Posts Tagged ‘Bipolar’

  • My thoughts in words

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    This post says everything I could have said regarding my own sites history.  Could have, but didn’t.  These are the words of Nick Wilgus, from his own blog.

    This blog has a long history. Venerable? I would go that far. But it’s been around the block a time or two. You can’t tell that right now, because there are only a few posts. That’s because I deleted this blog. Not once, but twice. Chucked the whole thing.

    Why would someone do that, you ask. Good question. The first time I chucked my blog was because I realized that it had became little more than self-pity-fest, and I was embarrassed by that realization, and in response to it I chucked the whole blog.

    Self-pity is something that anyone with a disability of whatever kind has to come to terms with. I’m bipolar and that means I suffer, in a certain way. But there are many bipolar people out there, many of them far worse off than I am. In addition, there are people who are blind, people who are deaf, people with cancer, people who suffer from all sorts of hardship because of poverty, illness, abuse, maltreatment.

    I wanted everyone to understand that I was bipolar, that it sucked, that it hurt, that it was a disadvantage, that I had to put up with more than the normal load of crap. And intertwined in all of that was my self-pity, my feeling sorry for myself.

    It’s normal to feel self-pity when land in a situation like mine. It’s normal — for a while. But there comes a time when you have to stop, and instead of wasting your time on self-pity and trying to get everyone to feel sorry for you, and to start thinking about strategies and methods you can employ to make your situation better.

    That was the reason, I guess, why I deleted the blog. Both times. I was afraid it was nothing more the endless whinings of self-pity. The purpose in starting the blog was to share my experiences as a bipolar person, to point out how some things are very difficult for me whereas they might be very easy for you. But I got sidetracked. And anyway, I had to ask myself, what does it matter if people understand me? What does it matter if they care? Is it going to take away the pain of bipolar? Is it going to make the pain stop? Of course not. So, yes, it’s nice when people care and lend you support during your rougher moments, but you can’t take advantage of that, and you shouldn’t take it for granted. No matter how much they might want to, they can’t help you. They can’t make the pain go away.

    I realize, from my experiences with this blog, that it’s not really important what people think of me, or whether they feel sorry for me or not. That doesn’t make any difference. That self-pity is just a waste of time. I don’t want to be a person that others feel sorry for. I want to be a person who takes a bad situation and makes the best of it. I want to spend my energy and time and coming up with methods to make myself feel better and cope better with this disorder. For example, it’s a silly thing, but the TV “Friends” really makes me laugh, and I have all 10 seasons on DVD, so when I’m feeling down in the mouth, I put on my “Friends” and have a laugh and it makes me feel better. It shows me that not everything in life is terrible and awful. There are also funny bits, and sweet bits, and nice bits, like playing with my dogs.

    Dr Elizabeth Kubler-Ross (sp?) defined the five stages of grieving. One of the first is denial; then anger; then bargaining; eventually comes acceptance. When you get a diagnosis of bipolar — or cancer, or any other disability — you go through those stages. At first there is anger and denial. It’s quite natural, as Dr Elizabeth documented. But eventually one must move on to the other stages and come to a point where one can accept reality as it is, no matter how much it sucks.

    I’m not there yet. I’m still prone to self-pity. I still keep wondering why, of all the billions of people in the world, I had to be stuck with this bipolar crap. But I try to call a spade a spade and if I think one of my blog posts is to self-pitying, I just delete it and write something else.

    I’ve realized, working on this blog, that it’s not really about bipolar. It’s about being given an added burden, however you might define that — an illness, a social situation, the woman who feels trapped in the body of a man, the gay person who can’t accept himself. Carrying this added burden, you’ve still got to make your way through life, and you have to do it for yourself, not for anyone else. Your disability might keep you back from a few things, but you can still grab a few bits of happiness here and there and make the best of your situation.

    I am a firm believer of many years’ standing that you create your own universe. Everything in your universe is there because you put it there or you allow it to be there. You can’t make excuses or waste time on blame game. It’s all on your shoulders. If you look around and you don’t like what you see, then it’s your responsibility to change it. If you’re not willing to make the sacrifices required, then you have no one to blame but yourself.

    I create my own universe. I didn’t ask for bipolar, but I can decide how I want to deal with it. I can make choices and decisions about it. And sure, I could spend lots of time in the self-pity phase, and many people do, but I want to get to the phase where I figure out how to cope better, how to do better, how to realize when I’m being bipolar and crabby and how to tell my loved ones about it and to ignore me and not take it seriously. I want to do better at taking care of myself, no matter how much I might resent having this disorder. I also get out of myself and focus more on other people and be part of the world.

    Do I suffer? Yes. But so does everyone else, even “normal” people. We all have our “crosses” to bear, and everyone has some secret suffering inside that we may not know about.

    So, am I going to delete this blog? I hope not. This particular version of it will be, I hope, a little more positive and a little happier than the old ones. I seem to be learning as I go. Anyway, thank you for taking time out of your day to read my scribblings. It’s much appreciated.

  • Bipolar Mood Disorder

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    Bipolar disorder — sometimes called manic-depressive disorder — causes mood swings that range from the lows of depression to the highs of mania. When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts in the other direction, you may feel euphoric and full of energy. Mood shifts may occur only a few times a year, or as often as several times a day. In some cases, bipolar disorder causes symptoms of depression and mania at the same time.

    Although bipolar disorder is a disruptive, long-term condition, you can keep your moods in check by following a treatment plan. In most cases, bipolar disorder can be controlled with medications and psychological counseling (psychotherapy).

  • Symptoms of Bipolar

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    Bipolar disorder is divided into several subtypes and each has a different pattern of symptoms.

    Types of bipolar disorder include:

    • Bipolar I disorder. Mood swings with bipolar I cause significant difficulty in your job, school or relationships. Manic episodes can be severe and dangerous.
    • Bipolar II disorder. Bipolar II is less severe than bipolar I. You may have an elevated mood, irritability and some changes in your functioning, but generally you can carry on with your normal daily routine. Instead of full-blown mania, you have hypomania — a less severe form of mania. In bipolar II, periods of depression typically last longer than periods of hypomania.
    • Cyclothymia. Cyclothymia is a mild form of bipolar disorder. With cyclothymia, hypomania and depression can be disruptive, but the highs and lows are not as severe as they are with other types of bipolar disorder.

    The exact symptoms of bipolar disorder vary from person to person. For some people, depression causes the most problems; for other people manic symptoms are the main concern. Symptoms of depression and symptoms of mania or hypomania may also occur together. This is known as a mixed episode.

    Signs and symptoms of the manic or hypomanic phase of bipolar disorder can include:

    • Euphoria
    • Extreme optimism
    • Inflated self-esteem
    • Poor judgment
    • Rapid speech
    • Racing thoughts
    • Aggressive behavior
    • Agitation or irritation
    • Increased physical activity
    • Risky behavior
    • Spending sprees or unwise financial choices
    • Increased drive to perform or achieve goals
    • Increased sex drive
    • Decreased need for sleep
    • Inability to concentrate
    • Careless or dangerous use of drugs or alcohol
    • Frequent absences from work or school
    • Delusions or a break from reality (psychosis)
    • Poor performance at work or school

    Signs and symptoms of the depressive phase of bipolar disorder can include:

    • Sadness
    • Hopelessness
    • Suicidal thoughts or behavior
    • Anxiety
    • Guilt
    • Sleep problems
    • Low appetite or increased appetite
    • Fatigue
    • Loss of interest in daily activities
    • Problems concentrating
    • Irritability
    • Chronic pain without a known cause
    • Frequent absences from work or school
    • Poor performance at work or school

    Signs and symptoms of bipolar disorder can also include:

    • Seasonal changes in mood. As with seasonal affective disorder (SAD), some people with bipolar disorder have moods that change with the seasons. Some people become manic or hypomanic in the spring or summer and then become depressed in the fall or winter. For other people, this cycle is reversed — they become depressed in the spring or summer and manic or hypomanic in the fall or winter.
    • Rapid cycling bipolar disorder. Some people with bipolar disorder have rapid mood shifts. This is defined as having four or more mood swings within a single year. However, in some people moods shifts occur much more quickly, sometimes within just hours.
    • Psychosis. Severe episodes of either mania or depression may result in psychosis, a detachment from reality. Symptoms of psychosis may include false but strongly held beliefs (delusions) and hearing or seeing things that aren’t there (hallucinations). In some people, sudden psychosis (a psychotic break) is the first sign of bipolar disorder.
  • Risk Factors

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    Factors that may increase the risk of developing bipolar disorder include:

    • Having blood relatives such as a parent or sibling with bipolar disorder
    • Periods of high stress
    • Drug or alcohol abuse
    • Major life changes, such as the death of a loved one
    • Being between the ages of 15 and 30

    If you have bipolar disorder, you may also have another health condition that’s diagnosed before or after your diagnosis of bipolar disorder. Such conditions need to be diagnosed and treated because they may worsen existing bipolar disorder. They include:

    • Anxiety disorders. Examples include post-traumatic stress disorder (PTSD), social phobia and generalized anxiety disorder.
    • Attention-deficit/hyperactivity disorder (ADHD). ADHD has symptoms that overlap with bipolar disorder. For this reason, bipolar disorder can be difficult to differentiate from ADHD. Sometimes one is mistaken for the other. In some cases, a person may be diagnosed with both conditions.
    • Addiction or substance abuse. Many people with bipolar disorder also have alcohol or drug problems. Street drugs or alcohol may seem to ease symptoms, but they can actually trigger, prolong or worsen depression or mania.
    • Physical health problems. People diagnosed with bipolar disorder are more likely to have certain other health problems, including heart disease, thyroid problems and obesity.
  • Treatment of Bipolar Disorder

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    Bipolar disorder requires lifelong treatment, even during periods when you feel better. Treatment is usually guided by a psychiatrist skilled in treating the condition. You may have a treatment team that also includes psychologists, social workers and psychiatric nurses. The primary treatments for bipolar disorder include medications; individual, group or family psychological counseling (psychotherapy); or education and support groups.

    • Hospitalization may be needed if you are behaving dangerously, you feel suicidal or you become detached from reality (psychotic).
    • Initial treatment generally involves taking medications to balance your moods right away. Once your symptoms are under control, you’ll work with your doctor to find the best long-term treatment.
    • Continued treatment (maintenance treatment) is used to manage bipolar disorder on a long-term basis. People who skip maintenance treatment are at high risk of a relapse of symptoms or having minor mood changes turn into full-blown mania or depression.
    • Substance abuse treatment may be necessary if you have problems with alcohol or drugs. Otherwise, it can be very difficult to manage bipolar disorder.

    A number of medications are used to treat bipolar disorder. If one doesn’t work well for you, there are a number of others to try. Your doctor may suggest combining medications for maximum effect. Medications for bipolar disorder include those that prevent the extreme highs and lows that can occur with bipolar disorder (mood stabilizers) and medications that help with depression or anxiety.

    Medications for bipolar disorder include:

    • Lithium. Lithium (Lithobid, others) is effective at stabilizing mood and preventing the extreme highs and lows of certain categories of bipolar disorder and has been used for many years. Periodic blood tests are required, since lithium can cause thyroid and kidney problems. Common side effects include tremor, weight gain and digestive issues.
    • Anticonvulsants. These mood stabilizing medications include valproic acid (Depakene), divalproex (Depakote) and lamotrigine (Lamictal). The medication asenapine (Saphris) may be helpful in treating mixed episodes. Depending on the medication you take, side effects can vary. Common side effects include weight gain, tremor and drowsiness. Rarely, certain anticonvulsants cause more serious problems, such as skin rashes, blood disorders or liver problems.
    • Antidepressants. Depending on your symptoms, your doctor may or may not recommend you take an antidepressant. In some people with bipolar disorder, antidepressants can trigger manic episodes, but may be OK if taken along with a mood stabilizer. The most common antidepressant side effects include reduced sexual desire and problems reaching orgasm. Older antidepressants, which include tricyclics and MAO inhibitors, can cause a number of potentially dangerous side effects and require careful monitoring.
    • Antipsychotics. Certain antipsychotic medications, such as olanzapine (Zyprexa), risperidone (Risperdal) and quetiapine (Seroquel), may help people who don’t gain benefits from anticonvulsants. Side effects depend on the medication, but can include weight gain, sleepiness, tremors, dry mouth, blurred vision and sexual side effects. Weight gain in children is a significant concern. Antipsychotic use may also affect memory and attention and cause involuntary facial or body movements.
    • Symbyax. This medication combines the antidepressant fluoxetine and the antipsychotic olanzapine – it works as a depression treatment and a mood stabilizer. Side effects can include weight gain, drowsiness, dry mouth, increased appetite and fatigue. This medication may also cause sexual problems similar to those caused by antidepressants.
    • Benzodiazepines. These anti-anxiety medications may help with anxiety and improve sleep. Examples include clonazepam (Klonopin), lorazepam (Ativan), diazepam (Valium), chlordiazepoxide (Librium) and alprazolam (Xanax). Benzodiazepines are generally used for relieving anxiety only on a short-term basis. Side effects can include drowsiness, reduced muscle coordination, and problems with balance and memory.

    Everyone’s different, so finding the right medication or medications for you will likely take some trial and error. This requires patience, as some medications need eight weeks or longer to take full effect. Generally only one medication is changed at a time so your doctor can identify which medications work to relieve your symptoms with the least bothersome side effects. This can take months or longer, and medications may need to be adjusted as your symptoms change. Side effects improve as you find the right medications and doses that work for you, and your body adjusts to the medications.

    Psychotherapy is another vital part of bipolar disorder treatment. Several types of therapy may be helpful. These include:

    • Cognitive behavioral therapy. This is a common form of individual therapy for bipolar disorder. The focus of cognitive behavioral therapy is identifying unhealthy, negative beliefs and behaviors and replacing them with healthy, positive ones. It can help identify what triggers your bipolar episodes. You also learn effective strategies to manage stress and to cope with upsetting situations.
    • Education. Counseling to help you learn about bipolar disorder (psychoeducation) can help you and your loved ones understand bipolar disorder. Knowing what’s going on can help you get the best support and treatment, and help you and your loved ones recognize warning signs of mood swings.
    • Family therapy. Family therapy involves seeing a psychologist or other mental health provider along with your family members. Family therapy can help identify and reduce stress within your family. It can help your family learn how to communicate better, solve problems and resolve conflicts.
    • Group therapy. Group therapy provides a forum to communicate with and learn from others in a similar situation. It may also help build better relationship skills.
    • Other therapies. Other therapies that have been studied with some evidence of success include early identification and therapy for worsening symptoms (prodrome detection) and therapy to identify and resolve problems with your daily routine and interpersonal relationships (interpersonal and social rhythm therapy). Ask your doctor if any of these options may be appropriate for you.

    Electroconvulsive therapy (ECT)
    Electroconvulsive therapy can be effective for people who have episodes of severe depression or feel suicidal or people who haven’t seen improvements in their symptoms despite other treatment. With ECT, electrical currents are passed through your brain. Researchers don’t fully understand how ECT works. But it’s thought that the electric shock causes changes in brain chemistry that leads to improvements in your mood. ECT may be an option if you have mania or severe depression when you’re pregnant and cannot take your regular medications.

    Hospitalization
    In some cases, people with bipolar disorder benefit from hospitalization. Getting psychiatric treatment at a hospital can help keep you calm and safe and stabilize your mood, whether you’re having a manic episode or a deep depression. Partial hospitalization or day treatment programs also are options to consider. These programs provide the support and counseling you need while you get symptoms under control.

    Treatment in children and adolescents
    Children and adolescents with bipolar disorder are prescribed the same types of medications as those used in adults. However, there’s very little research on the safety and effectiveness of bipolar medications in children, so treatment decisions are based on adult research. Treatments are generally decided on a case-by-case basis, depending on exact symptoms, medication side effects and other factors. As with adults, ECT may be an option for adolescents with severe bipolar I symptoms or for whom medications don’t work.

    Most children diagnosed with bipolar disorder require counseling as part of initial treatment and to keep symptoms from returning. Psychotherapy — along with working with teachers and school counselors — can help children develop coping skills, address learning difficulties and resolve social problems. It can also help strengthen family bonds and communication. Psychotherapy may also be necessary to resolve substance abuse problems, common in older children with bipolar disorder.