For weeks people have been asking me my opinion of ABC’s new show Black Box. According to Wikipedia, about 6.9 million people watched Black Box’s series opener and it seems like about half of them have contacted me about it.
People are wondering about this show because Black Box’s lead, Catherine Black, (played by Kelly Reilly) is a neuroscientist who has bipolar disorder. In fact, the first episode of Black Box details the Black’s descent (ascent?) into mania after she stops taking her medication (which includes lithium, an anticonvulsant, and an antipsychotic).
In short, I think Black Box tries for accuracy and they hit it here and there but, as with all television shows, it’s dramatized and so bipolar disorder isn’t terribly accurately, or fairly, portrayed.
Black Box’s Portrayal of Bipolar Mania
As I stated, in the first episode of Black Box, Black goes into bipolar mania. According to the show, she’s fairly stable on meds but she decides to go off of them when she needs inspiration for a speech. Immediately after missing a single med dose, she becomes very inspired, and by the next day she’s in full-blown bipolar mania which includes hypersexuality and psychosis. Admittedly, some of the manic scenes do ring true to real manic (or hypomanic) feelings, but everything surrounding those scenes certainly reads false.
Because, of course, people don’t become manic hours after missing a single dose of medication. If that were the case, we’d have manic people all over the place as people do miss their doses from time to time. More than likely, missing a dose of medications will just make you feel like crap as you experience some withdrawal effects.
Moreover, Black’s mania only lasts about three days and is magically corrected, instantly, by her medication. (Ah, if only life were so easy.) And while there is a scene where her therapist says she’s becoming depressed, we don’t see much of the corresponding depression that almost always follows a manic episode.
Black Box’s Portrayal of Bipolar Depression
There is one scene where Black seems like she may kill herself but the act is brought on by life stressors and doesn’t appear to be part of a depression per se. She really shows no signs of being depressed other than one moment’s desire to die.
Black Box’s Portrayal of Medication and Medication Compliance
For once, we see a bipolar character on more than one medication for bipolar, which, of course, is the norm, rather than the exception. That is good. She even names the meds and they’re a real combination that someone might use (even if she can’t pronounce them correctly, which is odd, for a neuroscientist). That’s great. But what isn’t so great is everything surrounding the medication.
There’s all sort of nonsense. We’re supposed to believe that this woman is a world-class neuroscientist and yet she has a “history of noncompliance” and, according to the above example, becomes acutely manic moments after missing a single dose of medication? We’re supposed to believe that this has been her life and she’s still managed to become a world-class neuroscientist? We’re supposed to believe that she has been repeatedly psychotic and become this successful and published books? We’re supposed to believe that a neuroscientist, one that actually works with people with serious mental illnesses every day, just decides to stop her medication willy-nilly, repeatedly?
Yeah, I don’t think so.
Is Black Box’s Portrayal of Bipolar Fair?
There are real issues faced in the show and some of the scenes do really ring true. The scene where she tells her boyfriend that she has bipolar disorder is quite good, for example, so clearly there are bipolar consultants hanging around the writing room.
That being said, it tends to make people with bipolar disorder seem like mad geniuses with no self-control and little insight. While medication noncompliance certainly is an issue in the community, certainly a woman with that kind of career, with that kind of success on medication, it unlikely to have such issues. Someone in her position would understand the value and meds and not toss them out twice in one episode.
And while people in a manic state do become hypersexual, not everyone just bangs the nearest driver or neurosurgeon, cheating on their partner. And while people in a manic state are known to make poor choices, after a lifetime of practice, there is some moderation that happens there. And when people with bipolar who do have major, lifetime, successful careers, they do tend to (by definition) prioritize said careers and not show up at work manic. So, in short, I think the show plays into the stereotypes that:
- Medication is seen as bad and hampers creativity and intelligence
- When taken, medication works brilliantly
- People with bipolar disorder can’t stay on their medication
- Going off of medication will result in a happy, shiny mania that the person with bipolar disorder will enjoy
Should You Watch ABC’s Black Box?
Well, hey, that’s up to you. It actually strikes me as being not a bad little show and might get some people talking about some of the issues surrounding bipolar disorder, such as the results of coming out as bipolar to friends and family. That said, I wouldn’t look to Black Box as your guide to bipolar or neuroscience but it is better than a lot of other portrayals of bipolar disorder that you might see.
I hope you have continued to watch the show as it is about someone living with mental illness, and functioning. Many people do function very well on meds. And as for whether someone can be bipolar and a mental health professional of national standing although sometimes non compliant, there is no doubt the answer is yes. The show itself cites Kay Redfield Jamison, who heads the bipolar clinic at Johns Hopkins and wrote a memoir of her struggle to stay on meds. I have two bipolar relatives and would like to say that my mother, who died of this disease, could indeed skip meds for a day and become manic. It depends on what you take and what your bipolar is like. There is no one type of bipolar, but a spectrum. Many people have hypersexuality. My other relative, a cousin, does. But there are many cases of people, who when manic, strip their clothes, grab staff in ER, or worse. It does not happen to everyone. It is a common symptom listed in descriptions of bipolar. You might want to think about the courage it takes for this show to try and deal with this illness, creating a lead character of enormous sympathy with bipolar. Cut it some slack. Look at more eps.
I think the show is really well done-it brings
Some more understanding to people who still
Stigmatize being Bipolar. No portrayal on TV
Will be “perfect” because it is TV after all!
I applaud the writers and actors for their effort
Thank you ABC. I like how Showtime’s Homeland
Portrays Bipolar-although no one even talks about
It anymore….I will keep watching Black Box
Jeez at least give it a chance to succeed before axing it!
Missing 1 or 2 doses of mediation, especially an antipsychotic, is enough to bring on withdrawal symptoms in many people which can be indistinguishable from normal mania. And if only a couple of doses of meds have been missed, then starting them again may provide pretty rapid relief. I actually used to do this in grad school- when I needed to stay up all night to get a paper done, etc., I would skip my night’s Zyprexa, and it was no problem at all to stay up. Rebound effect from not taking it- I didn’t even need coffee. But I knew enough not to do this two nights in a row or I’d be taking too much of a risk. I didn’t see the show- but it doesn’t sound unreasonable.
“I think it’s pretty clear that I don’t doubt someone’s ability to be a neuroscientist, what I doubt is someone’s ability to be a published, world-class neuroscientist and go off their meds willy-nilly. That, is highly doubtful.”
I agree with what Natasha said above, and the show just misses it, skipping the reality of bipolar, the “good” with the bad, bad blues when they take over. All that’s happened to “Black” is that she’s been “caught” by her boyfriend (who I would have ditched forever for telling me to get out of the car for telling him about bipolar in the first place. No take-backs.) . The show’s pretty much a mockery of such a complex disease. I find it embarrassing.
Well said
“Going off of medication will result in a happy, shiny mania that the person with bipolar disorder will enjoy”
Love this line, Natasha. Exactly how I felt. I only watched the first episode after my brother-in-law prodded me. I actually found the show triggering in some ways. It is that combined with the poor writing and stereotypes (i.e., textbook references) galore that will keep me from watching any more. I promptly blogged about it.
http://bit.ly/1kUtMAe
I am not surprised by Black’s inability to stay on meds but the way in which she is shown to do that and the ridiculous consequences for missing one dose, as you mentioned, made me just laugh. But it also made me sad. How far have we really come in terms of stigma and misinformation?
Plus, the faux link between genius and mental illness á la Redmond is grating on my last nerve. Silver Lining Playbook did a much better job.
Natasha, from what I understand, Black only recently found out she was bipolar. But I could be wrong. One of the producers, Jones, draws from her secondary source of her father who was bipolar and claimed to have brilliant episodes when he went off his meds. Oh to be inside that head. I know there are all kinds, but I think those of us who are ultra productive while manic or off meds are few and far between.
I could go on and on but who wants that? Nice work on spelling it out, Natasha. It’s a bad show that even Vanessa Redgrave can’t save (her depression line was so…just…ick).
mental illness is not a pick and choose buffet. It is a crippling disease that can sometimes be controlled. Wouldn’t watch this show based on that alone.
They should hire you as a consultant! BP is now on mainstream television and we need to make it real. It sure would help us out a bit if people knew what it was really like to live with it everyday.
While I haven’t seen the show and I’m sure they play up how bad she gets, I do exhibit Hypomanic qualities within a couple of hours of missing meds bad enough that my husband and son notice, including racing speech, driving too fast, and making som. Bizarre decisions. 24 hours with no meds can lead to full blown mania. That’s why not only my phone, but 15 minutes later both of there’s goes off too. So whilegetting that manic that quick is a bit of a stretch, some symptoms even a short time later can appear
I have just watched two epiode of this series (On Demand) and surprisingly can’t relate to anything she experiences? I am not nor have ever been “hypersexual”. I have felt “euphoria” but never in the extreme or length of time she exhibits I am kind of of shocked. Although, my dx’s is that of bipolar “nos” I don’t exhibit All of the critera there is to have full blown bipolar, I most surely have most or many other symptoms. It seems odd that in her ‘normal state’ that she would toss the meds, when she obviously still has her memory and can clearly remember her sexual escapades. So far I cannot relate Maybe I’m cured? On second thought, naaahh I’m stiil crazy.
Even in my high mixed manias, mixed with psychosis… I’ve never been “hypersexual”.
Just goes to show… each with Bipolar is different and each person’s Bipolar, is also different. As I’ve always said “It’s a highly customized illness for each specific person cause each specific person has an individualized brain.”
Are you doubting her ability to be a Neuroscientist AND to have Bipolar? Geez, she is only a character and most characters are not truly true to real reality… otherwise, we’d not really watch them.
There are, by the way, many who have Bipolar who are also very very successful with their lives, careers, families.
No, you can’t miss one dose and instantly become manic. You can’t miss one dose and instantly become suicidal.
You have to have missed several dosages… and then you often wonder if the mania, depression and/or psychosis is actually that of a drug withdrawal?… could be, it’s possible… really, it’s possible
Drugs DO dumb down, diminish, kill the light in the eyes… IF over and/or heavily medicated.
MOST do not require the need to be over and/or heavy medicated..
I’ve not watched the show and likely won’t… they are characters for TV for ratings
is it possibly getting the “word” out about Bipolar? I doubt it.
From your take on it; it appears we are what those without feel… not responsible, not insightful, banging everything, and can’t wait to throw the meds…
Hi Tabby,
I think it’s pretty clear that I don’t doubt someone’s ability to be a neuroscientist, what I doubt is someone’s ability to be a published, world-class neuroscientist and go off their meds willy-nilly. That, is highly doubtful.
– Natasha Tracy
I sure you awear that Lithium is a chemical salt and is not a an anticonvulsant and an antipsychotic, as you imply in this article .. “she stops taking her medication (which includes lithium, an anticonvulsant and an antipsychotic).” Your article : Explain the differences between Lithium and other Anticonvulsants and Antipsychotics very well. http://www.healthyplace.com/bipolar-disorder/bipolar-medications/bipolar-medication-types-how-bipolar-meds-work/
Hi Fred,
I didn’t imply that. That is a list, as in “item one, item two and item three.” I added an extra comma (I don’t usually use serial commas) just for you.
– Natasha Tracy
So she is well the minute meds touch her lips and goes manic the minute she flushes them? And all mania is about having SEXY SEX and jazz soundtracks?
(I wish that shows and movies on MI shown people get side effects from meds, have bad doctors and all that. Not that tired story line of crazy being crazy until they take meds and get a rescue boyfriend/girlfriend…
speaking of that……… Catherine’s boyfriend is horrible and has lot issues himself).
And why we never see her in self-doubt or struggling with low self-esteem? she get’s all grandiose when manic, but never we see the counterpart.
And I disagree meds are shown as hampering creativity in the show. Catherine is certainly not getting dumbs of her meds (wouldn’t that be a concept? Her being diagnosed AFTER estabilishing career and having to find balance between cognitive side effects and being crazy and having to make some hard choices………..). It’s just dichotomy between “bad patient” and “good patient”. Going off meds is director’s excuse for jazz sountrack and SEXY SEX.
A bad show. I watch it for a the lulz, but it’s getting just bad bad, not hilariously bad.
What I love about the show is that her character is really bipolar. And when I say that I mean that everyone that I meet that is bipolar is totally different. In fact, sometimes I don’t feel much in common with other bipolars. I feel a lot in common with this woman on the show, and I love the fact that so many of the patients are treated with respect and often have some sort of creative genius, just like her. For more info about how bipolar can be a gift, check out my website http://www.freemindbooks.com. Since there are so many underlying factors for each person’s symptoms, we can’t simply be lumped into one category, but we are. Hell, I’m bipolar, but I never get super depressed. How weird is that? Only manic really. And super manic.
Michelle–only manic–I Wish!! (Mania can accomplish so much). You mean to tell us that you never get “mixed” episodes? I don’t think that anything is worse re: this illness. The thought of one makes my skin crawl..
A neuroscientist? I’m not the least bit surprised at this. Look at the current company we keep. Everyone from Abe Lincoln, to Curt Cobain–(bad example) but nevertheless, our bretheren, our ilk, can certainly be touted as brainy at this point. About time this illness gets some television ink.There’s a host of genius’ in our club, so why shouldn’t she be allowed in? I’m all for waiting for real bipolar signs to appear. When they do, we’ll know…we’ll know. Anyway, Yay!! Our foot’s in the door! We’re here and we’re sincere~