As a Psychiatrist, I have read many writings on Bipolar Disorder. The writings by mental health professionals have tended to provide information and insights from a clinician/researcher point of view. While these documents gave the reader information, it was often difficult for patients and non-medical individuals to understand and incorporate the information into their daily lives. On the other hand, writings by individuals with mental illnesses, family members or friends, tend to be autobiographical. They are interesting, but only chronicled one person’s journey. This book was written as a collaborative between an individual with a mental illness and his primary support person. This book is written using the language, which anyone can understand and individualize. At this time, it is paramount for consumers, friends, and family and support groups to be active participants in the treatment of Bipolar Disorder. The ability to be a positive, contributing member of the mental health team starts with knowledge. The ability to communicate effectively with professionals and nonprofessionals is essential for maximum medical/emotional benefit. This book provides an excellent source of information to anyone who has or is associated with individuals having Bipolar Disorder. I highly recommend this book as part of the resources available to educate and empower those trying to control and maintain stability with Bipolar Disorder.

- Ollie R. Mack, J.D., M.D.

A quick and easy reference to help understand Bipolar Disorder James Witschner and Marcia Rose 

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LAMICTAL (lamotrigine) This is an anticonvulsant medication currently used to treat epilepsy, has antidepressant activity in patients with bipolar depression. Side effect includes nausea, rash, pain and dizziness. Discontinue at the first sign of rash, unless the rash is clearly not drug-related.

LEXAPRO (escitalopram) This is a selective serotonin reuptake inhibitor (SSRE) used to treat depression and generalized anxiety disorder. It works by helping to restore the balance of certain natural chemicals in the brain.Side effects are nausea, diarrhea, constipation, and loss of appetite, stomach pain, dizziness, drowsiness, trouble sleeping, and fatigue, increase sweating. Serious side effects are changes in sexual ability, unusual or severe mental mood changes, black stools, coffee ground vomit, easy bruising/bleeding.

LITHIUM CARBONATE This is used in the treatment of manic episodes of bipolar affective disorder. Unlike other anti-manic medications, lithium does not have any general sedative properties. The mechanism of how lithium controls manic episodes and influences affective disorders is not known. There is evidence, however, that the fluid and electrolyte metabolisms are believed to be altered in affective disorders and this may be related to or corrected by the therapeutic action of lithium. The therapy of this drug requires reaching certain blood concentrations that are relatively close to toxic levels. People on lithium must have their blood level assessments checked regularly to keep a balance between the therapeutic and the toxic levels. About ten percent of people taking lithium on a long-term basis may also need supplemental thyroid medication. Primarily the kidneys pass lithium and an adequate fluid intake is essential to avoid accumulation and toxic levels. Some general side affects of this medication are fine hand tremors, mild thirst, mild nausea and weight gain or loss. Some of the signs of being toxic are: increased disorientation, muscle twitching, seizures, diarrhea, vomiting and eventually coma and death.