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Coping strategies, early detection and prevention

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What have you learned to cope?
I wanted this thread to be for sharing any coping strategies/skills you have learned through out the years, either from experience, therapy or specific research sources.

I'm trying to be more aware of the early onset of symptoms, learn to better identify them and figure out practical coping strategies before the episode gets out of control in order to implement some early preventative measures.

I would love to hear what you have learned as far as coping skills, identifying triggers/flags and things you have done to help lessen the impact of the episodes in the earlier stages.

Does anyone here track their moods, cycles, episodes? Do you feel that helps?
How has therapy, if at all, helped you with coping and managing when the episodes do occur? What kind of therapy have you had or found helpful? For example: cognitive therapy? psycho dynamic etc. What about group therapy? Anyone here tried group therapy? If so, has that been helpful...if so, why?

I feel like my episodes are becoming more frequent and therefore constantly interrupting my life and since my experience with medical treatment hasn't been very good, i could use all the help i can get and would really appreciate your input as to what has successfully worked for you. I just feel like this disorder has exponentially taken over my life and i need all the input/advice/info i can get. Links and info. pages appreciated as well.
 

rossignol

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I had signs when I was a child that I am bipolar. I would bite when I was happy, wet the bed, not be in control of my emotions, have nervous ticks and habits, feel like the world was on my shoulders.... etc.

If I had a child who showed symptoms I would get them into cognitive therapy. Because of my responses to life, I put myself deeper into situations that made my life more stressful and my illness grew.

When I couldn't manage life anymore and couldn't cover up my illness, I was forced to get help, only after I made a mess of it. I found group therapy helpful after I shut myself out of life and people for so long. It helped me begin to relate to others again.
 
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madison1101

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The coping skills I have learned in therapy are visualization exercises, Mindfulness Meditation, deep breathing, and exercise. Walking is a cheap way to exercise. All of these behaviors help my brain produce the feel good chemicals I need to stay stable. If you have a Smart phone, there is a Mindfulness Meditation app you can download.

Hope this helps.
 
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TheMainException

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Sleep has been the biggest help in my life. Getting solid sleep is one of the foremost ways to prevent mood changes, I've found. However, it doesn't stop them all. Going to bed and getting up at the same times are a good start though.

I do keep a mood chart, just a really simple thing where I give my mood and productivity a number, write the hours I slept, and a little blurb about some specifics I want to make note of...that way, when I'm depressed, it doesn't feel like an overwhelming task. This can be a great aid in figuring out triggers and early warning signs. I consider it the second most important thing in combatting the sway of moods in my life.

I've only recently started counseling for bipolar, so I'm not sure if it's helpful yet. I did get the bipolar workbook (you can probably get it online for not too much money), and that's been cool to check out and use, so i suggest taking a look at that.
 
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Sleep has been the biggest help in my life. Getting solid sleep is one of the foremost ways to prevent mood changes, I've found. However, it doesn't stop them all. Going to bed and getting up at the same times are a good start though.

I do keep a mood chart, just a really simple thing where I give my mood and productivity a number, write the hours I slept, and a little blurb about some specifics I want to make note of...that way, when I'm depressed, it doesn't feel like an overwhelming task. This can be a great aid in figuring out triggers and early warning signs. I consider it the second most important thing in combatting the sway of moods in my life.

I've only recently started counseling for bipolar, so I'm not sure if it's helpful yet. I did get the bipolar workbook (you can probably get it online for not too much money), and that's been cool to check out and use, so i suggest taking a look at that.

i started keeping a log of my symptoms/episodes/duration/patterns etc. Thanx to doing that, i did discover patterns, cycles and differences in mood when sticking to a regular/natural sleep cycle, which is a huge problem i have had all my life. I shared the mood tracking with my shrink, thinking it would help her assess me better and adjust my meds accordingly if needed and get this....she said doing that was obsessive behavior. Mind you i see her for only min. once a month and it's not one of those detailed mood trackers...it's just a planner where i record the date an episode began and ended and the hours i slept. Last time i visited her, she asked how i was doing, ...i pulled out my planner to see the length my last depressive episode lasted and she rolled her eyes back, cocked back her head and said: "we've already established you have bipolar disorder, we know you have patterns in your cycles, but you are obsessed with this. yada yada yada....she then decided she wanted to refer me to another Dr. and basically dump me. I said: "how is this obsessive? the only reason i log this information is for you...because you are my dr. Why else am i coming to see you if not to inform you of my symptoms?
Her basic advice to me for the last 2 yrs of never adgusting or changing my meds despite my worsening and more frequent episodes is: "oh don't give it another though....just live your life".
clinic govt. drs. are just gems aren't they?
 
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Sleep has been the biggest help in my life. Getting solid sleep is one of the foremost ways to prevent mood changes, I've found. However, it doesn't stop them all. Going to bed and getting up at the same times are a good start though.

I do keep a mood chart, just a really simple thing where I give my mood and productivity a number, write the hours I slept, and a little blurb about some specifics I want to make note of...that way, when I'm depressed, it doesn't feel like an overwhelming task. This can be a great aid in figuring out triggers and early warning signs. I consider it the second most important thing in combatting the sway of moods in my life.

I've only recently started counseling for bipolar, so I'm not sure if it's helpful yet. I did get the bipolar workbook (you can probably get it online for not too much money), and that's been cool to check out and use, so i suggest taking a look at that.

Regarding sleep cycles---you might find these articles interesting:


New insights about Bipolar disorder treatment

Bipolar Disorder News | 29 May 2012
The extreme 'mood swings’ associated with bipolar disorder have been associated with disruptions in circadian rhythms for a number of years now. Circadian rhythms is the body’s internal clock system that governs your day and night states. For years lithium chloride has been one of the main treatments for bipolar disorder. However, there has been a paucity of research to find out whether and how lithium impacts on the brain and peripheral body clockwork.
But studies at Manchester University have shed new light on the topic.
"Our study has shown a new and potent effect of lithium in increasing the amplitude, or strength, of the clock rhythms, revealing a novel link between the classic mood-stabilizer, bipolar disorder and body clocks," said lead researcher Dr Qing-Jun Meng, in the University of Manchester’s Faculty of Life Sciences.
"By tracking the dynamics of a key clock protein, we discovered that lithium increased the strength of the clockwork in cells up to three-fold by blocking the actions of an enzyme called glycogen synthase kinase or GSK3.
"Our findings are important for two reasons: firstly, they offer a novel explanation as to how lithium may be able to stabilize mood swings in bipolar patients; secondly, they open up opportunities to develop new drugs for bipolar disorder that mimic and even enhance the effect lithium has on GSK3 without the side-effects lithium salts can cause."
These side-effects include nausea, acne, thirstiness, muscle weakness, tremor, sedation and/or confusion. Promisingly, GSK3 inhibiting drugs are already in development, as they have been shown to be important in other diseases, including diabetes and Alzheimer's disease.
Dr Meng added: "Lithium salt has a wide spectrum of targets within cells, in addition to GSK3; drugs which only block the actions of GSK3 would therefore have the major advantage of reduced 'off-target' effects of lithium.
"Our study has identified the robust rhythm-enhancing effect of GSK3 inhibition, which has potential to be developed as a new pharmacological approach to regulate body clocks. The implications of our study are that there may also be beneficial effects leading to new treatments for bipolar disorder, and this now needs to be tested."
--------------------------------------------------------------------------

How the brain's daily clock controls mood: A new project

Published on Apr 24, 2012
Written by Nicole Casal Moore

ANN ARBOR, Mich.—A math professor at the University of Michigan will lead an international, $1 million project examining the links between bipolar disorderand abnormalities in the circadian, or daily, rhythms of a mammal's internal clock.
In humans, this grain-of-rice-sized timepiece is a cluster of 20,000 neurons right behind the eyes. It's called the suprachiasmatic nucleus (SCN) of the brain's hypothalamus, and it is responsible for keeping our bodies in synch with our planet's 24-hour day.
Scientists believe it's off kilter in patients with bipolar disorder. Some of the genes implicated in the disease are the same ones that regulate the biological clock. The common treatment drug lithium is known to change the period of that clock, and when manic patients are forced to stay on a 24-hour schedule, many experience a reprieve from the episode, said principal investigator Daniel Forger, an associate professor in the U-M Department of Mathematics.
Exactly how the brain's clock controls mood remains a mystery, though. This new project aims to change that through complex mathematical modeling and experiments involving mice.
"We're going to continuously monitor the state of the animals' internal clock. We'll watch it tick, use mathematics to understand its function and test how it controls mood," Forger said.
The researchers will examine the brains of depressed and normal mice and look for abnormal electrical activity. The researchers aim to determine what state of the clock region corresponds with different moods in the animals.
"We're going to learn an awful lot about the circadian clock, which could also, in addition todepression, play a role in Alzheimer's, cancer and heart attacks," Forger said.
Also involved in this project are Toru Takumi, a professor in the Laboratory of Integrative Bioscience at Hiroshima University in Japan, and Hugh Piggins, a professor of life sciences at the University of Manchester in England. The project is funded by a competitive international Human Frontier Science Program Grant, which supports basic life science research with funding from 13 countries and the European Union.

Related Links:
• Daniel Forger: UM Mathematics-FacultyDetail
 
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TheMainException

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i started keeping a log of my symptoms/episodes/duration/patterns etc. Thanx to doing that, i did discover patterns, cycles and differences in mood when sticking to a regular/natural sleep cycle, which is a huge problem i have had all my life. I shared the mood tracking with my shrink, thinking it would help her assess me better and adjust my meds accordingly if needed and get this....she said doing that was obsessive behavior. Mind you i see her for only min. once a month and it's not one of those detailed mood trackers...it's just a planner where i record the date an episode began and ended and the hours i slept. Last time i visited her, she asked how i was doing, ...i pulled out my planner to see the length my last depressive episode lasted and she rolled her eyes back, cocked back her head and said: "we've already established you have bipolar disorder, we know you have patterns in your cycles, but you are obsessed with this. yada yada yada....she then decided she wanted to refer me to another Dr. and basically dump me. I said: "how is this obsessive? the only reason i log this information is for you...because you are my dr. Why else am i coming to see you if not to inform you of my symptoms?
Her basic advice to me for the last 2 yrs of never adgusting or changing my meds despite my worsening and more frequent episodes is: "oh don't give it another though....just live your life".
clinic govt. drs. are just gems aren't they?


WOW. That sounds like one of the worst psych's I've ever heard of...and I thought my last one was bad. When they get to be know-it-all's, that's when it's time to find a new psych.

Those with bipolar need a way to see what is going on in their lives amidst the confusion of the illness. Without a more objective format for recording our moods, we can't as easily see what is going on and how our life is effected by the illness. It simply makes sense.

Schrodingers_cat_lives: Thanks for that info. That's really good stuff.
 
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Jer

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i started keeping a log of my symptoms/episodes/duration/patterns etc. Thanx to doing that, i did discover patterns, cycles and differences in mood when sticking to a regular/natural sleep cycle, which is a huge problem i have had all my life. I shared the mood tracking with my shrink, thinking it would help her assess me better and adjust my meds accordingly if needed and get this....she said doing that was obsessive behavior. Mind you i see her for only min. once a month and it's not one of those detailed mood trackers...it's just a planner where i record the date an episode began and ended and the hours i slept. Last time i visited her, she asked how i was doing, ...i pulled out my planner to see the length my last depressive episode lasted and she rolled her eyes back, cocked back her head and said: "we've already established you have bipolar disorder, we know you have patterns in your cycles, but you are obsessed with this. yada yada yada....she then decided she wanted to refer me to another Dr. and basically dump me. I said: "how is this obsessive? the only reason i log this information is for you...because you are my dr. Why else am i coming to see you if not to inform you of my symptoms?
Her basic advice to me for the last 2 yrs of never adgusting or changing my meds despite my worsening and more frequent episodes is: "oh don't give it another though....just live your life".
clinic govt. drs. are just gems aren't they?

She sounds useless. I would try and get someone else. I guess she either doesn't 'believe' in being bipolar, or doesn't understand it (or perhaps how it can vary). I know at one point I had 2 pychologists, one normal and one bipolar expert. I found it good as it balanced out. The bipolar expert perhaps blamed too much on bipolar - basically all issues are from it and none from your family background so only look at the future. The other pydchologist didn't fully understand bipolar fully, and was happy to admit it. However it was good talking about past issues. Just i don't have the money to carry on now. So yes, get someone who understands as the last thing you need is someone who is supposed to help making it worse.
 
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WOW. That sounds like one of the worst psych's I've ever heard of...and I thought my last one was bad. When they get to be know-it-all's, that's when it's time to find a new psych.

Those with bipolar need a way to see what is going on in their lives amidst the confusion of the illness. Without a more objective format for recording our moods, we can't as easily see what is going on and how our life is effected by the illness. It simply makes sense.

Schrodingers_cat_lives: Thanks for that info. That's really good stuff.

Exactly.
 
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Jer

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Going back to coping stratigies:

After my latest episode where I have ended up needing help again they have created a crisis plan. This has things like warning signals, what to do when you see these, more serious warning signals and what to do when they happen (e.g. approach certain health services).

For me my warning signals are talking a lot (sometimes not letting the other person speak, or not letting them go/ not going myself when I have something else to do). I also feel very happy sometimes for no reasons. Lack of sleep (at least wanting to fall asleep - I find serequel helps a lot for actual sleeping). Buying things can be a little signal, but is not as bad as some others.

Sleep, regular meals, and although I am not sure myself apparently not over stimulating - do something to relax.

It's not an option for me, but if you have people in your life who are close and know you can ask them to point out if they see some signals too.

Something I have found that can sometimes help is distracting myself by reading if I start panicing etc about stuff in my life. Get lost in something completely different and it can help calm things a bit more.

My biggest problem is knowing what to do when the emotions go out of control around other people. Not a clue what to do to stop it... And it's where you're most likely to hurt others too, so it's not so good.
 
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WOW. That sounds like one of the worst psych's I've ever heard of...and I thought my last one was bad. When they get to be know-it-all's, that's when it's time to find a new psych.

Those with bipolar need a way to see what is going on in their lives amidst the confusion of the illness. Without a more objective format for recording our moods, we can't as easily see what is going on and how our life is effected by the illness. It simply makes sense.

Schrodingers_cat_lives: Thanks for that info. That's really good stuff.

yea, she really threw me for a loop when she became so annoyed with my log book and accused me of being obsessed with bipolar stuff simply because i was tracking the dates and length of my episodes. She was assuming that it was all i did when at home and that i should go to their day program (aka baby sitting program) so i could stop my obsessions...she went on to say how so many of her patients are obsessed with their symptoms..etc. I told her that when i'm in a stable norm, this is what i spend my time doing...and i pulled out a huge piece of fabric i've been hand painting out of my bag. If i have any obsessions (i hate that word) or rather passion is for my art work.
As she's saying "we've already established you have bpd and patterns etc, I'm thinking to myself "ok, so why have you not adjusted my meds, or changed my meds since my episodes are more frequent than ever in my life? What are you doing as far as assessment goes, to get me more stable? Her statement to me, implied, you have bipolar, live your life in ignorance about the disease and there's nothing we can do to change your current state. That's the basic message i got from her accusations. There was another incident when i was experiencing a mixed episode and came to the appointment crying...i'm thinking, as the Dr., the normal response would be questions, observations, possible triggers etc...well, as i tried to tell her what i was feeling and why, she basically shut me down and said i needed to go to therapy and that "this" wasn't her job. Oh and god forbid i use clinical terminology such as "mixed episode"....when i mentioned that word, she became irritated and mumbled that i was "self-diagnosing". I later found out her specialty is child psychiatry and my advocate told me she was probably used to treating children, dispensing meds and no one questioning, inquiring or challenging her. He was there on our last visit and he thinks that it bothers her that i'm smart and am informed about my illness. I personally don't think i'm necessarily smarter....i just think that it's natural human inquiry which she skews and interprets as obsessing. It's so absurd to me to think or say such a thing not just of me, but about her other patients.... i mean, what does expect us to talk to her about when we come to see her? Our views on politics? home decor?

If a cancer patient goes to their dr. and reports their symptoms, or side effects from meds and even records how well or how badly they are feeling and for what duration, imagine how preposterous and callous it would sound if that Dr. told the patient..."we've already established you have cancer and that these symptoms continue to reappear...you are obsessing by keeping a log....don't give it another thought, just live your life"

i was assigned to a new Doc at the same clinic..will be seeing him aug.8th. Let's see how this one goes. I'm just so tired of all this. I'm in a depressed episode right now and barely can function. yea..just live me life right? i guess that's what i'm doing...living....my unstable life. Trying to stay alive is really what i'm combating.
 
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Do you know if BPD has been diagnosed??

Yes, i was diagnosed with bipolar disorder 12 yrs ago and have been getting treatment for it for these past yrs. by different drs.

I was hospitalized for a mixed episode right before i began seeing this particular Dr. two yrs ago, so she does believe i have bipolar disorder. When i was first diagnosed, i was in denial though the doctor at the time said i had classic textbook bipolar disorder. After a while, when i learned more about the symptoms and saw the difference the meds made, i finally accepted that the diagnosis was accurate and was also able to look back in retrospect and identify episodes in my past that i wasn't aware of at the time.
 
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Jer

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I'm kind of struggling with being a bit angry towards a few family members, who basically kept saying "oh, it's a diagnosis, but don't really believe it because you'll just become it". It's not their fault (partly mania thinking it will be ok) but it helped a lot in my avoiding treatment, which has resulted in this big episode, in which I detroyed a close friendship and had my closest to suicide attempt. The problem is it's really hard to say this to them, and so they just say the same stuff. I WISH it was just a diagosis that isn't true, but it's not.
 
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Jer

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Thank you for quick reply and sharing.

As a newbie, I do not know how to reply to individual contributors!

Help Please!
Is there a medication for BPD??? If So, What is it????

To quote the person you want to refer to there is the quote function on the right hand side of the post that you want to reply to.

There are different types of medication for Bipolar. It depends on how bad it is for the person/ what type of reactions it causes. For example Serequel (maybe spelt wrong) is more to remove the worst off periods of mania. Other stuff might remove more effects of depression. I am on a small dosage of serquel (more to help me sleep) and lamactal. The lamactal will be the main medicine for me, but I am just starting so need to see how it goes, and what happens when it is up to the full dosage.

You should go to a medical professional to find out what is best for you.
 
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Thank you for quick reply and sharing.

As a newbie, I do not know how to reply to individual contributors!

Help Please!
Is there a medication for BPD??? If So, What is it????

Have you been diagnosed with bpd by a psychiatrist?
 
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I'm kind of struggling with being a bit angry towards a few family members, who basically kept saying "oh, it's a diagnosis, but don't really believe it because you'll just become it". It's not their fault (partly mania thinking it will be ok) but it helped a lot in my avoiding treatment, which has resulted in this big episode, in which I detroyed a close friendship and had my closest to suicide attempt. The problem is it's really hard to say this to them, and so they just say the same stuff. I WISH it was just a diagosis that isn't true, but it's not.

As if dealing with the illness isn't hard enough---I'm so sorry you have to deal with such belittling comments especially from those who should support you the most.

Are you back in treatment now? Did they're comments influence you to go off your meds and if so, are you back on your meds now or seeking treatment? Btw, have you been recently diagnosed? I mean, is being diagnosed new to you and your family?

Ignorance and stigma about mental illness is one of the most harmful and difficult things to deal with when battling this illness. It's one of my biggest gripes and frustrations in life. The infuriating things i've heard from not just family members, but from close friends and even church leaders have really affected me negatively in so many ways. I can totally relate to those types of comments from family members and close friends. "just a diagnosis?" wow...really?!!! If they went to a Dr. and were diagnosed with cancer, would they have the same rationale? "oh it's a just a diagnosis....what do those doctors know? just ignore cancer treatment...a diagnosis will only cause the symptoms to occur"....what absurd logic ????!!!! What they really are thinking is this: mental disorders do not truly exist as legitimate bio-physical neurological disorders...or maybe believe Psychiatry is not a real medical science. I'm guessing they attribute it solely to environmental factors or simply dismiss it as "psychological problems" due to x, y or z? What do they think your behavior/symptoms are caused by? Have they ever expressed what they think is causing you to have these "problems"?

When people say things of that nature what they're really doing is minimizing what the mentally ill person is experiencing which only compounds the negative feelings they are already battling with internally. Again, as i said elsewhere, it's an invisible disorder and a silent killer....since they cannot SEE the neurotransmitters in your brain, since there's nothing like a blood test and because it's an illness that affects behavior, many people do not buy that BPD is a very serious and real disorder. Unless there's blood shooting out from the side of your head, many people simply cannot accept it for various reasons: either out of ignorance, stigma as well as the inability to relate to it or because it challenges their faith. No one would ever think to say to a person lying in a hospital bed with a broken leg...."oh it's just a diagnosis that your leg is broken, pull yourself together and just walk". Sympathy, support, understanding and empathy is no problem when they can actually "See" the physical condition that is crippling you from functioning normally.

The best thing you need to do is educate yourself as much as you can about the illness and how your particular symptoms manifest themselves. Self-awareness and the ability to learn how to identify triggers, flags and avoid situations, people or things that may either trigger you or exacerbate an already existing episode is very important. Keep a log to track your moods, patterns and cycles. Find a support network, don’t be shy to ask for help and pay attention to which meds, or combinations of meds work best...pay attention to sleeping patterns, diet etc. And be informed about the meds as much as you can so you can learn to know your body chemistry and be proactive when talking to your Dr. about medication.

When i was first diagnosed, i was in denial, but once i learned more about the symptoms and observed my behavior i finally accepted it. Even though it really sucked to find out i have bpd, at the same time, it was also a life changing relief to realize that, contrary to what i believed about myself before being diagnosed, these symptoms were NOT the character defects i previously believed them to be, but instead a result of a real biological illness i never knew i had. So all those years when i would sleep for hours on end and never leave my room during crippling depressions, i was criticized and labeled by my mother and others in my family as being a lazy irresponsible person, which of course only made me feel worse. I thought i was a lazy, irresponsible failure--but the professional medical diagnosis did not cause me to develop bipolar disorder, it actually freed me from my mother's misdiagnosis and mislabeling of my behavior and relieved me of that enormous weight of guilt and low self-esteem I carried around with me for all those years and still even struggle with today. Thanks to that medical diagnosis i discovered no, i'm not lazy or incompetent, i'm sick...it wasn’t my fault I lost this job during a depressive episode it was because of my illness, not incompetence or laziness. When i was balanced and not symptomatic i was very competent, responsible and exhibited a strong work ethic. And actually, during early manic phases before it got to the out of control part of mania, my level of competence and productivity was through the roof. I was like superwoman and rocked every interview I took and was hired on the spot. Of course, when I swung into the deep depressions I either had to quit or got fired. I even received a college degree, thanks to God and worked hard in my studies. After College, as time went by, my episodes became more severe, frequent and disruptive in my life to the point that i came close to killing myself. After that major break down and near suicide, I was finally urged by a friend to see a Psychiatrist. The diagnosis didn't "turn me into a mentally ill person"---it saved my life-----not only did it lead me to finally seek medical attention via meds and therapy which thereby helped to lessen and manage the symptoms, but it psychologically freed me from the years of false beliefs that i was a failure...that i was a loser....that i was weak-willed, incompetent and at fault.

Steer clear from opinions, influence and advice from those who don't know what the hell they're talking about regarding mental illness especially when you are manic since mania is often the times when people with bipolar go off their meds due to the delusions of grandeur, feelings of invincibility and wellness. It's easy to recognize depression, but mania is seductive and very deceiving since we feel that initial euphoria and that euphoria can lead us to the delusion that we're not really bipolar or that any such disorder even exists.

This actually happened to me twice back in the earlier years after being diagnosed. The first time occurred during a particularly euphoric mania and i got it into my mind that the meds were harming me and became leery about what i was putting into my body and worried how that would affect me long term. I think i got this from some stupid anti-medication conspiracy site i came across online. Since i felt so great and "together"/"invincible", i began thinking that maybe i really wasn't bipolar so i ended up going off my meds. Well, a month went by....the meds left my system and after an initial mixed episode, i crashed hard into a severe depression. I went back on my meds and eventually felt better. Once “sober-minded” I realized, yea…meds do help and yes, I have BPD. The second time this happened was during another manic episode when i had just started going to this christian therapist who didn't believe bipolar was real...or rather, didn't believe the behavioral symptoms had anything to do with chemical imbalances...i.e she didn't believe that this was a biological, organic, neurological disorder. (Don’t get me wrong, I do believe there’s an environmental component as well, but the organic nature of this disorder is definitely a prime factor imo.) Anyway, during that time, I was trying a new mood stabilizer which was a low dosage or something and since i was already heading into a manic state which i delusion-ally misinterpreted as feeling "together" and “normal”, she (this therapist) encouraged me to go off my meds and i, like an idiot, allowed her theories to influence my decision. One month later.....the meds left my system and i crashed into another severe depression that almost caused me to commit suicide. After those 2 mania-induced incidents where i foolishly decided to experiment on myself and test the accuracy of the diagnosis, i learned my lesson and never again doubted that i did indeed have this disorder and never went off my meds again.

What i did learn from all this, was to educate myself as much as i could not only about the illness itself, but about the meds, about how the brain works, new studies/break-throughs, differing approaches to therapy and self-advocacy. It also led me to seek peer support from places like these. I learned that interacting with others with BPD who were wise, ironically, were often more helpful than a lot of the therapy sessions i've received in the past. I guess there's something really powerful about supporting and receiving support from those who TRULY know what it's like to feel what i feel first hand. Ironically, as difficult as some of their symptoms were (some even 10x worse than mine), i have come to find that these so called “insane” people were often some of the wisest, and sanest "crazy" people i have known if you get my meaning. I found them to be wiser, kinder, more compassionate and understanding than the so called "normal" people in my life despite their incredible challenges and mood instabilities. They were sometimes even more efficacious and informative than what I got from the mental health world professionals. Those who i've gotten to know here online who struggle with what i struggle with helped me, not only by the mere fact that it made me feel i wasn't alone in these struggles, but it was such a relief to not be subjected to the annoying pat answers, judgment, stigma, condescension and phony “positive thinking” nonsense i often got from some "neuro-typicals" and even from those in the mental health system itself.

As a side note, what you mentioned regarding the “it’s just a diagnosis” comments you got made me think about where that thinking came about. I don’t know about how it was we’re you’re from, but during the whole "PC" zeitgeist in the U.S., there was this popular thinking that surfaced during the 90's that trickled into pop culture which is still with us today....it’s this "anti-labeling" reaction to anything to do with mental illnesses and developmental illnesses which i believe did such harm to those with any kinds of mental illnesses since it caused people to avoid seeking treatment and avoid or dismiss diagnosis lest the taboo "label" would then cause the individual to lose their individuality, feel stigmatized and become defined by the illness itself. This was a societal reaction to the other extreme that i won't go into now, but this anti-labeling movement not only worsened the lack of awareness and education of the reality of mental illnesses, but it reinforced denial-thinking for those who suffered from mental illnesses and it particularly did a lot of harm to children who suffered from certain developmental disorders such as Asperger's syndrome whose parents ignored professionals that recognized such disorders just so their kids wouldn't feel "labeled". What was the result? For one, it prevented early diagnosis and early intervention and not only did it keep them in the dark about their condition, which, ironically, worsened their condition since it made them feel even more "abnormal/weird" due to the simple fact that they couldn't understand why they were having such difficulty identifying and being accepted by their peers. But, worst of all, this sort of "cloaked" reverse form of stigma robbed the individual who suffered from such disorders, from having a real say about what they were really going through. In essence, however well-meaning or "PC" it was in its intention to protect their kids from stigma, what it actually did was perpetuate ignorance and dis-empower the individual from, not only finding out about their disorder, but robbed them of the opportunity to seek knowledge, treatment, coping skills and peer-support for their condition. All it did was worsen their quality of life as they grew up since they had to live with the: "what's wrong with me?" burden that made their a-typical life so hard to maneuver through in a predominantly "neuro-typical" world.

Self-awareness and yes, getting the "label" of bpd via diagnosis which i shouldn't be made to feel ashamed of due to societal stigma, was life-changing and key to helping me to better cope and improve my quality of life. Had it not been for that diagnosis, i'd probably be dead by now. I certainly have a long way to go and a lot more to learn, but be comforted in the knowledge that you're not alone, that you're not a loser and at fault for some of the difficult struggles and losses you've experienced. I wish i could post pics here...i have a pic of a PET scan showing the difference between a clinically depressed brain and a normal brain.

I'm considering of even laminating it and carrying it around with me just so i can whip it out to the next skeptic of mental illness who tells me: "oh pull yourself together, everyone has problems..just be positive...or take a long walk, that always helps me to shake off the blues." :doh:

My prayers are with you. Don’t give up brother or be too hard on yourself. There’s no quick fix, magic pill or easy solution, but things can help us significantly to manage our symptoms and have a better quality of life……with a combo of many things like a good doc, finding the right cocktail of meds, good therapy, a solid support network, knowledge/self-awareness, self-advocacy and spiritual reliance, there’s hope that things can get better. …better than we can even imagine. I know we all know each other here virtually and it’s not really the same as in person, but know that you’re not alone in your suffering and that you have a friend in me and a listening ear should you need to vent or share or just be you.
 
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Thanks schrodingers_cat_lives,

I would like to chat more re-mental health, if you do not mind.

I think I have worked a qay to reply to individual contributors.

Please let me know if you got this reply and approx. time difference…….SkippyJump

yes, i see your reply. i am no expert, but i would be happy to share what i do know about mental illness. First of all, are you wanting to know about this for yourself? or for someone else? Have you been diagnosed or suspect you might have bpd?

There is no one medication or magic cure all for bpd....there are many meds out there and/or a combination of meds, but good therapy in combination with seeing a Psychiatrist is beneficial----ideally a therapist that works with the psychiatrist since visits with a psychiatrist is short whereas a good therapist who you spend more time with and with more frequency will be able to observe you more and fill in the gaps for the dr. Ideally i wish i could have a psychotherapist that can both prescribe meds and do talk therapy. Some people don't even need to be on meds, but are able to manage coping with therapy alone.

Everyone's body chemistry is different and so what may work to stabilize you may not work for me. A lot also has to do with finding the appropriate dosage and just finding and tweaking with the best cocktail of meds. Like jer said, much depends of the severity, frequency and length of episodes....what type of bipolar you have...how your particular symptoms manifest themselves etc. Generally speaking, there is a standard criteria of symptoms to be diagnosed with bpd, but since we're all unique, it's also contextual to the individual. For example: one possible symptom for mania listed in the DSM can be sexual promiscuity, due to the fact that mania can cause one to feel impulsive and uninhibited, but in my case, due to my world view and commitment/belief regarding pre-marital sex, that didn't apply to me, however, i did later realize that even though i wasn't engaging in promiscuous sex during manic episodes, i did end up getting into some impulsive relationships during manic episodes with people i would normally not get involved with which i later regretted and so in that way, my judgement was impaired and the impulsive uninhibited nature of mania manifested itself for me in that regard. Some people with mania, go on excessive shopping sprees, or gamble or cheat on their spouses or end up abusing substances as a way of medicating, or make drastic impulsive decisions on a whim due to poor judgement and impulsive thinking. It really varies according to the individual, but though the level of severity can vary, the key behavioral symptoms are the same: impaired judgement and impulsivity. That's just one aspect of mania, there are more and there are also 2 types of mania: hypomania and full blown mania which can cross over into severe psychosis, hallucinations, delusions, rage, paranoia etc. Think of it like a spectrum. Some symptoms of mania can be less life impacting such as euphoria, compulsive cleaning, inappropriate joking, excessive talking and so forth.There's a lot to it and we all have our own individual degrees of symptoms and the manifestations of the symptoms may be similar, in some cases almost exact and in others radically different, but the common general features are there, though the severity may vastly differ.

Some people can really do well with treatment and lead functional lives, while others with more severe symptoms and may not respond well to treatment and may not be able to work and have to go on disability and so on. One this for sure when it comes to adult bpd, the longer you go untreated, the more severe the illness becomes.

Well, there's a lot to it and the only person that can properly diagnose you would be a professional psychiatrist. Feel free to ask me or others here any questions, but if you suspect you have bpd, the first place to start would be by seeing a professional. Hope this helps
 
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