Category Archives: Bipolar and Schizoaffective Disorder

Reflections on 2015

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As I sit back and reflect on my goals and planned projects for 2016, I can’t help but to think about all that I lived through in 2015 and how that has shaped this year’s prospective.

This will be a quick read, I promise.

I learned more about myself in this past year than I believe I have learned in all of my life. I learned that I am more resilient and stronger than I imagined. I learned that psychiatrists and psychologists, though I may hate them sometimes, know more than I do because of their experience. Therefore, listen to them and learn to curb your ego.

I also learned to stop thinking I know better than anyone about my mental health because although sometimes it may be hard to hear, I need to listen to what others around me have to say about my mood and behavior.

And finally, I learned to take my medication each and every day. I have learned over and over again that I truly do need my meds in order to prevent a manic episode. Yet, I continue to get off them because I know better, right? Wrong!!! So, I learned in 2015 after 9 years since my initial diagnosis, that YES I really truly do need to take my medication every day consistently and continuously. Ok, got it.

And you, my fellow reader and confidante, what did you learn from 2015???

7 years

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RE Camera

It has been 7 years since I had a full fledged manic episode. It has also been 7 years since I’ve been in a psychiatric hospital. I waited until November to write this post because my last hospitalization began in October 2008, and I did not want to write a post in October about how I have been without a manic episode for 7 years for fear of jinxing myself. Luckily, October has passed and I can proudly say that it has officially been 7 good years without a manic episode. That’s not to say I don’t get the typical Bipolar ups and downs, because I do. The difference, and it’s a big difference, is that I have not been 5150’ed and had to stay against my will in a psychiatric ward.

But let’s not turn this post into the horrors and inadequacies of psychiatric wards lest I scare off readers. Instead, I want to focus on all the progress I have made that has kept me out of those “looney bins” (I gotta poke fun to keep from becoming depressed).

In the past 7 years, I graduated from UC Irvine, got married, had 2 wonderful little girls, worked on and off through my pregnancies, bought a home, and have recently interviewed for my dream job (fingers crossed). So, I haven’t discovered any cures or vaccinations, established peace in any turmoiled countries, or created anything other than arts and crafts. Yet, I feel accomplished because not only have I triumphed over my daily mood swing obstacles, but also over life obstacles. I have succeeded in life when I was told after my diagnosis in 2006 that I would not could not do it.

I would like to make clear that this post is not meant to glorify my accomplishments, but rather shed light on a subject that many fail to address: how can you deal with life issues at the same time that you deal with your mental health issues? It’s simple, really. You take it one day at a time and with lots of support. I cannot emphasize enough how establishing a support network for myself has been my saving grace. From close friends and family, to the internet, including this blog and Twitter. I have found a relief and a sense of belonging amongst fellow Bipolar survivors, and have learned so much from them.

Let’s keep the learning going and pass on your knowledge on how to cope and triumph over your diagnosis!

Saving up for depression

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The title sounds weird, right? Incoherent and non-sensical. How can you “save up” for depression? What does that even mean? Well, I like to think I coined this term and it means that whenever I feel happy, experience a positive event, feel energized, I try to engrave these moments into my memory so that when I feel depressed, I can revisit them and somehow see the light at the end of the tunnel. Therefore, I “save up” good memories to counteract the awful moments that I sometimes find myself in. It’s not easy, and it didn’t come to me through a psychiatrist or self-help book, although those help as well, but rather through a self-realization that thinking about happy thoughts helps me get through the tough times, usually.

The last time I had depressive feelings was over a month ago and through the entire period I concentrated on my daughter’s birthday that had just passed, and her elation at the event. It helped me get through the depression. I also thought about eating watermelon with my family on a certain hot summer evening and how Isa, the youngest, got watermelon all over her hair, ears, and of course, face. It was enough to bring a smile to my face and motivate me to shower and be ready for my kids.

I am sure that we all have good memories we can look back on, either recent or in the past, that can get us through those tough moments when we feel nothing but despair. It helps to remember that there is a light at the end of the tunnel after all.

Does Mania Reveal Our True Selves?

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I am antisemitic when I am in mania. I warn all my friends about it, ask them to note it as a symptom, and let my wife know that I am spinning into the fire cloud. I am also sexually inappropriate. I enjoy arguments. I quote scripture when I argue even though I am an agnostic.

There’s a theory flying about, mostly held by the sane, that I am revealing my true self in my manic state. This stems from psychoanalytic theory and the notion that there is this subconscious running our affairs from behind the scenes. Supposedly, when I am stable, I am still an antisemitic rat. I’m just able to control it. But this theory crashes because these thoughts do not even enter my consciousness when I am stable or depressed except, in the latter case, in the context of reproving myself for having had them in mania. Nor do I dream about them except when I am running hot.

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Sent from God to the psychiatric ward

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I have heard this term referred to as Grandiosity, Delusions of Grandeur, and so many other variations, but they all mean and refer to the same thing: an elevated sense of self-esteem, sometimes leading the person to believe they are famous, omnipotent, wealthy, or otherwise very powerful (Wikipedia.org). I have often wondered why this happens, especially since it occurs more often in people with Bipolar Disorder than any other mental diagnosis. And, I have experienced thoughts of grandeur myself, to the point that during each of my two manic episodes, I have believed that I was sent from God to save humanity.

I have done some research on the causes of Grandiosity, as well as asked all of my psychiatrists, but no one has a definitive answer as to why this happens. This may sound odd, but I have even gone so far as to speculate if people back in the Biblical times who claimed to be sent from God suffered from Grandiosity. And if so, they were heralded as saints, not sent to a psychiatric ward and pumped with various meds. To make my point more clear, who’s to say I am not actually sent from God? Who’s to say my thoughts of grandeur during manic episodes aren’t a manifestation of God’s power? And what would have happened if I had lived in Biblical times? Would I be heralded as a savior?

Somehow, I doubt all of this, even as I write it. Why? Because I remember that in my manic episodes I tend to be a violent person when confronted by someone or asked to stop my delusional actions (e.g. trying to heal the sick). And from studies and research, I know that Jesus was a calm and patient person, never quick to aggression like I am during my manic episodes. So, alas, I am not sent from God, I am not here to save humanity, but I am here to get the word out on mental health and staying sane.

There’s a saying in Spanish that goes, “de poetas y locos, todos tenemos un poco.” Translated, it means “of poets and insanity, we all have a little.” And I do believe this is true, but I don’t believe I am sent from God. And if I get an inkling feeling that I am, I know it is time to up my meds and take a nap.

Should We Lock Up the Sane?

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A new study — the MacArthur Violence Risk Assessment Study — found that those living with classic mental illness — schizophrenia, bipolar disorder, and depression — alone are not likely to use guns when they commit acts of violence:

“For the small group of people with mental illness who are at risk of committing gun violence, improved collaborations with the criminal justice system are clearly indicated,” the researchers stated. “However, directly targeting mental illness as the major driver of gun violence is misguided. … Prior violence, substance use, and early trauma are more likely to contribute to subsequent violence than is mental illness per se. In this regard, the politically inspired haste to focus gun control efforts on people being treated for a mental illness, rather than on people with demonstrated indicators of violence risk, such as restraining orders related to domestic violence, seems particularly misdirected.”

This contradicts the latest psychophobic reign of error that comes upon the shooting in Charleston, South Carolina. It isn’t the mentally ill who shoot people, but those who have no psychiatric diagnosis. So what are we going to do about them?

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What I know and what I don’t

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I have never attempted suicide myself, but an uncle of mine did once, and well, paid the ultimate price, his life. He was unofficially diagnosed by my mother and her sisters as Bipolar, whether or not that was true, we will never know. What I do know for sure is that he was pushed to a point where he no longer found meaning in his life. I also know that I have felt such despair that I wish someone would take my babies and just let me sleep. I have felt so depressed and in the midst of nothingness that all I wanted to do was lay in my bed and do and be nothing. Just nothing. This would usually come after a late night, a restless, sleepless night. Or, when I “forgot” to take my medication because I know better than the psychiatrist. Wrong!! So wrong!!

I now know that I don’t know more than any psychiatrist no matter how flawed I may think they are or how much higher my IQ may be, I am at the mercy of their education and experience. I put it so dramatically because that is how I sometimes feel. I feel as though I am helpless sometimes and not only at the mercy of the psychiatrists, but at the mercy of my mind. Why? Because it leads me to think things, things I should not be thinking. Like, “don’t take your meds, you’re fine”, “your mood swings are totally typical”, and my favorite, “you are not Bipolar, everyone else is.”

I also know that everyone’s life has meaning, no matter what you or others may think. And sometimes it’s hard to see through all the mugginess and fog, but believe me, your life has meaning. Whatever it may be, make it your mission to find it. Make that your daily goal! I dare you.

 

Advice For Those Who Support Your Bipolar Disorder About Suicide

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Suicide attempts are a real concern for persons with bipolar disorder. It is estimated that of the suicide attempts in the United States by persons with mental illness, up to 70% suffer from major depression disorder and/or bipolar disorder. Not only is it important, therefore, for a person that supports an individual with bipolar disorder to understand the warning signs preceding a suicide attempt, it is also important to know exactly how to handle the situation should you believe they are serious or they tell you they are going to commit suicide. If you are a person that has bipolar, these tips can be invaluable to your support group in an instance where you are unable to reach out for support.

Why A Person May Want To Die
It is common opinion that committing suicide is a selfish act. Objectively, this is true. Friends and family are left with overwhelming guilt and anger, wondering what they could have done differently to stop their loved one from such an act. Children with a parent that attempts or succeeds in committing suicide are two to three times more likely to attempt suicide themselves than other children. Marriages where a child succeeds in committing suicide often end in divorce.

Unfortunately, a person that attempts suicide can no longer see the act as selfish. For them, suicide becomes a last resort to escape what has become unbearable. They see no other option. It is important to understand that it isn’t an issue of the person not wanting to see they have any other option. It is a matter that they can’t see any other option, at least not in that moment of decision. It is like asking a person to walk on air. It isn’t going to happen. Most suicides are an act of passion in the heat of the moment. Fewer are actually planned out, and usually by those that have attempted suicide before. However, the root cause is still one of two reasons.

  • A major traumatic event has occurred in a person’s life such as financial ruin, loss of a loved one due to break-up, divorce or death, etc.
  • constant struggle and pain of living with a difficult situation, such as bipolar disorder, has destroyed the mental capacity and reasoning of a person to a degree that they no longer want to live. They believe they are an unwelcome burden in other’s lives and feel friends and family are better off without them. They actually are past the point of pain. They are mentally exhausted and numb, incapable of rational feeling.

Warning Signs
A person considering suicide is not likely to openly admit that fact. However, there are signs that this is where their thought process is headed, sometimes before they themselves realize or admit suicide is an option. The more signs a person shows, the more likely it is that they are considering suicide.

  • They may make comments such as, “You would be better off without me”, “I just don’t think I can do this anymore”, “I am tired of living”, “I feel trapped”.
  • They may withdraw from you and/or activities they normally enjoy, isolating themselves. You may notice they begin to give vague answers when asked how they feel or suddenly stop talking or seeing you.
  • You may notice changes in their personal hygiene, no longer taking care of themselves as they become increasingly unconcerned with things around them.
  • They may attempt to give prized possessions away.
  • Their sleeping habits may change, either sleeping very little or too much.
  • They may begin to abuse alcohol or drugs.
  • They may express an interest in getting their affairs in order, or actually do it.
  • They may seem easily irritated or become more aggressive.
    They may suddenly become calm and happy.

    • What To Say To A Person That May Be Suicidal

  • Let them know you care and you want to be there for them if they can or want to talk.
  • Let them know you are willing to listen without judgement and won’t offer advice unless they ask.
  • Check up on them. More than once. A person considering suicide may not ask for help or call you as they get worse. They will take your silence as evidence that their reasons are valid.
  • Give them the National Suicide Hotline phone number – 800.273.8255 (800.799.4889 for deaf individuals). Encourage them to call so they can talk to someone else that is an objective, trained professional. Assure them they are still also welcome to talk to you.
  • Don’t be afraid to gently ask them if they are considering harming themselves. Assure them you are asking because you care.
  • Never accuse them of being dramatic or selfish. Don’t engage in confrontational conversation. Don’t ask them to promise they won’t and expect them to follow that promise.

    • What To Do When A Person Tells You They Are Going To Commit Suicide

  • Never ignore what they say. Don’t tell them they are being dramatic or selfish. Don’t engage in confrontational conversation. Do not ask them to promise you they won’t and expect them to follow that promise.
  • Do NOT try to handle the situation yourself. Call their local police department (call 911 and ask them for the person’s local police department so you can report a potential suicide attempt). When calling, tell the police you need to request a mental health check due to threat of suicide. Ask the police department if they have officers trained in handling mental illness crisis and request those officers are the ones dispatched.
  • If possible, remain in contact with the person until officers arrive. There is no need to tell the person you called police. The officers will handle everything according to protocol once they arrive.
  • Tell the person what they mean to you and how it would effect you to lose them. Encourage them to talk to you about how they feel. Name people that love them and would miss them. Talk about anything to try to take up time while officers are on their way.

    • Final Thoughts
    To a person that has never considered suicide, the thought of taking your own life will seem unfathomable. Try to understand that to the person who wants to end their life, continuing to live seems just as unfathomable. Following the advice above can save a life and help a person want to live.

    On Refusing to Take Medication

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    I avoided medications of all varieties for much of my adult life. When I was 36, I had had too much of my depression and opted to start taking Prozac under the care of a psychiatrist at Redwood City Kaiser. I stayed on anti-depressants alone until I was 47 when I finally acknowledged my bipolar disorder after a suicide attempt and added mood stabilizers to the list of drugs that I was taking. Why did I go so long before I sought relief? Mostly because of a prejudice that had been drummed into my head by my mother, a registered nurse, who believed that medications should be avoided at all costs and that my depression and manic swings were character flaws. When I stopped listening to her, the quality of my life improved and I was able to be the person who I always knew that I was.

    Many people feel that people who refuse to take medications should be forced to take them. They cite incidents such as a New York City man who went off his meds and started hitting people with a hammer or a schizophrenic woman who killed her baby in a fast food restaurant’s bathroom. The recitation of such litanies by certain advocates who favor forced medication is stigmatizing because the vast majority of people who go unmedicated don’t commit such crimes. Their struggles are worse than those of us who don’t take them, but it is important to understand their reasons for refusing.

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    Grandiosity, Branding, and the Purposeless Driven Life

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    >Any inclination of mine to become a famous bipolar author — the kind that writes a best-selling book, gets invited to national conventions, gets coverage in the national magazines, etc. –is curbed by one reality: that I live with bipolar disorder and one of my symptoms is grandiosity. Grandiosity — for you outsiders — is different from narcissism in that the latter is strictly an extreme self-love while the former is a beyond-passionate-conviction in a crusade and the belief that one is ordained to be the leader of that crusade. It is a thing that easily falls into a shambles as people are scared away by our hyper-exuberance. As we ramp up into psychosis, we may style ourselves as prophets or even God him/herself. I have been there — once I talked a Quaker Meeting into sponsoring me for a trip to former Yugoslavia in the middle of the 1992 war when I had no clue why it was important for me to be there, other than it being important for me to be there.

    Oh, I developed a rationale for my spiritual mission, and I did interesting things such as become one of the first non-journalists to report first-hand on a crisis using the Net. The governments over there didn’t like me much but that is to be expected when you know the Truth and report it through that warped, half-melted lens. The incident leaves me with several doubts about myself — where was this belief that the Spirit was calling me to do this really coming from? and Should I repay those who financed me now that I am disabused myself of the sacredness of my mission? I believe some people — quite a few — tell you that I did good and maybe I did. Others grew to hate me. Since my diagnosis, I am wary of any motivation which suggests that I alone possess a message that should be heard.

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