Howdy, folks. This may be a first for this thread, but I am writing you from inside the major regional neuropsychiatric hospital I was checked into a few days ago for opiate abuse - specifically, self-medicating with tramadol the last 3-4 years so I could live a relatively normal and productive life without wanting to jump in front of every passing bus. Here are some facts I can share with some confidence. First, notwithstanding the good fortune of having access to top notch psychiatric care, and all of the wonder drugs available to those of us with some resources to treat those of us identified as severe bi-polar 2 victims, tramadol is the first and only thing that ever worked for me. And by "worked," what I mean is that it enabled me to live a normal family life, supporting my wife and kids as an upper middle class professional person, finding some reasonable enjoyment in life again, etc., etc. Second, tramadol is addictave. But I'd rather live addicted to tramadol than be roadkill under a bus or train because I cuoldn't stand to see the sign rise one more time. Third, there is only so long you can medicate yourself successfully - with tramadol, or probably anything else. I was lucky I didni't kill myself or someone else by having a seizure on the highway. Fourth, there appear to be some smart and forward thinking people looking at starting to use things like suboxone to help people like me live decent lives. That's where my treatment team at the neuropsych hospital is headed at this point. I'll try to to check in from time to time to let you all know how that's working out. But I am optimistic. And the thought of not having to hide my tramadol use from my wife anymore is a helluva bonus. Best of luck to all of you. I truly believe there is hope.