Category: bipolar disorder

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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Unmet Needs in the Treatment of Bipolar – I Need Your Thoughts

If you know my story of bipolar disorder treatment, you know that it hasn’t been a pleasant one. Doctors have fired me and given up on me. I have tried a host of treatments that didn’t work. I have experienced almost every side effect under the sun. I have bumped into holes in the healthcare system that have denied me access to a psychiatrist. I’ve spent years wanting to die. I have seen, and lived through, it all. And I would say there are many unmet needs in the treatment of bipolar disorder. I would say these unmet needs are part of bipolar treatment and part of the system in which treatment is delivered. I don’t blame psychiatrists or psychiatry, specifically. I would say there is plenty of blame to go around.

So when I think about unmet needs in bipolar disorder treatment, there seems to me to be many.

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More Worst Things to Say to a Person with Bipolar – Isn’t Everyone a Little Bipolar?

I’ve written a couple of posts on the worst things to say to a person with bipolar disorder and saying, “Isn’t everyone a little bipolar?” certainly ranks among the worst.

I can’t freaking stand it.

It’s so unbelievably dismissive and invalidating of a medical illness that I can barely fathom it. One very mature person on Facebook simply said, of this statement, “I guess our work fighting stigma isn’t done yet.” That’s an awfully gracious way of putting it.

Isn’t Everyone a Little Bipolar?

The answer to this question is “no.” No, no, no, no, no, a thousand times no. Seriously. To suggest that everyone is a little bit bipolar shows an absolute ignorance of bipolar disorder and of mental illness in general.

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Trying Bipolar Therapy You Don’t Believe In – Mindfulness Meditation

When people ask me about bipolar treatments or bipolar therapy here, I tell them about the research on the therapy or treatment and I tell them this, “different bipolar treatments and bipolar therapies work for different people so try it and see if it helps.”

And I consider this good advice. It’s absolutely true. Different bipolar treatments and bipolar therapies do work for different people – but that doesn’t mean that I, personally, believe in them.

And, to be clear, it’s not so much that I don’t believe in them entirely, it’s more that I don’t believe in them for me.

Enter mindfulness-cognitive therapy or mindfulness meditation.

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How to Tell Someone You’re Feeling Suicidal Pt. 2

Last time I talked about feeling suicidal and who to tell if you’re feeling suicidal. This time I talk about how to tell someone you’re feeling suicidal.

How to Tell Someone You’re Feeling Suicidal

If you’re telling a professional, it’s actually not that hard. Just come straight out and tell them. Don’t dance around it and try not to be afraid because they’ve heard the words, “I’m suicidal,” so many more times than you can imagine. They know those words and they know what to do with them. Remember, you can’t get help and you can’t feel better if you don’t tell anyone.

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Take Personal Responsibility for Your Bipolar

Recently I was talking to a friend (also with bipolar) about personal responsibility. She is a very successful, high-functioning person and one thing we agreed on was the importance of taking personal responsibility for your bipolar disorder.

Personal responsibility means a lot of things to a lot of people but I’m specifically talking about taking responsibility for your actions – even when they are mostly as a result of bipolar disorder.

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I Hate Myself for Having Bipolar, I Forgive Myself for Having Bipolar

Bipolar disorder feels like a curse. It feels like somewhere, somehow, I’ve ticked off an old, horror-movie, crone and she’s cursed me to 1000 years of suffering. 1000 years of grating, clawing, slicing, pounding agony.

Any why do people get cursed? People get cursed because they did something wrong. I must have done something wrong. I must have done something unspeakably wrong. And I hate myself for it.

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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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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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