If you’re bi-polar, don’t look for much friendly banter with your psychiatrist.
ELLEN : I don’t want to take lots of heavy meds like Lithium.
SHRINK : Well, for untreated bi-polar, there’s a high suicide rate and an increased chance of hospitalization. (This is as chummy as Ellen's shrink ever gets.)
The following week
SHRINK : How’s your sleep?
ELLEN : All over the place.
SHRINK : Are you taking the Klonopin?
ELLEN : Yeah.
SHRINK : Let’s raise it to 2mg.
The following week
SHRINK : I’m concerned about how your platelet level is dropping on the Depakote but let’s stick with that and add some Celexa. (I imagine this is intoned in a monotone like a chant).
ELLEN : I’m worried that all these meds will make me lose my creative energy.
SHRINK : Well, maybe they will and maybe they won’t. We’ll have to wait and observe.
ELLEN : Gee, well, I guess you’re right about that.
The following week
ELLEN : I’m so sensitive and weepy all the time! Is this mixed states or rapid cycling? (Getting into the jargon.)
SHRINK : Well, rapid cycling means four or more episodes in a year and mixed states means symptoms of both mania and depression. Maybe we just need to adjust your meds.
Urrrrghhhh. So shrinks either state the blindingly obvious (“You seem to be a little bit down” when the client is bawling her head off) or chant the mantra “we need to adjust your meds”. And I don't know if Ellen is libelling her shrink, but the way she adjusts her meds is to flick through a text book and say "Here's one we haven't tried before, let's try that one."
THE SUB-TEXT OF THIS BOOK
It’s an investigation into the distressing question : are humans just soft machines?
We’re all very happy with the idea that our bodies are machines – cut that bit off and transplant a new one in, and I’ll be right as rain! - or even replacing limbs with actual machinery! – that’s no problem. But we get more ticklish when we think of our brains in the same way.
In this book, Ellen is forever struggling with not wanting her creative self which is uniquely her to be crushed by Lithium and other heavy stabilisers. We’ve all seen One Flew Over the Cuckoo’s Nest, so we know what she means – the fear of the chemical cosh. Her worries aren’t misplaced.
The psychiatric industry says that if we shove a drug in your brain you will feel whatever the drug programs you to feel. Your mind is just a lot of complex chemical reactions. If we get the meds right, you’ll feel okay. But right now, the science is in its infancy. Come back in a while – when we've done all the research there’ll be no bipolar people, no schizophrenics, no mental illness at all. This is something we can figure out.
So I think I would say two things – yes, we are all soft machines, I think it’s obvious, no souls, nothing like that, from nowheresville camest we, and back to nowheresville wilt we goeth; and, all bipolar sufferers should maybe come back in a hundred years or so. Everything will be fine then, if we have still got a functioning planet, of course. Between then and now, you're stuck with the chanting shrinks : "I think we should adjust your meds, I think we should adjust your meds, I think we should adjust your meds...."
I should add that this candid book is way more optimistic than I am!