It is not lost on me that next week is the holidays. Whether you’re religious, or, like me, just like a finely-dressed tree, there tends to be a lot going on.
So here is a bipolar holiday guide on maintaining bipolar stability over the holidays, which, as we all know, can be tough.
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This is an interesting question that was recently posed to me by a reader: Am I feeling better, or am I feeling hypomanic? Feeling better, of course, is the goal. Feeling hypomanic, of course, is not. One can be something to celebrate while the other can be something to be afraid of. So how does one tell the difference between plain wellness (or happiness) and hypomania?
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The way I see it, bipolar disorder presents a problem with motivation (you know, among all the other bipolar problems). Many people in acute bipolar moods suffer from too much, unrestrained motivation or no motivation at all. Either way you slice it, it’s a bitch.
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Hypomania. People haven’t generally heard of that word, but once they have, they want to know, what does bipolar hypomania feel like? This is a reasonable question with a completely unreasonable answer.
Hypomania can occur in many illnesses but it is a diagnostic feature of bipolar II. People with bipolar II experience hypomanias as opposed to the manias of bipolar I. I generally shortcut the definition and simply say that hypomania is like mania light.
Bipolar hypomania is not life-threatening by definition. Mania, on the other hand, is. In fact, to me hypomanias are little more than a bother. Well, a bother with the positive side effect of being a very fast way to get work done. Usually, but not always. Bipolar moods and their impacts tend to be unpredictable.
This is not the case for everyone, however. Hypomanias can jump in and destroy your life quite nicely, thanks. They remove judgement and create a sense of hypersexuality for many. This leads to, say, jumping the bones of the person next to you, over and over. Or spending money that you don’t have on Versace handbags. Or gambling away your rent money. Or writing an endless stream of gobbledygook and posting it on the internet making you seem a little, um, nutty, all the while insisting that it was genius. Or being so angry that you scream at the flies (not to mention people) that dare annoy you by entering your apartment. And other things. All of which have a habit of harming relationships and lifestyles.
Like a freight train running through the middle of my head.
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After my recent post about stress leading to hypomania in bipolar, I’ve had a couple of questions about what tools I use to handle hypomania. I’m happy to share my experience with hypomania but I can’t promise it will agree with your own. (Remember, hypomania is not the same as mania. In bipolar I, mania can easily be life-threatening.)
I know it’s tough to admit you’re hypomanic, which is a mood, which is a symptom of bipolar, because many of us enjoy parts of hypomania and we don’t want it to go away, especially considering some of the alternatives. We just want to believe we’re feeling “good.” Really good. Which would be nice.
Nevertheless, the first step in dealing with bipolar hypomania is realizing that you’re hypomanic. And, of course, there are various degrees of hypomania – the more hypomanic you are the more worried you probably should become. The more hypomanic you are the more you need to focus on dealing with it properly because the chances are greater are there’s a nasty depression waiting for you at the end. (See, Self-Diagnosing Hypomania.)
So, once you know you’re hypomanic, what’s next?
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I’m not sure how your average person deals with stress. Bingeing? Talking? Ranting? Raging? Running? I just don’t know. As far as I can see, people do all those things when they’re stressed.
But for a person with bipolar disorder, stress can lead to hypomania. And one has to deal with the stress and deal with the hypomania combined – which is kind of stressful in and of itself.
Tomorrow I’m being filmed for a documentary by Andy Fiore of Fiore Films. It is for a documentary about people who have learned to successfully live with bipolar disorder. As many of us do, I successfully live with bipolar disorder type 2 even if it’s a rocky path much of the time. And one might argue, I have turned my bipolar disorder into a positive by becoming a mental health writer and helping create a positive path for others living with bipolar disorder.
But I admit, I’m nervous. Stressed. I’m stressed about appearing on camera. Even though I do a video spot for HealthyPlace once a month, I still don’t feel particularly comfortable looking into the black abyss of a camera lens.
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Cyclothymia is neither bipolar depression nor unipolar depression but instead it is an illness that lies somewhere in the middle.
When psychiatric illnesses first started being recognized, some doctors felt that unipolar and bipolar depressions weren’t really the binary options for an illness but really just opposite ends of a spectrum. So then, one would have a spectrum where one could be a 100% bipolar depressive, or 100% unipolar depressive or they could lay somewhere in the middle. However, as illnesses need names and diagnostic criteria and not really vague percentages, bipolar and unipolar depression were defined separately.
Bipolar 2 though, is recognition of this false dichotomy. Bipolar 2 really sits in between unipolar and bipolar depression as more depressed than bipolar 1 but more hypomanic (emotionally dysregulatory) than unipolar depression. (See the difference between bipolar 1 and bipolar 2 disorders.)
And that’s fine as far as it goes. But there is also recognition from a lot of doctors that other states lie even more in the middle, and cyclothymia is one such disorder.
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Last year was a great one here at the Bipolar Burble and saw a dramatic rise in audience numbers, so welcome readers, new and old. This means that debates were fast and sometimes fierce here on the Burble, and mostly, that’s OK with me. Although it did require the invocation of commenting rules, it also meant that more people had their say on mental illness topics.
So, without further ago, here is the top 10 list of articles people read in 2011:
As I’ve said, I consider 2011 to have been a break-out year for the Bipolar Burble and I thank you all for being a part of it.
And don’t forget, if you have questions or if there are subjects you would like addressed here at the Burble, you are welcome to contact me anytime or leave a comment. I am at your service.
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Sometimes I get so wrapped up in research, I forget some people are looking for some introductory information like the different between the types of bipolar disorder. Thanks to commenter on my GooglePlus feed, I was reminded of this fact and I decided to answer her question here so I could give her more detail.
Unfortunately, within bipolar terminology resides more bipolar terminology. But don’t be scared, I have information on most terms on my site and I shall try to walk gently into that good encyclopedia.
But let’s try to get rid of the terminology confusion: What is the difference between bipolar type I and bipolar type II?
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