Trusting Your Moods with a Mood Disorder

First published Psych Central

https://blogs.psychcentral.com/triple-winner/2017/03/trusting-your-moods-with-schizoaffective-disorder/

I have a thought and mood disorder called schizoaffective disorder. It is similar to bipolar disorder, in that I have mood swings with periods of mania and depression.

When I was treated for my first severe manic episode I was heavily sedated and slowly titrated down on the medications. When I got to a dosage where I was no longer sedated, and my symptoms were under control, I started to feel okay, good even.

 

It scared me. “Would I feel too good?” I voiced my concerns to my psychiatrist and he reminded me I usually have other symptoms that precede mania. I think most people do.

You could go through a list of symptoms and see which ones are typical for you that would be noticeable.

Do you spend a lot of money?

Are you impulsive?

Do you talk fast?

Do you start lots of projects?

A lot of people monitor their sleep. I often have trouble with insomnia, so that isn’t a particularly good indicator for me. One thing is that I get irritable. I am usually pretty mellow, so if I start snapping at people that is a good sign that something is off. My psychiatrist also told me if people are looking at me strangely that is a warning sign. I am not sure if he meant I do strange things or I get paranoid, which I do, and get suspicious.

Isn’t everyone entitled to an off day, though? Sometimes when I am upset at someone, it is for a good reason. A lot of people imagine others think poorly of them, once in a while.

It would help to have someone I trust, tell me if I didn’t seem right. I have trouble with trust, though, when I am symptomatic. I think everyone else has the problem and I am fine. I am working on that, because I know it is important. Otherwise, you can have a great list of warning signs, but deny them. “I’m not talking fast, you are just listening slowly”.

Once you notice these warning signs, what do you do? That is a million dollar question.

This is where it is best to consult with your doctor and find out when they want you to contact them.

It is also good to come up with a  Wellness Recovery Action Plan (W.R.A.P.) to prepare.

It is good to catch things early, but you don’t want to be worrying every time you have a bad, or good, day.

The Benefits of Bipolar Disorder

When I am manic, I get things done. That is as long as I am not running to the top of the inside stairs and down again seeking something that I cannot remember. Then it is The Great Eater of Time. My depression helps me to see what projects I have taken up that are pointless wastes like the schemes of making a million quickly by stuffing envelopes at home. I can detect what is rigged: I will not spend hours trying to win games that cannot be won or spend money on hobbies that I will never get around to finishing. I have ships in a bottle that I have not pulled the rigging up. I bought these in hypomania.

Depression has a wisdom about it, bitter at times, with a predictive power and insight into the motives of some men and women. I do not trust certain people when I am in depression: This often proves a smart thing.

Then there is the stillness that comes, a beautiful blue film that falls gently over my consciousness calling for silence and appreciation of the moment. If I shut down the voices that hector me for a moment, I find the peace that the racing thoughts of mania do not permit. I may feel fatigued, but I am not agitated as I am in a mixed state. Depression is a better place in the mind than mania or the vicious mixed state.

What is fun?

Here I find myself, papers scattered around- my assignments and my notes. My thoughts feel like they are shuttering, I can’t understand this chapter, I am lost. And I feel scared.

It makes me stop. And I have to ask myself, what’s happened? It has been weeks… endless weeks of nonstop studying. I grew tired of doing research for my essay but the only other thing I could think of doing was another homework assignment (due in over a week).

And now I’m stuck. My brain doesn’t know what to do. I am too burnt out to write the essay but I am stuck on this physics chapter. The Ritalin I’ve been abusing is nagging at me to keep going. But I realize that some part of me is very weary.

The therapist applauds me for my determination, motivation, and hard work. Even when I suggested I might be hypomanic.
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Self Control

Hello all, this is drunk Quinn. But don’t discount me now- I have some things to say and being drunk shouldn’t turn you away. I want to explain myself, my drug use and bipolarity. Specifically I want to discuss self control.

There are two opposing parts of me. It is slightly difficult to explain. I am both very in control of myself and very out of control. I am incredibly impulsive, I can’t stop myself in many situations, but if there is one thing I cannot stress enough is that I know exactly what is happening and the consequences of it.

Tonight I went out drinking with my friends. I was essentially a “third wheel” but this is my little group of friends- just the three of us. I don’t have any friends I hang out regularly with until I met them. I talk to a few people but we never hang out. These friends I actually hang out with. And tonight, we went drinking at this pub.

I had been there before. I had to drive and I had class early the next morning. I figured just one drink would be fine. I was wrong. After they closed I had to sit in my car for quite a while until I was “safe” to drive. I had one drink, a Mai Tai, and I was gone. It is rare that I get that drunk. I learned though. That drink at that pub will do a number on me.
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Twelve Myths About Bipolar Disorder

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I have to rebut these when they are said by family members, fellow patients, and random members of the public. Every one of us who lives with the condition has heard some if not all of these time and again. You might even have a few of your own to add. You may note that I don’t include “It’s all in your head” (though the issue of faking is covered below). It is all in my head! Bipolar disorder is an organic brain dysfunction and the brain resides inside my skull. So I don’t count that a myth, just a misapprehension of the truth.

Here are my twelve most common myths:

Bipolar disorder is just something psychiatrists made up so that they can get rich.

Not too long ago, a Fox Radio commentator told a caller that she had been duped by her psychiatrist. They just made it up to get your money, he told her. She begged to differ but he was having none of it. Even when he was forced by his employer to apologize, he equivocated.

There are a few things wrong with this belief. The first any person with bipolar disorder can tell you: the highs, the lows, the paranoia, the hallucinations, and the delusions are all too real. Physicians have observed the disease in patients since the time of Hippocrates. And patients have suffered, suffered mightily.

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