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.
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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.
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I know I need to take medication for my bipolar disorder. I know that going without medication isn’t an option for me. I know that I am far too sick for non-medication options to make even a dent in my illness. These things are clear to me. This is how I know I have to take medication for my bipolar disorder.
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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.
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Turmeric (curcumin) may be a new, inexpensive depression and anxiety treatment. It’s early days on this one, but it’s worth noting because it is so available and inexpensive. Here is where the research is on turmeric as a treatment for depression and anxiety.
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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.
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Today, on the Bipolar Burble Facebook page, someone posted a link to an article on The Health Magazine (a website) that had the headline: A Urine Test Can Distinguish Between Bipolar Disorder And Depression. The poster bought into this headline and felt that “people should know about this.”
Well, I can tell you that when someone claims to have found a urine test to distinguish between bipolar and depression, you should be very skeptical. Believe me, if this were a real thing, it wouldn’t just show up in some clickbait website, written by someone named “admin.” (Normally, these types of sites even steal the content they do have.)
Let’s look at the facts of the matter. Does a urine test to differentiate between depression and bipolar disorder really exist?
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Akathisia is a psychiatric medication side effect that revolves around psychological and psychical restlessness which causes distress. People with bipolar disorder report more akathisia with psych med treatment than do those with schizophrenia. And I am now reporting the horrible restlessness, agitation and distress of akathisia is happening to me.
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I wrote that Mindfulness Doesn’t Help My Bipolar Disorder. And I think mindfulness, at least how I was taught it, just doesn’t significantly, positive affect a serious, neurological illness. I find it works best in people who experience stress and anxiety. And many do agree with me on this.
That said, John McManamy does not. Here are his thoughts on mindfulness in bipolar disorder.
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Mindfulness is essentially the mind watching the mind. The practice has been around forever. It is a staple of Buddhist practice, and is also the basis of modern talking therapies such as cognitive behavioral therapy (CBT), even if its proponents fail to give it credit.
In all likelihood, if you have had success in managing your bipolar, you are employing mindfulness techniques, though you may be unaware of it.
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