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Coping General

An Open Letter: The Guilt of an Unwell Cycle

Every once in awhile, I will sit down and write an Open Letter style post that a reader can hand off to a loved one who may be struggling. This one is on the crushing guilt that many of us feel after the unwell cycle ends and we are confronted with the devastation we unleashed on the lives of our loved ones.

To Whom It May Concern;

Hey there. My name is Dennis. I’m a 35 year old, Type 2 Bipolar with severe Bipolar-Depression and High-Functioning Autism. I spent 15 years undiagnosed and unmedicated, with all of the “fun” that goes along with that. About six years ago, I started working towards my recovery. A few years after that, I began my own advocacy efforts to help people such as you and your loved ones find your way through the confusion, chaos, and misery that often accompanies Bipolar Disorder.

If you’re reading this, which you clearly are or you wouldn’t know what I was saying, chances are pretty good that you’ve done damage to the people you love due to an unwell cycle and feel awful about it. Many of the people that reach out to me are the friends, family members, and loved ones of people such as yourself who are trying to figure out how they can help you.

I know, from personal experience, that their words aren’t going to cut through what you’re feeling. There are two potential reasons.

The first? Escalated cycles of Bipolar Disorder are often followed by a very severe depressive cycle when your brain finally crashes. As anyone with depression can attest, there isn’t a whole lot of light, hope, or positivity in that mental space.

The second? Pretty words don’t take the guilt away when a Bipolar person genuinely feels bad about how their unwell actions upended the lives of their loved ones. A severe unwell cycle can unleash devastation into the lives of the people you love with the magnitude of a hurricane.

You may blame yourself, but it is not your fault. Would you have done those things if you were not severely unwell? Probably not. The fact that you feel bad or guilty about it is actually a good thing. There are plenty of assholes and toxic people in this world who just don’t care how their actions affect the people around them. I hear from the loved ones of those people on a regular basis as well.

No amount of feeling bad or guilty is going to unmake your actions. The past is the past. It’s done, though it may not be over with. Bipolar Disorder is certainly the cause of many horrible actions, but the Disorder does not prevent you from rendering apologies, working to repair the damage that your mental illness was responsible for, and working to ensure it does not happen again.

Do you want to repair that damage? Start with an apology to the people you wounded, but never apologize for being Bipolar. This is a point that is often confused in advocacy circles a lot, particular on the internet. “You shouldn’t apologize for being you!” No, but you should apologize when you deal damage to the people you care about. Not because you’re sorry about being Bipolar, but to acknowledge that you understand you caused them hurt and want to make that better.

Do you want to make it up to the people you damaged? Commit yourself to making sure another severe unwell cycle cannot happen again. Bipolar Disorder can seem like a daunting, intangible beast. The big reason for that is how it strikes each person who lives with it in a slightly different way. What works for me won’t necessarily work for you and vice versa.

But you can learn to interpret the Disorder. You can learn how it affects you specifically. You can visit your doctor or a therapist to develop better skills in coping with it. You can go to a support group to be around and learn from other people who have already experienced problems similar to yours.

There are many things you can do to work towards controlling Bipolar Disorder instead of allowing it to destroy and destabilize your life over and over. It will if you let it. We can, however, learn to manage it and exert greater control over it.

You and your loved ones do not have to continue to be victims of Bipolar Disorder. You can fight it tooth and nail. You can build your body of knowledge on the Disorder and use it to fight for recovery.

It’s not an easy path. It’s really easy to get confused or lost along the way. It’s easy to get frustrated with the tedious nature of pursuing meaningful wellness. It’s not a fast process for most people. It takes time to see what works and what doesn’t. But when things start working? Well, just imagine if you had been able to intercept and head off just one of the severe unwell cycles you’ve experienced in your life. How different would things be? How much better could they be?

Bipolar Disorder is a severe mental illness. It’s not something you can just ignore and everything will work out okay. It’s a problem we need to commit ourselves to combating.

I did it. You can do it, too. You may not get it perfect. I sure as hell don’t. But you can pursue a higher quality of life and reduce the impact of your mental illness on the people you love.

The first step, whether you are new to the recovery process or simply stumbled on your path, is talking to a knowledgeable mental health professional. Find yourself a doctor or a therapist, tell them what happened, ask questions, and see what options are available to you for pursuing wellness. Whether it’s lifestyle changes, therapy, or medication; the only way to know what works for you is to start trying.

You don’t have to be a victim. Stand up. Fight. Fight for yourself. Fight for the people you love. Don’t spend too much time mourning the past, build yourself a better future.

Believe me when I tell you that you’re not the only one who has ever felt the pain and guilt that you feel. Many of us have done things that are just as bad and worse.

I’m not a doctor. I’m not one of your normal friends or loved ones trying to comfort you. I am a Type 2 Bipolar with a history that includes one active and six passive suicide attempts, homelessness, drug abuse, alcohol abuse, two broken engagements, multiple broken relationships, multiple lost jobs, and more. As someone who has lived a path similar to yours, I am telling you that things can get better if you work to make them better.

Sincerely,

-Dennis

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Coping

Bipolar Disorder: A Tirade on Internet Non-Information

So I had originally planned a different blog post for today, but after someone showed me the included image graphic and “study,” I decided it would be a better idea to post my thoughts on it instead. I feel it is an excellent example of non-information – or information that isn’t actually useful information – about mental illness on the internet.

First, you’ll need to take a look at this link on ‘What Patients Say Works for Bipolar Disorder’ (original is Bipolar Managed Best Without Drugs: 227 Patients Respond) that a recently diagnosed Bipolar person shared with me. Said person is looking for information on how to manage the Disorder and get it under control. Like many people, that person turned to the internet for information.

Second, the rest of this post will consist of my tirade about these posts.

1. Might as well start at the beginning. Click-bait title for the first, a misleading title for the second.

2. The domains they appear on. Blogs on .com websites are not viable resources. What are? Links from some news sites, acknowledged online journals, .gov, and .edu sites. How do I know this? Because as a marketer, I did a lot of writing for law blogs that would be reviewed by the owner of the blog (the lawyers) to ensure it would pass scrutiny, including if they were dragged before a legal board to explain anything presented in it. Some news websites, acknowledged online journals, .gov, and .edu sites are MOST LIKELY (not always) to be accepted as viable resources. Nothing else, INCLUDING several news websites.

3. The use of language in the articles. You’ll note that they use words like “study,” “research,” and “research findings.” The author also uses what are called “weasel words” that remove them from legal obligation. “These findings SEEM to suggest.” Any qualifier like that renders the argument invalid as an actual resource because it leaves a legal loophole to escape from. “Oh, we didn’t say it was the ONLY way or it was the truth, we just said it SEEMED that way. It’s not our fault our readers have poor comprehension.” No, that is not an insult to anyone that overlooked it. That is the argument that would be used if they were dragged before a court on their bullshit. In the same way that it is not libel or slander if I suggest that the creators of this “study” MAY POSSIBLY be manipulative shitheads. I am not asserting that as truth, I am only implying it.

4. I see a lot of insinuation style “professional speak”. What I don’t see is a “Dr.” anywhere. So where are the doctors associated with this “study” that was conducted? Well, let me just dig a little bit through the links and…

5. Oh, neat. It’s actually an aggregation of a RANDOM ONLINE QUIZ of what various respondents answered on the quiz. So it’s not actually a study or research at all. There’s no control or doctors. The original site posted a random quiz, pulled information from it, plotted it on a chart, and called it a “study.” I’m just going to launch into a bullet-point list here to expand this thought process…

– No verification if the respondents are actually Bipolar or suffer from any other mental illness that could have skewed results. Most Bipolar people I know have multiple mental illnesses.

– No control on what other substances the respondents are putting into their body. Other meds, drugs, alcohol, and shitloads of other things can affect one’s balance.

– No quality of life control. So “Bipolar Managed Best Without Drugs”, eh? How is the “study” defining success? How is the “study” defining a meaningful, productive quality of life? Does the person who wrote the text for the “study” even understand what the hell that means?

– No identification of specifics relating to the DIFFERENT TYPES OF BIPOLAR DISORDER. Oh hey – Type 1s, Type 2s, Cyclothemic, and NOS diagnoses don’t all present the same. Therefore, each and every single person with a different diagnosis, and every person within that diagnosis is going to require a UNIQUE approach to find THEIR OWN wellness. Why? Because your brain chemistry is complex and unique to you. One size CANNOT fit all in pushing towards wellness.

– No qualifiers or control on what said “treatment” or “management” is actually meant to manage. Let’s look at the most “positive” result for managing Bipolar Disorder, according to this “study.” Exercise. How many people are aware that too much exercise can throw a Bipolar person into an escalated cycle or make it worse? Theorycrafting here; I suspect it is similar to the Fight or Flight mechanism in that the body is tricking itself into an escalated cycle. There are physiological processes that overlap that essentially trick the brain into believing it is escalated, so it escalates. Or if the person already is escalated, they may decide to hit the gym for 4-8 hours to try and work off some energy, only succeeding in further destabilizing themselves. I’ve known three different Bipolar “health nuts” who have done this to themselves – one of which ended in a successful suicide.

Exercise is absolutely healthy and helpful. It can absolutely help reduce depression and make it more manageable. But what about for a Bipolar person that is mostly functional with a high-functioning baseline? Too much exercise could throw them into an escalated cycle, torpedo their stability, or aggravate other physical health problems.

6. The ONLY thing that this link is useful for is to grab a list of common ways people try to deal with the Disorder to SPEAK WITH YOUR PROFESSIONAL ABOUT. It speaks nothing to the viability of those treatments. It says nothing of the respondents, their quality of life, or other factors that could be contributing to instability. It does not quantify whether or not respondents actually took their medication as directed, as opposed to how they thought they should. It’s just a random list of information that lets the reader fill in whatever blanks they want for themselves.

Do you want to get well? Do you want to manage the Disorder? Go to your doctor, therapist, or relevant professional and talk to them. Communicate. Explore options. If you want to try “natural management” first, great. Do it with the help of a therapist or doctor, not with the help of the “original author” Alexandra Carmichael, who, by the way, is most likely a fictitious person that they post their information under so they can just “fire/disappear” that writer if anything splashes back on the website. Which is a standard operating procedure for blogs like this, which again, I know because I’ve worked alongside of the people who do this shit.

Bipolar Disorder is a serious, severe mental illness. The ONLY way you can know what will or won’t work for YOU is by trying things the way they are meant to be tried. And if it doesn’t work, you talk to your doctor and amend your approach. You know, so you have a knowledgeable ally involved if your brain is screaming into insanity.

Mental illness is a complex medical problem where you NEED a knowledgeable person involved in some way to pursue wellness; or at least to warn you when you’re about to do something stupid that could potentially kill you.

This tirade has been brought to you by Dennis, a random Bipolar man with zero credentials. You know, a fact that the “alleged” assclowns that created this “study” failed to publicly acknowledge themselves. Alleged shitheads.

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Coping

Focus: Another Facet of Wellness

I spend a lot of time talking about the infrastructure and medical sides of pursuing wellness. I do my best to produce work that anyone can pick up and find something useful in. To that end, I don’t think I’ve been giving due consideration to the other aspects that significantly contribute to finding wellness. These include points like spirituality and perspective. By spirituality, I do not mean religious. I mean things that help people feel good about themselves, their lives, and push towards inner peace.

There are many routes for accomplishing these goals. Whatever works for you is great. I’m going to share some things that have helped me just to provide a place to start looking.

On Calming Fears and Controlling Intangibles

I’m often asked about the specifics on the way I address stresses in life. I’ve commented on it regularly, trying to articulate my point of view in an understandable way. But then, I read “Meditations” by Marcus Aurelius and realized that someone already said what I was saying a couple thousand years ago. Aurelius is considered the father of Stoicism, which is a Westernized version of many concepts found in Zen-Buddhism. (Note: “Meditations” is a classic, historical text so it is available for free in many locations. Here is a website copy and here is a PDF copy.)

A concept I use on a regular basis involves the principle of Focus. In regards to mood disorders like anxiety, Bipolar Disorder, and depression; external stresses can cause the person to throw themselves into an unwell state or make an unwell state worse. The focus tenet essentially states to put your attention on what is before you, most important, and work passionately to accomplish that task. When that task is completed, shift your focus to the next and do the same. Break down large tasks into their basic components and focus passionately on accomplishing each of them.

You’ve probably heard many variants of this principle before.

Example 1:

Jack has bills stacking up and needs money. Therefore, his the overall goal is to find a source of income. The most obvious choice is to find a job of some kind. How do you get a job? Application and follow up. Jack is facing a lot of stresses. What’s going to happen if he can’t find a job? Where’s he going to be in a month, two months, six months? Who is going to hire him? How can find a job more effectively? What options does he have?

A lot of that bloat is unessential for his primary goal of finding a job. He needs to get applications out there to start being considered. So instead of worrying about the deluge of stresses, he focuses on finding the places to apply to and getting those applications in. It doesn’t matter how many applications he puts in. It doesn’t matter how many times he is rejected. What does matter is that he needs an income, a job, and applications are the way to accomplish that. Sooner or later, something will break loose and he will accomplish that goal.

Example 2:

Mary finally realizes that her mental illness is the root of many problems in her life. She decides to apply for Disability. Upon further research, she finds a mass of information on the system being unfair, how other people have gotten screwed, how people abuse the system, and tons of opinions on what people should do or not do. It is very easy to get caught up in those details and opinions because there are an unending amount of them. Ultimately, none of those things really matter for Mary and her path. Instead of looking at all of the other surrounding information, she should simply sit down and fill out the application to the best of her ability. All of those other opinions and extra information is unimportant, because it does not get Mary any closer to an approval or rejection. An application does.

I am not suggesting that anyone totally ignore the looming problems. They absolutely need thought about and preparations made, but there must be a limit. I cannot count the number of people with mood disorders I’ve known to make themselves unwell with continued and incessant worry over things they have no control over. Think about it, devise a course of action, and then force it out of your mind.

Assigning specific times for thought is a good idea as well. “Alright, I’m going to think about and look for a solution to X problem from 6 to 7 PM.” Do so, and then force it from your mind. There comes a point when thinking about the problem is no longer providing any benefit. It is only feeding into potential unwellness by dwelling on shit we have no control over.

No, this is not easy to do. Yes, it takes a lot of practice. And I can hear it now, “easier said than done!” Yes, everything is easier said than done. I’m not even sure why that is a saying, but whatever.

A Bipolar person can also use this to help minimize the impact of an unwell cycle once they have identified they have triggered. It’s pretty common for Bipolar people to continue to dwell and stress about the trigger they experience, which just helps propel them to a further extreme by focusing on that and all the ‘what if’s’ and intangibles that go along with it. Learning to stay in the present can help turn a potentially major unwell cycle into a minor one. Practice, practice, practice.

How I Distract Myself from Unproductive Thoughts

I have a few go to tactics that I use to distract myself from unproductive thought processes. I love stand up comedy, so I will toss on someone’s stand up special or listen to some on Youtube. I also enjoy reading and learning about things relating to financial industries, history, and archaeology. All of these subjects require undivided attention to really process and retain. If I’m focusing on understanding some economic principle, then I’m not thinking about whatever stressful thought is hanging over my head. And the last major one is Sudoku puzzles. They are logic puzzles that require active thinking to solve.

The unifying thread is that the distracting medium should requires me to actively think about the subject. In doing so, I keep my brain from just wandering back onto the subject that is currently threatening to spin me out into an unwell cycle.

The same principle is true for anxiety management. As anyone with anxiety can verify, it’s always way worse in the brain than what we will actually experience in the world. Utilizing strong self-management can help keep minor anxiety-provoking thought processes from exploding into severe ones.

These principles are also very common ones to learn from a therapist. You just have to ask.

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Coping Self-Help

Martyrs of Mental Illness, Here’s Your Cookie

There are quite a few things about the circumstances surrounding mental illness that irritate me to no end. Today, I’m going to be complaining about the “martyrs” of mental illness!

Let me be clear, I do NOT think less of people that decide to stay in a difficult situation with a Bipolar or mentally ill person. I am fully aware that there was a point when that person was probably a wonderful or great person, that you would like to see them recover. You are absolutely entitled to vent, rage, be sad; whatever. What I have a problem with is the following…

Allow me to paraphrase the complaint I hear on a regular basis.

“People play the victim card too much. “Oh, I have ‘Bipolar Disorder/Other Serious Mental Illness’ and I can’t be held responsible for my actions.” What about me? What about everything I’ve been through? My loved one has been abusive and shitty to me in the years we’ve been together. But society says ‘oh you’re Bipolar’ so it’s okay.”

Yeah, it’s society’s fault that the person chose to stay in an abusive, terrible relationship for decades. Being mentally ill is just a bucket of blowjobs! That’s why we have high suicide rates, rates of homelessness, and dysfunctional lives. I can totally do whatever I want and absolutely won’t end up in jail or homeless as a result!

No, society didn’t make it permissible. The enabling partner in that relationship made it permissible. That shit is just weak reasoning to justify their own poor choices. You don’t want to divorce an abusive person that has zero desire to get better because that’s “just not what we were raised to do”? That’s not society’s fault, that’s your fault. Marriage is a contract – to love, honor, and respect one’s partner. An abusive party breaches their part of their contract. No one should feel obligated to stay in an abusive relationship because of what they think their God or other people will think.

Who gives a rat’s ass if the intangible concept of “society” doesn’t like what you do? They aren’t living your life! And please kill the “God put this into my life as a test” garbage. Yeah, your God created you for the sole purpose of being here to suffer another person’s abuses. If that were true, then your God must have created the abusive partner solely to be here to treat you like shit – which is a little fucked up.

And guess what? Putting up with that shit, enabling that person to act that way by not holding them responsible when appropriate, makes it harder for them to actually recover. You continuously demonstrate that “hey, it’s perfectly okay for you to treat me like complete shit and I will keep coming back for more!” Why in the fuck would they ever think they NEED to change? That they cannot continue to conduct their life as they are?

That’s not society’s fault. That’s not society’s choice. That’s the enabler’s choice. So don’t play the victim card after decrying the use of the victim card. You have no one to blame but yourself if you choose to stay in that situation.

Does that mean we blindly act without compassion? No. My rule of thumb is simple. If the person is actively trying and just failing horribly, then I’m on their side. It’s that simple. Is the person trying? Or are they just coasting and dragging you through their shittiness? I have and will continue to go through a lot of shit for people that are genuinely trying to better themselves.

And I get accused of “not being on the side of mentally ill people” on a fairly regular basis as well. You’re right, I’m not! I’m on the side of what is fair. It is unreasonable to expect a “free pass” on shit behavior when you’re not willing to visit a therapist or doc, take the meds, and work to be well. It is unreasonable to expect ANYONE to have a bottomless well of patience, kindness, and understanding when you don’t do anything to better your situation.

A major goal in my advocacy work is to help mentally ill people preserve and improve the lives they have; to keep that well from drying up completely and that relationship from dying. To do so, we MUST acknowledge the suffering we inflict on our loved ones as just as important, just as severe as our own – because it fucking is.

Life isn’t fair or “balanced”. Stop acting like it is, like you’re absolutely powerless to do anything because of what “society” deems or what you “feel”. Just because you love someone doesn’t mean they are any good for you. You always have a choice. It’s just not always a good one.

The situation is not special or unique. Millions of other people around the world have gone through or go through similar. Acting like you don’t have a choice, then blaming intangible entities and concepts is playing the victim card just as much the person who blames their mental illness and does nothing to help themselves.

Spent decades in a terrible, abusive relationship with a toxic mentally ill person? Have a cookie. Now quit blaming everyone else for your choices and do something about it.

I sincerely hope that comes off as condescending as I think it sounds…

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Bipolar Disorder: Three Tips For Finding Peace in Chaos

Awhile back, someone asked me “how did you manage to find peace with being Bipolar?” It’s a question I’ve thought about a lot. Not only did I not have an answer, but I felt like it was something that could potentially be very useful for other people. I think that I may have narrowed it down to a few important points that may be useful for others.So let’s have a look…

Dispel Fear and Uncertainty with Knowledge

Many fears that are not the result of atypical processes come from a lack of information. After my diagnosis, I began to read and absorb as much information as I could on Bipolar Disorder and the way it is treated. I quickly realized that a lot of the information that I was taking in really did not relate to how I experienced the Disorder. So, one of my early goals was to figure out how my mental illness affected me specifically.

There is a lot of chaos and shittiness that goes along with being Bipolar. It is pretty difficult to predict what the results of an unwell cycle may be. Will we run screaming into chaos or crash into suicidal depression? I have no idea what tomorrow will bring in that regard. However, Bipolar Disorder is an illness. There are threads of order in the way it functions. I may not know what this escalated cycle will bring; but I can at least start planning for the fact I will soon be unbalanced by identifying the symptoms that point to it.

Understanding how the Disorder affects me, specifically, removed a lot of the anxiety about what my brain was doing.

Figure out how Bipolar Disorder functions and affects you.

My clearest indicators of escalation are an inability to sleep more than 4 hours at a time while not being tired, racing thoughts, and pressured speech. There are other symptoms but they are things I experience in times other than when I’m escalated. The pressured thoughts, speech, and inability to sleep are things that ONLY manifest when I’m escalating. They are also things that a third party can point out to me. I may not know what the cycle will bring, but I at least know I’m heading into choppy waters and can start planning accordingly.

I feel that the easiest way to go about doing this is to read as much as possible about the Disorder and eliminate that which does not apply to you.

Let Go Of What You Can’t Control

I’m pretty sure I could hear everyone out there with Anxiety scream out all at once as I was writing that. “But Dennis! It’s not that simple!” No, it isn’t that simple. I never said or would say it is. It takes practice and work to learn to let go of things and accept them for what they are. It takes effort to change thought processes. And it is much harder if you also happen to have an unchecked mood disorder or problems with Anxiety.

A technique that I learned awhile ago involves distraction. This is particularly true for Bipolar unwell cycles. The more you dwell on a point of information, the further it is going to drive you into unwellness. When I trigger, I do my best to separate myself from that situation as much as I possibly can until my brain has had a chance to move past that time period where it is just fueling the start of the unwell cycle. Within a day or two, my brain will reach whatever new level it was going to advance to and then I can address the situation more effectively.

“But I have to address this situation now!” I know. Some things you can’t just set aside and ignore. What you can do is force yourself to not dwell on it when you aren’t attempting to get anything productive done about it. Let me use a hypothetical example.

Dad has a heart attack. It is clearly a serious situation that needs attention and focus that will most likely trigger an unwell cycle. However, there’s only so much you can do that in that situation. You’re going to spend a lot of time waiting. And the more time you spend sitting around thinking about the situation and every potential “What If” scenario, the further your brain is going to escalate. So you don’t want to spend every hour in the waiting room, agonizing over what could happen.

My choice for distraction are Sudoku puzzles. They are a grid with numbers where you use logical reasoning to figure out what numbers go where. Don’t be afraid, it’s not math! It’s logical thinking – if this number is here, it can’t go there – and so on. I throw myself into working through these puzzles because I have to actively think about them. And I time myself on seeing how long it takes to solve them. So instead of spending hours agonizing in the waiting room, I’m still present but my mind is focused on something else instead of what could happen. In doing so, I reduce the extreme to which my brain is trying to run away.

You can use anything that requires active thinking. Mindless is bad. It still leaves room for the circumstance to force its way back into your thoughts on a regular basis. When it does creep into your thoughts, you just have to push it back out unless it is necessary for you to deal with at the time.

Find a way to distract yourself from dwelling on circumstances out of your control.

Meditation, puzzle solving, really anything that will put your thoughts elsewhere can help. You’re not avoiding the problem. You’re just minimizing the amount of attention you give it while your brain shifts from the trigger point to wherever it’s going to land in unwellness. The more you dwell on the trigger in that period of time, the worse it’s going to be.

Create Positive Out of Negative

Bipolar Disorder is the best and worst thing about me. I would not be sitting here writing this had the Disorder not caused the problems I faced while I was undiagnosed. I was able to really see and understand these things because of that perspective. It taught me important lessons – like the need for humility, patience, and asking questions.

On the other hand, I fucking hate the fact that I can’t trust my own brain. Is what I feel real? Or is it my brain just fucking with me at the moment? I know I have to be vigilant about watching out for potential triggers, which can be exhausting at times. Any time I have a “really great” idea, I need to run it past people I trust to make sure it actually is a good idea and not just my Bipolar brain spinning it that way to me. Plus all of the chaos, bullshit, and depression that goes with it. It sucks ass. And I really hate it.

I don’t know if I would go so far as to choose to not be that way though. I know I’ve helped a number of people because I’ve had the perspective that I do. In my mind, suggesting that I would choose to have never been Bipolar means those people may have never had a perspective to benefit from. And my pains and challenges are no more important than those of anyone else.

I remind myself of that fact when I start slipping into depression or feeling overwhelmed. This negativity and shittiness may bear positive circumstances later on. Don’t get lost or dwell too much in the moment. Just get through it and add it to the body of knowledge I’ve already accrued.

Advocacy work is how I turned my negative into a positive. Respecting the trials and tribulations that the Disorder threw into my life as a means of learning and challenges to overcome keeps me from feeling overwhelmed by them. They are just problems to find solutions to and learn from. Everyone has challenges and difficulties in life. Changing the way you view those challenges and difficulties makes it much easier to deal with them.

Find a way to turn negative circumstances into something positive.

There are many ways you can accomplish this, as varied as our individual lives. Probably the easiest route is to volunteer for some non-profit work. There are many avenues where people that have experienced hardships can use them to help someone else. Even if you decide to just go bang some nails in for Habitat for Humanity, you can take some pride in knowing that you made a positive contribution. That can do wonders for your own mentality and feelings of self-worth.

The obvious leap, in this circumstance, would be to try and get involved in non-profit work or get a job helping people with problems like yours. That will not be a great solution for everyone. You need to have a good control over your own problems and your ability to stay balanced when immersed in the pain of someone else. I’ve met a couple of people who could not maintain a healthy separation and it spurred on their own unwellness.

I strive to maintain a healthy, reasonable perspective. My goal is to not “save the world”; it’s to leave people better than I found them and encourage them to do the same. I can’t force people to make the right or better decisions for themselves; I can only present them with information that I hope will help them make a better decision. The only problems I own are my mine, because those are the only ones I can meaningfully affect.

I feel like these three points were the main foundation of finding peace and acceptance with the Disorder. Point 1 gave me understanding. Point 2 reduces the chaos and makes unwellness more manageable. And Point 3 helps me keep a positive perspective if things aren’t going smoothly.

Things aren’t perfect, they never will be. But they sure as hell are better than they were ten years ago.

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Bipolar Disorder: A Question of Moral Character?

The following post was written as a response to another half-informed comment thread in my post “Bipolar Disorder: A Reason Or An Excuse?”. The comment about Downs stems from another comment where the original author weakly related the two. 

At any rate, I decided to turn this into a post, primarily so I would have some place to point people instead of needing to repeat my response on a continued and regular basis. Enjoy!

As posted by Sandi: 

 

People with Down Syndrome, on average, aren’t as likely as bipolar people to gaslight, cheat on, manipulate, squeal at, violently attack, or play mindgames with people they claim to love as Bipolar people are.

Yes, they ARE different.

I know an individual who has bipolar and his behaviour is ABHORRENT, and I’ve mostly only talked to him on the phone so far. Lying to me (mixing up details, having a “poor memory”, denying having said things, usually negative ones, gaslighting me and shitting on my self esteem, telling me I overanalyze him when I’m just asking a simple question or mistaking what he says for something else (not necessarily anything “deeper” or more psychological like he says I’m doing), using his mother’s sickness as an excuse for not answering valid and gently phrased questions while MY mother was DYING)

Oh, you know, little things like that.

Bipolar people absolutely do know the way their behavior effects others because even though a good percentage of them are little glops of horse jizz who have no empathy, empathy is not necessary to be aware of the fact that others are hurt, just to CARE that they are hurting them. And sadly many of them don’t care. But they know.

And don’t listen to dopes like Natasha Tracy who write Bipolar apology articles, which trick normal humans into dating these (likely to be- not all, but likely to be) uncompassoinate freaks of nature instead of being responsible and warning others that they have higher rates of narcissism and destructive behaviour. Apparently, their “rights” to not be “stereotyped” are more important than keeping the rest of us normies safe.

I am so sick of apolgizing for mentally ill behavior (some of it is stuff like losing temper and control of one’s body, but other stuff, especially the verbal stuff like the pathological lying and the purposeful confusing of the other person for NO reason even of self defense, is on purpose by default).

We have become a society that talks too much about psychology and too little of morals, and sometimes there is such thing as a moral illness.”

 

 

At first, I was tempted to sluice this post into the spam heap; but I decided against it.

The similarity that Bipolar Disorder shares with Downs (and many other mental illnesses) is the physical difference of the brain. Some people are born with defective livers, kidneys, lungs; some people are born with defective brains. Many mental illnesses (such as Bipolar Disorder) are genetic. My family has a history of Bipolar Disorder, as do many others. So behavior-wise, no, they are not the same. They are the same in that they are the result of physical problems with the brain that impact functionality in a negative way.

In regards to the individual you know – why are you still talking to them if they are so awful to you? How about not letting them do it? How about distancing yourself from the person? How about minimizing the damage the person can do to you?

Time and time again, people lament on how awful they are treated by a Bipolar person, never once considering that they simply don’t have to be involved.

I regularly see people complain that Bipolar Disorder is used an excuse. My question is – what difference does it make? The only thing stopping you from standing up for yourself is you. Would it make you feel better if the person would just say “hey, I’m an asshole!” How many terrible people have you known to do that, who were not just seeking attention? How many dozens of times have you heard “he seemed so nice” or “I’ve known him all my life” right after some horror came to light?

“Blah blah blah. They use it an excuse.” No. People that whine about it being used as an excuse are the ones using it as an excuse. NOTHING is stopping you from standing up for yourself and saying “You can’t do this, this is wrong.” and taking steps to remove yourself from that situation.

So let’s talk about a problem of society; a society that values opinions and feelings more than facts. I’m sick of people acting like they’re entirely helpless and putting the responsibility on someone who is KNOWN TO BE MENTALLY ILL to make good, rational decisions. That seems like a fantastic idea! Let’s also walk out into the middle of a highway blindfolded. I’m sure that will work out great too.

I’m sick of people thinking their feelings and opinions are a replacement for fact. It’s clear that you’re angry and upset about being treated badly; as you should be. That is fair and valid. Making sweeping statements about the Disorder and the people suffering from it based on those feelings? Not so much.

I’m sick of ignorant people thinking that Bipolar Disorder is some new or made up mental illness. The oldest surviving mention of the Disorder is from one thousand years ago in The Canon of Medicine, written by the Persian doctor Avicenna. Early on it was known as the Circular Illness, then it became Manic-Depression, now it’s Bipolar Disorder. Bipolar Disorder has a long and storied history; ranging from the pens of the Persian physician to Chinese doctors of the 1500s to the European developments of the 1800’s and 1900’s that paved the understanding we have today.

We have become a society that talks too much about psychology and too little of morals, huh? There’s another argument I’m sick of hearing. Humanity is no different today than it has ever been. People pine for the alleged golden age; a time when racism and sexism were fine. A time when mentally ill people were locked away in asylums in conditions worse than prisons with even less rights. Humanity has always been awful and always will be.

And some people are just toxic people who also happen to be mentally ill. Some people are mentally ill and able to maintain some sense of normalcy with the assistance of meds, self-management, and support from friends and family. Some people cannot be helped. Some people can.

You always have a choice. You can choose who you let into your life and how you let them affect you. It may not always be a good choice, but at least you have one.

We, on the other hand, have to spend the rest of our lives dealing and managing this mental illness – 24/7/365 – while being bombarded by the unfounded, asinine opinions of people who seem to think that “oh, it’s just a matter of making better decisions” or “be a better person”.

And no matter how awful you think you’ve been treated – I can guarantee you that person has done just as bad to themselves; oftentimes without even realizing the destruction and chaos they create. People like you act like being mentally ill is a get out of jail free card, like the crap we do in our lives doesn’t have repercussions. It ALL does. It’s miserable, horrible, and painful; and that’s part of the reason why untreated Bipolars have a 20%+ suicide rate.

But hey! I guess I could have easily avoided those 7 suicide attempts, drug abuse, alcohol abuse, dozens of lost jobs, two broken engagements, ruined relationships, homelessness, and screwing up college if I was just a more moral, better person!

I’m kind of confused though. I mean, I’ve sunk hundreds of hours into helping inform people, helping them find local services, being a shoulder, pulling them out of depression, tempering their escalations, and calming their fears. I’ve helped a few people leave abusive relationships. I’ve helped a vet past his hurdles to seek care for his PTSD. I’ve been a friend to people who felt like they had no one in this world; listening to their darkest pains and thoughts. I’ve encouraged at least a couple dozen people back into therapist and doctor’s offices, helped them communicate with their professionals better, and push towards wellness.

Yet here I am, still Bipolar! I must not be moral enough? I must not care enough? Is that right?

I have ALWAYS been capable of empathy and care. However, this little glop of horse jizz spent years full of hate, anger, and self-loathing; unable to keep anything together because of the physically rooted mental illness I inherited. I was able to attain a large degree of perspective and understanding by educating myself on the Disorder, how it’s treated, how it affects me, and medication.

I do agree with you on one point though; caring and empathy are woefully rare in this world. Particularly from people who stand behind their “morals” to pass judgment on people and things they know nothing about.

And despite our “disagreement” on the basic facts of mental illness, I am very sorry to hear about what you went through with your mother. That must have been extremely painful and difficult for you. My condolences to you and your family.

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Coping General

How #TheDress Demonstrates Mood Disorder Unwellness

The whole #TheDress thing is a pretty awesome example of how a person’s perception shapes the way they look at the world around them. One’s initial perception may show it as white and gold, but if you look at it long enough, your brain corrects it to the blue and black dress it actually is. It’s the same sort of thing as magic eye puzzles where an image would jump out of the noise at you.

It is an apt demonstration of the way perceptions stained by mood disorder can function as well.

As an example:

I step around a corner and see my partner hugging some guy I don’t know.

Manic: Rage. I knew she was cheating on me. Confrontation, yelling, and general shittiness. (White and Gold Dress)

Depression: I knew it. I’m no good for her or anyone else. Of course she would want to throw me aside. I’m going to lose her. I’m going to lose everything I care about. Self-loathing, maybe self-harm or suicide attempts. (White and Gold Dress)

Truth: Blind accusations are damaging no matter what they are. Even if I don’t necessarily “trust” her; I ask who he is. Maybe he’s a friend from college I had previously met but entirely forgot about. Maybe he’s a cousin I haven’t met. The point is, a hug is no indicator of unfaithfulness. (Blue and Black Dress)

And that is why it is a good example. So many people are looking at this picture of #TheDress and see two different things. When it comes to being bipolar or depressed, we have something similar going on with our feelings and emotions. Except for us, it’s whatever unwell thinking our brain funnels us about our loved ones or today being the day to commit suicide.

The fact of the matter is – the truth is buried in there underneath the emotional instability and unwellness. That’s why I do not trust my emotions when I’m trying to interpret something that is going on in my life. I work to cut through how I feel and push towards the reality of the situation.

I always strive to react without anger or emotion clouding me so the hypomania or depression does not have a chance to creep in and fuck things up by seeding disastrous thoughts in my mind.

So the next time you are looking at a loved one with a mood disorder, wondering what the hell is going on in their head, try and remember that they are seeing the white and gold dress at the moment. Their emotions and perception is clouded by the unstable, often irrational thoughts. Counter their emotions by pointing out facts and adhering tightly to them.

And if you suffer from a mood disorder – be it Anxiety, Depression, or Bipolar Disorder – drastic emotion paves the way for instability. That does not mean you strive not to feel or numb everything. It does mean we should all strive to not respond or react out of emotion. Identify the facts about the situation and address it after you have had a little time to really look at what you’re faced with.

I find myself constantly reminding myself of facts and reality if I am pushing back against unwell thinking. You can envision it like two people arguing in my head. The unwell side is trying to introduce chaotic thoughts and feelings. The other side of my brain is shouting it down with the facts about the situation. I may even write out a list of all of the facts of the situation so when the unwell thoughts start creeping in, I can just go back and read the list I wrote for myself to KNOW what the reality is before my unwellness really starts to take hold.

Unwell cycles typically take a little time to fully get rolling. Not dwelling on the emotions and reminding ourselves that we are actually looking at a blue and black dress, instead of a white and gold dress, can go a long way towards minimizing the total impact of an unwell cycle.

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Coping Depression

Normal For You Does Not Mean Normal For All #depression #mooddisorder

Spend any amount of time on social media and you will see proclamations about how there is no “normal” being thrown around. “There is no such thing as normal.” “Normal is just a setting on a washing machine.” Blah blah blah.

There is a normal. I believe that normal is at the most basic level of human existence. My regular readers will know that I have a severe Bipolar-Depression component of Bipolar Disorder. I’ve spent about 80% of my teenage to adult life mired in mild to suicidal Bipolar-Depression ranging from just “fuck it all” to “put a 9mm to my head and pull the trigger on a dud round” suicidal. Though many people equate depression to sadness; it is really more like your feelings are muted (or “depressed”).

The analogy I use to describe it is that of a stained glass window. A stained glass window is alive and vibrant with color when light pours through it. Consider that to be life and normal emotion. Depression is layer after layer after layer of wax paper put over that stained glass window. It diffuses the color, the light, the vibrancy. The wax paper mutes the light and makes it hard to perceive. You look at it, and you know it’s supposed to be bright and vibrant; but all you can perceive is the muted colors trying to get through. At least, until there is so much wax paper on the window that it is all gray.

By and large, that was my normal for a majority of my adult life. Day in, day out. Wake up in the morning, curse silently to myself that I woke up again. Look in the mirror, hate what I see. Grind through another meaningless, pointless day to when I can go back to sleep. Avoid human contact, put on the plastic smile so people will stop asking what’s wrong because I had no idea what’s wrong. And when I dipped far and low enough- contemplate killing myself. Should I unsnap my seat belt, punch it to 100, and hit that bridge support? Should I slit my wrist and step off of the local bridge to ensure I don’t survive this time? Should I drink tonight? Get high? Make it all go away for awhile?

That was my normal, but that is not normal.

Humans are not meant to function in that kind of emotional wasteland. We are social, emotional creatures; even the introverts out there. We are supposed to have feelings; including happiness from time to time! I know it exists. I felt it once, in what I suspect was the window between a dosage increase and my body getting acclimated to it. I felt sad. There was no numbness, no void, no emptiness. I just felt sad and I had that feeling you get behind your eyes when you’re about to cry; but no tears came. Then, I realize I had felt sad without depression and that made me happy and excited. There was no stain of hypomania, no accelerated thinking, no erratic behavior, no unreasonable emotions; just warm and positive even though the overall circumstances were sad.

That’s the only time I remember feeling genuinely happy or sad in probably 20 years. It stands out so starkly in my mind because of how different it felt. The rest of the time? Barring hypomania, I’m standing below that stained glass window, waiting for any kind of light to get through and show me something beautiful. I want it, even if it is something just as simple as feeling good about stepping out into a sunshiny day and listening to birds sing.

I know a lot of people that are depressed who do not realize they are depressed. No, I’m not a doctor or therapist. I am someone who has lived with severe Bipolar-Depression for a long time. I know what it is for the same reason I know what a chair is. It has four legs, a back, sometimes arms, and you sit in it. It’s a common and consistent part of my life. Just as common to me as the void that is depression, if not more so. After all, when I wake up in the middle of the night and stare at the ceiling, I’m not looking at a chair; but my old friend Bipolar-Depression is typically there to greet me.

Anyway, I regularly see the depressed tell themselves that it’s normal to feel placid or nothing constantly. That life is hard. There are wars and famine and cruel injustices in the world; and they should just be thankful for what they have in life instead of striving for better. Depression is incredibly common because of this.

But therein is the problem. Even people in terrible circumstances are able to find a piece of happiness once in awhile. Maybe it’s their child’s smile. Maybe it’s a delicious meal. It doesn’t have to be complicated or grandiose. The point is, they feel something other than emptiness, numbness, and misery. Something other than another gray day to grind through until they can go back to sleep.

The mocking humor in this? Depression is relatively easy to treat. No, it doesn’t necessarily mean shoveling meds down your throat. A change in sleeping and living habits can potentially provide relief. Exercise and dieting can help. There are many routes that could have a beneficial impact on the person that should be explored with a general practitioner.

But they don’t, because it’s “normal” to be gray, miserable, and feel little to nothing.

Normal is being able to conduct your life in a meaningful way. It’s being able to function appropriately in a healthy way. You can be rich, poor, goth, punk, hip-rop, city, country, conservative, liberal; whatever. The unifying factor is the ability to conduct your life in a meaningful way; regardless of how you choose to pursue your existence. THAT is normal.

As for me? I’m a Type 2 Bipolar with a severe Bipolar-Depression component. I’m still staring at that stained glass window, waiting for an antidepressant to cut through the wax paper and let the light flood back in. I catch it in glimpses here and there. I can see it trying. Just going to take some more time and some more work to get to the real normal.

The grayness and chaos of Bipolar-normal for me is not normal for all; even other Bipolars.

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Mood Disorders and Emotions: WTF Is My Loved One Thinking!?

Many of the emails and messages I receive are from loved ones trying to figure out WTF their loved one is thinking or actually feeling. Today, I’m going to share with you the process I use to try and decipher these thoughts and feelings so perhaps you can apply it in your life. Before I dive into this, I would like to remind you that there are no absolutes when it comes to mental illness and the human mind. These are just the things I’ve come to understand through my own studies and observations in dealing with people and myself. Your mileage (or kilometerage) will vary.

So let’s get into this…

1. Identify the potential trigger or stressor.
The first step I take is to identify the potential trigger point for that person that launched their instability. This is normally something that will stand out starkly- a loved one’s death, moving, losing a job, heated arguments, major frustration. The point of ignition will often be something that would be stressful to a normal person. A mood disorder will take a stress like that and rocket them into unwellness.

I’m not going further into triggers in this post because I’ve already written about them in-depth. You can find more information on mood disorder triggers from my point of view via the link.

2. Identify what they thought and felt about the subject BEFORE the triggering event.
My next step is to ascertain how the person felt and thought about a particular subject before the triggering event; even if it is just the day before their unwell cycle started. That is the truest measure of their emotional state and thoughts on the subject, assuming they don’t have other factors relating to mental illness in play. I aim to get a large segment of information from the person I’m talking to so I can see their overall perspective.

I feel like many couples and loved ones are at a disadvantage in this. I have met so many “happy” and “unhappy” couples who have secrets hidden away from one another. Their genuine thoughts and feelings aren’t explored with their loved one and it puts them at an automatic disadvantage because they do not have the entire truth of the matter.

3. Throw out everything that’s happened from that triggering event to present.
That triggering event unleashed a flood of warped thoughts, negative emotions, and you know.. mental illness. You can’t put absolute faith in anything that person thought or felt since the start of their unwell cycle. Now, there are plenty of people who retain lucidity and somewhat accurate thought. It depends on the person, the severity of the illness, the severity of their cycle, their real life stresses; and probably a hundred other things.

What you are looking to eliminate is extremely unusual or uncharacteristic behavior from the equation. Let me give you an example we will work with. (And this is not based on anyone, this is just one of the things I see on a regular basis. If it seems familiar to you, it’s because it happens to a lot of people.)

James is a Bipolar, devoted family man. The couple has been married 8 years, with typical relationship bumps, but nothing too drastic has occurred between the two. Then James is laid off from career. Now he has the anger and sadness of losing his career, the anxiety of how he’s going to help support his family, and the realization that he is essentially back to square one in his life.

James’s mind escalates as he lays awake at night, staring at the ceiling, trying to figure out how he’s going to pay bills and the rent. The lack of sleep fuels the mania and his mental shift gets worse. He picks fights for any reason over anything, is behaving erratically, and sometimes frighteningly.

Then he gets a call from an ex-gf from years passed that things were unresolved with. He looks at his wife, his life, and his current misery and decides that he is entirely unhappy with it; not realizing that his unhappiness is blown out of portion by the mania. James’s decision making is entirely impaired, fueled by the erratic nature of manic thinking, overwhelming emotions, and general instability.

His unwell mind jumps to the conclusion that losing his career and hearing back from this ex must have been a sign. James feels good when he’s talking to the ex because he’s not being constantly reminded of his job loss and the anxiety surrounding it. In looking at his wife, he sees her concern and worry; not only over their living situation, but in the erratic way that he’s been behaving. She starts to pull away because she doesn’t know what to make of the situation or understand how to help her husband.

Just the sight of his wife becomes a visual trigger; a reminder of his failures as a husband, in his career, to his children. Being around her makes him worse, but he’s around her all the time because he’s now unemployed.

James interprets this as a sign of the relationship breakdown, he decides that he must not love her anymore since his “feelings” for his ex are still so strong; again, not realizing that those feelings are just a figment of his unwell cycle. He feels guilty, and throws himself into lavishing attention and love on her in the hopes of revitalizing whatever spark got them started in the first place.

A few days later, he wakes up and realizes that it’s all for naught. He “loves” his ex-gf and leaves his wife, stating that she brings him nothing but misery and anguish. James doesn’t understand that he needs to be the one to manage how he feels about what he’s seeing in his wife. She’s scared, concerned, withdrawn; instead of exploring why, he jumps to the conclusion that she must be getting ready to leave him first. So fuck that bitch. James leaves his family and moves in with the ex.

This goes on for awhile. James comes in and out of his family’s life as he tries to spend time with his kids. His kids are pulling away and withdrawing because they have no idea what the fuck is going on in their father’s head. So they’re scared and concerned as well. James decides that his wife MUST be turning them against him, further fueling the mania and spinning him out further. His hatred for his wife grows. He screams at her, calls her cunt, maybe even harasses her at her work place to try and hurt her the same way she’s been hurting him. And attacking him through the kids? That’s just fucking unacceptable.

This transpires over the course of months. Almost a year later, James may have finally been hospitalized or maybe his brain just couldn’t keep up with the mania anymore. His unwell brain crashes hard.

So how does James actually feel? James spent 8 years building a life with his wife with mutual love and respect. The trigger, the ignition point, was when the severe unwell thinking started. The unwell thinking is twisted reality and flat out lies that your brain tells you is absolutely true. And if you trust your brain, you’ll follow through on it. Bipolars that don’t understand their mental illness or are undiagnosed do not have the perspective they need to KNOW that they CAN NOT trust their brain after they trigger.

James looks around this ex-gf’s place that he’s now shacked up with; and it all hits him like a tidal wave. His emotions drop back to a similar state as they were before the unwell cycle. In love with his wife, happy with his kids; even though things weren’t always perfect. But now, James is in the darkest part of the Disorder. The part where I suspect most of us end up losing their battle.

What goes up, must come down. And when you’re that high up, you come down HARD into a deep, black, murky abyss of depression where there is no light, no hope, no love. Nothingness. Just the void. And in that weak moment when James is looking back on what he destroyed? He can’t live with what he did to his wife, kids, and to himself. So he picks up a steak knife and slits his wrist.

Maybe James is lucky and gets found before he is too far gone to save. Maybe he’s successful. Or maybe he makes it through the dark spot without the suicide attempt. Perhaps he tries to go back to his wife, apologizing profusely with no idea how to explain what was going through his head or why. But all she can do is cry because she has no idea who the man is she is now looking at. Is it the monster or is it the loving husband?

Can she trust him? What’s he thinking? What’s he feeling? Who is he, even? Will this happen again? What can she do about it? What can he do about it? Can the relationship be recovered? Is the trust completely destroyed? Is the marriage gone?

So many questions, so many stresses; so much potential for another unwell cycle.

Author’s Note: So much for a short post, that James story really started pouring out of my subconscious. Like he was sitting in the back of my brain, telling it to me. Anyway…

4. So what is my Bipolar loved one actually thinking when they’re unwell?
The short answer is that it doesn’t matter. You cannot trust your unwell loved one’s thoughts while they are unwell. Period. At all. That doesn’t mean to accuse them of lying or think they are always trying to manipulate you; but if things don’t add up logically in your mind or appear extremely erratic, chances are pretty good that they are the product of unwell thought processes.

Does that make the actions the person takes while unwell acceptable? No. It doesn’t. No one should just put up with an abusive environment. Unwell people can do awful things that are completely out of character for them across the spectrum of abuse.

As a third party, your being able to identify those thought processes can be extremely helpful to a Bipolar person who understands the way the Disorder affects their thinking. And most importantly for the third party, it can let them know when not to take the Bipolar person’s words and actions to heart.

James’s wife would be perfectly justified in leaving him for his actions; for hating him for what he did to their family. And that’s the way it goes for quite a number of people because normals just can’t wrap their heads around how a person can completely turn around on their emotions, thoughts, and beliefs like that. That’s because it’s not normal; it is a product of mental illness.

Is it right? Is it wrong? It doesn’t matter. It’s mental illness. It is what it is.

5. How can I use this information?
One of the most spoken pieces of advice I give to loved ones of mentally ill people is to learn to control your emotions. It is an essential skill to not only keeping your stress levels low, but in being able to keep a clear enough head to try and navigate your way through the other person’s unwell thoughts to try and anchor them back to the ground. It also helps a shitload in every day life to deal with difficult customers, clients, or coworkers.

If you’re calm and collected, not wondering “what the fuck?”; you can calmly point out that… “Hey, you remember you’re Bipolar right? So maybe it’s an unwell thought process want to sell your car to fund a vacation to England while you’re unemployed?”

A supporter shouldn’t be surprised if the person waffles back and forth between “I love you, let’s get married” and “I hate you, I can’t ever speak to you again” in the span of a week. That is stereotypical Bipolar emotions and thoughts.

How does that person really feel? Well, you look back before the triggering point. That is likely the closest point to their genuine thoughts and feelings you’re going to get. While they are in the midst of their unwell cycle, you should be nudging them to seek professional help or keep up on their meds if they decided they didn’t need them. (Which again, happens all the time.)

Do not get caught up in what their emotions are at this moment. Think big picture. These kinds of erratic fluctuations are just par for the course for an unwell mind.

6. But what if I can’t find a triggering point?
In my experience, a majority of triggering points are fairly blatant. That doesn’t mean they all are. A great example of this is your sense of smell. Smell can kick up powerful changes in the body. Consider the way fresh popcorn makes you hungry or perhaps catching a whiff of a scent that is associated with something specific in your history that floods back memories. See where this is going?

My second ex-Fiancee loved lavender. Lavender body wash, shampoo and conditioner; lavender everywhere. After we parted ways, if I’d catch a whiff of lavender, all of those memories would just come flooding back and slam me like a tidal wave; trying to throw me into a deeper depression. Bipolar Disorder just latched onto that and tried to go running with it. And it sucked worst of all because it was typically in a public place, like a store. So now, I’m standing in the middle of a grocery store fighting back this depressive wave, using activate management mental skills while moving hastily away from where I caught a whiff; or simply leaving my cart and walking out.

And like so many people, I coped with rum. Lots and lots of rum.

The Bipolar person may not have any idea why they triggered. Maybe it was catching a glimpse of someone who looked like their mother who passed away a few months ago, maybe it was the scent of cologne their sexual abuser wore, maybe it was something as innocent as lavender. ANYTHING that has a deep emotional tie can potentially kick off an unwell cycle.

Should that happen, you just have to look back to a point when they were functioning normally for them to try and find their baseline.

7. How do I use this knowledge to my benefit?
– Mentally Ill – You HAVE to learn how your mental illness affects YOU. That means learning everything you possibly can about it and figuring out what applies to you. No one can do that but you; not doctors, therapists, loved ones, kids, parents, whatever. YOU have to do it for YOU; because you’re the only one that knows your innermost vulnerabilities. And you can do it. If I could do it through years of serious to suicidal depression; you can do it too.

You need someone you can trust to bounce things off of for a clear perspective. If you don’t have anyone around you that you can trust like that, look into a support group. And yes, I know, “I don’t like talking about my problems”. Yeah, I’ve heard it a thousand times. Would you like to deal with a few minutes of social discomfort (not anxiety, keep reading) or would you like to deal with sweeping up the ashes of a six month long manic bender? I fully believe that peer support groups are one of the best ways to have balance and not feel like you’re burdening the people that care about you. You’re dealing with other people just like you; and you’re providing your insight, experience, and help in a meaningful way to those people too.

For those of you with social anxiety (yeah I didn’t forget about you), look for a decent community forum. The best one I’ve found is the one at www.dbsalliance.org . You can anonymously post your thoughts and get feedback from multiple people. Or, you can always email me.

Always remember- just because your brain is screaming at you that this is the best idea you’ve ever had; it doesn’t mean that it is or that you have to follow through with it.

– Supporters – You have to learn to not dwell in the moment. Yes, your unwell loved one is going to say and do some shitty things probably. That’s why it’s a mental illness and not mental super happy fun time. If you can retain your perspective and keep your emotions calm, you can work to minimize the collateral damage that will occur from the unwell cycle.

Encourage the person to get in to see their medical professional or seek help in the first place, if they have not.

You can also utilize an active management technique of distraction. The more the Bipolar person dwells on unwell thoughts, the more fuel they are throwing into the fires. Work to keep them distracted off of those thought processes so they don’t have a chance to really take hold and launch. That can be as simple as “hey let’s go to lunch” or throw in a funny movie to take their mind off of whatever they are dwelling on.

The important thing is- do not get wrapped up in the here and now. They will probably have fifty different opinions by the time the cycle actually ends.

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Coping Depression

The Anatomy Of My Depressive Crash

A depressive trigger was recently tripped in my brain and started off a depressive cycle. I felt my brain down shift about a week ago after a conversation with a good friend. I feel like this is a good opportunity to illustrate the shift, how I view it, what I do about it, and how I attempt to minimize the damage. In a majority of my writing, I aim to provide reasonable hope and the more positive point of view that medication and self-management has helped a lot (which it has). This post was written in a depressive state of mind so you can get a glimpse of that other me.

As for the inevitable flood of worry I know I’ll get from certain readers; I’ll be fine. My depression of today is nothing compared to my depression of 20 years ago. No suicidal thoughts or thoughts of self-harm; just the void. On a scale of about 0-10 with 0 being suicidal; I’m at about a 3-4 whereas the last several months I’ve been more at a 5-6. I attribute this to meds and self-management techniques.

So let’s dive into this cesspool.

The Depressive Trigger
The trigger? The trigger was my fault. I thought more than I talked and created a misunderstanding with my on again, off again “it’s complicated” friend. I’ve long looked at relocating to a place where I could pursue my career goals. The area I’m in doesn’t have the population or resources available really. My “it’s complicated” friend and I were making plans to share a place. In my mind, I was thinking this was a significant repairing of our last schism that had been on the mend for awhile and an inevitable next step. It also happened to coincide with several of her goals and needs as well as my desire for relocation.

After floating an alternative idea; it was realized that she was focused more on the practical sides of the arrangement. It made the most logical sense to her in that way. I drew conclusions and connected dots that weren’t present while she was fairly clear in communicating her perspective. The revelation and realization that I had got this wrong was my depressive trigger.

“But Dennis,” I hear the normals asking, “aren’t you just sad?” Fucking no. Sad is sad. Depression is a numb, empty void. Depression is nothingness. My brain dropped and shifted gears like an automobile. I was in a good mood, relatively placid; and then it felt like someone shifted from 5th gear to 3rd gear. My brain slowed down, my mood dropped into nothingness; and here I sit writing this. It’s been a week. It’ll probably be many more.

Since I know my friend will be reading this; I know you felt like an asshole and terrible about it. It’s not your fault. It’s not anyone’s fault. It’s just the nature of dealing with a Bipolar person.

(Addition) After reading the initial drafts of this approach, my friend pointed out that I told her that I had informed her that I had hit a trigger in the conversation; which I didn’t remember. (Thanks for nothing, brain!) Anyway, I told her that I had hit a depressive trigger and that if I seemed to withdraw and become distant in the coming days, that’s why. She pointed out that this was helpful to her so she would know what was coming and not worry over the change in my mood, withdrawing, and increased introversion. Given that she has her own mental struggles as well; my telling her reduced her own anxiety and wondering about what was going on in my head. Hopefully, this is a solid demonstration of the benefit of open communication between partners/friends/family/whatever.

The Fallout
The long and complicated history I have with this woman was a significant catalyst. The connection I felt for her was immediate when we were youngin’s. I didn’t understand it, didn’t understand my mind, or the very different way my brain and emotions work as a High-Functioning Autistic. It also coincided with the emergence of Bipolar Disorder and puberty. It was not exactly a great time in my life. I engaged in some misguided behavior that could be construed as stalkery until she simply kicked me out of her life for good. That I could deal with.

As a High-Functioning Autistic, my brain tries to interpret everything in black and white. I could deal with being nothing or in mutual love. What I couldn’t deal with was an unrequited love that was so strong. I had no fucking idea how to handle that. I also didn’t know that what I was experiencing was abnormal. I never talked about my feelings because I never saw a need to and because my brain suffers in the conversion of emotions to vocalization- a common autistic trait.

That trigger took me back 20 years. It took me back to the pain, confusion, and misery. It was a stark reminder that even after all the time I’ve spent working to counter this bullshit; it can still sucker punch me out of nowhere. And over what? Dormant feelings from 20 years ago that I got over awhile ago. But unfortunately, my emotional processes are fucked.

My introversion is back in full force. Discarded my real life gaming group that I look forward to out of pure apathy. Just don’t give a fuck at the moment because I’m depressed, unsure, and aimless. Plans I saw as crystal clear shattered to pieces. Doubts I had rationalized and fought back all flooded back, particularly in regards to doing what I do with wanting to pursue a career in mental health.

It’ll probably be better for me to just get a run of the mill job and just continue to work through my website and personal writings. Maybe I’ll be able to finally finish the e-book I’ve been working on if I’m not trying to generate income by writing professionally. Is everyone else right? Should I be softer in my tone, language, and approach? What the fuck am I doing? Where am I going? What do I want to fucking accomplish? HOW do I accomplish it? Doubts, doubts everywhere. Doubts that were previously conquered and answered. Doubts that I had previously made decisions and plans on that now threatened to become unraveled because of depression.

Minimizing The Effects Of The Cycle
The moment I felt my brain downshift I knew what was happening. My brain shifting cycles feels a certain way; in the same way that slamming your fingers in a door does. You don’t slam your fingers in a door and say “FUCK, MY FOOT!” You know it’s your fingers because that’s what hurts and the event occurred to your hand.

So I didn’t question it, I just started enacting my damage control plans for a depressive cycle. There is a period of time where the brain is in transit to where its new baseline is going to be for the duration of the cycle. During this period of time, you have a little time to try and keep it from getting out of hand. To slow and interrupt the decent; I did the following…

1. Wrapped up the conversation as soon as possible so I wouldn’t have to think about it. Adamantly shoved it out of my mind. Every time my thoughts would drift back to it, I would force myself to think of something else. I handled the little bit of time she wanted to discuss things; but when I felt the time was good I would shift the conversation away.

2. I immersed myself in activities that would take up my thought processes and not allow me to think about it. For me, that’s complicated video games and studying finance, economics, and liability law for my work and other projects. All of them are complicated as shit, all of them require a strong focus to make sense. This was complicated by my thought processes slowing down as the result of the depression; but shit happens. I dealt with it and stuck with the plan.

3. I stepped back from my mental health projects for a day. Didn’t want to think about the Disorder, my problems, or the problems of anyone else for about a day to give my brain time to reach its new baseline.

4. General conversation with some of the more positive, energetic people I know to let their energy help lessen my crash. It is absolutely true that your moods will feed on and reflect from the people around you. If you surround yourself with negative or depressive people; that’s where your brain is going to go. That doesn’t mean to sit around and dump your depression around; but general conversation with people who aren’t in the same dark place can help.

5. Music. Music helps me a lot. So I’ve been listening to a lot of upbeat, heavy, or speed type music that normally boosts my mood. If you sit around listening to dreary, depressing music; it will feed your depression and make it worse. And I assure you, I listened to that dark stuff plenty when I was less understanding of what my brain does when it’s being a pile of fucking shit.

I feel like using damage control for about a day after the triggering circumstance is long enough to let my brain hit its new baseline. Your mileage may vary.

In the past, a circumstance like this would have crashed me to about 1-2 with suicidal and self-harming thoughts. Nowadays, it’s more like a 3-4 which is depressed but not too morbid. Mostly just feeling null and void for however long the bullshit lasts.

Why Didn’t You Talk To Me?!
I know I’m going to get an earful from a handful of people when this runs. I’m not writing this post for myself. I’m writing this for people to see that I do still deal with my own shit. I’m writing it so normals can hopefully get a better idea of what’s going on in their loved one’s heads. I’m writing is so my Bipolar and Depressed readers can see that there are means to lessen the impact of unwell cycles if they learn their illness and how it affects them intimately.

This? This cycle is nothing compared to the morbid dregs of depression I used to dwell in.

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