Category: treatment issues

Severe Agitation – Bipolar Symptom or Medication Side Effect?

I am suffering from severe bipolar-related agitation. Or is it severe medication-related agitation? This is the question. Technically, it’s mostly a question for your doctor, but it’s one I struggle with, too. On one level, it doesn’t much matter what’s causing the agitation as it’s happening and that’s that; and on the other hand, I think it’s important to know what’s driving the agitation – a bipolar symptom or a medication side effect?

Read More

Medication Adherence Improvement with Abilify Computer Chip?

Last week, the Food and Drug Administration (FDA) approved the use of a computer chip inside of aripiprazole (Abilify) pills. This computer chip is designed to indicate whether the person has taken his or her medication or not. The theory (and marketing push) is that this computer chip will improve treatment adherence (compliance). It will “ensure” people are taking their medications as prescribed. But will a computer chip inside of an antipsychotic really improve medication adherence?

Read More

Why Aren’t More Drugs Approved for Bipolar Disorder?

Thoughts on My Time with the Food and Drug Administration (FDA)

Have you ever considered why more drugs aren’t approved in the treatment of bipolar disorder? I have. I, specifically, wonder why there aren’t more drugs for bipolar depression, considering that the depressed state outweighs the presence of mania/hypomania 3:1 in many cases. Here’s what I think about why there aren’t drugs getting approved for bipolar disorder.

Read More

Focusing on Not Making My Bipolar Disorder Worse

My daily life is based around the single concept of not making my bipolar disorder worse. It seems I’ve gotten past the point where I can do anything to get better, so all I can do is not make my bipolar disorder worse. This is an incredibly depressing realization. This realization posits that I will be in pain every day and the only thing I can do is not make that pain worse. I will continue to be bludgeoned every day, all I can do is make the club smaller.

Read More

Assisted Outpatient Treatment Upholds Civil Liberties, Doesn’t Deny Them

Assisted outpatient treatment (AOT) is finally coming into its own. After so many people fighting for the rights of the seriously mentally ill for a decade, this lifesaving treatment option is finally available in the vast majority of states. But many people feel that assisted outpatient treatment denies civil liberties. I would argue, however, assisted outpatient treatment actually upholds civil liberties, not to mention upholds societal ethics.

Read More

Antipsychotics Should Be Used for Non-Psychotic Depression Treatment

While some disagree, it’s important that people understand that antipsychotics need to be used for non-psychotic depression treatment, when appropriate.

At any one time, 14 million people suffer from depression but only 60-70% of these people respond to antidepressant treatment. Of those who do not respond, 10-30% exhibit treatment-resistant symptoms including “difficulties in social and occupational function, decline of physical health, suicidal thoughts, and increased health care utilization.” Treating these people presents a huge issue for healthcare practitioners and one of the options they consider is the use of a medication class known as antipsychotics.

Recently, a group called the Therapeutics Initiative wrote a letter entitled Antipsychotics should not be used for non-psychotic depression. Their conclusions are as the title suggests: this body found little evidence to support the use of antipsychotics in the treatment of non-psychotic major depressive disorder.

And while I respect the work of this body and while they have considered some evidence (in the case of quetiapine [Seroquel], an antipsychotic), there is more to consider on the issue.

Read More
Get Natasha Tracy's Book

Subscribe to the Burble via Email

Additional Writings

Check out my Amazon Author Page.

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).

Archives

Subscribe for a FREE EBook!

Subscribe for a FREE EBook!

Subscribe to my monthly newsletter to get the latest from Bipolar Burble, Breaking Bipolar, my vlogs at bpHope, my masterclasses, and other useful tidbits -- plus get a FREE eBook on coping skills.

Thank you for subscribing. Look for an email to complete your subscription.