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Love Is Not Greater Than Mental Illness

Love is not greater than mental illness. I’m writing that sentence out because I find myself needing to regularly tell people that love is a product of the brain. It’s not the heart, which pumps blood. It’s not the soul, an often debated construct of belief. Love is created, grown, and hosted in the mind. Therefore, love is just as vulnerable to mental illness as any other emotion or thought process.

Bipolar Disorder unwellness can create a fictional reality and emotions out of thin air. From the outside, it is incredibly confusing. From the inside, the fictional emotions and beliefs that arise from them seem as though they are reality. To say that, “they are not real” is incorrect. They are real in that the unwell mind is saying that “this is reality.” They are not real in that those beliefs don’t typically align with fact.

A person with a high degree of awareness, who retains enough presence of mind to listen to the people around them who can see when they are unwell, can attempt to counter that thinking by continuously reminding themselves that what they are experiencing is not factual and not base their decisions off of them. But, then there are people who are too unwell to see their illness, listen to supporters with rationality, or become convinced that they are being lied to.

“Why is my spouse being so awful to me now? We had a good relationship before!”

“Why is an otherwise loving parent now treating their kids like an afterthought now?”

“My significant other really loved our pets. Why are they so cold and ignoring them now?”

Mental illness would not be nearly as devastating if love surpassed it.

A majority of the people that reach out to me are the friends, family, and loved ones of the mentally ill who are trying to understand what is going on in the mind of their mentally ill loved one. The problem is that they do not have the appropriate perspective to accurately do that. They try to filter mental unwellness through the filter of how they experience and interpret life. It’s not the same.

A person with a typical mind may get angry with their partner but they still retain love.

A Bipolar mind that swings into mania can have that love overridden by the unwell cycle. Instead of anger with love, the person may wind up with intense anger and frustration, impeded decision making ability, impulsiveness, recklessness, racing thoughts, in addition to a removal of the filter between the brain and the mouth. Irrational emotions that are not based in reality flow through actions and words, free to deal drastic damage to a loving relationship.

And then the cycle will end sooner or later. The Bipolar person goes back to who they were before the manic cycle blasted its way through. Then the people involved are left to sweep up whatever ashes they can, because we can’t take back actions or words. All we can really do is apologize and try to put it back together as well as it can be.

“But, if they really loved me, they wouldn’t have done XYZ!”

No. Love is not greater than mental illness. In fact, I would argue that love is the single most vulnerable victim of mental illness, because it’s something that is an essential part of every person’s existence in some way.

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To the Parents Trying to Get Through to a Mentally Ill Child

I receive correspondence from people dealing with a wide variety of issues relating to mental illness. One of the more common themes include parents, usually mothers, who are trying to figure out a way to make their adult child realize they need help and work toward recovery. I’ve talked to parents who have developed severe depression and anxiety, who have claimed strokes and heart attacks from the stress, who have gone so far as to take out additional mortgages to try and fund rehab, and far more.

In many cases, these parents have gone to mental health groups or counselors of their own. They’ve been told about the need and importance for boundaries; but feel that they can’t do these things to their child because of potential repercussions like violence, homelessness, self-harm, or suicide. All are very real possibilities when it comes to Bipolar Disorder and other volatile mental illnesses. That’s why it is vital to have the input and support of a qualified, licensed mental health professional. Being that I am not, it is not my place to tell you what you should do in that kind of situation other than seek professional help. Instead, I want to address the internal struggle of those parents.

On Waging the War…

I look at my mental wellness and my efforts in trying to help other mentally ill people and their loved ones in the context of fighting a war. You need a loose strategy that can be adapted as you push towards your goals. You need to have and manage resources. In war that includes troops, morale, weaponry, and money to keep the machine going. In mental health it’s professionals, your own emotional and health, therapy, medications, and money.

In war, you deploy your resources in a way that will push you closer to a victory. You do not want to arbitrarily waste your resources on battles that will not bring you closer to victory. In war, your troops may have advanced on and taken a hill. Intelligence indicates that a massive counter-attack is coming. Do you hold the hill? Does it serve a strategic importance to keep your troops on that hill and commit additional resources like air support and artillery to ensuring they hold it? Or is it a better idea to withdraw and let the enemy retake it so you can conserve resources and keep your troops in fresh, fighting shape for future actions?

In mental health, the wise will pick their battles in a similar way. You commit your resources when they have the greatest ability to make an impact and serve a strategic purpose. The most common piece of advice I give to people is don’t bother arguing with a Bipolar person who is manic. It serves little purpose. On the off-chance you actually do get through to the person in that moment, their instability can wipe out any perceived gains that you’ve made. What’s more likely to happen is you end up throwing fuel on the fires of their unwellness, anger them more, drive them further into instability. Then you have the emotional energy that you’ve expended in the form of your own anger, sadness, and frustration with the lack of meaningful gain.

In trying to get through to a mentally ill loved one, you must conserve your resources because it can take years for a person to not only realize they need help, but foster the desire to change their situation. You cannot sacrifice your mental and physical health, career, money, and home for someone who is not ready to help themselves. If you do, then you may not have those resources available five or ten years down the road when they could have been employed to make a real difference.

I Can’t Do What Is Suggested to My Child…

No one in this world is going to love your child as much as you do. No one. No one is going to put up with as much shit, sacrifice, or care as much as you do. What happens when you are no longer there? Will they end up on the streets? Will they commit suicide? Will they jump into a terrible relationship to just not be alone or on the streets? Will they turn to drugs or alcohol to escape? Maybe they are already doing those things now; but the difference is you are alive and reading this right now. That means you have the potential to be there for them and crack through the distorted perception that mental illness creates.

The boundary setting suggestions that mental health professionals make serve different purposes. Not only do they help you retain your sanity and well-being, but they also contribute to a controlled descent based on choice, whether that was the intention or not. Enforcing these boundaries forces the person to acknowledge that they have choices that will have repercussions. That helps to contribute to a controlled fall where hopefully the person won’t have to hit rock bottom to realize they need to change.

This is not something you are doing TO your child; this is something you are doing FOR your child. In following the recommendations of your mental health professionals, you are fighting the war FOR your child, which will hopefully push them towards the realization that they need to fight, too. Nobody accidentally recovers from a serious mental illness like Bipolar Disorder. Recovery is a major victory in a long-term war that requires a great deal of fighting, effort, and work. It is not something that can be handed to another person.

Your child, or loved one, is the only one who can truly help themselves. Enabling that person to realize it and that they have the strength to overcome will be two of the hardest fought, bloodiest battles in the war. Thus, you need to pace yourself to make sure your own life and well-being doesn’t get destroyed in the process. If the situation is so bad that your professional is suggesting extreme measures, you can’t tell yourself you can’t do them. You may not have a choice if you want to win the battle.

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In Search of the Good in Your Fellow Man or Woman

Ever say the phrase, “I try to see the good in other people?” I hear it all the time from the people that reach out to me, particularly from people who are in abusive situations. It’s a romanticized sentiment that is not really applicable in the real world. Not all people are good. Some people only have a sliver of good in an ocean of bad. Others are a majority good but have a sliver of bad that is so negative that it can’t be overlooked. There are others simply project being good to the world and do awful things behind closed doors. And there are plenty of people who are just entirely apathetic to it all.

The people that announce “I try to see the good in other people” are essentially announcing to the world that they are an easy target. In my experience, these individuals will cling to the fragments of good that they see in another person, like an abusive partner, to further convince themselves that this person that they love is a good person and thus deserving of their love. And it’s not limited to romance. It’s parents, siblings, children, or really any interpersonal dynamic.

They hold onto this idea that if they are good, loving, and compassionate to this person, that the person will notice it, respect it, and return love. I don’t believe respect and love work that way. There are different types and levels of both. The respect you have for yourself is different from the respect you have for an enemy is different from the respect you have for a loved one. And love is the same way. There are different levels, types, and strengths of love.

I never look for the good in anyone. I look for their humanity and what makes them who they are. In doing so, it doesn’t really surprise me when someone does something good or bad. There seems to be a common belief that good and bad are absolutes; but I’ve known quite a few people who have done bad things because they felt they had no other choice. Those decisions can be driven by circumstances like mental illness or environment. Actions that are good can certainly have bad elements to them and vice versa.

As someone who is High-Functioning Autistic and tends to see things in black and white, this was a challenging thing to identify and accept. My brain just doesn’t do shades of gray very well. But that’s life, isn’t it? It’s all just different shades of gray. The color of gray you interpret a situation as is dictated by your emotions, perception, and life experiences. What’s good and bad to me may not necessarily be good or bad to you. That’s totally fine.

Instead of good or bad, it’s more helpful to look at the destructiveness, motivation, and that person’s response to their actions. We, the mentally ill, can do some pretty awful things to ourselves and other people while we are unwell. I understand that because I’ve lived that life. As a result, I’ve been able to forgive some pretty serious unwell actions out of others because I could see they were trying their hardest to rectify the situation and change it.

But then you have the people who simply do not care how their actions affect you and your life. They use kindness and compassion as leverage and a weapon against the people that care about them. Well, I see no reason to be a victim to those people. If they can’t understand or don’t care how damaging their actions are, then why should anyone suffer along with them?

Maybe they will see the error of their ways in the future or maybe they won’t. Either way, will you still be healthy and well when that time comes? Or will the pain, chaos, and misery destroy you in the process? Compassion and understanding are limited resources and will dry up sooner or later. I’ve watched that destruction happen numerous times. You have to be the one that ensures it doesn’t happen to you. No one else can do it for you.

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On Mental Health Recovery and Restless Demons

Recovery is never a matter of total perfection. It can’t be. There are too many variables that can affect the outcome. In the past six months, I’ve had two very minor escalated cycles; one of which ended less than a week ago. They were so minor, in fact, that I didn’t manifest any of the physical symptoms that I usually have when I escalate. I was sleeping consistently and had no pressured thoughts or speech. What did occur was the warping of emotions and perception that fueled several bad decisions. I couldn’t tell that I was unwell until I hit the wall and crashed into a black depression, signaling the end of an escalated cycle.

During that cycle, demons that I had thought I put to sleep years ago through a lot of self-reflection, study, and therapy came back out to play. As a result, I overran boundaries I set for myself, as well as disrespectfully trampling all over those of a new friend and breaking their trust. That was a bitter pill to swallow given how much time and effort I’ve sunk into creating an atmosphere for trust and respect. Gone in a matter of days. Thank you, Bipolar Disorder.

I was completely blind to the years of effort, knowledge, and experience I had put in to correcting these social issues I struggle with due to High-Functioning Autism. I made every bad decision I could possibly make, decisions that I had learned years ago were completely wrong and worked to correct. I was listening but not actually hearing what this other person was telling me.

Recovery is not always clean and neat. Demons that you defeat can come back to haunt you later. You can’t look at it as a failure, just a part of the overall process. It’s one of the many bumps in the road that you will undoubtedly hit as you try to move forward and be better than you were yesterday. Maybe you will be able to salvage the situation; or maybe you’ll just have to watch yet another thing burn on the funeral pyre that is Bipolar Disorder.

It’s okay to stumble. All you can do is try to mend the situation as best as you can, if possible. And if it’s not possible, sweep up the ashes and keep going because tomorrow can be better. It doesn’t make you stupid, foolish, or mean you’re derailing. Mistakes happen. Shit happens. You just have to take it in stride, own your actions, try to fix them where you can, and keep going forward. You’ll be okay.

I’ve found that a number of people think that recovery means total functionality and normalcy. But, it really doesn’t. A lot of times it boils down to attaining a great deal of control and management over one’s dysfunctions and challenges, but still needing to put out the occasional fire that can pop up. It’s hard to unmake decades of negative beliefs or behaviors. And even if you do? The demon can still be there, lurking in the darkness, just waiting for you to slip up a little bit so it can come back out to play.

Learn from it and work towards not making those same mistakes again.

I’m not one to air out personal grievances or problems with others, but I felt that I would share this circumstance with you, the reader, to demonstrate that it doesn’t matter how much you know, how rigid you are with your medication, how much time you spend in therapy, or how much experience you have; Bipolar Disorder can and will still cause disruption in your life. That’s just the way it goes.

Seems it may be time for a medication adjustment of my own.

And to the person I wronged, I am deeply apologetic for my disrespectful behavior and profoundly sad I destroyed your trust. I was escalated and did not realize it until my brain crashed and burned. The person you saw in that time is not who I am; it was a fragment of who hypomanic me can be. 

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Wounds Can Close but Not Fully Heal

The path of recovery and change is long and hard.

You can spend twenty years working on a dysfunction, doing everything you can to learn how and why it happened, work to make sure it won’t happen that way again, but end up with it thrown right back in your face. It starts with a simple error in judgment and can easily start to run away from you. You get sucked up into the emotions that you thought you had overcame a long time ago. They fuel more bad decisions, you don’t listen to the people you should, and you only look forward with blinders.

The next thing you know, you’re staring at yourself in the cracked mirror that you thought you had fixed years ago. All of the horrible feelings that went along with it, all of the crushing blackness of depression and self-loathing, is sitting right there on your shoulder again. It laughs and mocks. It digs and picks at you. It will try to throw you straight back down into the hole you spent years climbing out of.

But, you have to forgive yourself. You have to acknowledge you’re human and will make bad decisions. And it doesn’t mean you are less of a person or stupid. It’s just the nature of the road that leads to self-improvement. The best approach is to own it, do your best to repair it, and move past it.

In related subject matter, I can’t tell you how stupid I used to think adjusting negative self-talk was. Like many people, I would colossally fuck up, look in the mirror, and tear myself to pieces. Many moons ago, I did end up learning from a therapist that it can play a major role in helping to alleviate future crashes and depression. The more you dwell and focus on it, even in using negative language against yourself, the more fuel you throw onto the fires so they can burn hotter and longer.

So for the people out there who think the idea of positive self-talk is stupid (which I did for many years), it’s really not. It’s just no one really explains that it helps adjust the whole way in which you perceive yourself and deal with your mistakes. It’s not a one time thing and it’s not going to drastically swing things for the positive, but it does make dealing with the lows a bit easier. It’s one small piece of the overall picture.

You’ll have setbacks, you’ll make mistakes, and ghosts from your past may come back to haunt you from time to time. The important thing is to not dwell too long on them. Acknowledge them, work to repair the damage, and move forward. And try not to be too much of an asshole to yourself when it eventually does happen; because it will.

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The Secret to Maintaining Your Sanity While Helping Another

Many people in my audience are here because they are attempting to better understand mental illness, help a mentally ill loved one, or better help themselves. The ups and downs associated with the process are emotionally taxing and difficult to handle. So today, I want to share an important tip that can significantly ease a lot of the stress and emotional turmoil that goes along with not only this process, but several other aspects of life.

That is: work to reduce the amount of emotion you invest in the process or outcome.

What the hell does that mean?

In trying to help a mentally unwell person, their instability can be a great deal of stress and anxiety. It’s only natural to start letting hope peek in when they appear to be balancing off. Maybe this time they will finally be ready to seek help? Maybe this time they’ll listen to reason and their doctor? Maybe this time they will take their medication as directed?

In a situation like this, it’s also possible that they don’t make the right decisions, aren’t ready to commit to their wellness path, or have a bad reaction to the medication they do take. Investing hope into that situation is fruitless because the pursuit of wellness and stability is not a straight line. It has it’s ups and downs. It’s a long road to travel and there are many obstacles that can knock a person off their course. And most people, I find, have to learn things the hard way. You don’t want to find yourself getting angry, frustrated, sad, or depressed because things didn’t resolve how you thought they would.

That is not to say that you should never be emotional. You’re human. You’re going to be. You should celebrate successes and acknowledge failures; just don’t celebrate or mourn until you have an actual, tangible reason to.

Work to maintain neutrality and it will make things much easier in the long-term. The ability to last long-term is important because the realization that one needs help and the pursuit of wellness often takes years. You can’t compromise your own mental and emotional health in the process of trying to help someone else.

And really, it applies to most other areas of life as well. It dramatically reduces the emotional impact of the process of pursuing your goals.

Far too many people look at things like failure and rejection as an end all, be all. They’re not. They’re just part of the process of succeeding. That’s why you can’t let your emotions dictate a setback, failure, or rejection as a devastating end.

Let me frame it in one of the most common examples that people write to me about.

The mind of a Bipolar spouse runs screaming into an unwell cycle. The cycle is burning hard for months with all of the “fun” that goes along with it. Eventually, the cycle ends and the Bipolar spouse reaches back out because their perspective is finally starting to clear up. So, what is the Supporter spouse now feeling? Hope since it appears the person they loved is back and clear again? Anticipation that the situation is changing for the better? Relief? Happiness? Comfort? It can be any number of things.

What happens to the emotional state of the Supporter spouse if a few days later, Bipolar Disorder takes off into another drastic swing and all of those relief-based emotions are yanked out from under them? What happens if the Bipolar person realizes they need help, but can’t get in to see their doctor before another cycle takes hold and convinces them that they are fine? That it’s everyone else that’s fucking crazy!!!  Not me!!! And then you find yourself back to square one after months of suffering with little to show for it.

You must work to maintain your wellness, balance, and stability while trying to love and help a mentally unwell person or their instability will destroy your emotional health. It is very common for Supporters to develop their own mental illnesses as they try to cope.

I use a very simple process myself.

1. Identify what the long-term goal is.

2. Temper emotions by keeping your eye on the long-term goal.

3. Force yourself to not dwell on the immediate successes and failures.

4. Repeat until you reach the long-term goal.

Seems simple, right? It’s not. At all. It takes time and practice to get used to; and you’re not going to get it right all of the time. I mean, you don’t need to look too deeply into my work to find anger or frustration. I definitely have it and experience it still. But, it’s a lot less intrusive than it used to be. Even a small gain in control over these emotions can make the overall journey much easier.

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Relationships Self-Help

Five Tips for a More Harmonious Bipolar Relationship

I had a recent request for some tips on relationships where both partners have Bipolar Disorder. The following would be applicable in about any relationship, but I feel as though these points are the most important for a relationship involving mental health and stability.

1. Both partners need to have the same attitude regarding their wellness.

You can’t have one partner who is recovered and the other partner just doesn’t put in any effort into recovery. Why? Loving and living with an unstable mentally ill person is a hell of a lot of stress. Stress can easily serve as a depressive or escalation trigger that can cause unwellness in a person with a mood disorder. Minimizing stress is an important facet of mental health management for many.

2. Remember that wellness is an individual path.

I cannot count the number of times I’ve heard some variation of, “Well, my boyfriend tried this, so I’m going to try it, too.” or “Well, my wife had a bad reaction to that, so I’m not going to try it.” Your path is not the path of your partner. Their success with a given treatment or approach has zero affect on yours. You can walk the path together, but everyone experiences their mental illness in different ways. And we all have individual body and brain chemistry that means you can’t know how a medication is going to affect you until you’ve taken it as directed for as long as it takes to reach its functional range.

3. Work to not respond to your partner when emotions are running high.

Attempt to approach problems and challenges in the relationship from a position of neutrality. The couple can easily destabilize one another into unwellness by constantly fighting. Take some time to cool off and let your emotions settle before you toss more fuel on the flames. That small campfire can easily explode into a volcano of emotion. Work on improving communication in the relationship. There are tons of self-help books out there about it or you may want to consider a relationship counselor to work on communication skills.

4. Have and enforce boundaries to keep yourself well and healthy.

In my experience, a Bipolar partner who is doing better than their partner will often flex their own boundaries. They understand what it’s like to be misunderstood or for people to not have patience with what they are dealing with and want to be compassionate. That person may wind up destabilizing as they bend their limits. Boundaries are important because they help you stay balanced and healthy. I’m not saying to never flex boundaries, just be mindful when you make that choice and don’t flex them too far. I will note, this is just an observation from interacting with many mentally ill couples.

5. Work to turn your home into your sanctuary.

Ideally, a home should be a sanctuary, a place of peace and respite where a person can retreat after dealing with the bullshit of their day and life. Life is hard and stressful. Both partners committing to making the home a place of peace (as much as it can be) will create a lower stress environment. Of course, that is easier said than done…which is a stupid phrase because everything is easier said than done. Regardless, it is worth the effort so you don’t have the additional stress of dreading your home life on top of everything else.

If you would like for me to write about something specific, please feel free to let me know in the comments!

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General

Bipolar Disorder is Not a Gift

I wish I could put more expletives in the title and still have it be acceptable through common social distribution channels. Bipolar Disorder is a brutal mental illness that can result in suicides, deaths, destroyed quality of life, abuse, substance abuse, destroyed relationships, and so much more. What ingenious think-tank decided it was a good idea to promote a mental illness that regularly features delusion as a gift to be cherished!?

And why is it, that every time I see one of these pieces come out of some advocacy group, they always use the most well-adjusted and healthy looking people to promote it? The last one I saw featured an aesthetically pleasing woman with a gleaming white, broad smile. Nary a trace of coffee or cigarette stain to be found! You know what that makes me think? They hired an actress and gave her a script.

Why not show the OTHER faces of Bipolar Disorder? The mentally ill that end up homeless? The mentally ill that end up disconnected from reality and turning their families inside out? The people that cycle in and out of mental institutions or prison?

I suppose “mental illness can be hell” isn’t as great of a promotional point and slogan.

I have to wonder what demographic of people they are trying to reach with this narrative. The people who are not diagnosed? That can’t be right because they wouldn’t have the context to understand the message. The people who are diagnosed but not seeking help? I don’t know about you, but it was a rare time I would have considered Bipolar Disorder a gift when I was alternating between suicidal depression and hypomanic instability and rage. That doesn’t seem right either.

The only groups it seems to be relevant to are the people who trend towards euphoric escalations and the artsy types who view mania as their muse. Or, maybe, they simply chose that angle because it has such a dominant narrative in Bipolar communities and social media groups around the internet? I don’t know, but it’s an ignorant message that I believe alienates more people than draws them in.

Why not present a realistic message? Why not something like: “Hey, Bipolar Disorder is a brutal, difficult mental illness that can destroy your life. Seek help so you don’t wind up insane, homeless, and with a family that hates you by the time you’re 50, assuming you don’t kill yourself by then, because you didn’t do shit to try to control it.”

And I feel reasonably certain I’m going to get angry comments from people who experience euphoria about how it feels so great and is their muse and blah blah blah. Just because something feels great doesn’t mean it’s good for you. If you have anyone in your life that loves and cares about you, I would be willing to bet money they are scared shitless during euphoric escalations because who knows where the limit is at?

Mania as a muse? No. Mania is a creative crutch that far too many Bipolar artists milk as their “tragic gift”. You want to create interesting, inspired art? Practice. It is so very common for unstable Bipolar people to circulate lists of artists or other creators as personal validation. And it’s not.

Those people were not special because of their mental illness. Those people were special in spite of their mental illness.

Bipolar Disorder is not a gift. It’s a challenge that needs to be controlled and overcome. And the stakes are far, far higher than any of those idiotic campaigns ever insinuate. Be greater than the Disorder by working with your mental health professionals to combat it.

Don’t delude yourself into thinking that the pain and misery of this mental illness is a gift to be cherished. It’s fucking not.

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Mental Illness and The Importance of Professional Diagnosis

There are a lot of people in the world that are looking for easy, convenient answers. Not a week passes when I don’t receive correspondence from someone asking, “Am I Bipolar?” or “Is my loved one Bipolar?” And my response to all of these people is the same. “I’m not qualified to make that kind of statement. You need to discuss everything you just told me with a mental health professional.”

It’s not hard to find statements on the internet, throughout mental health websites, and advocates talking about how important it is not to self-diagnose or attempt to diagnose a loved one. But, I’ve yet to see anyone really address the question, “why?”

It’s not that difficult to tell if someone needs to be speaking to a mental health professional. A mental illness is defined as some form of behavioral or mental pattern that impedes a person’s ability to meet the basic needs of human existence, often compared against Maslowe’s Hierarchy of Needs as a rule of thumb. Once you understand that, it is much easier to see in the way a person conducts their life.

What is not so clear are the details of that person’s history, life, and medical history. Furthermore, many mental illnesses look very similar. People regularly confuse Borderline Personality Disorder with Bipolar Disorder because they both can include drastic swings. However, the details of those mental illnesses differ greatly.

Details are vitally important. A lot of loved ones of the mentally ill do not get to see all of the details that will really help explain the whole picture. We keep a lot buried and hidden away from others. Furthermore, many mentally ill people do not always understand what details point to symptoms. It’s easy to view a “minor quirk” about ourselves as just part of our personality instead of a problem.

That makes the work of mental health professionals all the more difficult because we don’t necessarily know what information needs to be communicated. That’s a knowledge that we gain over time as we grow to understand our mental illness and how it manifests in each of us, specifically.

The biggest threat of self-diagnosis is convincing yourself that you have a certain mental illness. The biggest threat of attempting to diagnose a loved one is convincing them that they have a certain mental illness. Because an unwell mind can latch onto that and hold tight to it as an explanation for why things are the way they are. Why is that bad? What if the person becomes convinced that they have the wrong mental illness? How long is it going to take to convince that mentally ill person that they do not have that mental illness? Months? Years? The rest of their life?

Diagnosis by a professional is the only way to go. Yes, misdiagnosis happens. The doctor may not be as knowledgeable on a particular mental illness, the patient may not be cooperative or communicating, important details may get overlooked. There are numerous reasons for misdiagnosis even in the best of conditions. But, that can be corrected by the patient educating themselves on their diagnosis, working out how it affects them specifically, and openly communicating with their professionals about what they learn and the affects of their treatment.

If you take nothing else from this blog post, I want you to understand this. There is NOTHING simple about confronting, fighting, and overcoming mental illness. Even getting a correct diagnosis can be hard and can take time. Do not make that process more complicated for yourself or your loved one by attempting to diagnose. Leave that to qualified professionals.

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Cutting Medication Costs With GoodRX.com

I want to start this blog post by informing you all that I am NOT in any way affiliated, receiving compensation for, or have any connection at all to GoodRX.com. I am writing this blog post because medication is a pretty major part of managing and maintaining Bipolar Disorder, so finding ways to cut costs on medications is generally a good thing.

What is GoodRX.com?

GoodRX.com is a search engine, of sorts, that compiles and compares pharmacy pricing information to help you find the lowest cost on your prescriptions. Their service offers different coupons as they come available to further help the user cut their cost. They do not require a sign up or a credit card, in fact, their service and app are both free. If you create an account, you get a few additional benefits such as: price alerts, new coupons, finding the lowest average price to get all your prescriptions at a single pharmacy, as well as updates sent to your email.

As of this writing (7/8/2016), they currently have 27,000 reviews and a 4.7 rating on the Google Play Store for their app.

So, what’s the catch?

GoodRX.com is not forthcoming about how they are actually making their money. In the research I conducted, I mostly agree with this write up by Ejovi Nuwere, as well as his concerns. Namely, that they have partnered with Pharmacy Benefit Managers to generate sales. The PBMs earn a transaction fee in exchange for driving customer traffic to certain pharmacies. The marketer (GoodRX.com) is then paid a transaction fee from the PBMs. Essentially, a type of internet affiliate marketing.

The other concern is information. Data is king in marketing. Users of this service are essentially providing “free” data to GoodRX.com on their prescriptions and whatever other personal information they provide. It is written into into their Terms of Service that they will not sell that information. However, if GoodRX.com was created and funded by another company, that information will go to that company. So, for example, if Pfizer is the one that paid for it, then Pfizer would have access to those assets because it’s not “selling” the information.

A concern that Nuwere puts forward is the sale and acquisition of the company. If the company is sold, any data collected would go with it as part of the company’s assets, because it is not technically a sale of the data. It would be a sale of the company.

Should you use GoodRX.com?

It depends on how you feel about providing information to a third party. You can use their website and service without actually signing up, thus you can avoid providing any directly linked personal information; but they are still collecting data, even if it’s not directly attached to a name.

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