therapy Archives - Bipolar Burble Blog

You Can’t Change Your Thoughts or Feelings (No Matter How Much CBT You Do)

Posted by Natasha Tracy | Aug 5, 2021

You can’t change how you think and you can’t change what you feel. These are truisms. I know that some people (such as some who believe strongly in cognitive behavioral therapy [CBT]) might tell you different, but honestly, these people are wrong. These people are misunderstanding the situation. After dealing with bipolar disorder — a disordered and out-of-control brain — for more than two decades, I can attest to having tried very hard to change how I feel and think. However, the impossibility of this has become imminently clear to me.

Mindfulness — Essential Bipolar Survival Skill?

Posted by Natasha Tracy | Jul 13, 2016

I wrote that Mindfulness Doesn’t Help My Bipolar Disorder. And I think mindfulness, at least how I was taught it, just doesn’t significantly, positive affect a serious, neurological illness. I find it works best in people who experience stress and anxiety. And many do agree with me on this.

That said, John McManamy does not. Here are his thoughts on mindfulness in bipolar disorder.

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Mindfulness is essentially the mind watching the mind. The practice has been around forever. It is a staple of Buddhist practice, and is also the basis of modern talking therapies such as cognitive behavioral therapy (CBT), even if its proponents fail to give it credit.

In all likelihood, if you have had success in managing your bipolar, you are employing mindfulness techniques, though you may be unaware of it.

Why Therapy Can’t Treat Uncontrolled, Serious Mental Illnesses

Posted by Natasha Tracy | Sep 24, 2015

I have been through lots of therapy and lots of therapists in my life and my contention is that therapy can’t be used to actually treat uncontrolled, serious mental illnesses. Now, don’t get me wrong, therapy can be supportive to a person with an uncontrolled, serious mental illness and therapy can be useful to a person with an uncontrolled, serious mental illness (such as in the case where the therapist tracks your bipolar symptoms and report changes to your doctor) but therapy cannot be used to actually treat a serious and uncontrolled mental illness.

Can You Treat Bipolar Disorder Without Medication?

Posted by Natasha Tracy | May 28, 2013

People ask me if they can treat their bipolar disorder without medication all the time. They think that I have some secret answer to give them. Like I secretly know something that doctors don’t. Like there is a giant conspiracy to keep non-medication treatments away from people with bipolar disorder.

Well there isn’t.

So let me answer the question: Can you treat bipolar disorder without medication?

The quick answer is: no, not really. The long answer is: sort of, a bit.

So here I outline the treatments I’m aware of that treat bipolar disorder without prescription medication (or neuromodulation, like electroconvulsive therapy or repetitive transcranaial magnetic stimulation).

How’s the Mindfulness Meditation Class Going? – Week 1

Posted by Natasha Tracy | Mar 24, 2013

As I said before, I’m taking a mindfulness meditation class and I can’t say as I particularly believe in mindfulness meditation. But, as I mentioned, I need to give treatments a chance if I want to get better, so, believe in it or not, I’m giving mindfulness meditation the ol’ college try.

The First Class of Mindfulness Meditation

In the first class we learned about deep breathing and the body scan (article to follow). These are really simple skills that anyone could do. But thinking about sitting still while “breathing” and “scanning my body” seemed kind of silly to me. I didn’t see how anything useful could result.

But I tried it anyway.

Mindfulness Meditation Skill #1 – Deep Breathing

Posted by Natasha Tracy | Mar 22, 2013

In my effort to document the mindfulness meditation class I’m taking, I introduce skill #1, something easy: Deep breathing.

I know, you think you know how to breathe. In fact, my guess is you’re probably doing it right now (at least I hope you are). Nevertheless, many people don’t know how to deep breathe and this is a problem during mindfulness meditation. Many people, especially women, shallow breathe and this isn’t the best way to nourish your body. Some people even go so far as to occasionally hold their breath, especially when anxious.

Shallow Breathing vs. Deep Breathing

Shallow breathing comes from the chest while deep breathing comes from the belly. (I know all about this because I was a trained signer when I was younger and you have to deep breathe in order to project and hold notes properly.) Women, often, don’t like to deep breathe because they’re scared that breathing from their belly will make them look fat. (Really.)

How to Know if You Deep Breathe or Shallow Breathe

Tips for Creating a Mindfulness Meditation Practice

Posted by Natasha Tracy | Mar 20, 2013

(They call meditation “practice.” I suppose it’s to indicate that we’re all students and that we’re never done learning. It’s kind of a warm, fuzzy concept but I think it’s worth remembering.)

Tips on Creating a Mindfulness Meditation Practice

These are simple, easy-to-remember tips on creating a mindfulness meditation practice according to the course (and a little bit from me.)

Here are the tips provided when beginning a mindfulness meditation practice:

Choose a sacred space and time – there is no perfect time for a practice but if you make it part of your routine, you’re more likely to do it. Make sure to minimize distractions. (And realize that your space might just be the corner of your living room. We don’t all have ashrams to retire to.) Many people find meditation earlier in the day easier.
Sit in a comfortable and strong position – either in a chair or on the floor, sit with a straight back with your legs uncrossed. Let your face relax into a natural smile and let your hands rest on your lap or cupped in each other.
Use a gentle-sounding alarm to time your practice – so you relieve the worry of time.
Make your mantra, “meditate anyway…” – things will always seem “more important” than meditating and things will always stand in the way of your meditation practice – do the meditation anyway. Even if it is only 5-10 minutes, this is better than nothing and it’s daily practice that’s going to make this meditation useful (not to mention easier to continue in the future).
Be gentle – let go of any preconceived notions of what a meditation “should” be and just be curious about whatever arises.
Gently bring your mind back – when meditating, if your mind wanders, understand that this is normal and gently bring your mind back to the here and now.

I admit to not using all of these tips but I do think they are a good idea.

I’ll talk about how I put these mindfulness medication tips to work with some mindfulness meditation exercised next.

What is Mindfulness and Mindfulness Meditation?

Posted by Natasha Tracy | Mar 20, 2013

I’m going to be talking about an eight-week course I’m taking on mindfulness meditation, but before I start with my experience, I have to define a few terms so we’re all on the same page. I’m going to define mindfulness and mindfulness meditation so we all know what we’re talking about.

What is Mindfulness?

Well, that depends on who you ask. A very simple definition for mindfulness might be, “being right here, right now, and nowhere else.” Mindfulness has also been defined as “purposefully paying attention, in the present moment and without judgement.”

According to Sheri Van Dijk, MSW, author of The Dialectical and Behavior Therapy Skills Workbook, mindfulness skills, “. . . help people to live more in the present moment, rather than getting stuck in the thoughts about the past or future, which can trigger painful emotions. These . . . help you get to know yourself better, because you’re focusing on the present moment, you’re more aware of your emotions, thoughts, and feelings.”

Multi-tasking is the antithesis of mindfulness. (Personally, I still don’t think multitasking is always bad and I don’t think mindfulness is right for all occasions. But that’s my personality and a function of my job.)

While mindfulness is a form of meditation practice, you don’t have to sit cross-legged on a yoga mat chanting in order to do it. Both formal practice and informal practice can take place.

Formal and Informal Mindfulness Practice

Trying Bipolar Therapy You Don’t Believe In – Mindfulness Meditation

Posted by Natasha Tracy | Mar 18, 2013

When people ask me about bipolar treatments or bipolar therapy here, I tell them about the research on the therapy or treatment and I tell them this, “different bipolar treatments and bipolar therapies work for different people so try it and see if it helps.”

And I consider this good advice. It’s absolutely true. Different bipolar treatments and bipolar therapies do work for different people – but that doesn’t mean that I, personally, believe in them.

And, to be clear, it’s not so much that I don’t believe in them entirely, it’s more that I don’t believe in them for me.

Enter mindfulness-cognitive therapy or mindfulness meditation.