend to share them as it makes people all pissy. That being said, this particular comment hit a sore spot – being under the influence of brain-bending medications.

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Why Aren’t Doctors More Honest With Patients in the Hospital?

Inpatient Prescriptions of Antipsychotics

Yesterday I received this comment from Leah,

. . . At the mental health clinic [where] I stayed, they were really into prescribing low doses of Seroquel [quetiapine] for unipolar depression . . . after reading up on this stuff I became somewhat angry for the widely prescribed off-label use of these antipsychotics since side effects can be strong. Especially since I was not told. Do you maybe have any thoughts on this practice?

Thoughts? Yes. Far too many. Ask anyone.

I have, over and over, lamented about the lack of honesty and transparency in the doctor-patient relationship. Specifically, why is it doctors prescribe antipsychotics, often off label, without disclosing their risks? It’s happened to me many times. In the hospital may be a special case, however.

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Five New Bipolar Depression Treatments You Don’t Know About – Part 2/2

As I mentioned, people with bipolar type II spend 35X more time depressed than hypomanic, and yet there are very few treatments available.

As we discussed last time, the neurotransmitter glutamate and the inflammatory complex are two new, badly-needed areas of bipolar depression treatment research. Here are three additional bipolar depression treatment areas you probably don’t know about: diet, antioxidants and modafinil.

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5 New Bipolar Depression Treatments You Don’t Know About – Part 1

People with bipolar disorder 2 spend 35 times more time depressed than hypomanic. As a person with bipolar type 2, I can tell you how true this is. Bipolar type 2 is more like a depressive disorder than a bipolar one. However, this doesn’t mean bipolar disorder 2 can just be treated like unipolar depression. If only life were that simple.

Bipolar disorder type 2 depression treatments must not induce hypomania or mania, and antidepressants used alone often do that. For this reason bipolar 2 depression treatment is generally like happy hour (full of cocktails). And many of us are very frustrated with the fact no new medications are being developed for our mental illness.

So here’s some hope. Here are five bipolar depression treatment areas you probably don’t know about.

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Antidepressants and Addiction, Dependence – Talkback

I recently received a couple of comments on the antidepressants and dependence / addiction post from Tabby. My response to her second comment ended up being so long I decided to put it in it’s own post.

Here is an excerpt from Tabby’s comments (edited for length). If you would like to read them in their entirety, please see here and here. (Symbol […] indicates removed text. Other ellipses are from the original text.)

Antidepressants and Addiction and DependenceComment on Are Antidepressants Addictive?

I know of people who cannot go not 1 day without their medication and the medication not be a life saving med like a blood thinner but be a Anti-depressant. They become all anxiety ridden and panic filled because they just know that if they miss that 1 dose or those 2 doses for that 1 day […]

They can’t sleep and they get agitated and they get quite vile until they get that dose or doses. They resort to sobbing, they resort to melodrama of threatening suicide…

[…] I’m talking a cymbalta, or a lexapro. I work in a MH agency and we have patients call cause they’ve gone 1 day without their prescription. […]

I am also one with Bipolar and when your entire day, or entire life, is solely dependent on whether you took your pill or pills that 1 day… I dare to say, you have a dependence.

Now… you have blood clots and you miss 1 day of your blood thinner.. then we may have a major issue. You miss 1 day of your Seroquel, or your Cymbalta, or your Depakote… seriously, it will be okay… if not, use your psychotherapy techniques. Oh, that’s right… not too many actually do psychotherapy… it’s all the meds baby.

[…] I am well aware of the benefits of medication compared to no medication for those with Mental Illness. My point was – too many people seek out the comfort of the medication to handle their daily life’s issues […] than to try and work on figuring why they are having the problem in the first place.

Folks do not wake up, naturally, anxious. Something has to have occurred to trigger that emotion and anxiety is an emotion that triggers a physical response. Yet, too many run to the cabinet and down pills to “calm” the anxiety rather than try to do something else non-medicated that […] The first reaction is to kill the emotion/feeling… not to try and figure why it’s happening.

No therapy doesn’t work in all settings or all situations but if you never try, then it will certainly never work. In that your blogs are predominately med supporting… I could say that you mock those who try to use more psychotherapy than meds.

Seroquel and Depakote are not equivalent to Warfarin or some of the other medications needed for literal body functioning. Yet, if you have been on a med for a long period of time, for example Seroquel to put you to sleep every night.. and then suddenly you miss a dose or 2… YOU WILL HAVE SYMPTOMS. That’s med dependence and you’ll have a psychological dependence because you’ll become frantic wanting your med.

[…] Many folks suffer with their Bipolar symptoms, or any MI symptom, long before they ever take the 1st pill. So, the life-saving aspect is only a “feeling”.

I  know the meds help but have they literally saved me? No. They take away the uncomfortable and the frightening… but they don’t keep me from dying. If they were the sole and only reason, then I’m a walking med cabinet.

Even folks that take a plethora of meds, every single day and swear on a stack of their most revered book… still kill themselves […]

Thanks Tabby for your response. I think your thoughts on the issue represent a perspective of many.

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I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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