Laura’s Law – Forced Treatment, Saved Lives

Posted by Natasha Tracy | Dec 19, 2011

Some of you may have heard of Laura’s Law in California or Kendra’s Law (similar) in New York. These laws, and similar laws across 42 states, allow for court-ordered treatment of mental illness as a condition of community living.

In other words, they strong-arm people into treatment and this could be seen as treatment without consent. (It’s hard to argue consent when your ability to live outside a locked facility is in jeopardy.)

And this is a very good thing. It is saving lives (among other things).

Active Placebos, Depression Influencers and Depression Prognosis – 3 New Things

Posted by Natasha Tracy | Dec 14, 2011

Time to learn another three new things about mental health. This week we have:

Further discussion on Antidepressant Effectiveness (vs. Placebos)
Infographic on influential depression information sources
Depression prognosis over 10 years

Drug Trials, Antidepressants and Placebo Effect – Is it Bad?

Posted by Natasha Tracy | Dec 12, 2011

When drug trials are conducted, the gold standard (and requirement for FDA approval) is a double-blind placebo-controlled study. In this kind of drug study participants are randomly assigned to receive either the medication or an inert (does nothing) pill known as a placebo. Neither the doctor not the patient knows whether they are getting the placebo or the real drug.

The study then compares what happens to those who received the real drug versus those who received the placebo and determines the efficacy of the real drug.

The Placebo Effect

This is critical because of something known as the “placebo effect.” The placebo effect is this odd scenario where people get better just because you give them a pill, even if the pill does nothing. Doctors and scientists don’t understand the placebo effect but not only will people get better on a placebo, but they will even experience side effects – something that isn’t possible given that the placebo is inert. But the brain is a powerful thing and something we don’t fully understand.

And one of the problems with antidepressants (and many medications) is that sometimes they aren’t better than the placebo. Additionally, sometimes when they are better than the placebo, it’s only by a small margin. Drug companies have to prove that their drug is statistically significantly better than a placebo in order to get FDA approval but even this statistically significant amount can be very small.

However, this isn’t a piece about how effective are when antidepressants are compared to placebos. This is a piece about how effective antidepressants are compared to no treatment.

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.

What’s up at the Bipolar Burble? Good News

Posted by Natasha Tracy | Dec 6, 2011

I don’t like to write too many self-referential posts because I’m pretty sure masturbatory navel-gazing isn’t why people come here. However, now and then people like to know what’s up.

And right now there are exciting things afoot at the Bipolar Burble and for me as well so I thought I’d let you know about them.

Doctor Background Checks; ECT in Film; New Borderline Criteria – 3 New Things

Posted by Natasha Tracy | Dec 1, 2011

Today we return to my 3 New Things series so I can touch on three new pieces of information I’ve found this week. This week I talk about:

How to get a background check on a doctor
The sorry portrayal of electroconvulsive therapy (ECT) in film
The newly-proposed diagnostic criteria for personality disorders in the DSM-V

A Damaged Brain and a Mind Trying to Deal with It

Posted by Natasha Tracy | Nov 30, 2011

My Twitter bio says I have, “a damaged brain and a mind trying to deal with it.” This confuses a lot of people. It’s OK. I get it. Most people don’t differentiate between the mind and the brain. But I do. In fact, I consider it a critical distinction for people with a mental illness.

Your mind is who you are; your brain is just what you are.

Bipolar Disorder Attacks the Brain

People don’t like that I say I am bipolar. People argue this suggests that all I am is bipolar. Well, it doesn’t. What it suggests is a grammatically correct English sentence that expresses exactly what it needs to – I am a person who has bipolar disorder. Much as diabetics aren’t just diabetic alone, being bipolar doesn’t make you bipolar alone either.

But again, I understand their point. I am more than bipolar. Of course I am. I’ve spoken of it many times. But I make that distinction without difficulty or without the need for wordplay. I understand innately that bipolar disorder has attacked my brain and I yet I am still as me as I ever was.

Defending Psychiatry

Posted by Natasha Tracy | Nov 28, 2011

I often find myself in the unenviable position of defending psychiatry. This, in spite of the fact that I am not a psychiatrist nor do I even play one on TV.

Nevertheless, I feel compelled to speak on psychiatry’s behalf. Maybe it’s because when left to their own devices, psychiatrists aren’t very good at it. Or more likely it’s simply because an unreasonable number of people attack psychiatry unreasonably and I think someone ought to bring the concept of reason into the discussion.

Antipsychiatry

There is a faction of folks out there who are antipsychiatry and every time I mention them I get hate mail. But here I am again. Antipsychiatry. Antipsychiatry. Antipsychiatry.

N-Acetylcysteine (NAC) – Inexpensive Treatment for Bipolar Depression

Posted by Natasha Tracy | Nov 22, 2011

N-acetylcysteine, also known as N-acetyl-L-cysteine or just acetylcysteine is a supplement that shows promise in the treatment of bipolar depression. This is really big news because there are very few drugs, supplements or anything else that show promise in the area of bipolar depression. But N-acetylcysteine (NAC) is even better than most because: