Category: bipolar disorder

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 – I’ve Forgotten What It Is to Be Normal

I was having a very annoyed/angry day. This was annoying me and then that was pissing me off. And I realized this was a thread through my day and thought to myself, “Yup, I have days like that. It’s a bipolar thing.” And then I wondered, “Do normal people have days where they’re mad at everything?”

And then I realized I had no idea. I have no idea if normal people have irrationally angry days. I’ve forgotten what it is to be normal.

[And before someone has a hissy fit because I’m saying that people with bipolar disorder aren’t normal, please read the linked article.]

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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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I Hate ‘Having Fun’

You know what I hate? I hate the concept of “having fun.” I hate the pressure to “have fun.” I hate the notion that so much of what we do is to “have fun.” Now, don’t get me wrong, I don’t begrudge others their fun. They should have as much of it as they like. But for me, trying to have fun is just a big chore (or a big lie).

So I’m here, in Parma, Italy and I’m supposed to be chill-axing and “having fun.” Italy is a fun place, after all. All you need to do is stumble from gelato stand to pizza bar to have a good time.

But here’s the thing: I don’t have fun.

I don’t. I’m depressed. I’m anhedonic. I’m apathetic. I don’t have fun. I just don’t.

It’s not that I don’t want it, or that I wouldn’t have it if I could, it’s just that I can’t.

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Depression – Worse Than Sadness, Apathy

In my life depression is the worst thing in the world. Depression takes away everything from me. It tends to destroy love, life, work, everything.

And while this is due to the symptoms of depression like, “depressed mood,” it’s also due to something not mentioned in the Diagnostic and Statistical Manual of Mental Disorders (DSM, the manual that defines mental illnesses) – apathy. Apathy basically means that you don’t care about anything. And when you do a “care-ectcomy” on a life, it makes it seem not worth living at all.

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You Are Not Your Bipolar Thoughts

Don’t Believe Everything You Think

Recently, a commenter was here and she was frustrated because her doctor told her to separate herself from her bipolar thoughts. And the commenter remarked,

How am I supposed to separate myself from my thoughts? I AM MY THOUGHTS. Everything I do, everything I say, everything I am, started with a thought.

This is true and it isn’t. I understand this commenter’s frustration and I understand how illogical it seems to suggest that you can separate yourself from your thoughts. After all, don’t you have to think about the separation? And how does that work, exactly?

What this commenter’s doctor failed to mention is probably the most confusing part of any mental illness. The mentally ill thoughts come from the brain while the ability to separate from those bipolar thoughts come from your mind. And you brain and your mind are not the same thing.

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Does ABC’s “Black Box” Portray Bipolar Accurately? Fairly?

For weeks people have been asking me my opinion of ABC’s new show Black Box. According to Wikipedia, about 6.9 million people watched Black Box’s series opener and it seems like about half of them have contacted me about it.

People are wondering about this show because Black Box’s lead, Catherine Black, (played by Kelly Reilly) is a neuroscientist who has bipolar disorder. In fact, the first episode of Black Box details the Black’s descent (ascent?) into mania after she stops taking her medication (which includes lithium, an anticonvulsant and an antipsychotic).

In short, I think Black Box tries for accuracy and they hit it here and there but, as with all television shows, it’s dramatized and so bipolar disorder isn’t terribly accurately, or fairly, portrayed.

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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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