“I hate wait.” – Inigo Montoya, The Princess Bride I hate waiting rooms. I know this hardly makes me unique, but I suspect my hatred is more pronounced due to the amount of time I spend in them. Stale magazines. Old furniture. “Art.” Institutional beige walls. Ick, ick, ick. I have had chronically on-time doctors and chronically late doctors but no matter what, somehow, in a waiting room, it feels like your life is wasting away.

In my line of work I run into many people engaged in the mental health system in different ways. Many people are patients, naturally, but many are the loved ones of patients as well. And some of these loved ones are parents. And some of these patients are children. I have publically stated previously how shaky I am on the concept of children and mental illness; which is to say that I’m very critical of labelling children with a mental illness when we don’t even have formal diagnostic criteria for mental illness in children (except for things like ADHD/ADD). I’ve also said that I’m even more critical of putting children with their growing brains on psychotropic medication when we aren’t even fully aware of what these medications will do to adult brains long-term, let alone developing ones. Nevertheless, parents don’t have to justify their child’s mental illness or the treatment of that mental illness to me or anyone else.

People with a first-degree relative (say, a mother or father) with bipolar I have a seven times greater chance of having bipolar disorder themselves. Offspring of a parent with bipolar disorder have a 50% chance of having another major psychiatric disorder. And if both your parents have bipolar disorder or another major mental illness? Well, I have no idea how that works out by the numbers. In short, if you’re bipolar and having kids, there’s a very good chance that your children will have a mental illness too. So the question is this, if you know that your child will have a mental illness, should you be having children in the first place?

As you might have heard, last week it was revealed that Jesse Jackson Jr., an Illinois congressman, is in treatment for bipolar disorder. Jackson Jr. has been on medical leave since June 10th and has been diagnosed with bipolar II. As Candice Crawford, CEO and president of the Mental Health Association of Central Florida in Orlando, says, “People with bipolar II can lead perfectly normal lives.” I agree completely, but the question is, can they be elected to public office?

Just to be clear, I’m not the biggest fan of drug companies. I’ve written about how much I dislike them and I’ve written about how wrong it is when they break the law and I’ve written about how ridiculous the penalties are when they do. I understand why people are outraged at companies that produce a healthcare product and then don’t follow the rules designed to protect of the health of the consumers that take it. But that aside, people seem to be really mad that pharmaceutical companies put profits before people. And my point is, so what?

It is a sad reality that life is full of things we don’t want to do and mentally-different or no, this is something with which we have to deal. And it’s even sadder to know that people with bipolar disorder and other mental illnesses have a much longer list of things they don’t want to do than the average person. And, of course, ironically, the mentally ill are typically the least-equipped to deal with such things. But beating bipolar disorder, or any mental illness, means doing what you don’t want to do, pretty much all the time.

If there’s one thing to remember about psychiatric (psych) meds it’s that you need to take them and you need to take them on time. This is because medication puts chemicals into your bloodstream and in order to keep a consistent level of these chemicals in your bloodstream, you must take the drug as prescribed. This is particularly critical in bipolar disorder as it’s easy to become unstable with an uneven level of psych med in your blood. But we’re all human. We all mess up and forget things and we all miss a dose from time to time. So how do you handle missing a dose of a psych med?

Have you ever noticed that when you spend time around someone who’s in a great mood it often lifts your mood up too? Similarly, if you spend time with someone who is really down, you feel less happy? Part of the reason for this is mirroring. It’s the concept that we image back what people show to us. Human see, human do. So how can we use this idea to our advantage when we’re depressed?

Recently I wrote about how people tend to ignore suicide threats online. And one of the reasons people ignore these threats is because they don't take them seriously. Some people even believe that suicide threats are just a cry for attention.

Recently suicide threats are on my mind as I had to deal with a very serious one last week on Facebook. There are two things that shock me about suicide threats online: People usually ignore them. Some (depraved) people actually egg the suicidal person on. Now, I won’t go on about how deplorable it is to egg on another person’s suicidal ideation or threat, but I do want to discuss why people ignore suicide threats.