I recently received a comment regarding bipolar medication, its development and the mental health care system in general. The commenter accuses the mental health community of being corrupt and asks, “Why are we forced to take such bad bipolar medicines?”

Let me just come right out and say it: psychiatric medications suck. They just do. Waking up every morning with your first thought to choking down brightly-colored circles, ovals and squares is a bad way to start the day. Similarly, having your last act at night be downing medication to induce what used to be the natural process of sleep is equally unfortunate. But psychiatric medications are a reality for people with a mental illness. They are important. In fact, for many of us, without them we would have no chance at a life at all. So if we admit we hate them, but admit we have to take them, how does one manage to stay on psychiatric medications?

If you’ve been diagnosed with a major mental illness, you’re probably not leaving the doctor’s office without a prescription in-hand. There’s a good reason for this: people only get help when they’re in bad shape. When people are in bad shape, medications work the most quickly and the most reliably (except electroconvulsive therapy, but that isn’t generally a first-line treatment for a host of reasons). So, if you’ve just been handed you first prescription with incomprehensible handwriting and a drug name with too many syllables, what’s a person to do? Well, you can start by following these Psych Med Commandments.

One night in 2007, I started a new antipsychotic. It was to be taken at dinner time. I did as told and took it at the universal dinner time of 6 pm. By 7 pm, I had mostly lost touch with reality. I was suddenly so tired that my eyes wouldn’t open but I was far too anxious, scared and twitchy to go to sleep. I felt incredibly ill. I was frantic, terrified and panicked. I was thrashing in a sharp, steel cage between sleep and wake with no way out. I cannot express to you the horror of that night. Bipolar medication side effects suck.

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.

Recently, I've received a few messages from people beginning bipolar medication treatment and going through the terrors of medication auditions and, um, the displeasure of the side-effects of bipolar medication. In this video, I try to set expectations with regards to how long it takes medications for bipolar disorder to work, and how long side-effects will last.