Blog Recounts Compliance Challenges Of Bipolar Blogger

The Master Of Irony Blog

Master of Irony is a good example of patients writing about their experiences with a treatment regimen that can be as difficult to manage as the disorder being treated.

“Just Me” is the sobriquet of a blogger who has been diagnosed with bipolar disorder and is herself a mental health worker. Her blog includes much more than patient compliance issues but adherence plays a fundamental role in so many aspects of the life of anyone with a chronic disorder that it inevitably becomes a part of and is sometimes the primary focus of many entries in this blog.

The title of this post, “I Am Non-Compliant And It Sucks” is lifted from a message written to Just Me that triggers a full-fledged consideration of patient compliance at Dear Just Me, the post that initially caught my attention.

Since then, however, at least two postings have also dealt directly with compliance:

Please explain this/why I want to quit meds sometimes

Pill calculus

An excerpt from the latter entry is characteristic and poignant:

The posts are thoughtful and clearly if casually written,¹ and, at least by my reading, demonstrate a growing self-awareness that is endearing.

Commentary

I recommend Master of Irony and some other patient-generated blogs both for the solutions to specific noncompliance problems they may offer and, even more significantly, for the insight they provide into the psychological processes attendant to compliance management from the patient’s point of view.

As is true of blogs in general, blogs written from the point of view of patients range from barely coherent to admirably lucid.

In addition, these healthcare-permeated blogs, by their nature, may be composed of rants about incompetent doctors or paeans about clinicians who became the means of salvation, invectives about overdependence on drugs or the advocation of one or another medication that was key to improvement in one case or another, invocations of spiritual or mystic powers or cynical dismissals of any treatments that doesn’t carry the AMA seal of approval, etc., etc., etc.

Some discernment on the part of the reader is necessary.

Nonetheless, I hold that blogs such as Master of Irony and Sick Girl Speaks offer an an unparalleled opportunity to garner a sense of how compliance works - or doesn’t work - without the layers of conscious or unconscious distortions that may prevail in a face-to-face meeting between a patient and physician.

Reading such posts is a shortcut to understanding that took me years of experience to accumulate.

Footnotes

1. Yesterday’s post, for example, begins “No more puking so I figured it was time to get a post up that did not focus on that.” [back]

• Sick Call
• False Assumption Re Cause Of Noncompliance In Bipolar Disorder
• The Blog, The Resources, & The Rest
• Nonadherence To Posting Schedule
• The Misdiagnosed Patient