As I mentioned last time, many doctors feel that antidepressants actually make bipolar disorder worse. Some specialists, in fact, will routinely take people with bipolar disorder off of antidepressants when the bipolar is doing well. Like I said, it’s a matter of perspective. And I get asked all the time about getting off of antidepressants and other medication. So, exactly how should you get off an antidepressant and what should you worry about when doing so?

I recently received a comment regarding bipolar medication, its development and the mental health care system in general. The commenter accuses the mental health community of being corrupt and asks, “Why are we forced to take such bad bipolar medicines?”

If you’ve been diagnosed with a major mental illness, you’re probably not leaving the doctor’s office without a prescription in-hand. There’s a good reason for this: people only get help when they’re in bad shape. When people are in bad shape, medications work the most quickly and the most reliably (except electroconvulsive therapy, but that isn’t generally a first-line treatment for a host of reasons). So, if you’ve just been handed you first prescription with incomprehensible handwriting and a drug name with too many syllables, what’s a person to do? Well, you can start by following these Psych Med Commandments.

On Monday, I talked about what to do if you’ve just been diagnosed with bipolar disorder, and if you’ve read that piece then you know, I recommended a lot of breathing and thinking. I notably did not suggest decision-making. Well, you can’t live in a yoga studio forever.