Category: z_features

Depression, Intrinsic and Extrinsic Sadness

There are two categories of sadness: intrinsic and extrinsic, or internal and external. Within those categories there are is all manor of sadness, but for our purposes, we will make this single distinction.

Depression is Intrinsic Sadness

Intrinsic sadness is sadness from within and without cause.[push]Intrinsic sadness is pain without cause. It is without beginning or ending. It is sea you fall into without shore.[/push]

It typically presents itself in a clinical sense as depression. In a physiological sense, it’s misfiring (or not firing) neurotransmitters. Research suggests that a serious deficit of this type (depression) rarely rights itself without proper medical intervention. Intrinsic sadness is the stuff I feel most of the time in varying degrees thanks through my bipolar. Luckily most “normal” folk will only experience very limited intrinsic sadness and it’ll probably lead to just a blue day, and not depression.

Extrinsic Sadness Can Turn Into Depression

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I’m Less Depressed and Crying More – Mixed Mood

I’ve been horrendously depressed. That sort of catatonic depressed where reality shows hum before your eyes one after another because that’s all the stimulation your brain can take. Flashing images of substanceless people performing meaningless tasks on light box that removes you from reality.

A Mood is Never Just a Mood for a Bipolar

But I woke up this morning feeling better. This is always a warning sign of hypomania, or in this case, a mixed-mood. Because a mood is never just a mood to a bipolar. A mood is always a warning sign of a problem. Bipolars have to pay attention to moods because even good moods lead to bad things…

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Saying Goodbye to Someone with a Mental Illness

Pretty much weekly I get messages from people who are desperate to help a loved one with a mental illness. I hear versions of this story over and over, my child/parent/sibling/friend/spouse is sick and won’t get help for their mental illness. They say they would rather be in jail than be on medication for their mental illness. They can’t take care of themselves and they are going to end up on the street. Their behavior is destroying our family/relationship. Their behavior is destroying them.

Believe me, I get it. I really, really do. And sometimes you have to except that not everyone with a mental illness will get help. Sometimes you have to say goodbye to a person with a mental illness.

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Doctors, Psychiatrists and Psychotherapy

When I tell people to see a mental health professional, I recommend they get someone who specializes in whatever mental illness the person has. This is just common sense. You don’t go to a neurologist when your foot hurts.

I also tell people to get a therapist who specializes in their disorder. Again, this makes sense. Honestly, if your therapist is used to hearing the woes of the Real Housewives of Some Rich Place then they may not be the best choice for a person with major depressive disorder.

I tell people to get a therapist for their mental illness because psychiatrists don’t do psychotherapy.

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Low Dose Antipsychotics – Do They Help?

I am very medication-reactive. Not so much with the positive effects, but I can almost guarantee you I’ll get all the side effects.I get every side effect for antidepressants, every side effect for antipsychotics and every side effect for pretty much anything else.

And sometimes, just for good measure, I’ll get side effects that doctors say “aren’t possible”. They are my favorite. And those overractions are often on the lowest known effective dose of the medication.

But if you add a low dose, lower than thought effective, of an antipsychotic, can this be helpful?

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Stop Telling Me How to Make My Bipolar Better

Here at BurbleCo I try to relate matters in a very even-handed, logical and frank way. I attempt to deliver my opinions and facts as just that, opinions and facts. I try not to inflame groups with whom I vehamently disagree. I try to respect everyone’s point of view as I wish to have mine respected. I short, I try to act like grown-up. A kind, caring, reasonable grown-up.

Well. Fuck. That. Shit.

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I Hate Psych Meds but Medication Non-Compliance Kills

I have written thousands and thousands of words in this blog and elsewhere about how much I hate medication.

I hate it in the car, I hate it on a train, I hate on a boat, I hate it in the rain.
I hate it in the snow, I hate it in the sun, I hate it standing still, I hate it on the run.
I hate it before breakfast, I hate it after lunch, I hate it in the morning, I hate it during brunch.

And while I could fill an entire blog with all the ways I hate psych meds, I still, take them, everyday.

Weird you say?

(Well, yes. But no more so than the disease it treats.)

Because no matter how much I might hate psych meds, medication non-compliance kills.

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Everything You Know About Dissociative Identity Disorder Is Wrong

As many of you have been waiting for, I am honored to present the Burble’s first guest post by Holly Gray, author of Don’t Call Me Cybil. If you haven’t already done so, check out Is Multiple Personality Disorder Real, and then enjoy!

My name is Holly Gray. I have Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder. When I was diagnosed with this mental illness in 2005, all I thought I knew about DID was born of misconceptions and stereotypes. I’d never met anyone with DID. I’d never read any books or articles other than sensationalistic material that pops up in a search engine query. I couldn’t have cited an educated source for any of my supposed knowledge. A movie perhaps, a television crime drama, or a friend of a cousin’s boyfriend’s friend.

In other words, I had no legitimate knowledge of Dissociative Identity Disorder. Like any other mental illness, if your education comes from anecdotal evidence and entertainment media you’re not just uninformed, you’re misinformed.

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Dimensional Diagnosis of Mental Illness

There is a recognition among many of us crazies, as well as the professionals that treat us, that most of us do not simple fall into one camp – we’re bipolar with a hint of ADD; we have a borderline personality disorder with depressive and psychotic features; we suffer from schizo-affective disorder with post-traumatic stress disorder (PTSD) and addiction mixed in. Humans are complex, and their brains even more so.

My Depression Isn’t Your Depression

And what’s more, my depression isn’t like your depression. In fact, so much so, that using the same word is almost nonsensical. I sleep 15 hours a day, but you only sleep 3. I have a successful job, but no family or friends. You have neither but participate in online support groups 10 hours a day. I think about killing myself every day but you actually plan for it once a week. You never cry but I cry all the time. Are we the same? Am I more depressed than you, or less?

And things get more complicated when you compare personality disorders and bipolar and ADD and PTSD combined with comorbid conditions like addiction. And yet somehow we’re supposed to suss this all out, find a label, and a treatment that goes with it. That’s pretty tough.

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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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