Category: depression

The Separation of Depression and Bipolar in the New DSM-5

The Diagnostic and Statistical Manual of Mental Disorders (the DSM) is frequently called psychiatry’s “bible.” I, however, would not pen it that way. I would suggest that the DSM is simply a guideline for the diagnosis of mental illness. It lists the criteria one has to have in order to be diagnosed with a mental illness.

And, as the name of this post suggests, the DSM is releasing its fifth major version – the DSM-5 – in just a couple of weeks.

Now, the DSM-5 has been controversial from the get-go and I have said that much of this controversy is overstated, but some of the changes do have fundamental nosological implications. In other words, some of the changes in the DSM-5 can change how people fundamentally think of certain mental illnesses.

The DSM-5 Cuts the Chord between Depression and Bipolar

And one of the changes in the DSM-5 is the separation of major depression and bipolar disorder into their own chapters. No longer is there a chapter called “Mood Disorders” with both disorder types listed (Can we still call them mood disorders?). Now they each represent a separate category.

This may seem like a small change, and I’m not going to have a fit over it, but I will say that I think it was the wrong move.

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Motivation and Bipolar Disorder

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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Why Haven’t You Killed Yourself Already?

Why Depressed People Don’t Kill Themselves

Many people with bipolar depression are suicidal. Not all, of course, but many. Most people with bipolar depression, in fact, most people who are suicidal, do not kill themselves though. In fact, you can live with suicidality for years without ever killing yourself or even attempting to kill yourself.

And while people stay alive for many reasons, I have my own reasons for not killing myself.

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The Desperation of Mental Illness and Depression

I woke up one morning in 1994 crushed with depression. The first thing I thought of that morning was how much I wanted to kill myself, and if I couldn’t do that, then how much I wanted to hurt myself. I kept cutting implements and bandages near my bed just in case the feelings were too much to bear.

Of course, this was like every morning of my 16-year-old life. I was depressed, but I didn’t know it. I only knew that I wanted to die. I needed to die. I needed it like most people needed breath. And I knew that no one understood.

Home Life, Suicide and Depression

My home life was one of the things driving me to depression and granting me the leanings of suicide. Things there were a hellish nightmare of screaming and hate. And the people related to me and forced to love me gave me no consolation whatsoever as I was sure that they didn’t. These people hated me and wanted me gone every bit as much as I did.

This was, at least partially, my depression talking, but I didn’t know it then. I didn’t know what depression was and I didn’t know how loudly it spoke.

The Only Place That Would Have a Depressed Me

So I found myself in my car trying to drive anywhere away from there. Away from the nexus of crazy. So I drove to the only place that I knew would have me – to the house of my rapist.

As is most often the case my sexual abuse was complicated. And while I hated what this man in his 40s did to me the one thing I couldn’t live without was his love. He would tell me he loved me. This was undoubtedly a lie but convinced as I was that no one else did, that my life was worthless and that I should die, that one sliver of love offered by a minion of Satan made me keep breathing.

I arrived at his house to find him not home – away, undoubtedly grooming other little lovelies for his nest. So I did the only thing I could think to do, I curled up on a square of cement near his front steps and went to sleep weeping – an attempt to escape the world that was trying to kill me.

A Picture of Mental Illness in Crisis

This is a picture of a girl in crisis. A girl so tightly wound in the grasp of depression that she can see no way of dealing with it at all. A girl so desperate to feel anything but the pain of mental illness she was prepared to put her body and her soul in harm’s way just to not feel like death was upon her for one brief moment in time.

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Personal Story of Medication Noncompliance

It is politically incorrect to say medication “noncompliance.” I suppose this is because it gives the idea that the person taking medication is “complying” to some authority figure and not consciously making the decision on their own.

I get that. But whether you call it medication noncompliance or medication non-adherence, the result is the same – the person is not taking their medications as prescribed by a doctor.

And medication noncompliance can lead to devastating consequences not only in the short-term but in the long-term as well. One reader shares her experience in her own words.

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N-Acetylcysteine (NAC) – Inexpensive Treatment for Bipolar Depression

N-acetylcysteine, also known as N-acetyl-L-cysteine or just acetylcysteine is a supplement that shows promise in the treatment of bipolar depression. This is really big news because there are very few drugs, supplements or anything else that show promise in the area of bipolar depression. But N-acetylcysteine (NAC) is even better than most because:

  • N-acetylcysteine is an over-the-counter supplement
  • N-acetylcysteine is cheap
  • N-acetylcysteine has very few known  side effects

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Coffee Good for Depression. Sybil Revealed. Bipolar Questions Answered. – 3 New Things

Keep up with mental health news. Three new things in mental health to learn this week:

  • The more coffee (caffeine) your drink, the less likely you’ll be depressed
  • Clinical records of real-life Sybil (part of the basis of “multiple personality disorder”) show likely falsehoods and unethical treatment
  • Get your bipolar questions answered by a clinical psychologist

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Bipolar Terminology: The Difference Between Bipolar I and Bipolar II

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.

Bipolar Terminology

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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