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Sixteen percent of people taking Zyprexa for a year gained more than sixty-six pounds, according to documents obtained for a potential class action suit against the drug's manufacturer (Berenson 2007). The drugs used to treat depression are of limited use in treating the repeating depressive episodes of bipolar illness, both in terms of long-term efficacy and their danger in causing the bipolar sufferer to enter a manic episode, not merely recover from depression (Balkalar, 2007). Abilify, a new drug, has demonstrated less significant weight gain, although it can still produce tics, "headache, anxiety, insomnia, nausea, vomiting, constipation, dizziness, upset stomach, and an inner sense of restlessness or need to move" ("Commonly Asked Questions About Side Effects," 2007, Abilify: Bristol-Meyers Squib Official Website).
Susie's future
Finding the right drug for Susie may take time, and her drug treatment plan will likely take a series of adjustments over the course of her lifetime, to stabilize her moods, and will depend upon her life circumstances and the course of her illness. Does this biological paradigm mean Susie cannot benefit from psychodynamic therapy or another form of talk therapy? Not at all. Susie has suffered the difficult struggle of coping with a troubled background, and the impediments that bipolarity causes to social and personal fulfillment can benefit from therapy, particularly therapy that stresses setting goals and achieving concrete steps forward, as well as achieving a positive self-image.
Cognitive behavior therapy has proved especially effective in this regard. "Cognitive behavioral therapy focuses on challenging and controlling negative thoughts. In interpersonal...
Recovery rates for bipolar sufferers undergoing a combined biological and therapeutic approach after one year were a combined average of 64% for the intensive therapy groups, but only 52% for those who had brief therapy. A combination of drug treatment to achieve initial mood stabilization, then a longer-term drug treatment plan combined with therapy seems most appropriate for Susie, and in line with current recommendations for treating bipolarity.
Works Cited
Balkalar, Nicholas. (10 Apr 2007). "Long-Term Therapy Effective in Bipolar
Depression." The New York Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/04/10/health/psychology/10therapy.html?ex=1189396800&en=19ecf79bc3128398&ei=5070
Berenson, Alex. (20 Jan 2007). "States Study Marketing of Lilly Pill." The New York
Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/01/20/business/20drug.html?ex=1189396800&en=93d3bd739e2e5f70&ei=5070
Carey, Benedict. (4 Sept 2007)." Bipolar Illness Soars as a Diagnosis for the Young."
The New York Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/09/04/health/04psych.html?_r=1&ref=health&oref=slogin
Commonly Asked Questions about Side Effects." (2007). Abilify: Bristol-Meyers Squib
Official Website. Retrieved 8 Sept 2007 at http://abilify.com/abilify/channels/bipolar_content.jsp?BV_UseBVCookie=Yes&channelId=-11816
Works Cited
Balkalar, Nicholas. (10 Apr 2007). "Long-Term Therapy Effective in Bipolar
Depression." The New York Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/04/10/health/psychology/10therapy.html?ex=1189396800&en=19ecf79bc3128398&ei=5070
Berenson, Alex. (20 Jan 2007). "States Study Marketing of Lilly Pill." The New York
Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/01/20/business/20drug.html?ex=1189396800&en=93d3bd739e2e5f70&ei=5070
The New York Times. Retrieved 8 Sept 2007 at http://www.nytimes.com/2007/09/04/health/04psych.html?_r=1&ref=health&oref=slogin
Official Website. Retrieved 8 Sept 2007 at http://abilify.com/abilify/channels/bipolar_content.jsp?BV_UseBVCookie=Yes&channelId=-11816
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