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Sunday – Taking a Break
November 26, 2006

My day off, but even so I prefer to leave you with a thought. How many other commentators are this devoted to their loyal readers?

A week or so ago I was browsing the generally obsolete magazines in the waiting room of my doctor’s office when an ad in some obscure medical journal caught my attention. It was a teaser advertisement for a new bipolar disorder medication.

I always try to stay abreast of psychotropic medications because many of my readers send me questions about their prescriptions. This particular drug is called aripiprazole (market name Abilify), and is allegedly designed to treat manic or mixed episodes in adults with bipolar disorder.

The thought provoking part of this advertisement was a statement that, “Abilify may work by adjusting dopamine activity, instead of completely blocking it and by adjusting serotonin activity. However, the exact way any medicine for bipolar disorder works is unknown."

This is choice. The manufacturer wants you to take Abilify for a mental derailment, but the manufacturer does not know how it works. That means your psychiatrist doesn’t know how it works either.

It naturally follows that the psychiatrist would be hard pressed to know if it even works at all. The diagnostic guidelines for bipolar disorder are so open-ended to begin with, how would any shrink know if the medication is working or not? That is the nature of psychiatry.

So the next time you visit your shrink, ask him or her to prove that you actually suffer from the diagnosed illness and then demand to know how your psychotropic medication works to fix your problem. In the case of bipolar disorder, if you get a detailed and long-winded explanation, you may assume your shrink is a liar, which means he could also have lied about your diagnosis. Psychiatrists don’t earn a living by telling prospective patients they are normal. Think about that.

Hope you’re having a good weekend.

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