Personal Story of Medication Noncompliance

Posted by Natasha Tracy | Dec 7, 2011

It is politically incorrect to say medication “noncompliance.” I suppose this is because it gives the idea that the person taking medication is “complying” to some authority figure and not consciously making the decision on their own.

I get that. But whether you call it medication noncompliance or medication non-adherence, the result is the same – the person is not taking their medications as prescribed by a doctor.

And medication noncompliance can lead to devastating consequences not only in the short-term but in the long-term as well. One reader shares her experience in her own words.

Letters to the West Virginia University Regarding Depression Article Feedback

Posted by Natasha Tracy | Nov 8, 2011

The following is a copy of the two letters I have sent to the West Virginia University (see why I’m fighting their stigma here). I have yet to receive a reply. You are welcome to copy and paste any parts that you like and send them yourself. The most voices the better.

Send Your Email to the Newspaper and Other University Staff

I sent this letter to everyone at the paper as well as psychology and journalism heads at the school:

To: ‘DAnewsroom@mail.wvu.edu’; ‘DAPerspectives@mail.wvu.edu’; ‘Alan.Waters@mail.wvu.edu’; ‘Tracy.Morris@mail.wvu.edu’; ‘Kevin.Larkin@mail.wvu.edu’; ‘William.Fremouw@mail.wvu.edu’; ‘Maryanne.Reed@mail.wvu.edu’; ‘Diana.Martinelli@mail.wvu.edu’; ‘CHERUKURI@huffingtonpost.com’; ‘Danielle.Faipler@mail.wvu.edu’

CC: ‘velasconyc@yahoo.com’; ‘DASports@mail.wvu.edu’; ‘DAA&E@mail.wvu.edu’; ‘Erin.Fitzwilliams@mail.wvu.edu’; ‘John.Terry@mail.wvu.edu’; ‘Alex.Koscevic@mail.wvu.edu’; ‘Mackenzie.Mays@mail.wvu.edu’; ‘Lydia.Nuzum@mail.wvu.edu’; ‘James.Carvelli@mail.wvu.edu’; ‘Ben.Gaughan@mail.wvu.edu’; ‘Berry@mail.wvu.edu’; ‘Jeremiah.Yates@mail.wvu.edu’; ‘Jakob.Potts@mail.wvu.edu’; ‘Charles.Young@mail.wvu.edu’; ‘DACalendar@mail.wvu.edu’; ‘Matthew.Sunday@mail.wvu.edu’; ‘DA-Editor@mail.wvu.edu’; ‘BoFisher@mail.wvu.edu’; ‘Kyle.Hess@mail.wvu.edu’; ‘Alan.Waters@mail.wvu.edu’; ‘Pam.Dodson@mail.wvu.edu’; ‘chris.mcelroy@mail.wvu.edu’; ‘Jami.Christopher@mail.wvu.edu’; ‘roy.batesr@mail.wvu.edu’; ‘danewsroom@mail.wvu.edu’

To the Editors and Management of the Daily Athenaeum as well as the psychology and journalism professionals at West Virginia University,

After a lack of response regarding my prior feedback on the Depression can be treated through lifestyle changes article, I’m forced to again express my extreme disappointment in the handling of this situation.

I would like to encourage the editorial team to take this as an opportunity not only to acknowledge the questionable reporting, but also to help remove stigma from the mental health community. I strongly ask for:

A retraction and correction of the published piece posted online, on Facebook and Twitte
A series of education-focused articles on the mental health services available for WVU students and mental illness stigma
A guest column on mental illness to be published (I would be happy to contribute this)

I am asking for professional journalism behavior as are the hundreds of other people who have read my articles on this subject. I look forward to your reply.

Natasha Tracy

Mental Health Advocate and Writer

https://natashatracy.com

Why Aren’t Lifestyle Changes Frontline Treatment for Depression?

Posted by Natasha Tracy | Nov 3, 2011

Many people complain about overmedication. They lament that the first thing doctors do is prescribe a medication for depression or another mental illness rather than suggest lifestyle changes like exercise and meditation.

This is often true. Doctors, including psychiatrists, often prescribe medication over suggesting lifestyle changes when a mental illness like depression is diagnosed.

And that’s a completely reasonable thing to do.

Bipolar Terminology: The Difference Between Bipolar I and Bipolar II

Posted by Natasha Tracy | Oct 5, 2011

Sometimes I get so wrapped up in research, I forget some people are looking for some introductory information like the different between the types of bipolar disorder. Thanks to commenter on my GooglePlus feed, I was reminded of this fact and I decided to answer her question here so I could give her more detail.

Bipolar Terminology

Unfortunately, within bipolar terminology resides more bipolar terminology. But don’t be scared, I have information on most terms on my site and I shall try to walk gently into that good encyclopedia.

But let’s try to get rid of the terminology confusion: What is the difference between bipolar type I and bipolar type II?

Bipolar’s Not Bad Enough – We Beat Ourselves Up – Advice

Posted by Natasha Tracy | Oct 3, 2011

Part of having a mental illness like bipolar disorder is having a brain that hates you. A brain that overreacts to the slightest perceived imperfection. All it takes is believing that we have done something wrong for our brain to see it as a capital offense and spend hours or days beating ourselves up about it.

This is pretty de rigueur for someone with a mental illness (especially depression or anxiety).

Beating Yourself Up Over a Perceived Error

And this morning I got an email from someone in just this situation. This person had spent some time with friends and felt they were overly-anxietious, overly-talkative, overly-hyper and so on. And unfortunately, this person was using this perception to beat themselves up.

This is wrong. Please read my response to this person. I hope it will help anyone in this situation (which includes me, from time to time).

Mixed Bipolar Disorder – How to Treat Mixed Mood Episodes

Posted by Natasha Tracy | Aug 23, 2011

In the final installation of my mixed moods series, I talk about how to treat mixed moods in bipolar disorder. If you need a refresher on mixed moods in bipolar 1 or bipolar 2, see the first three articles in this series:

Polypharmacy Treatment Requires As Much Faith As Science

Posted by Natasha Tracy | Aug 18, 2011

As I’ve said, mental illness treatments often don’t work. And you have to keep trying treatment anyway. Because without doing anything new, you are condemned to being stuck in the same mental illness mire you are currently in.

But in all honesty, mental illness treatment requires faith. Trying psych med after failed psych med requires a belief that something will work in spite of the evidence to the contrary. It requires a belief that is not based on proof.

I hate that.

Mixed Moods in Bipolar Disorder and Depression in the DSM-V

Posted by Natasha Tracy | Aug 16, 2011

The Diagnostic and Statistical Manual of Mental Disorders (DSM), the manual that defines all mental illness in the US, is being revised and a new version is due out in 2013. One of the proposed changes to the DSM is to the diagnosis of mixed moods. This change is being proposed by a mood disorders workgroup. It aims to reflect clinical practice where doctors already refer to a “mixed” mood that doesn’t officially meet the DSM criteria. (As I noted, mixed moods are only technically recognized in bipolar type 1.)

Changes to the mixed mood diagnosis will help people with bipolar 1, bipolar 2 and unipolar depression get better treatment.

Mixed Bipolar Disorder – Mixed Mood Episodes in Bipolar 2

Posted by Natasha Tracy | Aug 10, 2011

As I mentioned, mixed moods are technically considered part of the manic phase of bipolar disorder and thus, by definition, are only a part of bipolar disorder type 1. However, those of us with bipolar type 2 can tell you we mix it up with the best of them.

So, in part II of this series on mixed moods in bipolar disorder, I look at mixed moods in bipolar type II.

Mixed Moods in Bipolar Type II

Now that we’ve wandered into Diagnostic and Statistical Manual (DSM)-free territory, definitions on mixed states get a bit looser.

Mixed mood states may be, in fact, the most common way of experiencing bipolar type II. I find most people have a hard time distinctly separating “depression” from “hypomania” from “normal” moods. There is just too much crossover.

Two Types of Mixed Moods in Bipolar Disorder

Additionally, considering mixed moods to be part of the manic phase of bipolar disorder becomes useless when looking at bipolar II. As an article in Psychiatric Times suggests, there are really two types of mixed moods in bipolar disorder:

Mixed mood with depression as the primary mood (meeting the criteria for depression with some hypomania symptoms present)
Mixed mood with hypomania as the primary mood (meeting the criteria for hypomania with some depression symptoms present)

Those two mood types better reflect my own experience and I think the clinical experience of other patients and doctors.