Photo copyright 2015 by Joel Sax
Author Archives: JoelS
The Disease Didn’t Do It — You Did
Many people in bipolar support groups counsel the newly diagnosed not to feel shame for things they did while they were in episode: it was the disease that did it, not them is the reasoning. This cleaving of the self, I think, does not help us get a handle on the illness and its effects on others in our life. In fact, it strikes me as downright irresponsible: you never have to make amends for anything you did.
Denial of the damage we cause is linked to this exculpation due to mania. Some say that making amends has nothing to do with apologizing. Warped logic causes it to mean nothing more than admitting to yourself what you did without making restitution or apology to those we harmed while addicted or in the throes of mental illness. I find this cheap recovery and I am suspicious of anyone who flaunts it.
Too often, I have seen people who insist that their sickness absolves them relapse repeatedly. Perhaps it is due to the fact that they do not understand the seriousness of their disorder. Or maybe they desire license to act on impulses that they would reject on moral grounds if they were in their better minds.
I take a different approach: I am responsible for my actions even when I do not remember them. Because of my denial of my illness, I harmed others. Therefore I either make peace with them or avoid them so they are not disturbed or shocked by my return to their lives.
(Families might find it better for their sanity to forgive things done in episode for the sake of their sanity while expecting the patient who now knows better to take proper steps to minimize further recurrences.)
But there is a bonus: because I am accountable, I get to own the good things I did with more resolve. I get to own the steps I have taken towards resilience.
Here is the grim truth: if I do not take ownership of the bad things I did while in episode, I cannot own the good things I accomplished. To claim otherwise invokes an irresponsibility that case workers and other mental health practitioners best not encourage.
How This All Started — JoelS & Bipolar_Blogs
Weekend time on the ward was spent waiting for someone to talk to you. I was standing in front of the nurses’ station, having completed the obligatory morning group therapy, when I was guided to a small room and told to have a seat. Then a large bearded man with a file came into the room and read over the notes that had been collected since my arrival the night before. I had arrived late the previous afternoon after I had texted my last will and testament to my wife and sat on a log studying which vein to cut. A phone call from my psychiatrist interrupted my concentration. We talked for a few minutes and I agreed to go to the hospital. Once I got there, I — the fellow who had been thinking of ending it all — walked up to the nurses’ station and told them that I was diabetic and needed my night meds delivered on schedule if I was going to maintain my blood sugar levels. They nodded dutifully and wrote notes in my chart.
This information was in the manila folder that Dr. Spears brought into the room. After reviewing the annotations, he looked up at me, leaned forward, and asked in a gentle voice “Has anyone ever told you that you were bipolar?”
Many people have told me that they were devastated when they heard the news. Others refused to believe it. I was of that class of people who felt a moment’s pause and then felt relief. At last I had a workable explanation of the torrential moods that afflicted me over the years. I had tried the boot-strap method of getting through my despairs. People had sometimes asked me if I was taking drugs — a question that surprised me because I was the opposite of an addict and a self-medicator — I didn’t touch drugs or alcohol. For 11 years, I had relied on Prozac because it had worked almost instantly to curb my depression. The dark nights of the soul I experienced during that time I wrote off to normal ups and downs. I spent up our credit cards to $40,000, messed up my already fragile teeth by grinding on them, and fought frequently with people on the Net. Was this bipolar disorder? Then, I felt, there was a treatment and I threw myself into recovery.
Bipolar_Blogs arose when I learned that it was possible to set up a special account for retweeting news. I knew that there were many people out there in the world who wrote good blogs about their struggle with bipolar disorder (including me) whose work just wasn’t making it out to the rest of the world. The blogs I knew from my own explorations told many stories about bipolar disorder. I collected a list, set them up at a feed retweeter, and released it into the Twitterverse. What people also missed was recent and reliable information about their disorder. So I added feeds from the various government agencies that provided abstracts on the latest developments in understanding organic brain dysfunctions. When my ADD allowed it, I sought out more blogs, found new news sources, and hand-posted numerous articles that I had found which talked about bipolar disorder and other matters concerning the brain.
But not every voice could be heard via the feeds. Some of them tweeted their concerns directly to Bipolar_Blogs and I made it the policy to retweet them as long as they weren’t hateful, promoting pseudo-science, or simply advertising. When I had the energy, I checked my ever-expanding feed to glean what I could from others. There is only so much one can say in 140 characters even if you are a Twitter master. I kept running into people who wanted their own blogs and didn’t know how to start. The day came when I put out feelers, asking who would like to take part in a group blog. I also asked in some chatrooms and on Facebook. A few people indicated their interest, so I wrote out some rules for the blog and invited those who felt silenced by the circumstances of their illness to take part.
We’ll see how that goes.