I have always argued that being honest with your psychiatrist is critical. Simply put, if your doctor doesn’t know what’s wrong, how can he possibly help you? But it’s hard to be honest with a psychiatrist and many people aren’t.

The antidepressant black box warning was issued to reduce suicide in youth but has the antidepressant black box warning actually increased suicides? In 2004, the Food and Drug Administration (FDA) issued a black box warning (the most serious type of warning) on antidepressants advising of the risk of suicide in children taking antidepressants. In 2006, the FDA expanded this warning to include youth under the age of 24. The goal of these black box warnings was to reduce suicides in these populations. Unfortunately, the antidepressant black box warnings appear to have had unintended consequences. The antidepressant black box warnings appear to have actually increased the rate of suicide.

In multiple studies, exercise has been shown to improve unipolar depression, but can exercise really help bipolar depression? Some doctors think so but this is mostly because they are generalizing the data from that on unipolar depression. Evidence for the usefulness of exercise in bipolar depression is scant.

Let’s face it, side effects happen to almost everyone who takes medication for bipolar disorder. Bipolar medication side effects can range from annoying, to painful, to downright intolerable. But how does one deal with bipolar medication side effects?

I had dental surgery last Thursday and as fun as that was, managing the pain since has been ever more so. It got me to thinking that mixing bipolar and codeine likely isn’t the best idea.

Last week, I discussed the good, the bad and the ugly of what my stay at a psych hospital was like. While my experiences at were both good and bad, I did learn from my stay at the psych hospital.

I was diagnosed with bipolar about 16 years ago and it took years for me to find an effective treatment. At the time, I was very suicidal but I wouldn’t go to a hospital. I said, and I really meant, “I would rather die than go to one of those places.” But, much to my surprise, a few years later, when I was again very suicidal, I checked myself into one of those places. I stayed in a mental hospital.

My father was a drunk. My father was a fall-down, blackout, greet-people-at-the-door-in-your-underwear kind of drunk. He was not a man who wanted kids. He was a man that had little to do with me. And he was a man with bipolar disorder.

Sometimes I ask for advice, but pretty much never about my bipolar disorder. (Unless you include my doctor. Him I tend to listen to.) This is because the people around me don’t have the expertise or experience to advise me about a mental illness. It’s not personal, I’m just not friends with any psychiatrists. But what really ticks me off, is unsolicited advice about bipolar disorder (particularly from people who act like experts but are not, in any way, qualified to do so).

For me, fatigue is not just a symptom of an illness listed in a giant encyclopedia of diagnoses; for me, fatigue is practically a way of life. If I didn’t have a day where I was so tired I wanted to curl up in a ball with my cats, I’d be downright shocked.