Back in the day, the only drug available to treat bipolar disorder was Lithium, and it is a fucking pain in the ass to manage. It has terrible side-effects, and it is question of what is worse--the cure or the disease. Every time I have a patient that presents with some symptoms of bipolar disease, I refer them immediately to a psychiatrist because I don't want to treat it. I'm an internist!
Living in LA and at one time being on staff at Cedars, I treated many a celebrity who came in with acute intoxication from whatever they could get their hands on at the time. Hell, it could be paint thinner, crystal meth or a blood alcohol level which could have been bottled and sold.
Kid stars were bad, but the B and C list has-beens were even worse. They would show up in the ERs shouting the DYKWIA shit and I would have to order them into restraints and a shitload of Haldol until the psych arrived to deal with them.
No thanks.