Bipolar moods go up and bipolar moods go down. This is true. I think, though, bipolar moods also go sideways. And diagonally. So while I know the typical metaphor used with bipolar moods is a rollercoaster (I’ve used it, we all do), recently, my bipolar moods feel like more of a zigzag with rapid, hairpin turns. Yes, this is the bipolar zigzag mood.
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September is National Suicide Prevention Month, and so I want to talk suicide and bipolar. But I don’t just want to talk about suicide and bipolar disorder, I want to straight talk about it. I don’t want to get caught up in stigma or political correctness or whitewashing the pain. Because I believe we need to really talk about suicide to show that suicide is not a dirty word and to help all those who struggle with it.
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People with bipolar disorder are all-too-familiar with cycles – the moving from one mood to another – but not everyone knows that for some, moods can cycle ultra-ultra-rapidly. When a mood cycles last less than a day this is known as ultradian cycling. Ultradian cycling bipolar disorder is a very tough variant of bipolar disorder to treat and to live with.
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In my last article, I talked about how many with bipolar disorder don’t have insight; so, the next question is, how do you develop insight into bipolar disorder if you recognize you don’t have it? Developing bipolar disorder insight isn’t necessarily easy – it requires looking inward and doing the work – but it is possible.
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Insight into bipolar disorder is critical. Insight into anyone’s life is a good idea but for those with a mental illness, it’s vital. It’s a big part of what makes managing bipolar disorder possible. But so many people don’t have insight into bipolar disorder. Why is that?
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I’ve talked about bipolar and rest before but now I want to add the concepts of choice and empowerment. I want to talk about how choosing rest because of bipolar disorder is actually empowering. I want to talk about taking some power away from the bipolar disorder.
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Childhood bipolar disorder is a scary proposition and that’s what makes the treatment of bipolar disorder in children so critical. I recently came across a Psychiatric Times article by Chris Aiken, MD that talks about treating children with bipolar disorder with lithium and I wanted to outlay the research findings Dr. Aiken talks about as well as my own thoughts.
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Some would argue trauma can cause bipolar disorder. I would argue bipolar itself, feels like a trauma. I’m not suggesting bipolar disorder de facto gives you posttraumatic stress disorder (PTSD), but I am saying the trauma reactions seen in trauma survivors are similar to what I experience with chronic, obstructive, severe bipolar disorder.
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Doctors are sometimes dismissive of you when you have bipolar disorder. Believe me, this is true. Most of us have seen the “dismissive doctor” phenomenon firsthand. And not only are general practitioners often dismissive of bipolar patients but so are specialists and most everyone else in the medical profession (especially in the emergency department of a hospital). This isn’t all doctors, of course, many of us know great ones, but many of us also have also had legitimate medical concerns dismissed because of our bipolar disorder.
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