The Merry Month of Self-Murder

The sky was open to Space and the world was green. The sun shone on the grass as only it can in January. But despite the pleasant weather, my brain filled with pessimism. For many years, I had answered the question “Are you thinking of killing yourself” with “Not the fast way. The slow way.” What I meant was I propelled myself towards death by eating badly and refusing to exercise. Eventually I would suffer a major heart attack and that would be the end of it. But on that January day I texted my last will and testament to my wife, sat down on a log, and began to study the veins in my wrist.

I bucked the statistics by my choice of time. The media gets it wrong; the holidays and the winters that follow are not the time when hospitals see an increase in the number of suicides: it is May. Scientists have not hit upon why self-murder spikes at this time of year, but they have made some observations:

Doctors first observed in the 1820s that suicide rates spike during late spring. Researchers have since postulated and tested all sorts of explanations for the global phenomenon, making this one of the most studied questions in psychiatry. There’s still no consensus, but evidence suggests it has to do with so-called sociodemographic factors. During the winter, many people go into semihibernation: They work less, see fewer people, and are exposed to less frustration and conflict. That all changes in the spring, when increased interaction with others and the stress of work may trigger suicidal thoughts. The theory is based on a couple of observations. First, the spring suicide peak is more pronounced among people employed on farms or in factories who experience greater seasonal variation in the intensity of work and social interactions. In addition, developing countries with a higher proportion of agricultural workers see more seasonal change in the suicide rate than do developed countries. The magnitude of seasonal changes in the suicide rate is more than 10 times higher in Uruguay, for example, than in Belgium. Researchers have also detected a smoothing out of the seasonal variation in suicides in recent decades as more people move from farm to office. (There are smaller peaks in other parts of the year. Cubicle workers are more likely to commit suicide in the fall than in the spring, as are mothers who send their children off to school in September.)

I am not so sure of this theory or of some of the others. Some link the suicide rate to the weather. The amount of sunshine in the day, pollen counts, and air pollution have all been indicted. But one thing that I think affects me heavily by the time May rolls around hasn’t been investigated: Daylight Savings Time.

Why? Because Daylight Savings Time interferes with our inner clock. It makes us wake up an hour earlier than we are used to waking up. It hits us like a hammer in March and continues its drumming through the Spring. The ones who are worst affected are those who are most susceptible to bipolar disorder: night owls.

Owls aren’t early risers like larks. A Lark doesn’t feel the shift much if he has to wake up an hour earlier, but for an owl — who already has a hard time getting up early in the morning — the moving forward of the clock is catastrophic. Six o’clock is taken over by five a.m. A whole hour is stolen and it is not given back until the fall. I have met few people with bipolar disorder who like Daylight Savings Time. It’s proponents, in fact, are few. But big industry — especially retail — like it because people are more likely to leave the house to buy during daylight hours than during darkness. Oil companies like it because people do more driving and more driving requires more gasoline. Despite the health risks, we keep this destructive institution for the profit of a few.

I know that my sleep is sucky at this time of year. When my alarm goes off, it wakes me out of a deep sleep that my body has made no plans to end for another hour. I am dizzy and depressed on many mornings. A gray malaise overcomes me. This darkening of the mood affects my thoughts and those thoughts turn increasingly to negativity and the belief that I am a burden to others. Wouldn’t the world be better off without me?

The cheap fixes I employ are to adjust my medications if the depression gets too deep and to seek out the help of my therapist more often. I stick to my clock, however. Millions of others are in the same boat. So why do we persist in this? Well, our country puts corporate interest over people. What is my life to them? I am collateral damage.

For Further Reading:

  • The Suicide Rate Doesn’t Peak During the Holidays. Why Does It Peak in Spring?
  • I was forced to grow up

    At age 20, I was diagnosed with Bipolar I after a manic episode mixed with psychosis which sent me straight to a psychiatric hospital. Well not really a hospital, rather, a rehabilitation center in Georgia. No, I’m not from Georgia nor have ever lived there, but it just so happens that I was visiting a friend when I went “manic”.

    But don’t be alarmed, this is not an account of my (mal) treatment in the rehabilitation center or in the jail I was held for 5 days because of all things, my mania began at the Atlanta airport. No, this is about how I was forced to grow up after my experiences. How I could no longer consider myself just a care free college girl with no worries, but rather, an adult woman with a mental health diagnosis, which was tough, at best.

    I could not accept my diagnosis, nor did I want to admit that perhaps I needed help from someone other than myself. As a psychology major I should have known better than to fall prey to stigmatizing myself and my diagnosis, I thought “But I’m not crazy.” How ignorant and little of me to think such a thing.

    And after yet another stint in a psychiatric ward in the Bay Area, literally three days after returning from Georgia, I was convinced I had Bipolar I. It wasn’t the psychiatrists who convinced me, nor my arsenal of daily meds that did it. No. It was my mood swings. My constant flow between happy and sad. My to and fro, that’s what convinced me I had Bipolar I, and yes I needed help.

    I became my own advocate, then. Seeking help and resources in my community. Standing up for myself whenever necessary and becoming an adult, in a manner of speech. I never thought I would have to grow up so fast and so soon, it was in the summer before my Senior year in college.

    I felt as though the Universe had screwed me over, big time. And after wallowing in my self-pity, I got it. I understood. Sometimes it takes a huge life change to make you appreciate life better and make you a better person. It’s life’s way of putting you back in your place and giving you perspective. And wow, did I ever get perspectified! Yes, it’s a new word, I just made it up because I can do that. 🙂

     

     

    Review: Rethinking Positive Thinking

    Rethinking Positive Thinking: Inside the New Science of Motivation by Gabriele Oettingen

    I don’t know how many times I have listened to people in support groups declare that they have decided to apply positive thinking to their lives and then watched them crash and burn. People declare all kinds of objectives for their affirmations. They will lose weight. They will master their drug problem. They will control their anger. They will grow rich. Money will come to them without effort. They will find a millionaire and marry him. They will find a fabulous new job and leave all the cares of the old one behind them. Some goals are realistic. Others are simply fantastic.

    Studies show that plain old positive thinking drags people into a depressive rut. Oettingen cites the example of her work examining the attitudes of East Germans versus West Germans. East Germans spend a lot of time thinking positively. They see themselves as rich, as coming into opportunities of a lifetime which change their life situation for the better. But they still end up at bars trying to drink their melancholy away, and they never get anywhere with these plans. West Germans set reasonable objectives, put in the work, and succeed. Even though their goals are less grandiose, they are happier than their former Communist counterparts.

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    We Should Stop Using Mass Murderers as Our Poster Children for Change

    It’s going to happen again with the same reaction by the media. Maybe we will wake up tomorrow morning and see the report in our morning newspaper; maybe we will hear about it from a coworker at lunchtime; or it will be the lead story of the evening news. Mass murder. Mentally Ill Man. The words will be slung together and dished out to a public which has been bred to believe that mental illness and violence are strongly correlated. Politicians, doctors, family members, and activists will devise plans to cope with the problem. It happened with the Virginia Tech shootings, it happened with the recent Germanwings crash. Autism, bipolar disorder, depression, and schizophrenia have all been implicated at one time or another. The mentally ill cannot be trusted, goes the drumbeat. Schizophrenics and bipolars are killers.

    Statistics show that about 3% of the mentally ill are violent. We are ten times more likely to be the victims of violent crime than perpetrators. Yet when we are portrayed on television or the movies, sixty percent of the depictions commit crimes, especially violence. So coupled with the way news outlets spin stories about mass murder, the general public believes that we are ax murderers and serial killers.

    Some reformers use this fear to drive some very specific agendas, namely destruction of our rights to privacy, forced medication, and the resurrection of mental hospitals. The objective is to control the mentally ill. They might argue that this is the best we can get in a society with our values, but that is a weak defense of some very problematic and questionable policy changes.

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    What I Did to Stay Out of the Hospital

    Today marks the beginning of Mental Health Awareness Month.

    I committed myself for five days at South Coast Medical Center (now Mission Laguna Beach) when I was 47 years old and then attended their partial (out-patient) program for another six months. One thing that negatively impressed me were those people for whom hospitalization was a revolving door: they visited several times and probably have been back since. I resolved not to be one of these, so I made a plan for staying out. I have followed and improved upon that plan ever since. That episode in 2005 was the only time I went in, so far. These are the things that I did:

    I faithfully reported to my psychiatrist as we arranged.

    I kept every one of my appointments.

    Coping with bipolar disorder demanded that I manage the symptoms of my illness. They changed from week to week, at first, so dosages and types of medication needed to be adjusted. My psychiatrist also assured me that things would get better which encouraged me to stick to the treatment.

    I had not been honest with her or with my two previous psychiatrists about my condition. I had symptoms such as irritability, paranoia, grandiosity, religiosity, and suicidal ideation — among others — which would have changed my diagnosis. Believing that I could handle these on my own, I kept silent about them. Deep down I did not want my diagnosis to change. I am not sure whether this was due to dread of stigma or the different drugs I would have to take. My anti-depressants were enough, I thought, and through what those didn’t erase, I believed I could boot-strap my way. When the hospital psychiatrist finally presented me with a different take on the strange constellation of indicators that betrayed my bizarre state of mind, I actually felt relief.

    One of the first things I did was thank my regular psychiatrist for convincing me to check myself into the psych ward. She had saved my life. And she would do it again.

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    The Rock Inside My Skull

    When I am very depressed — which is not now — my brain feels solid and hard. It’s the surest guide that I have had the Big One, the low that can only be borne by plodding steps and lowered head. Yea, they will write it off as merely bad posture. I will marvel at the adamantine of my cerebellum, the heaviness of my medulla oblongata. I will ponder the sharpness of the rock inside my skull and, when the feeling has toppled away like a raven falling from a cliff towards its nest, I will desire its return because it is only then that I can feel that I have a brain and am, in fact, alive.

    Why We Shouldn’t Let Our Loved Ones Do the Talking about Stigma

    square850Glenn Close is a woman who I admire for her dedication to her sister and her resolve to upend stigma. When Jessie Close was 51 years old, Glenn drove her to McLean Hospital in Boston where she was diagnosed with bipolar disorder. Their commercials questioning the labels applied to mentally ill family members and their relatives are known to millions. We have every reason to admire and respect her for her work. But recent research suggests that maybe family members aren’t the best ones to be talking about stigma.

    The research has nothing to do with the political issues surrounding mental illness. A pair of researchers looking into the rise of a culture willing to accept same sex marriage outline a successful strategy that we who live with bipolar disorder and other organic brain dysfunctions can employ:

    Michael LaCour, a UCLA doctoral candidate in political science, and Donald Green, a Columbia University political science professor, have demonstrated that a single conversation can go a long way toward building lasting support for a controversial social issue. In addition — nearly as surprisingly — the effect tends to spill over to friends and family members.

    The key is putting voters in direct contact with individuals who are directly affected by the issue.

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    What Do I Do When I Am Manic?

    I waste time. But not in the same way that I usually do it. I’m always up nights, twittering, reading, working on recent photos. My day ends somewhere between 3 and 4, at which point I go to bed, which alerts the cats to begin their trills of demand for food from my softhearted wife. I use a cocktail of Xanax, Benadryl, Doxepin, melatonin, and my nighttime anti-psychotics and mood-stabilizers to stall my brain into torpor. I sleep well and I sleep deep until about noon or one o’clock in the afternoon, an unconventional hour but one that I can manage thanks to my unemployment and insistence on afternoon appointments.

    If I am manic, I forget to take the meds until a later hour and do not feel their slowing until after Lynn has gone to work at nine. I lay in bed, staring at the pockets inside the sheets, groping for rest. Mania purposes me to a different set of activities, First, reading is impossible. My eyes fly over the words, ignoring the middles of sentences and barely noticing the presence of paragraphs. I have missed whole scenes and whole characters when I am in this state. For this reason, as my condition advanced in the late twentieth century, I read less and less. Volumes I wanted to peruse stood on my shelf for years, unopened and stinking of dust. There was no accomplishment during this time except as resulted from my strange habit of digesting dictionaries.
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    Writing Helps to Heal

    I know it sounds cliche because we have all heard it before, “Why don’t you write about it? It’ll help” Yet, few of us really take that advice and implement it. Most of us take it as psychiatric mumbo jumbo, and continue with our pain alone for fear of burdening our close friends and relatives, those we have left anyway.

    I was one of those non-believers in the power of writing and it took me a good nine years after being formally diagnosed to take finger to keyboard and just type. I started with a Twitter. Yes, I took to social media with my angst because if I was gonna share with the world, I was doing it loud and clear and on the internet. And lo and behold, I found a whole community of people like me, fellow sufferers and survivors of mental wellness. I could not have been more surprised at feeling a sense of camaraderie on the internet of all places. I was so overwhelmed that I started crying after one of my Tweets got retweeted, a personal Tweet I must say.

    Maybe it sounds lame to you, but after that first reTweet, I was hooked on writing. I quickly found venues to express my thoughts and opinions, and somehow for some odd reason, people were listening to me. And not only listening, but commiserating, it was as if I had come home, finally.

    Now, whenever I feel any slight anxiety, mania, depression, whatever, I take to writing. I love it. Everything about it. And I love and appreciate the people that have given me the chance to use my voice for good.

    11 Commandments for People Living with Bipolar Disorder

    Recovery from bipolar disorder is almost like a religion or an ethical system. Certain devotions must be part of our lives if we are to recover our balance.

    1. I shall hold myself accountable for all works of my body and my mind including those which I wreak when I am in episode.
      It is important, I feel, not to separate the illness from ourselves. We did the things that happened while we were in episode. There was no second soul seizing control of our bodies. Our mind is a stream that flows continuously, sometimes over rough ground, sometimes in placid stretches, and sometimes over cliffs. We own all these states of our being.
    2. I shall never use my illness as an excuse.
      Our episodes explain what we did. The difference between an explanation and an excuse is this: An explanation asks only for forgiveness. An excuse entitles us to both trust and forgiveness. We do not deserve the former until we have earned it.
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