Here is my opinion. I have run across more than one pdoc where I new more about the meds they prescribed for Bipolar than they did. This is saying more about them than myself. IMO there are many pdocs that do not know their meds as well as they should. It is all trial and error every step of the way with them. Then when a med cocktail needs changing, it once again becomes trial and error. I find that this may lead to combos that are contraindicated for Bipolar. My previous pdoc, once he found some of the combos that worked for me, which was not that difficult for him to do, was more likely to be able to rapidly come to a final combo that I needed at the time to function. This did not happen all of the time. Also, one of the biggest problems with reliable results is patient noncompliance. This appears to happen *quite* frequently with BPers. How can you say your meds are not working when you are not taking them as prescribed?

So I think there are other factors involved than just the meds themselves. I do think many of us are overmedicated. I do like what I hear pdocs in other parts of the world do. They only keep their patient on a med only as long as needed. Then they take their patient off of it. If this is true, there are many pdocs here in the States that can learn from this example.

What do all of you think?