Archives for February, 2012


The Missing Pieces Of The Bipolar Puzzle

You cannot fully understand bipolar until you see the whole picture. This video shows the pieces that are missing in most descriptions. For those of you who have seen the video along with the article "The Shocking Truth About Recovery From Bipolar Disorder" you can skip forward in this video to about 3:15.

The first few minutes repeat the study by the National Institute of Mental Health so those who have not seen the previous video can understand the context. The video is part of a much longer video available at as a part of the free online concepts course.
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Evidence-Based Treatment for Bipolar Disorder: Is the Evidence Based on the Wrong Outcome?

My ankle was broken during a hockey game when I was sixteen. The pain was so intense that by the time I got to the hospital an hour later I couldn't bear it any longer.

If the doctor had given me a choice between suffering from the pain or cutting my leg off at the knee I would have chosen the amputation. I would still be paying for the mistake if he told me the best evidence calls for amputation and gave me no other option other than suffering for the rest of my life.

This sounds absurd. But, what if the pain was in my head? According to a recent article in the BBC News Magazine (, they did something even worse in the 1950s - they amputated part of people's brains.

They lobotomized people with depression and bipolar (and other issues) because it was the best evidence-based treatment at the time. From the article, "But from the mid-1950s, it rapidly fell out of favour, partly because of poor results and partly because of the introduction of the first wave of effective psychiatric drugs." Chemical lobotomies became the evidence-based treatment of the day.

Today's evidence-based treatments are so much more humane. Or are they? The tools are more refined, but the goal of treatment is the same: cut off the part that is broken. We are no longer poking ice picks into people's eye sockets, but are still trying to accomplish similar outcomes.
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