On Bipolar Disorder
I originally posted a much-shortened version of this to instagram. Shortened only because of word limit, and unfortunately I was unable to really share my full message/story as a result. When I discussed it with a friend, she suggested I post this in its entirety to my blog. It’s nine weeks late (what else is new with my blog? Lol), but I think it’s important for these words to be here. People need to know exactly what Bipolar is, because it is often so misconstrued!
—–
Credit for this image goes to Ellen Forney. This is a page out of her memoir, Marbles. I haven’t had a chance to read it yet (I want to!) but this page describes something so important that people miss.
For World Suicide Prevention Day, I wanted to take the time to share about mood states. I mentioned in my last post about the struggle of having to explain that having a different way of thinking one day to the next doesn’t make a person “bipolar”…
Why focus on Bipolar? It’s part of my story, and honestly there’s a lot in the way of suicide risk that comes with this illness. I’ll only focus on the “main three” mood states (Depression, Mania, and Mixed Episode), though there obviously many in between. This post will probably be long, so please bear with me!
I live with Bipolar Disorder. Actually, this page feels even more representative of “me” because I also have type I Bipolar. I’ve been hospitalized for it. I’ll tell some of my story as I go along.
It may seem obvious that in a depressive episode, a person would behave similarly to a person with Unipolar Depression/Major Depressive Disorder. That means the risk of suicide in a “down” phase can be quite great.
For many years, I was actually misdiagnosed and I later found the antidepressants were what made my manic episodes worse! But for whatever reason, professionals didn’t catch the mania to treat the real problem until many years later.
Then there’s mania…the mood state that makes you feel “GREAT” — you don’t have to sleep and have so much energy and creativity and just want to gogogo! It means impulsivity and risk taking behaviors are much more likely. It means the inevitable crash of this “up” phase hurts like hell. If it gets bad enough, there’s the awful paranoia and hallucinations and for some people: psychosis.
I’ve met fellow sufferers in the hospital who really believed they were, say, Jesus, or the Virgin Mary or that the FBI was out to get them. Mania is not pretty and it certainly isn’t fun. But wrap these things together, and there can be a significant risk of suicide.
Lastly, there’s the mixed episode. This is the most dangerous of the three. Toss in symptoms of Mania and Depression together and there you have it. Impulsivity with self-injurious behavior? Paranoia with thoughts of worthlessness? Mood swings with racing thoughts? It makes suicide risk very high. Top it off with sleepless nights, and perhaps that gives you a glimpse of how miserable it can be.
When I received my official Bipolar I Disorder diagnosis, I was taught how severe it is. Coming into treatment directly out of psychiatric inpatient care, I found of 4 qualifying symptoms for mania, I had 9. I was also very depressed. It was an extremely tough time. I didn’t think I could possibly swing back, let alone be accepted for it.
Those thoughts were wrong. And within a year and a half, I began dating the boy who reached out and asked me to seek help, and we have been happily married for 9 months (now 11! :D). I am much more stable now, and I have his constant, loving support.
Things get better. If you’re struggling right now, please know this. Please know that you are not alone. Reach out. Seek help. You are not alone.