Why do medications with little or no efficacy continue to be prescribed in the management of patients with bipolar disorder?

1Department of Psychiatry, Queen’s University School of Medicine, Kingston, ON, Canada 2Centre for Neuroscience Studies (CNS), Queen’s University, Kingston, ON, Canada 3Kingston Health Sciences Centre, Kingston, ON, Canada 4Providence Care Hospital, Kingston, ON, Canada 5Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada 6School of Medicine, Deakin University, IMPACT, The Institute for Mental and Physical Health and Clinical Translation, Barwon Health, Geelong, VIC, Australia