Category: treatment issues

Do Antidepressants Increase Suicidality? Does The Black Box Warning Help or Hurt People?

Because of the black box warnings (also known as boxed warnings) on antidepressants, many people think that antidepressants cause suicidal thinking, suicidal behavior, and suicide. The black box warning on antidepressants is, after all, the strongest warning the Food and Drug Administration (FDA) can place on a medication. However, the black box warning on antidepressants was authored almost 20 years ago, and we have learned a lot and have synthesized a lot of data since then. Does this more recent data indicate that antidepressants increase suicidality or cause suicides, and what can we learn from this new information? Should we be scared of the risk of suicidality with antidepressants? (TL;DR here.)

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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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How Successful Is the 988 Suicide and Crisis Lifeline in 2023?

As most of you know, the National Suicide Prevention Lifeline morphed into the 988 Suicide and Crisis Lifeline last year. This has broadened its scope and who it aims to serve. Millions have accessed the 988 Lifeline through calls, texts, and messages in the last year. This is extremely impressive. But how successful is the 988 Suicide and Crisis Lifeline at helping people, and would people call 988 again if they were in distress?

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Mental Health Is a Universal Human Right — What Does That Mean?

World Mental Health Day 2023 has been given the theme by the World Health Organization (WHO): mental health is a universal human right. I couldn’t agree more. But what does this mean? What is the impact of that statement? There’s more controversy there than you might think. The idea that mental health is a universal human right means one thing to the WHO, but it means something a little bit more to me.

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What to Do When Your Doctor Can’t Help You

I know what it feels like when your doctor says they can’t help you. I’ve had this happen many times. I’ve experienced everything from being fired by a doctor to having a doctor deny me care altogether. These are rough things. Any time your doctor says they can’t help you, it’s tough to take. But there are things you can do, even at that point. Here’s what to do when your doctor says they can’t help you.

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Truehope EMPowerplus Evidence Claims — Bipolar Disorder

Last time, I discussed the evidence Truehope presented for using its EMPowerplus in depression. You can check out that review here. (I also discussed the Truehope EMPowerplus formulations, their disclaimer, and the Food and Drug Administration (FDA) rules around supplements.) Today, I am going to delve into the claims Truehope makes about using EMPowerplus micronutrient formula in bipolar disorder and why the claims made by this company are so dangerous.

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‘Yellowjackets’ Shows ECT and Harms the Mentally Ill

If you’re hooked on the show Yellowjackets, like me, then you’ll know that in season two, episode two, Yellowjackets showed an electroconvulsive therapy (ECT) scene (I believe it may be called “electroshock” in the show). In the scene, one character, Lottie, is forced onto a bed, an injection is given in her arm, a bite block is placed in her mouth, and she is shocked by electrodes on either side of her head. She violently convulses, clearly in nightmarish pain. Let’s talk about how the Yellowjackets‘ depiction of ECT is inaccurate and harms the mentally ill.

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New Treatments for Bipolar Depression—Options for Treatment Resistance

Recently, Psychiatric Times did a comprehensive piece on new or unusual bipolar depression treatments, treatments that may be an option for treatment-resistant bipolar depression. They are thinking outside the standard bipolar depression treatments. This is critical because many people just aren’t being helped or aren’t being helped enough by standard bipolar depression treatments. These novel bipolar depression treatments come in two flavors: medication-based and non-medication-based. If you’re at a place in your bipolar depression treatment where you’re not getting better, you may want to consider discussing these unique treatments with your psychiatrist.

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

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