November 29, 2006

Musings On Bipolar Disorder

I used to spend lots of time in the MySpace bipolar groups, principally because I know how scary and isolating it can be to be diagnosed with bipolar disorder, and I wanted to encourage people there--young and middle-aged alike--that bipolar is not a death sentence, and that they have decent futures as human beings to look forward to. In the last two years, I have talked three people out of killing themselves, so it's had positive results. But those groups aren't as intelligent and healing as they used to be back when there were like 1,500 members of the main group. Now that there are 4,300 members of that group, the conversation has gotten into people reveling in being fucked up and buying into America's disastrous groupthink on bipolar disorder.

For example, today someone started a thread about how they hated being hit with all the stereotypes around bipolar disorder and a bunch of other bpers got in there and basically agreed with the stereotypes. Which led to me posting the following:

"The bp/creativity nexus is well known, but I wonder why, in sociological terms, it's now fashionable to take highly creative people, as many of us are, tag us with a mental illness, and medicate the fuck out of us. Guess that's how we got from bp being one percent of the population to bp being anywhere from three to five percent, depending on who is doing the estimating. I think America just doesn't know what to do with screwy creative people, not that it ever has.

From time to time, I think bp--and I am talking non-psychotic bp here--is as much a personality situation as it is an organic brain disease. But then maybe i am being extra skeptical today.

Either way, i don't simply blame the pharma companies for this situation. I expect them to create markets for themselves. That's capitalism. I do however blame doctors and public health officials (neither group being particularly creative types) for not being skeptical enough about the 'everyone is bp all of a sudden' talk. But then doctors and public health types love to create markets for themselves, and cast themselves as being pure ethicists in the process, removed from commercial concerns.

BTW, if anyone thinks I am off-base here, I can assure you that these questions about bp and how many people are truly bp are being debated in the medical community these days.

Thoughts anyone?"

Total silence--although a couple of people sent me nice emails, no one would step up and agree or disagree. Instead, they went on, reveling in being "fucked-up" and weird, bruised loners.

I've been doing a fair amount of reading about bipolar disorder lately--its intellectual, medical and commercial constructs--because I have gotten very skeptical about this rush to diagnose and label and stick fairly benign cases of people with bipolar disorder on aggressive medications, when there is limited/no evidence that these meds, the atypical antipsychotics, are particularly beneficial to patients. Such a situation forces someone like me, who has been in the game over 17 years, to rethink how we are doing mental health treatment as a culture and who we as a cultural are becoming as a result.

I will post more about this soon, as well as more on stealth marketing, but I am trying to be as cautious and deliberate about this as possible. Still, there is something weird afoot in America and I have a hunch it may take us all somewhere we'd really rather not be.

And, as for the MySpace groups, I think they have drifted in a bad direction.

Thoughts anyone?

Posted by Philip Dawdy at November 29, 2006 12:01 AM
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Comments

I agree with the rush to diagnose bipolar these days, but the influence of pharma in this is obvious. Shifting the diagnosis made in 1% of the population to even just 3% increases the potential market 300%. And you see it in sponsored online ads where they ask, "Could your depression be bipolar depression?" and then push one of the atypical antipsychotics.

Regarding the trendiness of bipolar these days, 10-15 years ago when Duke's and Jamison's books came out in the popular literature we called it bipolar chic. The pharmas are just feeding into that now.

Posted by: Cassandra at November 29, 2006 06:56 AM

Exactly what I have been trying to put together in words, but have no ability to do so.
I feel, in my case, that it was a rush to load me up on Seroquel, due to having a manic episode and being on display for the doc with rapid speech, he wasted no time telling me to shoot the rapids and live well on Seroquel.
It puzzled me then and this is what has been bothering me. That I was given this "nuclear weapon" as you have called it here (great name for it)when a doc saw me one time.
Before that, I have managed quite well. The results of me being on Seroquel, have been less than desirable.
I feel it also was irresponsible on the doctor's part to just want to drug me up.
I am a creative person, a go-getter, a community activist, an advocate. All of these things require me to be able to function without a fogged mind or sluggish spirit.
In other words, doctors must stop medicating the hell out of our personalities that make us the unique individuals we all are, and that the general public adore. They love our artwork, our writings, our poetry, our music, our fun-loving spirits.
Why take those people away with medications that are sometimes not as necessary as people or doctors think.
I for one, would rather have my creative outlet left in tact, than to be snuffed out with a medication that leaves me flat, or zombie like.

What happened to the list of "who is bipolar so be proud of your heritage"?

Doctors now should print that off instead of handing out free samples of mind altering medications that ruin your spirit, and body all at once.

Posted by: Stephany at November 29, 2006 10:53 AM

What's good for Big Pharma is good for the U.S.!

What you say is probably true across the spectrum: I can't help but wonder if the autism/PDD and ADHD diagnosis rates skyrocketing to epidemic proportions would at all correlate with a sales/revenue graph.

And MySpace, for god's sake Philip, it's the home of fucked-up weird bruised loners. I think that's their tagline.

Posted by: MvB at November 29, 2006 04:41 PM

MvB
Keep wondering about the autism/PDD dx=sales revenue.
Right on.

Posted by: Stephany at November 29, 2006 06:24 PM

"Guess that's how we got from bp being one percent of the population to bp being anywhere from three to five percent, depending on who is doing the estimating."

I think the issue with this here, namely is because doctors too often misdiagnose those who are really bipolar with depression. I have been told for the past 10 years that I suffer from depression and for the first time, a psychiatrist has told me that I'm bipolar. After doing some reading and research on bipolar disorder and its symptoms/traits, I realize that I didn't just "suddenly" become bipolar - I've been bipolar all my life, since I was 9 or 10. And a lot of the things I've done in my life and many of the traits I exhibit are correlating to my "new" diagnosis.

I think the jump of bp in the population isn't necessarily so much that it's the fashionable mental illness to have, but that people who have been misdiagnosed are finally getting the correct diagnosis. It would suprise me to see the numbers jump up to 10 percent maybe 15-20 years from now as we learn more about mental illness and doctors start to know what to look for.

Posted by: Marissa Miller at November 30, 2006 04:05 PM

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