“If I can’t feel, if I can’t move, if I can’t think, and I can’t care, then what conceivable point is there in living?”
– Kay Redfield Jamison
It’s been a pretty “blah” week on my end of things, personally and professionally that is. My wife has been sick, so I’ve tried to pick up some extra slack around the house while also having two young boys (5 and 7 months) to wrangle. It’s no one’s fault, but it left very little time for creativity to exist in any sense, blog-related or no.
I come here as a “blogger” to decompress in a very matter-of-fact sense, as well as to offer knowledge of my circumstances and experiences and how it relates to this illness. I don’t know if I benefit from it any more than anyone else, but it sure can make me feel better at times.
The past week has been one of what I call “stifled mania” (medicated mania), where the unwarranted energetic part of things has been there, but common sense has somehow miraculously prevailed.
Until now.
We’re coming to the close of the first full week of March, and it was not only expected but planned for. However, it feels a little bit different than usual this go-around. Perhaps it’s just psychosomatic, or because I’m on a different medication regimen than last spring. I don’t know. But I feel not only more aware, but also in more control. This latter observation could very well be a part of the delusions that can be expected to come in the next few days or weeks. But it’s a different form of mania and, I’ll be honest, I’m not a big fan.
We’ve still got time, though. By this time next month I may be crashing the walls and bouncing off the ceilings. I sure hope not, but only depending on what the alternative may be. And I hope it’s not this.
But I mainly wanted to check in. I’ll be back a little later this week if not with anything but an update on this strange state of boring mania.
“Some people with memory loss really need to start writing down the stuff.”
– Anonymous
You know that expression “You don’t know what you got until it’s gone”? Well, boy, is it true! And applicable to damn near ANYTHING!
If the name of this blog (and literally all of my previous posts) didn’t give it away, it probably is no secret that I suffer from bipolar disorder. Not meaning (or attempting) to be funny, it’s a topic us mad ones have to laugh at or else we’d spend all day crying. Or worse.
There are many negative aspects to being bipolar. Believe me, I know. At the same time, I also feel (sometimes) that there are some good aspects of suffering from the illness. They’re not always obvious, but they are there.
But does the good outweigh the bad? Or is it the other way around? Ask me tomorrow and I’ll tell you something different.
“The older I get” has become a new, oft-used phrase of mine, almost a sad mantra of some sort. But over the last year alone I’ve experienced such a cognitive decline it’s more than noticeable. If only by me.
This is one of those instances where the good doesn’t outweigh the bad. There’s no other way to spin it, and it’s scary.
As someone famous once labeled themselves as being “well under the 30”, I cannot….but only by a little bit (the elders of the tribe would scoff if they knew my real age). Which makes it scarier! I shouldn’t be dealing with these types of things this early in life. Or so you might think.
I don’t mean to sound abrasive or whatnot, but it’s been a problem that scared me enough to keep it a secret. Until I couldn’t.
Before the forgetfulness got severe enough to scare me, I started having problems with basic motor skills. Just loss of coordination and perception. This went on for a couple of months before I got “busted” by my wife. After a few times of falling and losing balance one day, the jig was up.
It was strange having to discuss the issue like I had been hiding an affair or something equally dreadful. Of course, my wife wasn’t too happy and it actually kickstarted my deep personal fear of the problem. I was slipping, it felt like. You can take a hand. Hell, you can take the whole damn arm. Just don’t take my mind.
I then started forgetting what I was talking about mid-sentence. I’d forget the whole conversation, the whole subject even. I would get so embarrassed when this would happen with anyone other than my wife that I could almost cry. And sometimes I did. It’s like walking into a room and forgetting why. Except now I was forgetting to even walk into the room. It’s a metaphor, but accurate nonetheless.
I of course went to the doctor and got in with a neurologist. I’ve had at least three MRI’s, one suggesting there were two spots of white matter in my corona radiata and another suggesting there was no white matter at all. Things have been ruled out, just not ruled on.
I’m to have an even more extensive MRI done to hopefully determine something. It’s weird to want to know something is wrong rather than experience this type of loss and there be no cause to its effect.
Fortunately, upon doing some research, I’ve learned that bipolar disorder takes a toll on the ol’ brain. That’s what it is. Has to be. I’d almost bet the farm on it. Especially when it comes to loss of coordination and the cognitive decline.
Now this isn’t an everyday hindrance; 95% of the time I’m fine. Bipolar still, but fine. It’s the other five percent that’s troubling.
I can’t sit around and count the days until I’ve totally lost myself, though. But I’m still not excited about it. And maybe I won’t have to deal with it on a real serious level, but it’s the type of decline that’s been real gradual. Thankfully (knock on wood) I have not had any serious or even real noticeable “moments” in the last month or so. But it comes and goes. Which makes it even scarier.
I go back to the neurologist in April, and I don’t expect there to be any more of an answer than there was a few months ago. I’m not being negative, just reacting to what I’ve learned about this from the doctors so far: not much.
I’ll wrap this up before it turns into even more of a whiny, “woe is me” type of post, which was not my intention. But if I ever seem absent, and to a fault, fear not. I probably just forgot to remember it was blog day.
Again, us mad ones have to laugh or else we’d go crazy.
“Mental pain is less dramatic than physical pain, but it is more common and also more hard to bear. The frequent attempt to conceal mental pain increases the burden: it is easier to say “My tooth is aching” than to say “My heart is broken.”
– C.S. Lewis
I have recently (and finally) set out to work on a “bigger project” I’ve imagined for some time now. I’ve only just gotten to the point in attempting to pursue this particular endeavor after both exhaustive research and personal experience.
My blog is very much centered around how bipolar disorder has impacted my life. I myself have to take a more critical, fact-based approach when viewing and interpreting the intricacies of this illness. I have to understand on a very black-and-white level what this journey entails for me.
But knowing facts and statistics doesn’t make one understand what “the beast” is or how it likes to feed. I’ve needed to step outside the box to get a different grasp on things for some time.
In order for me to make the leap to this new “project” I needed to at least try and see things from a different perspective. Unfortunately, it’s the perspective that so plagues and saddens me. So, I decided to speak with ten different “normal” people from various backgrounds to get a better sense of at least why people feel the way they do about the disorder. Whichever way that may be.
I initially went into this task asking why before even asking any real basic questions. It only cast a huge spotlight on my own personal bias. And perhaps just a little bitterness. But that’s for me to bear.
I haven’t the time to share all ten people’s views here or even list all the questions I asked. I thought I would share a few, though. I didn’t get all the answers I wanted, but the process helped me pack up some of my confusion and maybe created a little window of understanding.
WHAT IS BIPOLAR DISORDER AS YOU UNDERSTAND IT?
FEMALE, 52: “It’s a chemical imbalance in the brain that can be treated with medication. It can be difficult to find the correct medication or combination of medications to help. This medication may need to be changed over time due to changes in the body with age and becoming resistant to meds. It becomes very important to stick to your med schedule. See a doctor before making any changes. Don’t make any changes on your own.”
FEMALE, 26: “Bipolar disorder is a mental disorder accompanied by periods of mania and depression. People with bipolar disorder cycle through ups and downs. It can be a very dangerous illness if not treated properly.”
MALE, 30: “It’s a disorder that usually rears at its peak in your 20s. Opposed to an intellectual disability that is diagnosed only before the age of 17. It usually hits women earlier in the 20s rather than men. There’s no cure but there are medications that can manage the signs and symptoms of the disorder.”
WHAT DO YOU THINK ABOUT THE STIGMA?
FEMALE, 52: “It can be scary because you don’t know what might happen especially if they are cycling and if one is not seeking treatment. It is portrayed in a negative way. I think it’s important for them to get treatment and try to stay well. Try not to draw attention to oneself and don’t forecast your information. People need to be shown as everyday people living their everyday lives.”
MALE, 44: “It’s sad that such stigma does surround mental health and it’s not right. Many people choose to not understand and hide behind that in order to not have to deal with the truth. The truth is real and can be scary, but it’s still the truth. In a world that has become so “diverse” and “accepting it’s amazing to me how we haven’t at least come a little bit further along when it comes to mental health.
MALE, 30: “It’s hard for me to say. I’ve worked around several individuals with bipolar disorder so the way I see it is pretty objective. I think more people today understand that it’s an actual medical condition that needs to be managed just like a condition that is superficial.”
FEMALE, 34: “It must be pretty scary and daunting for someone with bipolar disorder to have to face that kind of scrutiny. But you have to understand it can be scary to someone on the outside who doesn’t understand the illness the way someone with it would. Most people don’t know what to do because you never know how a person with bipolar disorder is going to react.”
HAVE YOU EVER HAD TO INTERACT WITH SOMEONE WITH BIPOLAR DISORDERDURING A CYCLE?
FEMALE, 52: “I haven’t personally, but I know it can be a handful at times. The person with the disorder isn’t always in control and you may never know how they’re going to react to anything. This is when they’re going through their cycles. It’s not always the case.”
MALE, 44: “I have friends with bipolar disorder. One of my best friends suffers from BD and you know what? He manages his symptoms and cycles and leads a very productive life. There’s always going to be the ups and downs, but they can be managed with the proper protocol and treatment plan. So to answer your question…yes, I do have people with bipolar disorder in my life and they’re all wonderful people.”
MALE, 30: “In my profession I work with people with mental health issues and they are people, too. Just like you and me. They just have to work a little bit harder than others to maintain a balance. They’re is nothing wrong with bipolar people. You may know someone who has it and not know at all.”
Well, I could keep going, but I’ve worn myself down just transcribing the few questions and answers above. (Maybe I’ll come back with a Part II and include some more). I’m truly exhausted and even maybe a little more saddened by some of the conversations I had.
The stigma shouldn’t be considered stereotypical of the illness when it stems from either an honest inability to understand or sheer ignorance, one more excusable than the next.
The point is the exercise helped me kick down the door to begin this project. After researching, blogging, and sharing my experiences I just had that moment I needed. And I hope to be able to share more on this project with all of you soon.
So, if it seems like I’m a little absent or even M.I.A. when it comes to this blog, don’t worry. I’m just out here trying to change the world.
“And once the storm is over, you won’t remember how you made it through, how you managed to survive. You won’t even be sure whether the storm is really over. But one thing is certain. When you come out of the storm, you won’t be the same person who walked in. That’s what this storm’s all about.”
– Haruki Murakami
I’m not entirely sure what the actual verbatim textbook definition of the word “chaos” is, but I know for me it can only be described as a constant state of mental confusion and disorganization that leaves me in a place of total loss.
In continuing this phase of “productive self-reflection” (at least while I can), I have to look at that word and take it seriously. It’s thrown around a lot, yes, but definitely not loosely. Chaos is exactly what it is.
To me, chaos is a much worse feeling or place to be in than that of depression or sheer mania. Chaos may be a sort of offshoot of depression and mania (or vice versa), but there is a very specific difference that doesn’t allow these feelings the wherewithal to be blurred or misconstrued.
Experiencing chaos during a cycle is a given guaranteed (I mean, duh), but that doesn’t ever make it any easier to deal with or handle. The inner chaos that accompanies a bout of depression and/or mania is blindly debilitating. Between the disorganization and the delusions, there’s nothing worse than being hyper aware that you’re totally lost. It’s an uncomfortable feeling at best.
My chaos is all encompassing, surrounding and infiltrating every little nuance in my head. It is both the storm and the aftermath.
For the sake of not sounding pretentious, perhaps self-reflection isn’t the best tool for me.
“The biggest gift of being unambiguously mentally ill is the time I’ve saved myself trying to be normal.”
– Mark Vonnegut
In our modern day and age it can be easy to get wrapped up in oneself under even the most “typical” or “normal” circumstances. But when graced with a mental illness, any mental illness, those of us afflicted can sometimes really get lost in our own slanted egos.
I know I’m just as guilty as the next person in this department. It’s not a conscious decision, though. Honestly, it’s like being the last person to know something about yourself when you should really be the first.
I’ve been trying to stay as reflective as possible lately, hoping against hope I remember my own lessons in self-introspection the next time some unpredictable phase begins to take the wheel. Never the case, but I can only do what I can do.
Many people who know me consider me a “pessimist”, and I no longer argue or adopt the “realist” angle; I find it’s too time consuming and usually scoffed at. I, more or less, consider myself to be a true cynic. And when I say “cynic” I mean it in a strictly philosophical sense.
“Cynic” may not even be strong enough of a word. The approach and viewpoints I have towards all things is more nihilistic in nature. I suppose the ideas could be considered interchangeable to some degree, but I’m not trying to mince words or argue behind semantics.
I guess my point is no matter what, my mental illness always defines me to some extent. Just not always in the same way. I’m either the elite outcast to a fault, or I stay crouched in the shadows, hoping no one will even know I’m there.
I’ll always be different because I technically am in a certain way. But so is everyone. Sometimes we just have to accept that in order to let go of what can at times be an overwhelming sense of delusional entitlement.
I don’t want to keep playing in extremes if it means I lose sight of reality. But my reality exists in extremes. There is no denying that. All I can do is try to be aware of what I can be and use that awareness to my advantage. And in the times that I lack a personal self-awareness I have to just manage. There is no cure or recovery from what ails me, only management. That’s depressing enough as it is, but I’m not the first nor will I be the last person to know that sense of lonely desperation.
One thing is for sure, though. I’m no better than anyone, even on my best/worst of days. Though perhaps unique in my own personal way, they most definitely did not break the mold with me.
“You know how most illnesses have symptoms you can recognize? Well, with manic depression, it’s sexual promiscuity, excessive spending, and substance abuse—and that just sounds like a fantastic weekend in Vegas to me!”
– Carrie Fisher
It seems the older I get the less I enjoy the mania. At one point in my life, though, I would have clung to it up until it completely fizzled out, but not anymore. The mania…well, whatever being or entity is in control of things can just keep it.
“Mind over mania.” It’s almost an oxymoron of a mantra as there is no such thing. At least not for me. When in the full throes of a severe manic episode I have control over none of my mental or cognitive faculties. When manic, I exist only on an island of delusions.
It is nice to be able to look back and reflect on a period of mania and have a true perspective on things. That’s not always the case, and the lines between awareness and disregard can become pretty blurred at times.
When I usually try and look back on how a manic phase has affected me and/or those around me, I always end back up to the “bullet points”. I love the “bullet points” just about as much as I love the lists of “coping skills”. I know. I sound pretty cynical and bitter, but I’m not meaning to. The clarity genuinely makes some past chaos all the more meaningful.
Looking back on a period of mania without the type of clarity I’m trying to describe is like trying to look through a dirty window into another: you can get the gist of what’s going on, but as a whole it’s never really quite clear.
So, today I hope to remain productively reflective for as long as I possibly can. If “first thought” really is “best thought” then I’m going to go ahead and stop now.
Not all days are bad days, and sometimes I have nothing in particular I need or want to say. So, I started a little “Spotlight” segment in which I talk about someone of cultural prominence who suffers from bipolar disorder. The idea is to use a “poof”-style piece to shine a light on said chosen person. It’s a personal exercise and challenge, and also helps make this illness just a tad more relatable. This is my second “Spotlight” piece, the first of which was on Vincent Van Gogh.
This one is on Kurt Cobain.
Kurt Cobain was born in February of 1967 in Aberdeen, Washington. As a child he was diagnosed with ADD and developed bipolar disorder later on in life. Never pursuing treatment, though, Cobain struggled with severe depression throughout his entire life, often turning to drugs to self-medicate.
Cobain is best known as the front man and main creative force behind the rock band Nirvana.
Nirvana began playing together in the 1980s but would undergo countless name changes and at least four other drummers before permanently sticking with Dave Grohl in 1990.
Although their debut album, Bleach, was recorded and released in 1989, it was their sophomore effort, Nevermind, that really cemented their place in history. Driven by the hit song “Smells Like Teen Spirit”, as well as a slew of other rock radio staples, the album knocked Michael Jackson off the top of the charts and catapulted the band to near-overnight fame.
This really didn’t sit well with Cobain, though. He never intended or wanted to become as popular as he ultimately became. He was labeled the “Voice of his Generation”, which also did not sit well with him.
As mentioned above, Cobain often turned to drug use as a means to handle the sudden onslaught of fame, along with other various personal issues. Cobain’s drug of choice was heroin, and he became extremely addicted to the powerful substance, even to the point of overdosing around family and friends.
Nirvana went on to release only one other official studio album, In Utero. It was a drastic departure from the material on their previous album, and was the album Cobain was most proud of.
Cobain’s songwriting skills are his most notable and spoken of talents, as he is often lumped into many “best songwriters of all time” lists. He was moody, bright-eyed, and honest in his writing, creating a mass appeal in all he did.
Ultimately, though, between his severe depression, his inability to handle public pressures, and his extreme dependence on heroin, Cobain committed suicide in 1994 at the age of 27. He left behind a wife and daughter.
One thing I must express is that you don’t have to use drugs or suffer from a mental illness to be creative or productive. Suicide isn’t the answer, either, yet I have no room nor am I in any position to even speak on that.
I only add this little tidbit because the subject of the last “Spotlight” piece, Vincent Van Gogh, also committed suicide. There are many amazingly creative and genius people out there who do not follow the same path as either of these two men.
I promise we won’t end this series on a “Van Gogh” or a “Kurt Cobain”, if only just to prove my point. Sometimes it’s best to just stay in the light.
“For me, the first sign of oncoming madness is that I’m unable to write.”
– Marya Hornbacher, Madness: A Bipolar Life
It’s funny how certain traits and talents go when in the throes of either a manic or depressive period. And it’s funny how others become amplified.
Well, as someone in between cycles and bracing for a bout of full-on depression, it really isn’t that funny. Just an interesting observation.
For me, as both a journalist and someone who is just passionate about writing, it is one of the first of my abilities to go when I’m cycling.
I have what is known as rapid cycling bipolar disorder. So, although I know when I’m “high” or “low”, I have very little down time in between cycles. And sometimes both the mania and depression even coexist.
Everyone of us is different, but I totally lose all faculties that stem from the root of my creativity.
No, I’m no James Patterson or anything, churning out material like it was ticker tape. But I like what I have so I’d like to keep it. It’s impossible, however, for me to even rhyme-scheme when manic or depressed.
I know for others with bipolar disorder it’s the complete opposite. Mania can be like throwing fuel on a fire for some. It used to be like that for me; I’d use the mania to my advantage for every little possible thing. Those days are long past, though. These days when I try to create during a manic phase the results are (no pun intended) depressing.
I don’t even try to create when I’m in a depressive state. When I was younger and tried to write when depressed, all that would pour out of me was pretentious poetry that, to this day, I still cannot revisit.
So, although this post is nothing extensive or special, it displays some degree of clarity so I must be operating at a somewhat “normal” level.
If anything changes, you guys will be the first to know.
“For too long we have swept the problems of mental illness under the carpet… and hoped that they would go away.”
– Richard Codey
Whoever said “hope springs eternal” never offered me any sound advice on the mantra.
Despite being someone who operates from a place of hopelessness, hope seems to be all I have at times.
Though it’s always been the case, I’m finding it harder and harder to accept. I don’t feel like I could ever know what “true” hope is without being phony on a level I could never be okay with.
No known cause. No existing cure. Just managing the in-between areas of the highs and lows. The aesthetics of the situation are dull, even repulsive at times.
That being said…there do seem to be more “easy” days than not. I’m doing my best to hold out hope that that remains to be.
As a husband and a father, I continue to hold out hope just for hope’s sake.
Even in times of sheer hopelessness, there is always some sliver of something, I’ve learned. If not hope then a mild form of something similar, and I’ll take it.
So, even when the darkness seems to be all encompassing, I’ll at least try to stay aware that hope exists somewhere outside the scope of my current field of “vision”.
I truly do hope that mantra is more than just an acquired confidence. But if not, it’s one I hope to acquire.
As I’ve mentioned before, there is no one, direct cause when it comes to bipolar disorder. However, it is known that approximately 80% of the cause has been traced back to genetics. And with the heritability rate of bipolar disorder being off the charts, it’s only natural for me to wonder who is responsible for passing this on down the line to me.
Right?
It’s a joke, yes, but one that I stumbled upon honestly.
I have been on this journey of “true” self-knowledge for more than 15 years so I’ve learned to pick up on my own cues for the most part. But if a major part of this affliction is hereditary then I feel I deserve to know a little more.
I’m not being facetious in wanting names or anything. I just feel if genetics plays a major role in my particular “predicament” I deserve to have AT LEAST a vague outline of things.
Sometimes…most of the time…I have no idea whether I’m coming or going so a little clarity couldn’t hurt. May not help, either. In fact, it probably wouldn’t so I’d just be happy with another shot in the dark or just some more hope.
Now before I begin to sound any more pretentious or whiny, I know I’m not alone in having to deal with this process of acceptance and self-awareness. At this point, however, I just assumed I was past this part of the process. But as with the bouts of mania and depression, the process of “figuring things out” on a higher level is in of itself a big cycle. A vicious cycle. And one that has enough “lessons” to last a lifetime.
I may never get the answers I want. Or like. We in the bipolar community may have to just get used to it, but it doesn’t mean we have to like it.
I may never learn the direct cause of my bipolar disorder. But I do know there are many effects. These highs and lows are all effects. The way my behavior affects others around me is an effect. But so is my fight onward.
Cause and effect. There’s a cause to every effect. I just ask that, for the sake of myself and millions of others, you don’t take the effect and make it the cause.
“I’m so happy because today I found my friends, they’re in my head.”
– Nirvana, Lithium
There are dozens of different medications available on the market for the treatment of bipolar disorder, yet one has remained the main go-to for nearly a century.
I’m talking about lithium. For more than 70 years, lithium has been the “gold standard” drug usually prescribed after getting one’s initial diagnosis. After all this time it is still considered to be one of the most effective medications for the disorder. But like everything else concerning this disease, the benefits can always come at a cost.
It was then discovered lithium was a good treatment for episodes of both mania and depression, but particularly mania. It has been used as a treatment for such ailments since the 1870s.
However, it was Australian psychiatrist John Cade, who in 1949 wrote one of the first papers on lithium as a treatment for mania, in turn making it a more widely prescribed medication.
Although used regularly since Cade’s discovery, the FDA didn’t approve the drug until 1970. Despite being one of the main drugs prescribed for the treatment of bipolar disorder, lithium, like any other drug, still has many possible side effects including:
nausea
shaking
dry mouth
frequent urination
diarrhea
weight gain
increased thirst
loss of appetite
kidney trouble
lowered activity
fatigue
emotional numbness or a dull feeling
There are, however, more serious side effects from taking lithium than those listed above. It is important to stay hydrated and get regular lab work done to monitor and prevent lithium toxicity in the blood.
Signs of lithium toxicity include:
trouble concentrating
confusion
fatigue
vomiting and diarrhea
poor coordination
muscle weakness, twitching, and tremors
an abnormal heart rhythm
seizures
Doctors will also check creatine levels to monitor kidney function. This is another long-term effect of the use of lithium. If creatine levels are too high this may be a sign of improper kidney function and can cause kidney disease.
It is still not completely known why lithium is so helpful in the treatment of bipolar disorder since a decreased level of lithium in the body doesn’t increase one’s chances of developing bipolar disorder. It is known, however, that lithium positively interacts with a number of neurons and neurotransmitters in brain cells.
Described in one 2017 study as “an oldie but a goodie”, lithium continues to be one of the more reliable mood stabilizers used for the treatment of bipolar disorder.
“Life is like a piano; the white keys represent happiness and the black show sadness. But as you go through life’s journey, remember that the black keys also create music.”
– Ehssan
Although the exact cause of bipolar disorder is still unknown, it is also unclear at times which is more important: finding the root cause of the disorder or determining how to treat the effects and symptoms. One would probably argue the first, but some of this disease’s symptoms and the extremes one can experience can, at times, outweigh the immediate need to know why.
Being a lifelong disorder there are bound to be some effects only noticeable and problematic over time. I have already addressed many of the general statistics relating to bipolar disorder in this blog so I’m not going to be focusing on those here.
Time takes its toll on everything, and the main changes bipolar disorder affects involve the brain. Research shows bipolar disorder damages the brain over time and can affect one’s memory, attention and ability to concentrate, and impulse control.
More research is needed, of course, but it is believed those with bipolar disorder have a higher likelihood of developing dementia later on in life. One study also showed bipolar disorder may cause progressive brain damage due to a lowered level of amino acids occurring over time in the brain.
Another study suggested a long-term effect is the frequency and severity of both manic and depressive episodes. The research showed the more time spent in a depressive state increased the likelihood of staying ill longer. The research showed those who spent more time in a manic state had increased chances of hospitalizations.
Research has also shown bipolar disorder can reduce gray matter in the brain over time. Gray matter helps you process information and thoughts, have better impulse control, and overall better cognitive and motor skill function. The greatest deficits found were in the frontal and temporal lobes, the regions of the brain responsible for cognitive function and thought process.
Interestingly, the results of a 2016 study suggested the blood of bipolar patients is toxic tobrain cells, seriously affecting the connectivity ability of neurons.
Another major reason bipolar disorder can wreak havoc on one’s body isn’t because of the disease itself, but the medication used to fight the symptoms and stave off both manic and depressive episodes. There are a variety of types of medication prescribed for bipolar disorder including:
mood stabilizers
antipsychotics
antidepressants
combination antidepressant-antipsychotics
antianxiety medications
All medications cause side effects of some sort, but those acquired by lifelong use can be different and more serious.
Lithium is the main go-to medication prescribed for bipolar disorder and one I myself take. It is a mood stabilizer and can be extremely effective for those with bipolar disorder yet damaging to the kidneys over time.
Other medications prescribed can have less serious side effects, but still be damaging in various ways over time.
Those with bipolar disorder also have an increased risk for developing the following illnesses:
thyroid disease
migraines
heart disease
chronic pain
diabetes
obesity
It is also important to note that any type of bipolar disorder left untreated is dangerous and detrimental to one’s overall health.
A disease with lifelong effects like bipolar disorder requires lifelong management, usually involving a medication regimen and some sort of therapy. Although no one has all of the answers, those of us with bipolar disorder can still apply what is known to our lives in hopes of managing our illness in the best way we can.
“Anxiety does not empty tomorrow of its sorrows, but only empties today of its strength.”
Charles Spurgeon
It goes without saying those dealing with bipolar disorder have to handle themselves on a day-to-day basis. Second-to-second, at time. Although I wouldn’t have began the day describing it that way, I could sense the resolve of Christmas and the weekend happening at the same time and knew there would surely be some major, stressful shift in my life. Had to be.
Of course, naturally, there was already a shift of some sort happening in everybody’s lives: the Christmas holidays were ending, bring on the new year. But I knew lingering on this type of thinking could be a trigger for me. A trigger for something a little more grandiose.
It usually begins to manifest itself in the form of worrying. Extreme worrying. Worrying and anxiety that I have never been able to accurately describe.
As the day went on though, I sort of just stayed “hidden” from the idea of something happening. It was genuinely like I was playing hide-and-seek with just the notion of something possibly happening. I was handling myself fine, but I still felt like I was barely getting by. It’s the emotional equivalent of having too much toast and not enough butter: less serious than you can imagine but deathly worrisome, and in the worst way.
I was beginning to feel like this was one of those days I should’ve stayed in bed. My silent worrying was turning into silent paranoia, and I wasn’t sure if it was showing or not. I was really just trying to stay hidden, hoping I was protected from this day’s unpredictable bullshit by some sort of cosmic invisibility.
However, that was not the case and I knew it. But I also had no idea of what I was trying to keep at bay. My worrying and anxiety, of course, but more so from where it was coming from. Which was where?
I was trying to keep whatever dread was going on just below the surface, though. And I did. A true shift of the paradigm. I made it through the silent chaos in my brain.
I always do, but that doesn’t mean each time isn’t just as difficult as the last. What exactly did I do anyway? Stress about something that even I knew wasn’t real?
That’s how it goes, though. But the main takeaway was that I caught the trigger before it got pulled. I spent the day worried and anxious over an invisible fear, but I did not let it turn into something more personally destructive.
Sometimes I feel like I’m headed for a hopeless destination. And if life is the journey then why I even be on it? You’re getting nowhere fast. And where you are going is worse than the route you took.
But I conquered the day and was able to get into my bed and hide under the covers, feeling safe and accomplished.
Yet already dreading tomorrow to see what little tricks I could pull on myself if I played my cards just right.
Even so, it’s a day-to-day journey and you can’t skip ahead any. And why would you want to? There’s no point. Stress and anxiety, mania and depression, they don’t have to follow you; they know exactly where you are at all times. But we must push through. It’s all we can do.
Plato once said, “Nothing in the affairs of men is worthy of great anxiety.”
The holidays can be a tricky time of year for someone with bipolar disorder. “Doom, gloom, and dread” often take the place of “peace, love, and joy”, creating a brand new can of worms that no one looks forward to. Not only are you not the life of the party, you might very well be its death knell.
Why are the holidays so hard for people who suffer from bipolar disorder? Doctors and research point to a variety of factors.
Buying into the build-up: It may be the “most wonderful time of the year”, but you couldn’t feel more alone and depressed.
Cycling with the seasons: Many bipolar people tend to feel more down and depressed in the winter months due to the time change.
Schedule changes: People with bipolar disorder like and depend on their routine.
Substance use/abuse: The temptation to drink or use drugs may come up during the holidays for a variety of reasons.
Too much, too fast: Shopping here, stopping there…It can take its toll on anybody, of course, but it can be a trigger for someone with bipolar disorder.
Overspending: This can already be a bad idea for someone with bipolar disorder. But with a reason it can be a disaster.
Missing medication: As busy and hectic as the holidays get it’s easy to miss a dose of medication without even realizing it.
Social anxiety: Not all family gatherings are pleasant and they can be even less so when anxiety is rearing its ugly head.
To tell a person suffering from bipolar disorder there are ways around these factors is similar to telling a circle to be a square: it’s a waste of time. However, there are some coping strategies that can be used to help avoid certain triggers.
Be open and honest: Let your friends and family know you may just not be up to all the festivities this year.
Keep a schedule: Make a schedule and stick to it.
Just say “no”: Avoid the illicit use of any drugs and/or alcohol.
Stick to a budget: Avoid overspending by creating and sticking to a budget.
Shop online: Avoid the stores and any other unnecessary social situations.
Avoid excessive stimulation: Stay away from things that could be a trigger of any sort for you.
Prepare: It’s hard to do, but try and remain aware of what is on the schedule.
Most importantly, remember that it’s okay to be selfish when it comes to your health and self-care. Even during the holidays.
We as humans sometimes forget the damage our words can inflict. So, without being self-righteous, here are some things one should try to avoid saying to someone with bipolar disorder:
1. “I thought you were taking your medication.”
Although it’s not uncommon for someone with this illness to stop taking their medication once they feel they’re “better”, it’s usually not a topic of conversation that most people with bipolar disorder want to have or be accused of.
2. “You know he’s “bipolar,” don’t you?”
A comment like this can end up being counterproductive and even destructive. People with bipolar disorder don’t like to be reduced to their diagnosis.
3. “Everyone Is a Little Bipolar Sometimes”
This one can come across as really insensitive and is dismissive of a person’s experiences with this illness.
4. “We used to have high hopes for you.”
I mean, come on. It is NEVER a good idea to kill someone else’s dreams by being rude because one may have a mental illness.
5. “It doesn’t take much to set you off!”
Now this is a comment that clearly might set one off. Tearing someone down who may need you could trigger a bipolar episode, manic or depressive.
6. “Why can’t you just be happy?”
Oh, believe me, we try (and are still trying), but having a mood disorder defined by such highs and lows could quite possibly hinder someone’s happiness and overall mood.
7. “Everyone Is Bipolar Sometimes”
A turn of phrase that ends up coming across in an insensitive and dismissive way. Don’t generalize someone’s condition to try to make them feel better.
8. “You Don’t Seem Like You’re Bipolar”
The highs and lows associated with bipolar disorder come in cycles or episodes so there are periods of “normalcy” and being leveled out. Never assume that someone is okay because their symptoms aren’t obvious to you.
And now for my favorite…
10. You’re bipolar?
This comment can take the wind right out of my sails. Sometimes you feel comfortable and open enough to talk about your illness. But then you realize your family and friends are basing every action and reaction on your illness. Or is that my personal paranoia? That’s why that specific question/comment has always been hurtful and offensive.
Here is a list of 8 things from the article one should say to someone they know is suffering from bipolar disorder.
1. “This is a medical illness and it is not your fault.”
2. “I am here. We’ll make it through this together.”
3. “You and your life are important to me.”
4. “Tell me how I can help.”
5. “I might not know how you feel, but I’m here to support you.”
6. “Whenever you feel like giving up, tell yourself to hold on for another minute, hour, day — whatever you feel you can do.”
7.”You’re not alone.”
8. “Your illness doesn’t define who you are. You are still you, with hopes and dreams you can attain.”
Sticks and stones, right? Words can sometimes cause more damage than we intend, though. And this isn’t any kind of guilt trip; I only mean to help.
Be the positive, encouraging friend or family member to your loved one who is suffering from this disorder. There is no cure and there is no true recovery. There is only management.
Mirrored Madness: The Monster In Me 