Comprehensive text on bipolar disorder
Owning Bipolar: How Patients and Families Can Take Control of Bipolar Disorder is a comprehensive text on bipolar that would be useful for patients with bipolar and their families.Reading this as a layperson with bipolar in my family, I think it would also be useful for clinicians. Owning Bipolar covers its origins, diagnosis, what other conditions it can be confused with, why it’s difficult to accept, therapy, medication, and more. In fact, there’s a very useful list of medications used with bipolar as an index, with a lot of detail on each medication, its classification, main and secondary side effects, etc.
Pipich spends a lot of time discussing every side of each topic, whether it’s denial, reluctance to accept medication, etc. At each juncture, he states what he would say to a patient that was dealing with that issue, so the book is a concatenation of wisdom he shares in therapy, in essence making the book an albeit limited, but one-on-one very thorough therapy session covering every aspect of bipolar.
For example, Pipich states that many people are reluctant to take medications because they think it means there is something wrong with them, but then he goes on to point out discussion points that he would use to address their concern and thereby allow them to accept medication.
Pipich also explains about other disorders that can be confused with bipolar and points out the differences. According to Pipich, bipolar can be misdiagnosed as ADHD, OCD, personality disorders (borderline, narcissistic, and antisocial), schizophrenia, substance abuse, thyroid imbalances, traumatic brain injury, seizure disorders, and tumors. For instance, the difference between bipolar and OCD is that “OCD behaviors are caused by internal fears with the primary purpose of staving off anxiety. Bipolar mania is goal-oriented; that is, the behavior is driven to accomplish something—usually perceived to be something of great value, not simply avoiding anxiety.”
Pipich maintains that many people with bipolar disorder won’t look for treatment and those who do often don’t follow through with their treatment plan or take their medication faithfully. In some cases, those who actually want to be treated don’t have the resources or support to get it. But Pipich covers a lot of territory in his desire to arm patients and their families to have the best chance of success getting treatment and controlling their bipolar as a lifelong disorder.
This book is very dry and not exactly a fast read. It’s dense with advice and almost scripted scenarios for every state of a person with bipolar disorder’s treatment. Highly recommended for those with bipolar, their families and significant others, and clinicians looking for more information on bipolar disorder with much wisdom from Pipich’s years of practice.
I received this book as an Advanced Reader Copy (ARC) from the publisher through NetGalley. My opinions are my own.