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Akathisia: an inability to rest caused by antipsychotics

Akathisia is a clinical term for extreme inner restlessness. People who are experiencing akathisia have great difficulty sitting still, or maybe even sitting at all. I first experienced akathisia on Abilify (which I ultimately discontinued because it gave me a facial dyskinesia), and it continued to plague me as I tried different antipsychotics, such as … Read More

Pediatric-onset bipolar disorder

Traditionally, it has been thought that bipolar disorder emerges most typically in the early to mid 20s of a person’s life. It has been known since the time of Emil Kraepelin (circa 1921), however, that children can be affected by this illness. While adolescent onset (mid-to-late teens) is now recognized as common and similar to … Read More

5 tips to living your best life with bipolar disorder

I’m medication resistant, meaning that meds don’t fully stabilize my cycling. I’ll never be the person who can say “nobody even knows I am bipolar”. In fact, I have to disclose my bipolar disorder to most of the people I work with, due to how it impacts my working hours. I’ve tried every atypical antipsychotic … Read More

Everything Else

by Elliot Gavin Keenan, 11/29/16 Originally published in gravel magazine in 2017; as of 9/24/21, no longer available on their website. Mozart was crazy. Flat fucking crazy. Batshit, I hear. But his music’s not crazy; it’s balanced, it’s nimble, it’s crystalline clear. There’s harmony, logic. You listen to these, you don’t hear his doubts or … Read More

How does lithium work?

Ah, lithium; it’s been our gold-standard treatment for bipolar disorder for many years, and can work for people who have failed other drug trials. It is also one of the only drugs known to decrease the risk of suicide1. But how does it work? It’s a bit more complicated to understand than, for example, an … Read More

Dirty Dyl (Art Therapy)

Dirty Dyl (Art Therapy) I.Dirty Dyl, known for his ostentatious attitude(typical of a manic persona)wants to have a rap battlein the middleof the TV room. Dirty Dyl, who lostphone privileges on his first nightdialing 911:I’m being heldhostage at South OaksHospital, he said& then screamed &shouted & started to cry — I ask him if poetry … Read More

Happy World Bipolar Day!

I am bipolar type 1. 🎭 That is the most severe form of bipolar disorder. (Bipolar 2 can have very severe depression, but because it doesn’t have severe mania it doesn’t progress along the same course. Something like that.) I’ve been inpatient 18 times, and I’ve been discharged from the ER a few additional times … Read More

Rebranding psychiatry

A lot of people with conditions that are defined in the DSM (Diagnostic and Statistical Manual of Mental Disorders) disagree with what their condition is called. In this post, I’m going to muse over changing the names of psychiatric disorders. Manic Depression -> Bipolar Disorder -> Manic Depression When the DSM-III was published, the DSM … Read More

What does hyperactivity look like in adults?

I had always thought I had ADHD inattentive type. However, when I recently asked my psychiatrist (out of curiosity) she chuckled and said that, in her clinical opinion, I have the combined type. Part of my perception may come from that fact that, due to my mild cerebral palsy, I move at a much slower … Read More

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