On Twitter a follower asked me about a specific side effect of a medication. She was considering taking the medication and was worried she might suffer from this side effect. This is a reasonable concern and it’s good that she’s researching the drug's effects and possible problems ahead of time. But the thing is, while knowing about the possibilities is good, worrying about the possibilities is pretty useless. You won’t know if you will get the side effect unless you actually try the drug. The only way to know what is going to happen is to roll the dice.

Self-harm is mentioned below. When I was at university earning my degree I was a busy girl. I was attending school full-time, working three part-time jobs and skydiving on the side. There wasn’t a lot of time for dilly-dally. And, of course, through this I was also getting treatment for bipolar disorder. This was at a time when treatment has started becoming successful but we were still tweaking things to try and get the most from the medication. As most lab rats know, this means upping the dose. And, one day, I was at work and suddenly found myself needing to excuse myself to the lady’s room so I could slice open my ankle. Drat.

Last night I drank. Alcohol. OK. You probably don't need to alert the media. But I do need to alert you about the horrible effects alcohol can have on a person with bipolar disorder.

Yes, psychiatric drugs can cause weight gain. It's not a rumor; it's not a myth; it's true. It's one of the most unfortunate things about medication. But what can you do about drug-related weight gain?

Last week we talked about five of the top things that we learned about mental illness last year: Statistics on Prevalence of Bipolar Disorder How often is Bipolar Diagnosis Mistaken for Depression? Predictor of Bipolar Treatment Success Antimanic Treatment Efficacy - Drugs Compared Are Two Antidepressants Better Than One? Today we will discuss 6-10 in part two of this article.

Sex is a basic human drive. We want to eat. We want to sleep. And we want to have sex. These are the things that bring us pleasure in life. Almost everything boils down to those three things. But unfortunately, bipolar disorder and bipolar medication can affect all three. Bipolar disorder and its associated medication can make you eat. Or make you not eat. It can make you sleep. Or it can make you not sleep. And it can affect your sex life the same way. But for some reason, doctors often take the effect on your sex life least seriously.

I have been burdened with side effects since the day I took my first psychotropic medication some 13 years ago. At that time the medication I was on made it impossible for me to be awake, pretty much ever. I had no idea how much hell I was in for and my doctor didn't seem to believe me when I told him about it. So I did the responsible thing - I just kept taking the medication, hoped the treatment would work and that the side effects would go away. But that's mostly because I didn't know what I was doing. Today I know that severe side effects are something that we choose and are not something that is thrust upon us. We choose what we can live with, even tacitly, always have, always will.

Last week I wrote about how psych meds can make you feel boiling hot or freezing cold. And, of course, they can. What surprised me is the number of people who wrote in here and on Facebook about how they didn't know that. Not only did they not know it, but it had been happening to them and they didn't know it. They didn't make the connection and in some cases the doctor said it wasn't possible (like mine did). This brings me to something I always say: An effect that occurs after starting a medication is a side effect until proven otherwise.

Everyone who takes psychiatric medication is aware of side effects. Common side effects include things like dry mouth, headache, nausea, fatigue and so on. I've been a cluster of side effects longer than I can remember. (My very favourite is the one where I couldn't open my eyes in the morning and I thought I was blind. Ah, but for another day.) And one of the side effects I have had several times with medications, particularly antipsychotics, is temperature dysregulation. In other words I'm always freaking cold (or way too freaking hot).

I recently wrote about the myth that you can be "too smart" to have bipolar disorder. I wrote about the prejudicial and false thought that if we were "smart enough" we wouldn't have bipolar. This, of course, isn't remotely true. A couple of people requested more about bipolar disorder and intelligence. But I'm sorry to say, the truth is, people with bipolar disorder are actually cognitively impaired compared to the average individual.