IS it me or my meds?

 I’m studying a book by David Karp: is it me or my meds? (Harvard University Press, 2006) I’ve been aware of this book for several years, and finally started reading it a few weeks ago. David Karp is a sociologist who taught at the prestigious Boston College for many years. He’s written or co-authored nine books. I met him years ago at DBSA Boston (Depression Bipolar Support Alliance). He graciously accepted my request to read my memoir draft. His comments were insightful and immensely helpful.

 

I had avoided his book because I had the impression that it was exclusively about major depressive disorder: unipolar depression. To me, there is a great divide between unipolar depression and bipolar disorder. In my humble opinion, the two are very separate afflictions.

 

(I’m losing the culture wars: as you know, I object strenuously to the term ‘bipolar,’ but the American language has moved on and ‘manic depression’ seems to be headed for the same dustbin as ‘hysteria’ and ‘childbed fever.’ But manic depression is actually much more specific and effectively descriptive than those other abandoned medical terms.)

 

Although David Karp’s book is largely about depression, he has plenty to say about psychiatric medication more generally. He interviews fifty people who have taken psychiatric medication and explores the interplay between medication and issues of self, authenticity, and relationships, including the relationship formed with the medication itself. He acknowledges the great positive impact many medications have had on alleviating human suffering while exploring the double-edged-choice I make each day as I ingest psychotropic drugs.

 

And it is indeed double-edged. Medication has allowed me to live outside a locked psychiatric unit continually for 19 years. Most probably it has also diminished my mental powers. It may be affecting my metabolism (higher risk of diabetes) and vital organs (lithium is hard on the kidneys and thyroid.). Over time I’ve learned to live within its restraints. Both diminishment and adaptation have existed side by side for the 26 years since I was first prescribed lithium. Am I married to the medications, as David Karp suggests? I’d never thought of it that way, but yes. In what other sort of relationship entered into as an adult is there intimate contact for 26 years, with the expectation of a lifelong commitment?