Tag Archives: acceptance

Sleep, or the Lack Thereof

“I love sleep. My life has the tendency to fall apart when I’m awake, you know?”

– Ernest Hemingway

Sleep is perhaps one of the most important fundamentals in a person’s life. The Sleep Foundation describes sleep as an “essential function”, one that allows “your body and mind to recharge, leaving you refreshed and alert when you wake up.”

It’s extremely important that most adults get seven to nine hours of sleep a night. A lack of sleep is linked to a higher risk for obesity, type 2 diabetes, high blood pressure, heart disease, stroke, early death, and poor mental health.

According to the Mental Health Foundation, there are a variety of reasons you may not be getting the sleep you need, including:

  • Stress or worry
  • A change in the noise level or temperature of your bedroom
  • A different routine
  • Too much caffeine or alcohol
  • Shift work
  • Physical or mental health problems
  • Side effects of certain medications

There are several types of sleep disorders, but the most prevalent is insomnia. According to the American Academy of Sleep Medicine, insomnia is defined as the “difficulty either falling or staying asleep that is accompanied by daytime impairments related to those sleep troubles.” Research from the Mayo Clinic suggests 30% of all adults will experience short-term insomnia and 10% of adults will experience long-term insomnia.

Insomnia symptoms may include:

  • Difficulty falling asleep at night
  • Waking up during falling asleep at night’s sleep
  • Waking up too early
  • Not feeling well-rested after a night’s sleep
  • Daytime tiredness or sleepiness
  • Irritability, depression or anxiety
  • Difficulty paying attention, focusing on tasks or remembering
  • Increased errors or accidents
  • Ongoing worries about sleep

Insomnia is not uncommon. In fact, it’s the most common sleep disorder, and one that can be very dangerous.

That’s never stopped me, though. Of course, I shouldn’t be proud of that, and I’m not. But I do suffer from serious insomnia.

I suffer from chronic insomnia (which recently has come in handy with the birth of my youngest son). Being bipolar doesn’t help the matter any. When manic, I’ve stayed up for days without “needing” to rest. That’s not an everyday occurrence, thankfully, but it’s happened enough for me to be used to it.

To the lucky 75% of those who recover from their insomnia, I applaud you and wonder, “what’s your secret?”

I’ve been on all the meds: Ambien. Sonata. Belsomra. Trazadone. Restoril. Lunesta. I’ve stuck with Lunesta because it works some of the time. It’s hit or miss, which at this point is all I can hope for.

Insomnia is usually caused by bad sleep habits, depression, anxiety, and chronic illness. It can even be caused by certain medications.

According to the Mayo Clinic, there are ways to fight insomnia, including:

  • Stick to a schedule: Keep your bedtime and wake time consistent from day to day, including on weekends.
  • Stay active: Regular activity helps promote a good night’s sleep. Schedule exercise at least a few hours before bedtime and avoid stimulating activities before bedtime.
  • Check your medications: If you take medications regularly, check with your doctor to see if they may be contributing to your insomnia. Also check the labels of OTC products to see if they contain caffeine or other stimulants, such as pseudoephedrine.
  • Avoid or limit naps: Naps can make it harder to fall asleep at night. If you can’t get by without one, try to limit a nap to no more than 30 minutes and don’t nap after 3 p.m.
  • Avoid or limit caffeine and alcohol/Don’t use nicotine: All of these can make it harder to sleep, and effects can last for several hours.
  • Don’t put up with pain: If a painful condition bothers you, talk to your doctor about options for pain relievers that are effective enough to control pain while you’re sleeping.
  • Avoid large meals and beverages before bed: A light snack is fine and may help avoid heartburn. Drink less liquid before bedtime so that you won’t have to urinate as often.

Suffering from a mental illness can make falling asleep no easy task. It is usually easier said than done for me since other factors play a role. I’ve always had trouble sleeping. I struggle with falling asleep, not staying asleep. If I can get there, I’m there. It’s the getting to sleep that so often eludes me.

No matter, insomnia and other sleep disorders can be extremely damaging, especially to those with a mental health disorder. Mental health disorders tend to make it harder to sleep well, in general.

Disorders Affected by Lack of Sleep:

  • Depression
  • Seasonal Affective Disorder
  • Anxiety Disorders
  • Bipolar Disorder
  • Schizophrenia
  • ADHD
  • Autism Spectrum Disorder

There is research to suggest that “brain activity during sleep has profound effects on emotional and mental health.” A 2021 study also suggests that issues with insomnia are “associated with significantly increased odds of frequent mental distress.”

Overall, sleep helps maintain cognitive abilities, including learning, memory, and emotional regulation. This is especially important to note to those who suffer from any kind of mental illness or psychiatric condition.

So, I guess that poet was wrong: Sleep isn’t just for dreamers.

Genetic Predisposition: A Bipolar Parent’s Worst Fear

 “I was diagnosed with bipolar disorder when I was barely out of my teens. Like our olive skin tone and caterpillar eyebrows, I guess it just runs in the family.”

– AJ Lee

When I learned, or accepted, my diagnosis (Doctors diagnosed me with bipolar disorder at least three times over nine years before I decided to seek out treatment), I had to learn everything I could about the disorder. I needed to know everything. It was all consuming and, to a certain extent, still is. I needed to do my own comparisons, though. I wasn’t a doctor and, it’s true, I’m still not, but I had to know if my “symptoms” matched the criteria for bipolar disorder. It didn’t take but a few minutes to acknowledge the doctors had more than likely been right.

Nine years. I spent nine years in the fire before finally accepting that that was the case. So, I studied up on the disorder and found most of the facts discouraging and embarrassing. But the one thing that was most prevalent was the fact that 80% of the disorder’s existence was genetic. My oldest son was born when I was 18, and I was 24 when I first got any kind of treatment. So, there was a selfish six-year period I avoided what I had learned as “the facts” when it came to any part of the disorder. One day it hit me, though, and it was back to the books.

I knew there was a general genetic connection and that was the first thing that popped into my head.

Various studies ”estimated a heritability rate of about 58%”, according to a 2015 report. Research from the Black Dog Institute suggests the disorder is “inherited, with genetic factors accounting for approximately 80% of the cause of the condition”.

“Bipolar disorder is the most likely psychiatric disorder to be passed down from family.”

That’s scary to me.

One doctor said that “scientists confirm that bipolar disorder has a genetic component, meaning the disorder can run in families.”

Now it’s 2022. I have three sons, and the likelihood of one of them developing bipolar disorder, or any psychiatric disorder, is higher than what is average or typical. Below are some basic stats on the issue:

  • A child of one parent with bipolar disorder and one without has a 15% to 30% chance of having BP.
  • If both parents have bipolar disorder, there’s a 50% to 75% chance that a child of theirs will, too.
  • If you already have one child with BP, there is a 15% to 25% chance that another of your children will also have it.
  • If one identical twin has BP, there’s about an 85%chance that the other one will as well. In three other studies, the chance of an identical twin also having bipolar disorder ranges from 38% to 43% with that of dizygotic non-identical) twins being between 4.5% and 5.6%.

Stats scare me, and maybe they’re supposed to. This was a fear of a different caliber, though. This felt as if I was somehow doomed to a fate that was out of my hands, and one I wanted nothing to do with.

For a long time, I beat myself up over it. I was never like “why me?”, but I sure was pissed. At God, mainly. I realized that was a waste of time and energy, for many reasons. However, the constant state of anxiety I live in doesn’t allow the idea to go away. I still have my moments of sadness and anger, but it’s the worrying part that, at times, can eat me alive.

My wife is my rock. She can usually keep me in check. Thankfully so, because I can’t afford to worry about anything else. The things I worry about may seem trivial to many, but that doesn’t mean they’re not all consuming. It’s hard for me not to worry about something without getting fixated on it.

There are other environmental risk factors that play into the causation of bipolar disorder. The big ones are sleep deprivation, substance abuse, trauma, and stress.

Some of the most common life stressors that can trigger symptoms include:

  • changing jobs or losing a job
  • experiencing a death in the family
  • going to college
  • going through a divorce

A 2019 study suggested that “the resulting cognitive deficits, the high risk of suicide, and the occurrence of severe psychiatric and medical comorbidities all make BD one of the major causes of mortality and disability worldwide.”

Nothing familial in that declaration, but I couldn’t imagine any of my children having to go through any of that or ever feel like that. My wife insists that that’s not something I need to worry about because it’s out of my hands. It’s out of all our hands. What will be, will be, right?

Such a silly thought. Never been a big fan of that ideology.

I still have my moments where it will cross my mind, though, but I guess we’ll cross that bridge when we get there.

So Far, So Good

“You are not your illness. You have an individual story to tell. You have a name, a history, a personality. Staying yourself is part of the battle.”

– Julian Seifter

So far, so good.

Still sticking to a pretty self-care-oriented lifestyle. I haven’t been in the trenches of this new battle too terribly long, so fingers remain crossed.

Routine is key, and after a healthy breakfast, my day kicked off with a walk around the city park – my hometown’s only claim to fame (one of the seven Lincoln-Douglas debates took place there – kind of cool actually). The park is near the town square, but still as far away as ever too, tucked in all snug behind a thick tree line that leads to a forest of a park.

I walked the winding, manmade trails over tree roots and animal tracks. I had forgotten how many laps a mile was so I just decided to forget to keep track of how many laps I walked.

I walked down to the pond where the local ducks were congregating. Many people come out with loaves of bread just to feed the, at more often than not, large group of ducks. On this particular day I had no bread, but then again, the ducks weren’t even on my radar. I was more oblivious to them than I’m sure they had hoped.

I haven’t really actually “exercised” since football and wrestling in high school, and the last time I ran was probably from the cops, so I walked until boredom took over. I was pretty proud of myself for sticking to something, though. I discovered as the day progressed that you have to start with the little things, the kind of things most people take for granted and thus lose sight of down the line.

Again, routine is key, so I came home and did some laundry and cleaned up around the house (I’m still working out a consistent routine and I’m not quite ready to jump back into trying meditation again just yet).

I tried to do some breathing exercises and get a routine for that down. They’re no cure-all, but I’ve discovered they help to a certain extent. And you can only work with what you got.

This new declarative, self-acceptance is just that: new. I don’t like the word “positivity”, though that’s what it is.

This period of self-acceptance is different than any other. It’s not forced or phony. I’m genuinely in the game to get through certain things in my life. There are some things you can’t fix, however. You just have to face the music in that case.

I suffer from bipolar disorder, and it can take away all you have and then some at times. Both the “ups” and “downs” are miserable, but you weather the storm.

My disorder makes it harder for me to function in a rational sense at times. I am not my diagnosis, though, and if there are those who think otherwise, I feel sorry for them as ignorance has the tendency to blind and lead to nowhere good.

The secret, though, is to let go of any loose ends. I’ve recently had to do just that regarding some things going on and am better for it. I can’t control what other people think or assume so all I can do is continue to work on myself. I have a lot to learn, but it’s time to take action and evaluate my motivation and intentions in life.

I’ve had to be more introspective than usual lately (which is scary in and of itself with my brain), but it’s been helpful. The only thing I have control over is myself and I’m learning that, too. Replaying the past has been extremely hard on me. Now, I’m writing the script for the future, and I’m not looking back.

I’ve accepted my illness and realize its control over me. I have also finally accepted that the stigma isn’t going anywhere anytime soon. But that’s okay. I can only live by my actions. I can only focus on my own authenticity and truth. And it’s liberating just to jump on the notion of change. I will always be an advocate for mental health awareness. I’m not going anywhere.

Self-love and self-care are both important and are something I’m working on. I’m proud of myself for once. I feel this new wave of understanding and am taking advantage of it.

I am thankful and have no expectations.

I’m just moving forward.

To blog, or not to blog, is there really any question?

“Blogging is like work, but without coworkers thwarting you at every turn.”

– Scott Adams

I recently wrote a post about the health benefits that blogging can provide, and there are many. I’d like to cexplore this a little more in depth, though. The effects of this specific type of release are tremendous. It seems obvious on a very basic level, but the facts are in, and they speak for themselves.

According to the American Psychological Association, blogging is healthy in ways you may never have imagined. Mental health experts say that short-term, focused writing can “enhance immune function, lower blood pressure, decrease heart rate, reduce asthma and arthritis symptoms, and lessen sleep disturbances in patients with metastatic cancers”.

Again, the benefits are plentiful.

A 2013 study suggests blogging is more effective than basic journaling or writing.

There are four categories when it comes acknowledging the health benefits of blogging:

· Interaction with others

o There is both a sense of community and anonymity amongst bloggers.

· Inwardly oriented benefits

o Being able to vent or express oneself is a key benefit that blogging provides. There is less emphasis on certain aspects of differences in the blogging world.

· Providing a safe space apart from ‘real life’

o The blogging community, no matter how large it gets, still allows one to feel safe while still having a voice in the mix.

· Use of time spent blogging

o Blogging can be a constructive and therapeutic activity, while also offering a much-needed distraction.

Researchers at the University of Texas discovered other physical benefits of blogging, such as:

· enhance immune function

· lower blood pressure

· decrease heart rate

· reduce asthma and arthritis symptoms

· lessen sleep disturbances in patients with metastatic cancers

The American Psychological Association (APA) supports expressing thoughts and feelings in the arts, including blogging and journaling.

Blogging also promotes wellness, which provides people with certain skills needed to “recover”. Wellness helps us mend, restore, and to be whole.

Blogging can also help chip away at the stigma of mental illness, according to Ali Mattu, PhD, a clinical psychologist.

“As psychologists, it’s our job to model how to handle these things, and if we’re not willing to talk about some of our own difficulties and how we’ve sought help, how do we expect our patients to do it?”

Deborah Serani, PsyD, a New York-based psychotherapist, agrees.

“There’s a lot of science grounding expressive language writing and journaling as being an helpful piece for maintaining mental wellness,” she said. “You don’t want patients to use their 50-minute session to process what’s going on in their lives.”

Being able to appreciate the anonymity of blogging while still taking advantage of its communal perks only goes to show its influence.

It is important, but blogging isn’t a cure-all or should take the place of other healthy alternatives.

“Social media can be a good adjunct to treatment, but not a replacement,” says Colorado clinical psychologist Stephanie Smith, PsyD, who blogs about the importance of psychology and good mental health. Smith acknowledges that there are many people who can’t afford the treatment they need.

“If online support and resources are all that some folks can manage, then it’s important we support them in that.”

Despite all the health benefits, there are downsides to blogging.

“Negative comments are inevitable when blogging, and in fact, there are people who troll blogs to find something to argue, berate or taunt,” Serani says. “Resist talking back, arguing or trying to prove your point to the negative commenter. Instead, delete his or her existence once you discover it.”

Since blogging and other social media outlets are here to stay, it’s important for psychologists to understand how the technology is used in the best way for healthy blogging.