My Name is Not Bipolar Disorder

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The roller coaster analogy never really spoke to me. I didn’t experience a thrilling ride. It was more like a tornado or a hurricane, a central column of madly swirling air that threw everything in its path asunder only to die and leave a still, bleak landscape of broken trees and shattered homes where no one could live. “Things fall apart,” goes the Yeats poem. “The center cannot hold.” Mania causes us to lose sight of our center and depression causes us to forget that we ever had one.

I count myself fortunate that I never ended up in jail though perhaps some might have made a case for it. Drugs and alcohol, at least, never presented themselves as ways to temper my emotions — I distrusted them. I let whatever flew out of the maelstrom hit me square on and I did nothing to numb the pain except hide in my room or rage unexpectedly.

Bipolar is one of those illnesses that everyone who has watched a Lifetime Channel movie thinks that he or she knows, but they have no clue. The illness doesn’t make us evil. Most of the things that I did in my rages and panics were moved by an innocent heart. I have found the same to be true of others. But often what we do is hurtful. It is no wonder that outsiders see us as brutes. When I have acted with the most vigor and erraticness, I have done so the name of one or another great crusade, marching against problems that often only I could see. Heraclitus once said that “The waking have one and the same world, the sleeping turn aside each into a world of his own.” Bipolar creates in that waking world a sub-world that we who labor with the illness experience on our own. In it we sleep a sleep of wakefulness. Perhaps this is due to the restlessness of mania that keeps us up night after night, day after day.

Eventually things fall apart and we find our minds in bizarre places.

My worst psychotic episode happened when I was working over Christmas break in college. The world became a maze of passageways like I see in my dreams, the doors to the rooms hazy and difficult to find. I believed that I was God and that I had messed up the world. Once that a coworker asked me what was wrong. I did my best to deny that the veils between us did not exist. It was a tricky maneuver but I pulled it off. Every night I returned to my room and found darkness. When the other students returned, I felt less lonely, but I felt I wasn’t one of them. I hid in my room, held my tongue and kept my condition to myself. They knew nothing of my obsession or the distortions that blurred my cognition. Sometimes they would find me staring into space and wonder if I was on drugs. I was stone cold sober. An ill gift of prophecy settled over me. I believed that I could predict what people were going to say. I became sensitive to the occasions when people would utter words that I had encountered in my reading with no connection to the class or the context. My skin jumped at their mention and my shivers from remembering the incidents of my day kept me up. The episode slowly lifted over the semester, though I did have to drop a class.

Sixteen years passed before I sought the aid of a psychiatrist. Eleven more needed to turn over before I started telling the truth about my experiences. Oh the rages, the insomnias, the dark nights of the soul, and the mind-crushing paranoias that troubled me even though I took antidepressants and thought myself cured! The word “bipolar” was, at last, used. During the eleven years of denial, I refused to believe that it applied to me though I numbered it in others. One day in the hospital, it caught up with me, though. The new attachment to my identity electrified me. I read all I could, kept finding myself between the pages, and in the end surrendered to my diagnosis. Then I took my pills as prescribed, dieted, exercised, and broke down the walls that kept the world outside of my dream.

Though my doctors named my condition, my condition was not me. I had always had doubts about this wreck of a brain that always seemed to say and do things against my better judgment. Outsiders sometimes tell me that mood stabilizers erase the personality. They have no clue. When I got on lithium and it started working, I found myself able to be the me that I knew I always was, free of the control of the randomness-loving demon who operated my body like a slot machine whose prizes were shame and sorrow. Over the years, I have added and subtracted more medications to my cocktail until I had a firm foundation upon which I could finally build a brick house. When the madman tried to seize control of my inner weather, I had a series of steps that I could take to seal myself inside my house and wait out the storm. This security enabled me at last to separate myself from my illness. I knew, at last, who I was. Life was no longer a bad dream.

Self Destructive Habits

People see the scars on my arms and legs and they tell me to stop in various ways.

But what people don’t see is all the other ways I harm myself. I get myself into bad self-destructive situations. I smoke, I drink, I take a little too much Xanax, I get into pointless arguments.

Self-harming isn’t just cutting yourself or even burning, hitting, etc.

The actions you take can be self harm too.

It may not be the definition. Maybe it doesn’t count. But to me, these are ways I hurt myself.

I’m putting myself in a situation that will lead to bad consequences. But I can’t help myself. I don’t know how to stop.

I don’t want to talk about the situation… I told myself I’d turned over a new leaf. Yet here I am following this path of self destruction once again. And I don’t know how to make it stop.

People like me get one hell of a bad reputation. But… maybe if they were in my situation, they’d realize how hard it is. Maybe they wouldn’t think so badly of me. Well, I think badly of myself. But it feels out of control, I feel myself going through the actions, getting myself into this situation, and feeling helpless.

I just gotta hold on till I see my therapist. I need real advice, I have a real problem here.

I don’t want to be this person anymore.

The Medical Marijuana for Bipolar Lie

UPDATED

Everyone seems to have a friend who has been helped by medical marijuana. When my wife had chemotherapy, we had it as a backup in case the anti-nausea drugs did not work for her. Glaucoma is a disease with medical research backing the effectiveness of medical marijuana. But the medical marijuana industry goes beyond what is proven by science. It welcomes those who use it for many other diagnoses despite the absence of peer review studies. In other words, if you can get a doctor or a nurse practitioner to write you a script, you can get high legally for any disease you can name. And the worst of the lies medical marijuana prescribers and retailers let fly is the lie that marijuana helps the symptoms of bipolar disorder.

Here is my full disclosure: First, I do not oppose legalization of marijuana provided it is regulated at least as well as alcohol. There need to be laws governing its sale to minors, bans against driving under the influence, etc. But other than that, I have no problem with seeing it available as a leisure drug. There’s considerable evidence that the liquor industry does not want this, but alcohol is worse than cannabis in some regards. Second, I have smoked marijuana. Here is where my strong feelings about the subject come from. When I was in college, I was talked into toking by my peers. They did not force it down my throat, they did not blow smoke into my lungs, they did not deceive me in the sense that they told me things that they knew were not true. I started using the drug by my own choice.

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Introduction

Hello, everyone. I’m Misrael. I’m sorry it’s taken me so long to get in on this blog. I was extremely reluctant at first, but then Joel reminded me that I had previously agreed to write for him. I tried to back out, but then Joel told me that I have a bad habit of backing out of commitments to him and that i’d better follow through this time. So i’m here.

One of the reasons I was reluctant to write for this blog is that I actually have very little to say on mental illness. Other than the lithium and risperdal pills that I pop in the morning and at night, and the weekly therapy (which everyone would benefit from, in my opinion), and the weekly socializing and chitchat at support group, mental illness really doesn’t affect my life much. Maybe it’s so normal to me now that I don’t notice it anymore.

On the other hand, mental illness has affected my past. Bipolar runs on both my mother’s and father’s side of the family. Schizoaffective and schizophrenia run in my ex-stepdad’s side of the family. Asperger’s and autism also run in my mother’s side, and I have a schizophrenic uncle on my Dad’s side. That’s a lot of mental illness for one family, and it has affected me quite a lot.

I have bipolar 1 and high functioning autism. I don’t show a lot of the symptoms of autism anymore, and I really don’t have typical autistic issues. As a result, although I am technically autistic, I don’t identify with the label much.

In other news, I am genderqueer and gray-ace/asexual. I am also gray/aromantic. I have a best friend that I try to see every week, who has issues with anxiety. I will call him Abaven on this blog. He’s 73. I’m 20. I don’t know whether I can say i’m in love with him yet, because I haven’t known him long enough for that. He’s also definitely not interested in me that way, which is a relief in some ways and a pain in others.

But this blog is going to be about mental illness, not about my love life (unless the two intersect). So you probably won’t be hearing much about Abaven on this blog, unless you tell me in the comments that you want to know more.

Any question and suggestions as to what to write about would be appreciated. Like I said, the reason I was so reluctant to write for this blog is that for me…blogging about mental illness is like blogging about having brown eyes. Yes, my brown eyes are beautiful. Yes, I can see because of them. Yes, I need glasses. Yes, I have been gifted with a beautiful pair of tortoiseshell glasses that bring the brown out. It gets boring after a while, because there’s only so much you can say on brown eyes.

But if you still want to hear about me, let me know. Post suggestions and questions in the comments. And until then, see you on the first.

The Dangers of Online Mental Health Quizzes

Alright so this is a big topic for me. A fellow author posted a link to a ridiculous quiz on Facebook that I feel the need to (and was asked to) write about.

I am going to take this quiz, step by step, and report exactly what I think about it. And after I will tell you why these quizzes aren’t just silly or stupid, but dangerous (with my anecdote evidence- reliable I know).

Alright, so when you click on the quiz, it starts off by saying, “Are you prone to dramatic and unpredictable mood-swings? What about anxiety and frustration? What’s your level of uniqueness? Find that all out right here.” Right off the bat I am annoyed. This perpetuates the stereotype that bipolar is sudden changes in mood. Going from happy to sad and back in a second. Unless you have extremely rapid-cycling bipolar, this is very unlikely. Bipolar is experienced in episodes. Generally meaning they have to last at least a few days. Although I do have little spikes of bipolar feelings, they aren’t full episodes and are mostly just annoying.

And for anxiety and frustration, yeah those can happen. I have anxiety that is sometimes correlated with my bipolar. But bipolar itself doesn’t specify that you need to have anxiety. Additionally, “frustration?” Really? Who doesn’t experience that? And lastly- “What’s your level of uniqueness?” That makes me want to hit my face on my keyboard. Being bipolar is unique in a sense, because a small amount of the population experiences it. But in this context it is taken in a positive way. In the United States we have a culture where individualism and self-expression is very important. If you’re unique, then it’s usually considered a good thing. But as far as I’m concerned, bipolar is not a good thing.

And then, of course, it adds that this should be used as a diagnostic test. And I’ll explain later why that really doesn’t matter.
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Something I wrote when I got out of the hospital

I was angry that I had been hospitalized. I didn’t understand why they thought taking me away from my family was a good idea and why they couldn’t have called someone when they couldn’t handle me.

My family of origin thought that the time I spent on the computer contributed to my illness and didn’t want me to go on. I typed up this outline of how I would like them to treat me, but they dismissed it and were just upset I had been on the computer.

I am not sure if this has anything worthwhile. It was right after I was diagnosed and I was still very ill. I made some sweeping generalizations and I don’t think people need a manual to talk to someone with a diagnosis,

my first first thought was to edit, but I decided to leave it as is. If this bothers anyone I can edit or remove it. Mainly I am just surprised I was well enough to write. I was pretty symptomatic.

 

HOW I WOULD LIKE TO BE TREATED
Introduction:
I. I can control my behavior with the guidance of professionals
A. You can not cause reactions I have, like the paranoia that led to my hospitalization, but if we had asked for guidance from a professional he would have told us that relocating someone in that condition often leads to paranoia.
B. Trying to modify my behavior without asking for my input makes me feel paranoid that I am being controlled. I am willing to discuss an issue that troubles you with my psychiatrist, therapist or support group.
C. All I expect from my family is to listen and be understanding. I appreciate how helpful everyone has been.

II. I have an illness
A. I know under other circumstances it would be wonderful that I am spending more time on myself, but pointing that out while ignoring that the underlying reason is because I am unable to do many things because of my illness, is hurtful to me.
B. I can not just cheer up or snap out of it. I can take my medications and follow my Dr’s orders.
C. Once my illness is under control, it may be helpful to remind me if I seem a little more irritable or anxious, but right now that is expected with a mood disorder while they try to find the right medications and they take effect.

III. Realistic Expectations
A. I don’t know what are realistic expectations for me yet. My Drs seem to feel I will be able to return to working, driving and taking care of my daughter and son.
B. Please don’t compare me to others. There are some things that are too stressful for me.
C. I have high standards for myself, and I like my life the way it is, when Ii’m healthy

IV. The psychotic episode was a traumatic experience for me
A. I don’t want to discuss the thoughts, because I am afraid it may trigger another episode
B. That was the scariest experience i’ve ever had
C. I will work through the anxiety and paranoia with my therapist, but I do still have to recover from being psychotic and hospitalized.

V. I hope we can all learn something from this experience
A. I think there is a less traumatic way to get help. Many people wouldn’t willingly go to a locked psychiatric facility, but they would go to the Behavioral Health Unit of a hospital
B. I do worry about our family members on SSRI drugs without mood stabilizers, zoloft triggered mania in me.
C. The difference between an obsession and a passion is if it is interfering with the rest of your life. I am trying to use this time to remember what is really important.

Conclusion:
I will treat everyone as respectfully as my illness will allow, and I expect to be treated with respect in return. I understand that you may be afraid, I am too, but my therapist thinks there is a good chance  never have another psychotic episode.

HOW I WOULD COMMUNICATE WITH A PSYCHOTIC/ PARANOID PERSON
Introduction:
I. When I was in this state I regressed to a child-like state
A. Explain any changes clearly and in advance
B. Emphasize any key words and make sure the person is listening
C. If you think they are hearing voices, written communication is probably better than verbal. I tune-out some things but I pay attention if key words are emphasized either by talking louder or writing and circling key words
.
II. Include the person in any plans
A. People with schizoaffective disorder are resistant to change
B. Plans made without their input may increase paranoia
C. Offer to go to psychiatrist appointment with them, if they seem to tune out sometimes, and discuss having them sign release of medical information.

IDENTITY VS ILLNESS

Introduction: It can be difficult to distinguish between the individual’s true identity and those behaviors that are due to the illness

I. I have some traits that I consider part of my identity that are not highly valued in our society. I want to treat my illness but not give up who I am. Some of these traits for me are:
A. passive
B. stronger written than verbal communication skills
C. sensitive

II. There are traits of the illness that seriously impair my life and I need medication, coping skills, and support to deal with these. Some of these are:
A. Paranoia/Anxiety
B. Impulsiveness
C. Irrational Thinking
D. Isolating

III. There are some things I may enjoy that others may not understand, but it IS normal behavior
A. long baths
B. Solitary walks
C. Reading
D. Computer Interaction

Some things I wouldn’t want to hear
A.i want the old you back. I am still here, hiding behind this illness
B. You need to do this I don’t take orders and I prefer to take advice from professionals (others may vary on who they trust)
C. You are being too emotional. i do understand the sentiment, but I can’tc ontrol how I feel

Loser Who Thinks Too Much

square844Both those terms have been used to describe me. An insult just doesn’t stab, it leaves a wound — not a scar, but a bleeding dripping lesion that comes to you in your worst depressions and sometimes — like now — when you are feeling just fine. I am a loser because I have not worked since I was 33 and do not have kids. I did not make a million in Silicon Valley and no one buys my photography or my writing (which I haven’t tried to sell in a long time.) Never mind that I have been married 27 years to the same woman, never hit or threatened to hit her or called her a vile name. I am a loser, a pariah.

The isolation of bipolar disorder is hell, but the isolation of my personality is worse. When I take tests such as the Myer’s Brigg, I keep scoring in the rarest categories. Less than 1% of people out there share my characteristics. We wander around, seldom meeting each other. The way we see the world, the things we strive for just aren’t appreciated or discerned by the rest of you out there. You come onto my blog, read my accounts of my illness or other aspects of my life and you don’t get me. I am a cipher, a shadow on the wall swept by the wind, a curiosity that cannot be. I, like others of my kind, feel alone. No wonder so many of us end up in monasteries or convents.

An article from a 2010 issue of The Guardian cites a pundit who believes that the InterNet has destroyed our ability to think deeply. All the shallowness of our political talk, our inability to concentrate works of art that encourage us to probe our minds, the simplistic and self-serving grasp of religion — those things I believe have always been there. InterNet debates are only emblems of a longtime tendency for their participants to refuse to engage with people who disagree with them, to damn new ideas with oversimplifications and patronization, to mock differences. People have always told me that I think too much, even educated people. They twisted the gifts of my mind into a curse. So I hide from them. I do not speak of my cogitations in any place other than here. Yes, I pretend to be something that I am not, but what am I supposed to do when I am so alone and the mass of human beings cannot and will not trouble to understand me?

Bipolar disorder with its wild antics and chilling depressions hogtied me for the longest time. I’ve come out as a new person, but the rest of you remain the same. Freak is how you thought of me when the disease ran my thoughts and freak is how you think of me now that I am in my right mind. Was it worth it?

Cults, Witches and Mental Illness

When I was 15, one of my brothers, who was 21 came home from college because he wasn’t well. He would sit and stare and do nothing for awhile. Later he would start talking but he said strange things and acted bizarre. He could be generous but was also unpredictable. I feel bad now because I was afraid of him for no real reason. He scared me because he seemed unusual.

My parents tried to figure out what had happened to him. He seemed fine when he had left home. They suggested maybe someone slipped him some drugs but settled on that he had been brainwashed by a cult at college. That his new girlfriend had brought him into the cult.

Of course, there was no cult, but the story grew. I was told not to speak to certain neighbors as they were part of this cult. My father didn’t believe in mental illness or psychiatry. He thought the hospitals were like the one in “One Flew Over the Cuckoo’s Nest” and discouraged my brother from going.

They also accused people of being witches. It was like mental illness was contagious. It was scary and confusing living in that home.

It can be difficult to be the sibling of anyone with a chronic illness. All the time and attention was on my brother and I felt ignored. My older siblings moved out and i just had my younger brother to confide in. I felt everything was strange at our house and didn’t have any friends over. My brother felt like every family has their own issues and we weren’t that unusual. I think he was able to roll with everything easier than I did.

Sonya Sones wrote a book of free verse “Stop Pretending, the day my big sister went crazy” about how she felt as a sibling, that I read as an adult and could relate to. I didn’t want to be home. I stayed out and used alcohol, other drugs and later sex to escape.

My brother didn’t get treatment except when he would get picked up for 3 day observational holds. This started in 1979 and it may have been easier to be taken in. He would be yelling or saying he was some famous person and the police would take him to a hospital. They said he had paranoid schizophrenia and put him on anti psychotics. Not Thorazine, but similar. All they did was slow him down. So, then you had a slow moving psychotic man. He knew he was not acting normal, so he would imitate people around him, which was even stranger.

The last time he was picked up, it was in a different county. They tried lithium this time. It was 6 years from when he had originally come home. Everyone told me it was like magic. He was back to his old self. I don’t know what his diagnosis was. Maybe bipolar, or schizoaffective like me. I was looking forward to seeing him. But, when I visited him, he wasn’t well. He was edgy and nervous. My mom said they had to adjust his medication, but she was waiting until Monday ( I think I came there on a Friday night). My brother took off and we didn’t know where. He had been talking about hiking at Yosemite. On Monday I got a call that he had fallen at a waterfall at Yosemite and died. No one knows if it was a suicide or accident. People do fall there.

Recently I was talking to my oldest brother and he was saying that he wished there was the information then that there is today. I thought he meant support, but he then said that we would know it was a mental illness and not a cult. I was perplexed that he had believed that. The 1980s weren’t exactly the dark ages. I have had to let go of a lot of anger towards my parents for what I now feel was dependent adult abuse by not getting him treatment, and all the time he thought they were right.

Lori- An Intro

I have schizoaffective disorder which technically is like bipolar I with psychotic features except I have had psychotic symptoms with and without mood episodes. Simplified it is the moods of bipolar and the thoughts of schizophrenia, or the best of both worlds.

Michael Crawford has a great series of articles on schizoaffective disorder at PsychCentral

http://psychcentral.com/lib/living-with-schizoaffective-disorder/0001564

I had a psychotic break in 2003 when I was 39 where I was having auditory and visual hallucinations. I thought my parents were going to harm me. I ran away from them on a road trip (they wanted to take me away from my children who were 2 and 4 at the time) and  I ended up in a county hospital on a 72 hour hold, or 5150.

I don’t know if I got better and then relapsed or if I had one very long episode with periods of lucidity. It took me about 9 months until I wasn’t psychotic or heavily sedated. I had times when I was doing very well mentally. But, there were a lot of times where I wasn’t.

I started thinking my therapist was sending me messages through the media and that I had a special skill to decipher these messages. I thought I had been split into multiple personalities and later had tests to rule out DID. I do not have that disorder.

I do have depersonalization disorder. It has more to do with anxiety. I tune out when I get too anxious. I will lose part of a conversation and be startled when it is over, but I don’t go anywhere. I also have trouble reading a wall of text so I make a lot of paragraph breaks.

I was very distracted and overprotective of my children because I was worried someone would harm them. I cut off contact with people, relatives, I didn’t trust. I was convinced people were using mind control and everyone was either in on it or clueless. At one point I was hospitalized. I am not sure what I was saying or doing. I thought i was there for research and de-programming. They changed my medication but I downplayed my symptoms. I thought they already knew everything. So, I left as symptomatic as when I came in. That was in 2005.

I don’t remember the year well, but I was pretty delusional. I thought people were sending me messages. I realize now I was hearing their voices, too, but I didn’t realize that at the time. My psychiatrist put me on a different anti-psychotic, abilify. I decided to see someone else. I was afraid I would get hurt in his office. I saw a different psychiatrist who was a lot less compassionate but who raised my anti-psychotic and over time the delusions lessened.

I did a day program, where I didn’t fit in. Partly because of the language I used. I really don’t know the proper way to say I have a mental illness or diagnosis or brain disorder or I’m batshit crazy without upsetting someone. The psychiatrist there changed my diagnosis from bipolar I to schizoaffective, bipolar type, because I was having psychotic symptoms with no mood component. At that point, the psychotic symptoms were my biggest issue.

After the messages stopped, I felt lost. I had no one to guide me, to entertain me, to keep me company. I tried to explain that to a therapist and she suggested I made the whole thing up because I was lonely. I wish socialization cured mental illness. I thought maybe they were mad at me or bored. Why would they leave. Logically, they left because the medication was working, but it was hard to challenge the belief they were real. I still have doubts. I have to put them aside so I can go about my day, but I wonder.

 

Mental illness wasn’t new to me. I had a brother, he passed away at 26, who had an undiagnosed mental illness. I will write more about that next time.

Joel Revealed

Because Quinn posted a brief introduction, it falls to me to do the same. The sketch of who I am runs like this: I am 57 years old, a graduate of a prestigious undergraduate school, and a graduate school dropout. As you might expect of someone with my illness and an idealistic bent, I chose the wrong major — Anthropology — which made it hard to get a job after my academic career crumbled. My immediate emotional support network consists of my wife, a Boston Terrier, and a gray tabby cat. For years, I could only brand myself as a failure.

My diagnosis with bipolar disorder (I don’t do numbers) came when I was 47 years old. I had texted my last will and testament to my wife then sat down on a log in Whiting Ranch Wilderness Park to ponder just how to slice my wrists. The phone rang. I answered. The voice of my psychiatrist spoke into my ear and asked me if I was all right. She persuaded me to get down to South Coast Medical Center (now Mission Laguna Beach Hospital) and commit myself. The next day a staff psychiatrist asked me if anyone had ever told me that I might be bipolar. I sat for a long moment and wondered just where I had missed this message in my life.

It isn’t as if it wasn’t there. I took Prozac for 11 years. One day and I was out of my depression. That was a warning. People told me about the dangers of the SSRI such as suicidal thoughts, but though these infested my mind, I disregarded them. My wife kept telling stories about people with bipolar that she had known or read about even before I sought the help of a psychiatrist. Once I had that depression diagnosis that is where I wanted to stop. People told me that I acted crazy. Some asked if I had been taking drugs or drinking. It wasn’t until that day when the hospital psychiatrist asked me the big question that I realized that people had been hinting about this all along.

Oh, I could –and will — tell you stories from the time when I was in college and thought I was God — but with the catch that I had messed up the Universe and couldn’t fix it — to my various failed schemes and plots. Today I volunteer at various activities, lead Meetup hikes, and help other people with mood disorders get a grasp on their illness through DBSA, the Bipolar_Blogs Twitter account, and various chatrooms. Note that I use the word “illness” — bipolar is not a character flaw, but a disease of the brain. And I call myself a patient not a consumer, one of a growing number of us who rebel against this terminology.

I hope to have other voices from our DBSA Chapter writing here, telling you the stories of their lives, sharing their discoveries, and commenting on culture. It is not an easy step to come out as living with a mental illness, but I hope more of us will take it. Too many people think wrong things about what kind of people we are. If we want truth to rule, we need to tell you who you are.

And I am Joel. I live with Bipolar Disorder.