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Bipolar Treatment Fatigue

In the world of chronic illness there is a concept of “caregiver fatigue.” This is where caregivers of people with chronic illness get burned out because they just spend so much time and effort caring for another person. This is a real thing and a real problem.

I would suggest there is also such as thing as “bipolar treatment fatigue.” Bipolar treatment fatigue is when a patient with bipolar disorder becomes burned out because of all the time and effort it takes to fight the bipolar disorder. I think this is a real thing and a real problem.

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When Your Family Doesn’t Support You or Your Mental Illness

Recently a received a message from someone who was very distressed because her family wouldn’t accept her because of her mental illness. Her family hadn’t cut her out of their lives, necessarily, but they didn’t understand bipolar disorder and just waved her off telling her to “take her meds.” They made no effort to support her dealing with her mental illness.

And to this woman, family was everything. She didn’t think she could live without the support of her family.

And while I know that family is critically important to some people, I’m here to tell you: you can live with a mental illness, with bipolar disorder, without the support of your family.

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Depression: ‘I’m Happy for You’ When You Can’t Feel Happy

A few years ago a good friend of mind got married. She was a beautiful bride. I thought she looked like she just walked out of a bridal magazine. And she was an extremely happy bride too. I think it couldn’t have been a better day and situation for her.

I was one of her bridesmaids. This was extremely hard on me as, at the time, I was in a major depression and I couldn’t feel happiness. I was anhedonic. I couldn’t feel positive emotions of any sort. And to see my radiant friend be deliriously happy and get married to a wonderful man was just too much for me. It made my depression so much worse. I just couldn’t feel happy for her because I couldn’t feel happy at all. All I felt was incredibly upset for me.

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Why Being Hard on Myself is Necessary for Bipolar Functioning

“Don’t be so hard on yourself.”

I’ve heard this statement my whole life, I think. I’ve always been driven. I was driven at school when I was young, I was driven at university and I’ve been driven in the work force. I have never been “easy” on myself. I’ve been mostly perfectionistic. No matter how unachievable perfection is, it always seems to be what drives me, regardless.

But, what I’ve found, is that being hard on myself is required in bipolar disorder in order to succeed. Hugging my inner child and being gentle isn’t the kind of thing that gets me out of bed in the morning when all I want to do is hide under the covers. No; ripping the covers from my body and kicking myself is the only thing that does. I have to be hard on myself or I would just never stand up straight and function.

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Bipolar Symptom Psychomotor Agitation, Mixed Moods and Suicide

Last year, I wrote an article on psychomotor agitation at HealthyPlace. Psychomotor agitation (or retardation) is a symptom of bipolar (and unipolar) depression as well as hypomania/mania and very little information about it is available (in spite of the fact that it is listed in the Diagnostic and Statistical Manual of Mental Illness (DSM-5)).

Most definitions for psychomotor agitation include the words, “inner restlessness.” I don’t know about you, but “inner restlessness” reminds me of a 22-year-old who can’t find himself and so is backpacking across the country. It really doesn’t sound like a mental illness symptom – let alone like a serious one.

But, as it turns out, psychomotor agitation is serious, highly indicative of a bipolar mixed episode and correlated with suicidal acts.

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Healing After a Suicide Attempt

I was having breakfast with a friend of mine the other day and the topic of her suicide attempt came up. She attempted suicide years ago at a very low point in her bipolar disorder. And what she said was, she found herself very upset about it presently, even though it was years ago. She said she never dealt with her suicide attempt and now that was hurting her.

I understand. I think many of us don’t deal with the realities of a suicide attempt. I think many of us what to put our suicide attempts behind us so badly, that we just push them away without ever considering how deeply something like that scars us.

For my own part, I know what I’ve done with my suicide attempt. I’ve rationalized it. I’ve intellectualized my suicide attempt as “passive” and “not a real attempt” (since my chances of truly dying were low) and this has allowed me to, well, pretty much ignore it. But will that technique come to haunt me one day?

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Additional Writings

Check out my Amazon Author Page.

I write a three-time Web Health Award winning column for HealthyPlace called Breaking Bipolar.

Also, find my writings on The Huffington Post and my work for BPHope (BP Magazine).

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