Category: treatment issues

I Know How to Cure Bipolar Disorder

Believe those who are seeking the truth. Doubt those who find it. – Andre Gide

I have heard about every possible cure or treatment for bipolar disorder; being a public figure, people contact me frequently to tell me what I should be doing to treat my bipolar. In no particular order, this involves:

  • Herbs
  • Supplements
  • Magic pills
  • New age treatments
  • Religion
  • Books containing the secret to happiness

(Not to mention all the people who contact me simply to complain about what I write and how I feel. Lovely people those.)

And what I have to say to every one of these people is this: you have no fucking idea what you’re talking about.

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Doctors, Psychiatrists and Psychotherapy

When I tell people to see a mental health professional, I recommend they get someone who specializes in whatever mental illness the person has. This is just common sense. You don’t go to a neurologist when your foot hurts.

I also tell people to get a therapist who specializes in their disorder. Again, this makes sense. Honestly, if your therapist is used to hearing the woes of the Real Housewives of Some Rich Place then they may not be the best choice for a person with major depressive disorder.

I tell people to get a therapist for their mental illness because psychiatrists don’t do psychotherapy.

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Low Dose Antipsychotics – Do They Help?

I am very medication-reactive. Not so much with the positive effects, but I can almost guarantee you I’ll get all the side effects.I get every side effect for antidepressants, every side effect for antipsychotics and every side effect for pretty much anything else.

And sometimes, just for good measure, I’ll get side effects that doctors say “aren’t possible”. They are my favorite. And those overractions are often on the lowest known effective dose of the medication.

But if you add a low dose, lower than thought effective, of an antipsychotic, can this be helpful?

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I Hate Psych Meds but Medication Non-Compliance Kills

I have written thousands and thousands of words in this blog and elsewhere about how much I hate medication.

I hate it in the car, I hate it on a train, I hate on a boat, I hate it in the rain.
I hate it in the snow, I hate it in the sun, I hate it standing still, I hate it on the run.
I hate it before breakfast, I hate it after lunch, I hate it in the morning, I hate it during brunch.

And while I could fill an entire blog with all the ways I hate psych meds, I still, take them, everyday.

Weird you say?

(Well, yes. But no more so than the disease it treats.)

Because no matter how much I might hate psych meds, medication non-compliance kills.

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My Bipolar Symptoms Aren’t Your Symptoms: I’m More Bipolar Than You

If you’ve been reading me for a while, you’re probably familiar with the symptoms I typically experience as a bipolar:

  • Fatigue
  • Sadness / depression / tearing
  • Hypersomnia
  • Anhedonia
  • Lack of motivation / concentration
  • Slowness in thinking
  • Thoughts of death
  • Decreased need for sleep
  • Excessive speed talking / thinking
  • Increased productivity

Each symptom depending on the mood of the moment (blue being depression, yellow being hypomania).

However, did you know that someone’s list might look like this:

  • Irritability
  • Weight loss
  • Insomnia
  • Restlessness. agitation
  • Feelings of guilt
  • Indecisiveness
  • More goal-directed activity
  • Spending sprees
  • Inflated self-esteem

That is totally different from my list, and yet we’re still both bipolar. The diagnosis “bipolar” is more of a big-tent thing. It’s the clumping of people with group of symptoms into a group called bipolar, but each person in the group is still unique.

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Is Multiple Personality Disorder Real? – Dissociative Identity Disorder

Since Sybil was published in 1974 I think people have been fascinated by multiple personality disorder, now known as dissociative identity disorder or DID. We see dissociative identity disorder on TV and in movies fairly frequently. I didn’t kill her, my alternate personality did.

And yet many people, doctors included, feel that the mental illness doesn’t really exist. I’m fascinated by someone having a disorder that the medical community can’t even agree exists (although keep in mind, dissociative identity disorder is in the DSM-IV).

I admit to having no idea either way and being terribly uneducated on the subject. Luckily for me, there is a new Blogger Holly Gray at HealthPlace that writes on just such issues in her blog Dissociative Living.

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Hypomanic Morning Means A Devastating Afternoon

This is not of the quality you typically find here. Sorry.

I knew I was hypomanic because yesterday I couldn’t sleep.

Not sleeping. Waking multiple times during the night. That’s hypomania.

I’m sleeping too little, eating too little, producing too much and feeling too OK; that’s hypomania. It makes you brilliant and insightful and creative and magical. It also makes me completely fucked up.

The hypomania is probably from being on Pristiq and Welbutrin together. That’s a long story.

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Newly-Diagnosed Bipolar – What to Do

One of the things that happens because I write about bipolar disorder so much, is that people ask me a lot of questions about what they should do with their bipolar treatment. I understand this. People feel like they don’t know what to do. And often people just don’t have a good relationship with their doctor/psychiatrist.

No One Can Make Mental Illness Treatment Decisions But You

The thing is, I can’t tell you what to do with your mental illness treatment. I can give you information, I can try to help, I can suggest reliable, mental health resources, but you have to make the treatment decision. It’s a scary thing I know. I still hate it myself.

And the people who have it the toughest are the ones who have just been diagnosed with bipolar disorder or another mental illness. So here’s what I suggest you do if you’ve just been diagnosed with bipolar disorder.

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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).

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