It is often the case that those around a person with bipolar disorder spot the disorder before the person themselves does. That’s pretty understandable as our actions are always louder from the outside. Not to mention our brain, which is supposed to be paying attention to our behaviors, is the thing that’s sick. So, you know, we miss stuff. Crazy tends to obscure reality. But what if you think a person has bipolar disorder and the person won’t listen? In this case, there are really only three things you can do.

One night in 2007, I started a new antipsychotic. It was to be taken at dinner time. I did as told and took it at the universal dinner time of 6 pm. By 7 pm, I had mostly lost touch with reality. I was suddenly so tired that my eyes wouldn’t open but I was far too anxious, scared and twitchy to go to sleep. I felt incredibly ill. I was frantic, terrified and panicked. I was thrashing in a sharp, steel cage between sleep and wake with no way out. I cannot express to you the horror of that night. Bipolar medication side effects suck.

Bipolar disorder, by its very nature, is not routine. People become manic unexpectedly and people get depressed unexpectedly. And during depression or mania, people become even more erratic in all areas of their lives. So if bipolar disorder exists outside of a routine, what would happen if routine were applied to bipolar disorder?

I am one of the people who hate to see their doctor. If it were up to me, I would never go. (OK, it is up to me, but it doesn't feel like it.) It's not that I have a bad doctor, or a mean doctor, it's just that nothing good ever happens there; so why would I go?

The concept that people need to be grateful for the good things in life has been around probably forever. It’s a form of positivity. Rather than being upset you don’t have the Ferrari the guy next door has, be grateful that you have a Volvo in which to take your kids to school. Seems reasonable enough. And the movement of gratitude leading to emotional wellness really hit its stride when Oprah started promoting the “gratitude journal”. Basically you write down what you’re grateful for every day and then, “you'll become a deliberate attractor of positive vibrations”. In Oprah’s case, I’m guessing that’s one really fat journal, and apparently lots of vibrations. But gratitude has no bearing on how depressed I am.

Bipolar disorder is episodic. This means that a person with bipolar disorder will experience episodes of depression and mania (or hypomania). And even when a person is relatively stable, thanks to successful bipolar treatment or just plain luck, it is likely they will still experience a depressive episode at some point in the future. But how do you know if you’re heading into a depression?

Last week I talked about Seroquel indications and dosage as well as the warnings and precautions for Seroquel. Today I complete discussion of the prescribing information on Seroquel and suggest why you need to know this stuff anyway.

On Monday we discussed the full prescribing information for Seroquel including: warnings, indications and usage, dosage and contraindications. Today we get to the meaty part - Seroquel Warnings and Precautions.

Seroquel was the 5th grossing drug in 2009, with revenue of $4.2 billion. That’s more money than any pain-killer, antidepressant or erectile dysfunction medication. And my guess is that many of you reading this right now, are on it. And I also guess almost none of you have taken the time to read the prescribing information on Seroquel.

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.