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Sadly it is a vicious cycle when it comes to Bipolar. It is rare to find the right combo of drugs right off the bat and besides that, we often go off our meds because we miss our high's or we think because our symptoms are gone that we are OK and don't need the pills. snip-
Not to mention that even when you DO find a good cocktail there is no guarantee that it will keep working well long-term. Often the body stops responding to certain drugs or begins reacting adversely to a drug that was previously fine.
The 4 people I know VERY WELL who are bi-polar (2 are also Adult ADD) have all been perfect as to taking their meds daily and yet they have had "relapses" of significant bi-polar swings or anxiety because one of the drugs they were taking suddenly ceased to be effective. They have all also had to change meds/dosages due to a sudden appearance of side-effects that happened after years of taking the drug with no problems.
Getting on meds and finding ones that work without debilitating side effects is just the 1st step.
-Then you have to be dedicated to TAKING the drugs daily - sometimes on a fairly rigid schedule and keeping track of you current dosages - some begin on a sliding scale, some make you sick if you miss even one DAY of meds and some have to be withdrawn very slowly if you need to change meds.
-Then you have to accept that the extreme highs are gone - and those highs feel like nothing else - you are invincible and powerful and smart and creative and full of energy.
-Then you have to find a trusted friend or family member who is with you daily to help you monitor your moods and mania...and listen to them.
-Then you have to go - usually MONTHLY to your psychiatrist and spend an hour discussing you feelings and talking about meds - and often resulting in tweaking dosages (keep notes).
And finally you have to accept that you will be on these drugs for life AND that you must deal with the bi-polar daily - including the days when you feel lousy and the days when you feel so good you don't think you "need" the drugs any more. It requires as much dedication as an alcoholic in sobriety and it is also very much "one day at a time" every day. The meds are not a magic pill and there will still be mood swings - even when properly medicated. The idea is to return the person to sanity and control - not put them into the thorazine shuffle.
For someone like Britney, it can be very very difficult to stabilize the mood swings AND find a proper mix of drugs that won't make her gain weight, lose motivation or just be apathetic. It also can be hell trying to KEEP the person stable and taking their meds, especially when they are doing ALL the right things and then the meds stop working - not exactly a great motivation to keep taking meds that you may not even LIKE the way you feel on. "Why Bother, I took the pills, felt like crap sometimes and I still had a breakdown".... comes up a LOT.
It seems simple from the outside, but I can assure you as someone who looks at it all around daily - IT IS FAR FROM SIMPLE and far from a take this pill and you'll feel all better tomorrow "MAGIC" CURE.
My Opinion