The Chains Of Bipolar Disorder: What it is and How to Deal With it
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Bipolar disorder is not something that I would wish on my worst enemy. It’s been a constant battle for me, but one that I’m determined to win. My life was changed by mental illness in so many ways, some good and some bad. But overall, I’m grateful for the lessons it has taught me and the strength it has given me. Here’s a look at how bipolar disorder has changed my life.
Definition and Overview of Bipolar Disorder
Bipolar disorder is a mental health condition characterized by extreme shifts in mood and energy because it causes periods of depression, mania, or an ‘in-between’ state. Bipolar disorder affects people differently. Treatment often involves therapy, medications, or both. Regular conversations with your doctor and therapist will help you find the best care plan which fits your needs because you need to keep them in the loop.
What is Bipolar Disorder?
Bipolar disorder is a serious mental health condition that consists of extreme mood swings between mania and depression. It’s tough to manage the condition, but with treatment, strategies, and support, people take back their lives. I know this from my own experience because it takes dedication. With the right resources bipolar is managed which allows you to reach your full potential, without a doubt.
Bipolar disorder (formerly called manic depression disorder, or manic depression) is a mental illness that causes an unusual shift in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks.
Here is a TED Med talk about Bipolar disorder. It is only 5 minutes long if you want to watch it real quick now!
Statistics About the Prevalence of Bipolar Disorder
Bipolar disorder is fairly common, affecting an estimated 2.8% of adults in the U.S. (Healthline.com)Statistics show it often begins in a person’s late teens or early twenties. (Hopkinsmedicine.org)Despite hard work to stay healthy, those with bipolar disorder face tough mental health challenges day-to-day and know that it takes more than just determination to manage the condition. For many, it is a transformative and lifesaving challenge because they are properly treated by professionals. As someone with bipolar disorder, I experienced this personally and can attest to its power to shift lives in positive directions when given access to care.
Risk Factors for Bipolar Disorder
People with a family history of bipolar disorder are at greater risk of developing it themselves. Substance abuse can trigger or worsen bipolar symptoms. That being so, using drugs and alcohol should be avoided. Stressful events like job loss or the death of a loved one can cause mania and depression. People who have other mental health disorders face higher chances of having bipolar disorder too. Treatment for any mental or physical illness can cause mood swings that could be signs of bipolar disorder. Lastly, rapid cycling, where there are 4 or more manic-depressive episodes in a year, puts someone at high risk for additional episodes.
My physicians worried about me after my late husband, Walter died. I had the double whammy of being bipolar along with a history of substance use disorder. We all knew that if I went back to using that I would most likely die. It has been 3 years, 8 months, and 18 days and I am still here!
My Personal Experience With Bipolar I Disorder
When I was 15, I began my life with Bipolar I Disorder. Despite trying every medication, I felt helpless and like I would never regain control because nothing seemed to work. It got so hard that I even became suicidal. I felt helpless but I explored different treatments and my experience, with the help of others, made me strong enough to not let my disorder defeat me. Now, I am thankful for the hard lessons it taught me and how a little hard work turned a seemingly life-ending experience into an opportunity for growth.
I am here to help you understand what bipolar disorder is, find treatments that work, get on medications that are right for you, help you figure out who you are, and hold your hand while you do so.
Causes of Bipolar Disorder
Bipolar is an intriguing mental health condition that affects many people and it’s important for an individual to understand the underlying causes of bipolar disorder and how to better manage it because that’s the only way to improve. Causes can range from biological, such as genetics; environmental (like stressful events or trauma); and biochemical influences in our very own brain chemistry. All experiences are different so it’s important to leverage our own experience with bipolar disorder to gain effective insight into what works best for us in our journey. (Betterhelp.com)
Symptoms
Bipolar can be hard to recognize but people can learn the symptoms to look for. Symptoms include elevated mood, increased energy, reckless behavior, and a decreased need for sleep. Other signs are grandiose ideas, rapid speech, and racing thoughts. To manage this disorder hard work is needed because it is essential to monitor your own emotions and take medication according to doctor’s orders. My own experience has taught me that getting regular exercise and talking regularly with a therapist or support groups can greatly benefit those diagnosed with bipolar disorder. I mention this below, but I can’t emphasize how much Online-Therapy.com can be a lifesaver!
Types of Bipolar Disorders
According to the National Alliance on Mental Illness (NAMI), bipolar disorder is a mood-stabilizing condition characterized by periods of intense mood swings and changes. There are two primary types: Bipolar I, which includes episodes of a very high level of mania that requires work to manage, and Bipolar II, which involves milder bouts of depression. Treatment for both conditions may include controlled exercise, therapy either alone or with other people who understand, and medications tailored to individual needs. Overcoming bipolar disorder requires hard work but the rewards can be great. With patience and a commitment to understanding their own experience with this health issue, those affected can reclaim their lives and make the journey toward wellness more manageable.
There is also how often people go between depression and manic cycles. Cyclothymia has lengthy episodes with little to no symptoms in between. Rapid-cycling bipolar features multiple manic and depressive episodes each year. I am rapid-cycling. Lucky me! Working hard to learn about this complex illness can help people better understand their own experience with it.
Symptoms of Bipolar I Disorder
Bipolar I disorder can be hard to diagnose as symptoms vary from person to person. It can affect people differently. Symptoms include increased energy and activity levels, extreme highs called mania or hypomania, increased irritability, and difficulty sleeping. Other signs include frequent overconfidence, hard work, racing thoughts, grand ideas, and risky behaviors like reckless spending. I have experienced this firsthand and know it’s difficult to recognize the signs early on. These episodes can last for hours, days, weeks, or even months. Rapid cyclers, like yours truly, can experience several of these swings in a single day.
Mania Symptoms
Mania symptoms often cause people to become impulsive and excessive. As someone who has lived with these symptoms personally, I understand how challenging it can be to find balance in everyday activities. That’s why it’s important to recognize when to put on the breaks and get extra support for times when you may need help regulating. Mania symptoms include:
- Flying from one idea to the next
- Having Energy that never quits (think Energizer Bunny)
- Increased risk-taking
- Hypersexuality
- Substance abuse
- Spending like money isn’t an obstacle
- Inflated self-esteem and image of self
- Unfathomably rapid, pressurized speech
- Losing touch with reality (you mean the garden gnome didn’t attack the gargoyle on the stoop? Bummer…)
- Unrealistic planning (trip around the world in a hot air balloon, anyone?…Bueller?)
To anyone who didn’t get that last reference, I hate you. Just kidding!! It just shows my age. Oh, help me, someone!
I can attest that this can be extremely stressful for not only you but for friends and family members who don’t understand how you can be happy one minute, only to be agitated and depressed the next time they walk into the room. Friends melt away and family members find excuses to be absent…It’s exhausting…
Depression Symptoms in Bipolar Disorder
Bipolar is difficult as managing symptoms of depression can be a challenge. I have had my own experience, coping with mood swings and extreme emotions. Depression is a common symptom of this condition, marked by low motivation and feelings of sadness lasting two weeks or more. It’s important to take active steps daily to manage depression symptoms such as focusing on small positive moments, reaching out to supportive people, and connecting with hobbies or activities you enjoy.
Mixed Episode Symptoms in Bipolar Disorder
One type of bipolar disorder, known as a mixed episode, is characterized by experiencing symptoms from both the manic and depressed states in one episode. It can require time to figure out which strategies are needed to address the overlapping symptoms. I’m learning that it’s important to be prepared with skills and strategies tailored to managing mixed episodes should they arise.
Diagnosis of Bipolar Disorder
Diagnosing the disease requires a comprehensive evaluation of the patient’s own experience. Doctors use physical examinations, laboratory tests, and psychological evaluations to assess symptoms and determine if there is a pattern that meets the criteria for diagnosis. The doctor also reviews the medical history and family history and speaks to friends or relatives of the patient to gain further insight. Making the correct diagnosis is not always easy but is an important step toward finding the right treatment plan.
In a “classic” manic episode, a person has a readily apparent elevated mood, high energy, euphoria, and/or irritability for a sustained duration of at least 1 week. After being up for 6 days straight, my late husband and best friend were quite familiar with the irritability side of things!
These manic and depressive episodes have to happen a minimum of 4 times per year in order to qualify for the diagnosis. It is pretty subjective as to what is or isn’t a cycle though. Some people with bipolar I experience mostly only hypomanic [raises hand], or manic episodes, while others exhibit both manic and depressive episodes. Sounds fun, right?
Photo credit: Lori Ann Peterson
Treatment of Bipolar I Disorder
Bipolar I disorder requires compliance and dedication to treat. Successful treatment may include therapy, lifestyle changes, medication, and support groups. Each person’s experience is different and as a result, so is the best way of treating it. Therefore, it’s important for individuals to be open-minded when discussing treatment options for their own situation with a healthcare professional. Only then can an effective approach to managing the condition that fits their own experience be determined.
Most people think of lithium when they hear that someone is bipolar because it has been used successfully for 60 years. It didn’t work for me. It made me crabbier than hell.
Medications used include: Anti-seizure medications are another option that many people are unaware of, but have been found to treat intractable cases in ways that common medications were lacking.
- Mood stabilizers
- Antipsychotics
- Benzodiazepines
- Antidepressants
Anti-seizure medications are another option that many people are unaware of, but have been found to treat intractable cases in ways that common medications were lacking.
Therapy may include cognitive behavioral therapy (CBT), electroconvulsive therapy (ECT), or psychoeducation. Lifestyle changes that can help manage bipolar I disorder include getting regular exercise, eating a healthy diet, and getting enough sleep.
Definition of Bipolar II Disorder
Bipolar II Disorder is a mental illness defined as managing alternating episodes of depression and hypomania. Symptoms of depression include a consistent feeling of sadness while hypomania involves elation and enhanced energy levels. Though both types of episodes can be intense, individuals with Bipolar II often experience far longer periods of depression than those with Bipolar I. A clear understanding of this disorder can come from one’s own experience and seeking professional help.
Surprisingly, you can grab that diagnosis by having just ONE hypomanic episode during your life, along with a depressive episode that lasts longer than 2 weeks. Huh, seems simple enough, right? What’s the catch? You are more likely to suffer from depression more often and feel sad and hopeless while having trouble eating and sleeping. Oh, yippee!
Symptoms of Bipolar II Disorder
Bipolar II Disorder is often hard to diagnose because it is milder than Bipolar I. Its symptoms can be hard to detect because they are less intense. Symptoms of Bipolar II include extended periods of depression and hypo-manic episodes with significantly less intensity than Bipolar I. People affected by the disorder struggle with impulsive decisions and fear of failure.
Treatment for Bipolar II
The same treatments apply here, but sometimes lifestyle changes go a long way when it comes to bipolar II. Changes you make to succeed in managing bipolar II disorder:
- Exercise regularly
- Eat a healthy diet
- Stay hydrated
- Meditate
- Do Yoga
- Reduce stress
- Get enough sleep
- Learn relaxation techniques
- Develop connections with other people
I found that journaling is a great way to express my feelings and organize my thoughts by getting them down on paper (like real pen and paper?) I had to graduate to speech-to-text (there will most certainly be a post about autocorrect soon!). Anyway…drawing and painting are other ways to get it all out using different areas of the brain, which helps us to connect dots in ways we hadn’t considered. Feelings were a tough area for me, it was a life-altering occasion when my counselor got through to me by her saying, “feelings aren’t facts”. For those who still don’t get it, read Feelings Aren’t Facts
My favorite hobby is photography. I tend to zoom in (pun intended) on interesting items, groups of colors, and odd presentations of things in nature. The silly photo of me is during, fittingly, a Manic Monday. (Click the link to hear the song).
Credit: Lori Ann Peterson (That’s me!)
Who Diagnoses Bipolar Disorder?
Professionals trained in diagnosing mental health conditions, such as psychiatrists, psychologists, and social workers, are the individuals that can diagnose bipolar disorder. These specialists create an individualized treatment plan customized to each patient depending on their symptoms and needs. The criteria used to diagnose bipolar disorder can be found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). A combination of assessment tools, like physical exams and psychiatric evaluations, along with discussions about family history and personal experiences are usually involved in making a diagnosis.
Lab Tests, Screenings, and Assessments That May be Used to Diagnose Bipolar Disorder
Lab tests, screenings, and assessments are essential components of accurately diagnosing bipolar disorder. Doctors may order blood tests to rule out physical conditions, psychological evaluations to assess history and symptoms, and brain scans such as MRI or CT imaging to look for possible structural changes. Depending on the situation, a clinician may also use a variety of clinical interviews or questionnaires to help diagnose bipolar disorder. Collectively, these tests and assessments paint a clearer picture that can be used to make an accurate diagnosis and treatment plan.
Medications Used to Treat Bipolar Disorder and Their Side Effects
I mentioned the medications that can be used to treat bipolar disorder above. Medications are often prescribed to manage symptoms, but they can cause potential side effects. These can include dry mouth, drowsiness, difficulty sleeping, blurred vision, weight gain, and nausea. It’s important to discuss all potential side effects with a doctor before taking any medication.
Psychotherapy Treatments for Managing Symptoms of Bipolar Disorder
Psychotherapy treatments are an important part of managing symptoms of bipolar I disorder. Cognitive Behavioral Therapy (CBT) helps patients recognize unhealthy thinking and behavior to help manage symptoms. Psychoeducation is a type of therapy that provides information about the condition and tips for managing mood. Interpersonal and Social Rhythm Therapy (IPSRT) is designed to help patients regulate their daily routines, and Family Focused Therapy (FFT) can be used with families to teach communication skills and support systems. All these treatments can be combined to create the best recovery plan tailored toward a patient’s specific needs.
Online-Therapy.Com
I wanted to take a moment to tell you about a great resource I’ve been working with lately. It’s called Online-therapy.com, and it’s an online platform that offers a variety of different therapy options. You can choose to participate in group therapy, courses, or one-on-one sessions with a therapist, and you have 24/7 access to your therapist through text. There are also workbooks available to help you work through specific modules.
I love it because it’s so convenient and accessible, and I’ve found it to be really helpful. Plus, I was able to snag you 20% off for being my readers. This is my thank you to you for reading and it shows how much you mean to me. I believe that everyone deserves access to quality mental health care, and this is one way that I can help make that a reality. I believe in what they stand for and the community of assistance they are building. So please, take advantage of this offer and give Online-Therapy a chance.
Alternative Therapies, Such as Dietary Changes or Supplements That May Help Manage Symptoms
Alternative therapies such as dietary changes or supplement use can provide relief for people living with the symptoms of bipolar disorder. Many studies suggest eating nutrient-rich, balanced meals and adding supplements such as omega-3 fatty acids can strongly boost mental health. Nutrients like folate, iron, zinc, and vitamin D are also linked to stabilizing moods. Simple lifestyle changes combined with alternative therapies may help manage the symptoms and lead to improved quality of life.
Challenges Living with Bipolar Disorder
Living with bipolar disorder can be difficult and challenging. It presents daily struggles like coping with mood swings, changes in motivation, and difficulty concentrating. Those affected may need to adjust their lifestyle, develop a support system, and monitor their own physical health. Seeking medical help and understanding how to manage the condition can make living with bipolar disorder easier.
People with bipolar disorder may have difficulty functioning in their daily life and maintaining relationships. The symptoms, emotions, and sudden mood swings can easily lead to substance abuse, financial problems, and suicidal tendencies. The trick is to remind yourself that all (good or bad) things come to an end…on to the next!
The stigma associated with bipolar disorder
Bipolar disorder is often misunderstood, leading to negative stigmas. These stigmas are based on falsehoods and can be damaging to those living with the condition. Such stigmas often encourage avoidance of diagnosis and treatment, as people may feel shame or fear about having bipolar disorder. It’s important for people to educate themselves on this serious mental health disorder so that they can support and provide understanding for those individuals living with bipolar disorder in their lives.
Mental illness is a medical problem
Mental illness is a disease. Period. The brain breaks too. There should be no limitations in regard to access to required treatments, medications, and therapy options because these are important to overall health. Depression, anxiety, and stress all affect the body as a whole.
Mental illness is a real medical condition just like any other physical ailment. It can affect anyone regardless of age, gender, race, socioeconomic background, and so on. Mental health issues often manifest in a variety of ways, including anxiety, depression, eating disorders, and more. As such, it’s important to recognize the signs and seek professional help as soon as possible to ensure the best treatment and recovery outcome. The stigma surrounding mental illness has fortunately been reduced, making it easier for those suffering to seek aid.
Challenges in maintaining adherence to treatment plans in bipolar disorder
Maintaining adherence to treatment plans for bipolar disorder can be difficult. Life events like the loss of a job, the death of a family member, or moving can make it impossible for someone to take their medication and stick with their plan. It’s important to remember that making changes to a treatment plan should happen in collaboration with a healthcare provider and should not be done without guidance.
Medication side effects may also cause people to drop out of their treatment plan without first consulting their healthcare provider. Lastly, financial constraints may impact access to care and medications. Healthcare providers must be aware and prepared to address these challenges when creating treatment plans in order to provide quality and effective care.
Challenges involving substance abuse and bipolar disorder
Substance abuse and bipolar disorder create difficult challenges on their own. Together it is a nightmare. Misusing substances can worsen mood episodes and make parenting, interpersonal relationships, and school or work life more challenging. Bipolar disorder can also make proper treatment of substance use more difficult. Both conditions need to be treated together for people to find long-term success in their recovery efforts. Counseling, support groups, and other services are important resources for anyone struggling with this dual diagnosis.
Unfortunately, I developed a substance use disorder and ended up alienating myself from many friends, lost contact with my 3 kids, and am still working on proving myself and trying to right an endless list of wrongs. I feel empty and alone without my kids while carrying around profound guilt that will follow me until the day I die. I regret so much of what happened and only hope to fix things.
I hope to re-establish relationships with the kids (I am not me without them), but have to let them choose their level of involvement. It is by far, my deepest regret and most fervent wish in life. For those of you who are curious about my adventure and how I managed to quit using…that story is coming out soon to a blog near you!
Books About Bipolar Disorder
Bipolar disorder is a lifelong challenge–but it doesn’t have to rule your life.
Embrace who you are with this guided self-love workbook for women
Overcome negative-thought patterns to reduce stress and live a worry-free life.
Stressors that Can Trigger Episodes of Mania or Depression
Stress can come in many forms; it might be a job overload, relationship problems, financial difficulties, or health issues. It all affects our mental wellness and puts us at risk of experiencing mania and depression. Emotional stressors such as divorce, substance abuse, and grief can trigger episodes of depression. On the flip side, physical stress such as lack of sleep or too much exercise can cause mania. We must be aware of the risks and actively manage our personal stressors to better look after ourselves.
If you can’t tell already, one of my coping mechanisms is humor because it helps me get through all of the tough stuff on any given day. Another of mine is making and updating my gratitude list. Don’t know how to make one? Read How To Write A Gratitude List – Start Simple And Become More Complex Over Time
Summary of Key Points on Bipolar Disorder
Bipolar disorder is a chronic mental health condition that causes extreme shifts in mood and energy levels. Treatment plans can be difficult to maintain due to life events, side effects of medications, financial constraints or substance abuse issues. Stress is one of the primary triggers for mania and depression, so it’s important to develop healthy coping strategies and manage stressors. Exercise, relaxation techniques such as mindfulness, writing down worries or negative thoughts, and creating connections with other people are some ways to cope healthily. With careful management and effective treatment plans, you will find success in managing symptoms.
Reflection on My Personal Experience With Bipolar I Disorder
Having bipolar I disorder has not been an easy journey but it has helped me to be more aware of warning signs and how to manage my mental health. With therapy and support from friends, family, and doctors, I have learned how to navigate triggers, cope with mood swings, and minimize external stressors. Now I’m better able to manage my own bipolar condition by taking regular medications, using coping skills for depressive and manic episodes, and engaging in activities that foster self-care. Overall, I’m grateful for the knowledge I now possess about myself due to dealing with bipolar I disorder.
Many people have this mental illness and are living happy, healthy, successful lives. It may upset your progress or plans on occasion, but so do many other things! Do NOT let an illness define or limit you or what you are capable of. With the proper treatment, you can do anything and be who you want to be. Just be you.
Photo Credit: Lori Ann Peterson
Picture available in my Etsy shop, PaloozingPlanners.
Encouragement for Those Living With the Disease
Don’t let the fear of a mental illness stop you from getting much-needed treatment. I know what you are imagining, because I have been where you are, and I promise that whatever you are thinking?…not even close to reality.
Hey, It’s not what anybody puts on their Christmas list, but I guarantee that a few friends and family members scribbled “getting help for ___” on a post-it note and stuck it to the fridge. Give yourself the much-deserved gift of therapy for your New Year’s resolution, Christmas in July, or Thanksgiving Therapy because It’s all the craze! Well, it should be because the world would be better off.
Managing symptoms prevents further complications. If episodes are caught early, then they don’t get the opportunity to snowball into a snowman that even Gandalf would be proud of!
The brain is an organ and controls every other organ in the body, therefore, A healthy brain leads to a healthy body.
Resources
Managing bipolar disorder can be overwhelming. Reach out for help with three great resources:
These sites offer information, advocacy, and support regarding bipolar disorder, helping individuals to take control of their mental health. Does your child have a disability along with bipolar? Read Best Gifts For Kids With Disabilities – How To Help Parents And Kids
What is bipolar disorder?
Bipolar disorder is a mental health condition characterized by extreme swings in mood and energy levels, from manic highs to depressive lows.
What are the symptoms of bipolar disorder?
Symptoms of bipolar disorder can include changes in sleep patterns, difficulty concentrating, feelings of hopelessness, irritability, impulsivity, and risk-taking behaviors.
What causes bipolar disorder?
The exact cause of bipolar disorder is unknown, however, it is believed to be due to a combination of genetic and environmental factors.
How is bipolar disorder treated?
Treatment for bipolar disorder typically involves psychotherapy, medication, and lifestyle changes such as regular exercise, healthy eating habits, and stress management techniques.
References/Sources
Title:Anticonvulsant Use in the Treatment of Bipolar Disorder: A Primer for Primary Care Physicians Authors: Raphael J. Leo, M.D and Rajesh Narendran, M.B.
