Recently I was contacted by someone (let’s call her Ms. X) who wanted to end a friendship with a bipolar person and asked me how to do it with the least harm possible. I talked with Ms. X and it appears that her bipolar friend had been doing some very hurtful things. I asked Ms. X if she had talked to her friend about these things. Ms. X said that no, she hadn’t. So why is terminating a friendship preferable to talking about the problem?

The hypomanic mind isn’t like a single life happening all at once, it’s like every life happening all at once in a tiny, tinny, echoing room. Hypomania is like having ball-bearings bouncing around inside my skull faster and harder and fast and hard and faster and harder. Hitting each other, making divots on the inside of my skull, becoming interior decorators. Fragmented, distracted thoughts. Sentence fragments. Problem grammar.  No capital letters. No punctuation.

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.

Being diagnosed as bipolar is a scary thing. It can happen in a number of ways, but if you’re like most of us, you probably didn’t know what was wrong for a long time, then you were misdiagnosed and then sometime later, you got the moniker of “bipolar”. Few of us go right from episode to bipolar diagnosis. But regardless of how you got here, what do you do next?