I get all manner of comments here and many of them scrape against my bones. Because I know these people. Because I know their brains. Because I am these people. Sometimes people think because I write or advocate or win awards I am not them, but it is precisely because I am them that I can do these things. It is precisely because I feel their desperation that I can truly write about it. One does write what they know, after all.

Let me just come right out and say it: psychiatric medications suck. They just do. Waking up every morning with your first thought to choking down brightly-colored circles, ovals and squares is a bad way to start the day. Similarly, having your last act at night be downing medication to induce what used to be the natural process of sleep is equally unfortunate. But psychiatric medications are a reality for people with a mental illness. They are important. In fact, for many of us, without them we would have no chance at a life at all. So if we admit we hate them, but admit we have to take them, how does one manage to stay on psychiatric medications?

I know that as a semi-public person with bipolar disorder I am supposed to beam hope. I am supposed to remind people of it, write about it, speak about it, and give it to everyone wrapped in a shiny happy wrapper. I don’t do this. There is, without doubt, hope to be had, out there in the bipolar treatment world, but that doesn’t mean I particularly feel too strongly about it personally.

There are exactly two settings on my dial: blow your mind and blow your brains out. I’m bipolar. We’re like that. Not surprisingly, the sex mostly happens on the blow your mind setting.

A few weeks ago I wrote an article on the worst things to say to a person with a mental illness. This ended up becoming a very popular article. I think that’s because most of us have heard some or all of these dismissive things from people in our lives. But a commenter posed an excellent question: What are the best things to say to someone with a mental illness?

I mentioned in my last post how it is the best of times and the worst of times for mental illness and treatment education. There are no shortage of online sources of mental illness information: websites, discussion groups, blogs, news, self-assessment tests and everything else in between. It's as if we can diagnose ourselves and pick our own treatment all without leaving the warmth of our laptop on our thighs. But the anonymity of the internet means that everyone you meet might just be a 12-year-old girl with a big vocabulary and no idea what she's talking about. So just who are you supposed to trust for mental illness information?

The internet is a fabulous place where everyone gets to share their story for all to see. The internet is a horrible place where everyone gets to share their story for all to see. It is the best of times; it is the worst of times, and nowhere is this more evident than in the deluge of mental health information.

Next week is Mental Illness Awareness Week in Canada and the US. It's our week to get out, speak up and be heard. It's our week not to be ashamed of our illness or the illness of our loved ones. It's our week to march, write, Twitter, Facebook, talk and tell politicians how important issues of mental illness are. But what if you don't want the world knowing you have a mental illness?

How are you? This is one of the most disingenuous, lie-provoking, overused sentences in the English language. How are you? We say it to fill time and pretend that we care about people whom we obviously don't. As no one is interested in actually knowing the answer, I have a series of pat answers I typically give. Snazzy. Fabulous. Wonderful. Delightful. Sparkly. Peaches and cream. You? But the truth of the matter is, when someone asks how I am, even if they really wanted to know, it would make no difference, because really, I have no idea.

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.