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Psychiatric Drugs for Mood Disorder Patients? A Bipolar Patient’s Point-Of-View

When positive-thinking and self-help books seem not to help anymore and individual or group therapy are no longer fruitful, it is likely time to head for a psychiatrist’s office to seek drug therapy for anxiety, depression, mania, psychosis, SAD, PTSD, ADHD, OCD and whatever else may challenge the English alphabet. Okay, let us begin with the obligatory generalities.

The term “Pharmaceutical” comes from the Greek “pharmakon” or “medicinal drug.” Most drugs are controlled by law and prescribed by physicians among civilized populations. They are prescribed for patients when over-the-counter (OTC) remedies are no longer effective in treating or offering relief from a person’s illness or medical condition. Pharmaceutical companies develop prescription drugs for various maladies and diseases for a princely sum to offset development costs and to make a healthy profit for shareholders until the drug patent expires and less-costly generic equivalents are produced by competing manufacturers.

A medicine is almost always prescribed for its intended use; however, it sometimes is prescribed for a side-effect that will most benefit the patient. Every known medicine has side-effects, some good and some worse for a given patient. A single type of side-effect may affect either many patients or very few. The likelihood of a side effect affecting a patient according to double-blind testing required by the U.S. Food & Drug Administration (FDA) is expressed in terms of a percentage of drug side-effects to a percentage of equivalent placebo side-effects among a test population.

Medicines often do not get along with other medicines and the interference between them requires health care professionals to be wary and responsible for which combinations of them are either ineffective or dangerous. This is especially true of psychiatric (psychotropic) medicines prescribed for patients having behavioral disorders. Many of these potions carry potent side-effects and require extra-careful scrutiny when being prescribed by a psychiatrist or primary care physician.

There are five (5) main classes of psychiatric medications:

Antiepileptics (Anticonvulsants)
Antipsychotics (you sure don’t want any of us running around)
Anxiolytics (if reading this makes you anxious)
Mood Stabilizers

There are over 100 of these medicines in use today and many others that have fallen out of favor. This number of medications gives the doctor several ways to attack each disorder’s multiple conditions and symptoms, and more importantly, to prescribe an effective medicine with the least amount of side-effects for each patient.

One antidepressant was prescribed for my clinical depression shortly after its introduction in 1985. There was much media hoopla for the miracle drug that could make people “happy.” But the real breakthrough was intended only to raise the moods of folks who were suicidal, vegetative or otherwise crippled with incessant clinical depression by allowing the needed amount of the neurotransmitter serotonin to increase in the brains of patients. It worked wonderfully for me. Taking it permitted me to function almost normally (or whatever that was for me) again.

Once a psychiatric medication is prescribed, time-pressured physicians and pharmacists typically skim over the list of side-effects with the patient, placing the onus of discovery on that patient. The most prevalent cautions are usually relayed to the patient by his or her doctor or pharmacist. Regardless, the psychiatric patient needs to know them all, for many of these side-effects are debilitating or life-threatening and must be reported to a doctor quickly when discovered.

The patient or his or her domestic caregiver must have all of the drug information available for each prescription taken. I have found Wikipedia drug articles to be the most comprehensive, understandable, rich in detail and peppered with many related hotlinks. The best way to secure this information is to visit Wikipedia and type the drug name into its search window. Here is what you will find in each pharmaceutical article at [] Select “English” if you can read this.

General Description
Medical Uses
Adverse Effects (including contraindications with other drugs)
Pharmacokinetics (how the drug works)
Mechanism of Action (if you’re studying to become a doctor or pharmacist!)
History (not for the faint-of-heart)
Other Brand Names (domestic and worldwide)
In Popular Culture (books, movies, parades, etc.)
Online References
External Web Links

One article for a popular antidepressant has 95 online references upon which it is based. This ubiquitous medicine is FDA-approved for treatment of clinical (major) depression, obsessive-compulsive (OCD), bulimia, panic and premenstrual dysphoric disorder. Adverse (side-)effect test result percentages are referenced to those of placebo test results and include discontinuation syndrome (going cold-turkey), suicidality in persons younger than age 25, nausea, insomnia, sleepiness, anxiety, tremors and sexual dysfunction.Then it lists warnings when taking it along with certain other medicines. One’s pharmacist usually includes a data sheet with the medication; it will contain the most important information and cautions, but many patients do not take the time to read them.

Initially, I received two prescriptions for my bipolar disorder. They worked great, except for the fact, like a disproportionate number of pyschiatric drugs, one of them produced dramatic weight gain. The current and complex drug “cocktail” for my bipolar I disorder consists of 5 psychotropic medicines. I presently take 1 anticonvulsant, 1 mood stabilizer, 2 antipsychotics and 2 antidepressants. One of these was prescribed for me only for its side effect of weight loss in order to counter the weight-gain side-effects of three of my other medications. Whew! And so it goes. Who ever said psychiatry was a simple thing?

One common antidepressant is now available as a generic, making it a wonderful choice for needy patients. It is a good treatment choice for a clinically depressed patient since 90% of all suicides result from clinical depression. I am sure there are better choices today, but I have a long experience with it so I use it here as an example. It carries a 2% chance of suicide as a side effect-a regular sword of Damocles, right? How ironic. So how do we square this anomaly? The way I see it, a 98% survival rate beats the living daylights out of a 10% survival rate! Additionally, watchful patients and others around them can often observe the patient and obtain medical intervention well before the act of suicide is committed.

In practice, after a patient’s initial dosing of a psychiatric medication, it requires 2-3 weeks to approach therapeutic levels. The patient often must be hospitalized for at least this critical period for his or her safety’s sake. This characteristic is typical for psychotropic drugs. They require a lengthy ramp-up time to achieve efficacy and then a long weaning-off period if they are to be eliminated or tapered off as another medicine is simultaneously introduced and ramped-up to replace it.

Psychiatric drugs are numerous, complex, slow to take effect, fraught with ungodly side-effects, pretty darned expensive-since those most often prescribed are usually not generics-and often not covered by drug insurance plans. The ramifications of improper patient medication relate not only to the health of the patient, but to his or her relationships with family, friends and others. One caveat remains, however. A mental patient often fails to take his or her medication(s), including specified doses at the right times when raging, manic, disoriented, or distracted. The depressed patient simply forgets to take his or her medicines. Ideally, someone living with the patient must keep refills current with the pharmacy and then fill a weekly pill carrier to provide proper doses of each medication to administer at the right times of day. Then the patient must be reminded to take them or have the pills handed to him or her with a beverage with which to drink them down. My spouse lovingly either reminds me to take them or brings my meds to me, depending on the moment. But many times I do remember to take them! This ideal and idyllic thought I shall leave with you.

Jeff C. Baker has suffered bipolar disorder since 1966. He was properly diagnosed in 1996 but was improperly medicated until 2010. His plans, goals, career, dreams and even a few hobbies all fell by the wayside as a result of his affliction.

Key Concerns Using L-Tryptophan As a Treatment For Mood Disorders

L-Tryptophan is an essential amino acid that can be taken in the form of a supplement for its natural benefits. This amino acid produces Serotonin, which has been shown to regulate mood; when depression occurs in a person, there appears to be a lack of Serotonin and L-Tryptophan can assist in balancing this out. Some of the ailments that L-Tryptophan is commonly used to treat include insomnia, depression, anxiety, aggression, premenstrual syndrome, and nightmares. It has also been shown to help people quit smoking. As a dietary supplement, the recommended dosage of L-Tryptophan is between 500 and 1,500 milligrams taken once or twice a day in between meals. This amino acid has also been shown to aid in relaxation and therefore prove beneficial for people who regularly suffer from insomnia and nightmares.

While many people have attested to the helpful properties of L-Tryptophan, there is also cause for concern regarding the usage of this supplement. For instance, over the years, it has not been subject to scrutiny and approval by the Food and Drug Administration for safety purposes. Consumers should be especially wary of retailers that sell L-Tryptophan online or from a non-U.S. source, as there could be toxins or other impure chemicals in the mixture. Additionally, there are no conclusive studies that demonstrate the effectiveness of this drug or its potency, and much of its effectiveness is dependent on its manufacturer. As with any drug or vitamin, never use supplements of any sort that do not list the manufacturer on the packaging. You should always purchase supplements from a well-known retail store.

In the 1980s, a Japanese company exported supplements of L-Tryptophan to the U.S., and many users suffered from a life-threatening condition, Eosinophilia-Myalgia Syndrome (EMS), and some cases proved fatal. Symptoms of EMS that users should be aware of include severe muscle pain (usually in the back, neck or shoulders), weakness, numbness, swelling, difficulty breathing, and an irregular heartbeat. It should be noted that there have not been any documented cases of EMS (as related to L-Tryptophan) in a number of years. Generally, when bought from a reputable retailer in the U.S., L-Tryptophan is manufactured as a pure amino acid and does not contain the toxins that caused illness a number of years ago in consumers. As it is an essential nutrient, L-Tryptophan is even used in formulas for premature babies.

Fats and Mood Disorders

Reducing your depression or alcohol cravings could be as simple as a few daily tablespoons of seed or fish oils each day. There has been much written about the importance of Omega 3 oils and the relationship to healthy hearts and brains. This is nothing new. As a child, I was forced to take cod liver oil for Vitamin D. Maybe the extra vitamin D helped prevent Ricketts, but I believe the benefits of the fish oil go beyond that.

Let’s take the conditions of alcoholism and depression. These two conditions often go hand-in-hand.

In a study in Scotland, David Horrobin, M.D. treated a group of alcoholics who had below average levels of EFAs (Essential Fatty Acids). Half of these alcoholics were given placebos and the other half were given EFA replacements. The group who received the EFAs had far fewer symptoms of deficiencies: tremors, irritability, tension, convulsions and hyper-excitability. Furthermore, the group who regularly took their EFAs showed almost normal liver function. A year later, only 28 percent of the placebo group remained sober, while 83 percent of the EFA replacement group remained sober and depression free. This might be the reason that so many people get depressed from moving from coastal to city environments. This is especially evident in people from aboriginal backgrounds. There is more going on in their bodies than home-sickness.

This “re-discovery” of healthy fats might account for the success of such eating plans that promote high EFAs and high protein, such as The Zone® diet by Barry Sears. Many people have reported feeling better for following this kind of eating pattern. Remember many of the bodies hormones consist of proteins and fat (not carbohydrates).

Low fat diets can ruin your health, period!

After decades of “low or no fat” campaigns there is a bit of a wake up call to the importance of fats and oils in the human diet. Often over-looked is the fact that fats and oils contain important vitamins and are the building blocks of different hormones required for healthy functioning. So, all of the hype of “low-fat to save your heart” has been a bit of a misinterpreted sham to say the least.

In the 1970’s all the rage was reduce saturated fats, like meat fat and butter and increase polyunsaturated fats, like vegetable oil. Any fat that was liquid at room temperature was considered safer than a hard fat. The theory that got bounced around was the hard fat would clog up the arteries. Well, the fat does not go straight into the bloodstream. Lots of the polyunsaturated fats quickly become rancid (also know as “oxidized”) and causing more havoc than ordinary saturated fats. (A friend of mine, Dr. Logan Sisk, considers rancid oils almost as dangerous as radiation poisoning.)

Ooops. The experts made a bit of a mistake. The vegetable oils were good, IF and only if, they were fresh. Once these oils went rancid (oxidized), they caused blood clots, cancer agents and suppression of the immune system. The old idea that a high fat diet caused a heart attack was challenged by the eating habits of Eskimos and Inuit people. The Northern people had a diet high in fat and meat and rarely died of cardiovascular disease. When the Eskimos moved into modern housing and fried all of their food, the cooked (and oxidized) fat became carcinogenic and atherogenic (plaque-forming). Also, many of the fat-soluble vitamins, like vitamin A, were destroyed with cooking.

To feed your brain and uplift your moods, increase fresh oils and non-fried (eg. trans-saturated fats) in your diet. You will feel better for it.

Mood Disorders and Brain Health Fitness Considered

Did you know you can improve your mood and emotional psyche with brain exercises? Some psychologies believe so. How do you do brain exercises you ask? Well, there are many strategies you can use and they say if you increase the temperature of your brain by one-degree you will prevent depression.

So, why not get the blood flowing up in your noggin, strengthen your memory and create a positive emotional mood all at the same time. Let me explain one brain technique that was introduced to me. First, like any other mind-brain exercise you need to be in a quiet place that you can concentrate.

In this exercise it is advised that you pick a shape and visualize it inside your head; I use the Buckyball now, or a Mathematica Design, where each line is part of the screen. Screen as in the type of screen on your window. Think of a grid shape at first to keep it simple.

Later you can use more elaborate 3D shapes and designs with lots of intersecting lines. Picture these in your mind, then simulate impulses at the intersections of the lines and envision connecting sparks from those intersections to all the other intersections of the design.

Tell yourself you that each intersection is a piece of memory or sliver of data or information and that you are connecting it to all the other intersections. In essence you are telling your brain that you are thickening the connections, whether you are or you aren’t in reality, if you believe you are, that’s all that really matters here. Remember this is only an exercise to help your brain.

I suppose if you hooked up an EEG or fMRI scan to this activity you would see areas lighting up – I wonder if you could even see the shape. In theory you might see something, I don’t know, but would like to know. Maybe nothing, but it sure helps cognition, memorization by association and recall.

The only real issue is that it is difficult to concentrate doing this for long-periods of time, so I just do it once in a while for 10-15 minutes, especially when my brain hits the wall. Power up with protein and carbs and then do it. Caffeine makes it easier on one hand to visualize, but harder to concentrate. Interesting?

The screen shape is easiest and you can stack them horizontally at first, then vertically, then make a box grid. Later when you get better at it, do the harder to visualize shapes and work at moving information or sparks very quickly then pausing, then another from all corners of the object. This is just a brain exercise, nothing too tricky or paranormal, just exercising your noggin.

Intermittent Explosive Disorder

Intermittent atomic ataxia (IED) is a behavioral ataxia characterized by acute expressions of anger, generally to the point of uncontrollable rage, that are asymmetric to the bearings at hand. IED is apparent by several detached episodes of abortion to abide advancing impulses that aftereffect in austere assaultive acts or abolition of property. It occurs a lot of generally in adolescent men.

IED should be acclaimed from Personality Change Due to a Accepted Medical Condition, Advancing Type, which is diagnosed if the arrangement of advancing episodes is advised to be due to the absolute physiological furnishings of a diagnosable accepted medical condition.

IED attacks are out of admeasurement to the amusing stressors triggering them and are not due to addition brainy ataxia or the furnishings of drugs or alcohol, according to the Diagnostic and Statistical Manual of Brainy Disorders, Fourth Edition (DSM-IV).

This is added accepted than already thought, according to abstraction adjourned by the National Institute of Brainy Bloom in a June 2006, but is almost attenuate in humans age-old 60 and older. Alternate atomic ataxia “is absolute broadly broadcast in the citizenry rather than getting concentrated in any one articulation of society,” one researcher writes.

People with alternate atomic ataxia may accept an alterity in the bulk of serotonin and testosterone in their brains. Individuals with Alternate Atomic Ataxia sometimes call acute impulses to be advancing above-mentioned to their advancing acts.

Signs and symptoms–

Explosive eruptions, usually abiding 10 to 20 minutes, generally aftereffect in injuries and the advised abolition of property. These episodes may action in clusters or be afar by weeks or months of nonaggression.

Aggressive episodes may be preceded or accompanied by:

· Chest tightness

· Arch pressure

· Audition an echo

· Palpitations

· Tingling

· Tremor


Most humans with this ataxia grew up in families area atomic behavior and exact and concrete corruption were common. Getting apparent to this blazon of abandon at an aboriginal age makes it added acceptable for these accouchement to affectation these aforementioned ancestry as they mature.

There may aswell be a abiogenetic component, causing the ataxia to be anesthetized down from parents to children. Added altitude that accept to be disqualified out afore authoritative a analysis of alternate atomic ataxia cover delirium, dementia, oppositional advancing disorder, alienated personality disorder, schizophrenia, agitation attacks, and actuality abandonment or intoxication. Lives accept been broken afar by this disorder, but medications can advice ascendancy you or your admired one’s advancing impulses.

Many psychiatrists do not abode alternate atomic ataxia into a abstracted analytic category, but accede it a evidence of added psychiatric and brainy disorders. Abounding psychiatric disorders are associated with abrupt aggression, but some individuals authenticate agitated outbursts of rage, which are abnormally referred to as acerbity attacks, acrimony attacks, anecdotal dyscontrol, or alternate atomic disorder.

Explosive episodes may be associated with melancholia affection such as causticity or rage, added energy, and antagonism thoughts during the advancing impulses and acts, and accelerated access of depressed affection and fatigue afterwards the acts. Some individuals may aswell address that their advancing episodes are generally preceded or accompanied by affection such as tingling, tremors, palpitations, chest tightness, arch pressure, or audition an echo.

Some disorders accept agnate or even the aforementioned symptoms. However, women aswell accept ambiguous abrupt aggression, and some women accept appear an access in alternate atomic affection if they are premenstrual. The advancing episodes may yield the anatomy of “spells” or “attacks,” with affection alpha account to hours afore the absolute acting-out. If a accommodating appears to be bagged by a biologic of corruption or adversity affection of withdrawal, a doctor may adjustment a toxicology awning of the patient’s claret or urine to actuate the accessible antecedent of the acting -out.

Age, chase and socioeconomic cachet don’t assume to be factors in admiration who suffers from IED-but gender does: Studies acquisition about alert as abounding men affectation affection than women. Clinicians may be at accountability for apperception on accessory symptoms, such as all-overs or depression, and not allurement about outbursts of anger. Sometimes what appears as conduct problems are affection of a pathology.

Risk factors–

People with added brainy bloom problems – such as affection disorders, all-overs disorders and bistro disorders – may be added acceptable to aswell accept alternate atomic disorder. Actuality corruption is addition accident factor. This ataxia may aftereffect in job loss, academy suspension, divorce, auto accidents or incarceration.

IED, an alterity in academician chemicals, affects up to one in 20 humans — added men than women. IED-related injuries action 180 times per 100 lifetime cases and is decidedly comorbid with a lot of DSM-IV mood, anxiety, and actuality disorders.

Individuals with narcissistic, obsessive, batty or bananas ancestry may be abnormally decumbent to alternate atomic disorder. As children, they may accept apparent astringent atmosphere tantrums and added behavioral problems, such as burglary and blaze setting.

IED can ammunition alley rage, conjugal abuse, etc., and may aswell activate humans to added brainy illnesses, such as abasement and anxiety, and actuality corruption problems. IED could absolute able-bodied be an disregarded account for the abundance of agitated crimes committed by agitated offenders.

Individuals with alternate atomic ataxia may advance others and their possessions, causing actual abrasion and acreage damage. Later, they may feel remorse, affliction or embarrassment about the aggression.

Screening and diagnosis–

The analysis is based on these criteria:

· Multiple incidents in which the being bootless to abide advancing impulses that resulted in advised abolition of acreage or advance of addition person.

· The advancing episodes aren’t accounted for by addition brainy disorder, and are not due to the furnishings of a biologic or a accepted medical condition.

· The bulk of aggressiveness bidding during the incidents is absolutely out of admeasurement with the bottomward event.

Other altitude that accept to be disqualified out afore authoritative a analysis of alternate atomic ataxia cover delirium, dementia, oppositional advancing disorder, alienated personality disorder, schizophrenia, agitation attacks, and actuality abandonment or intoxication.

People with alternate atomic ataxia may accept an alterity in the bulk of serotonin and testosterone in their brains. They may aswell appearance some accessory irregularities in acoustic signs and electroencephalograms (EEGs).


Many altered types of drugs are acclimated to advice ascendancy alternate atomic disorder, including:

· Anti-anxiety agents in the benzodiazepine family, such as diazepam (Valium), lorazepam (Ativan) and alprazolam (Xanax).

· Anticonvulsants, such as carbamazepine (Tegretol), phenytoin (Dilantin), gabapentin (Neurontin) and lamotrigine (Lamictal).

· Antidepressants, such as fluoxetine (Prozac) and paroxetine (Paxil).

· Affection regulators like lithium and propranolol (Inderal).

Group counseling sessions, focused on acerbity management, aswell accept accepted helpful. Some humans accept begin alleviation techniques advantageous in acrid anger.

Treatment could absorb medication or analysis including behavioral modification, with the best cast utilizing a aggregate of the two. Analysis with antidepressants, including those that ambition serotonin receptors in the brain, is generally helpful, forth with behavior analysis affiliated to acrimony management.

If the accommodating appears to be a crisis to himself or others, he may be committed adjoin his will for added treatment. Researchers begin that although 88% of individuals with IED advised were agitated by the after-effects of their atomic outbursts, but alone 13% had anytime asked for analysis in ambidextrous with it.

Since the cause(s) of IED are not absolutely accepted as of the aboriginal 2000s, antitoxin strategies should focus on analysis of adolescent accouchement (particularly boys) who may be at accident for IED afore they access adolescence. These patients generally charge cerebral analysis forth with medication treatment, and it is generally absolute accessible to abject their cerebral analysis on addiction-based models.

Some patients with IED, generally developed males who accept assaulted their wives and are aggravating to save their marriages, are acquainted that their outbursts are not accustomed and seek analysis to ascendancy them. Younger males with IED are added acceptable to be referred for analysis and analysis by academy authorities or the adolescent amends system, or brought to the doctor by anxious parents.

The success of analysis with lithium and added mood-stabilizing medications is constant with allegation that patients with IED accept a top lifetime amount of bipolar disorder. Given its beforehand age-of-onset, anecdotic IED aboriginal – conceivably in school-based abandon blockage programs – and accouterment aboriginal analysis ability anticipate some of the associated psychopathology.

While 60 percent of humans with IED seek able analysis for a affection or actuality problem, alone about 29 percent accept analysis for their anger.

ADHD Vs Bipolar Disorder in Children

It is estimated that three to 5 percent of school-age accouchement ache from the ataxia accepted as ADHD while beneath than one percent of accouchement in this aforementioned accumulation accept bipolar disorder. It is accepted for the baby allotment of accouchement who accept bipolar ataxia to accept the misdiagnosis of ADHD as some of the affection are agnate and ADHD is added common, however, the forms of analysis accustomed for the ADHD do not plan for the bipolar disorder. In some cases, accouchement may accept both adhd and berserk depression.

Primary Aberration amid ADHD and Bipolar

One of the issues if it comes to authoritative a analysis amid ADHD and bipolar ataxia is that there are a few affection that are absolutely agnate in both disorders which cover abridgement of actuation control, abbreviate absorption span, and hyperactivity. However, there is one of the primary differences amid these two disorders.

Bipolar ataxia is a affection ataxia area as ADHD is an absorption and behavioral problem. Another aberration is that the “episodes” with the affection of bipolar tend to action beneath frequently while the affection of ADHD tend to be added chronic.

Anger and Behavior Differences of Bipolar and ADHD

With ADHD, if a adolescent adventures acrimony this is about out of annoyance or overstimulation and any annihilative behavior is accidentally done or careless. If the evidence of acrimony in berserk abasement occurs, the annihilative behavior is about done carefully and this affecting accompaniment of acrimony tends to endure best for conceivably up to two hours while accouchement with ADHD can about be calmed down aural a abundant beneath aeon of time.

Another evidence of bipolar disorder present in accouchement which is about not present in ADHD is psychosis which manifests itself in unrealistic thoughts such as assertive things like they absolutely accept the adeptness to fly or they posses some anatomy of “superpowers”.