Category: bipolar disorder

Acceptance of Bipolar Disorder is a Process

I remember the day, or rather, the night, about 13 years ago when I discovered I had bipolar disorder. I did exactly what I tell people not to do: I went online and diagnosed myself. In my case, I happened to be right.

I remember the extreme pain, fear and shame I felt at realizing I had a mental illness. I remember the indignation I felt at the idea that I would have to take medication for the rest of my life. Mostly though, I remember the tears. I remember the candy apple-red face stained with hundreds of tears. That’s what I remember the most.

But that was 13 years ago and a lot has happened since. One thing I have learned though is that I didn’t accept my mental illness that night. Nor the next. I didn’t truly accept my mental illness for years.

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What’s the Worst Mental Illness?

I, as a good little webmistress, keep an eye on my web analytics. So yes, I know some things about my audience, and one of the things I know is what people are searching for when they find me. This sometimes influences what I write about, like today: What is the worst mental illness?

What is the Worst Mental Illness?

That depends on how you judge it. You could judge it by suicide rate, in which case:

  1. Anorexia is the worst with about a 20-25% suicide rate*
  2. Bipolar is second worst with about a 15% suicide rate
  3. Schizophrenia is third worst with about a 10% suicide rate

You could judge the worst mental illness based on disability rates in which case you would probably get:

  1. Schizophrenia as the worst
  2. Bipolar as second worst
  3. Depression as third worst (although more people with depression are on disability overall)

Perhaps schizophrenia is the worst as it’s associated with more psychosis (delusions and hallucination). Perhaps major depression is worst because of the number of treatment-resistant cases.

Or perhaps the answer is simply this: The worst mental illness is the one you have.

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Top 10 Bipolar Burble Posts of 2011

Best Bipolar Burble ArticlesLast 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:

  1. Worst Things to Say to a Person with a Mental Illness – number one with a bullet two years running is this piece which is a continuation of a piece I wrote on Breaking Bipolar. Everyone, it seems, wants to know what not to say to a person with a mental illness.
  2. Bipolar Disorder Type I: Mania and Delusions of Grandeur – this piece was written at the behest of a reader and includes readers’ experiences of delusions of grandeur during bipolar manic episodes.  This is a topic not widely deal with elsewhere.
  3. Doctors Should Treat the Mentally Ill Without Consent – this highly commented-on and contentious article outlines why I think it’s reasonable to treat the mentally ill without consent in some situations. In spite of all the controversy, I still consider this position reasonable.
  4. Self-Diagnosing Hypomania – I had no idea this article would be so popular, but people are looking for this information. This piece is about how to see hypomania coming or to know once it’s already here.
  5. Suicide Self-Assessment Scale – How Suicidal Are You? – again, I didn’t realize how many people were looking for this information. However, this article is designed to point out warning signs and track one’s own suicidal feelings. It can be hard to tell how severe suicidal feelings are and this scale is designed to help.
  6. How to Get Off Antidepressants Effexor/Pristiq (Venlafaxine/Desvenlafaxine) – this is an update to an article I had written a couple of years earlier and is a huge source of Google hits. I hate to make blanket statements about antidepressants, but it really seems like venlafaxine and desvenlafaxine (Effexor and Prisiq) are bitches to get all for almost everyone.
  7. Depression, Bipolar – Feeling Along with a Mental Illness – this is a feeling that I, and I think everyone with a mental illness, has had. This piece addresses the idea that those with a mental illness are “alone” or are “freaks.”
  8. Psychiatric Myths Dispelled by Doctor – Fighting Antipsychiatry – this is one of the most controversial posts here on the Burble due to the seeming war between those who consider themselves antipsychiatry and those who don’t. This piece earned the most comments, with almost 100 pieces of feedback on this article.
  9. Depression and Lack of Want, Desire – unfortunately, may people with depression experience anhedonia – the innability to feel pleasure. This tends to lead to a lack of want for anything. It’s a devastating condition that I have battled for years.
  10. Bipolar Terminology – The Difference Between Bipolar 1 and 2 – finally, at the number 10 spot we have a piece I wrote not long ago about the difference between bipolar I and bipolar II. This answers one of the basic questions people ask about bipolar disorder every day.

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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Breaking Bipolar Reading Round-Up

Best in Breaking Bipolar by Natasha TracyHappy holidays all.

I’m a pretty busy gal right now, so not a lot of time to write new material. I promise I’ll try to get to something new next week.

However, while you’re waiting, have you caught up on all your Breaking Bipolar articles? No? I didn’t think so. Here’s a run-down on some of what I’ve been doing over at HealthyPlace:

  1. Last Minute Holiday Tips for the Bipolar – just published today. Here are four things you should know before you get any deeper into the holidays.
  2. What 2011 Taught us About Mental Illness – a wrap-up of the top ten things research taught us about mental illness last year including: bipolar misdiagnosis, bipolar treatment success predictor, mania treatment comparison and antipsychotic information. Part one and part two.
  3. You’re Narcissistic! Getting Over Insults – How one reader got to me even though I knew they shouldn’t have.
  4. Celebrating Mental Health News – on why we should celebrate the good moments in mental illness.
  5. How to Choose a Good Psychiatrist – one I’ve touched on here but in more detail.
  6. Bipolar Disorder Thought Types – have you ever considered the odd types of thoughts you have a person with a mental illness? I have.
  7. The Importance of Self-Care in Bipolar Disorder – tips on self-care plus a video.
  8. Sexual Health and Bipolar Disorder – the sexual concerns of people with mental illness.

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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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Sleep and Bipolar Disorder – How I Cured My Insomnia – Guest Post

The Bipolar Burble welcomes Leslie Smile for today’s piece on how she recognized that sleep was affecting her bipolar disorder and how she worked to cure her insomnia.

 
I’ve lost many hours holding the wall up with my glazed stare. Unable to calm my mind yet unable to focus my thoughts clearly, I’ve been sleepless for days on end. I would go on through my days like a zombie. “Just keep going,” I’d tell myself. Some days I would come home from work and collapse on my bed until the next morning. I would wake grouchy, confused and still tired. Insomnia doesn’t keep you awake permanently… just until you crash.

Insomnia’s Effects on My Life

I’ve always envied people who sleep easily. Their brains must be cleaner, the floorboards of the skull well swept, all the little monsters closed up in a steamer trunk at the foot of the bed. ~ David Benioff

The tired feeling morphed into a bone deep lethargy; an energy sucking, crippling fatigue drained me. I began to feel like I could barely survive. I had begun the dip into major depression and bipolar behaviors. I don’t blame my mental illness on my poor sleep nor do I blame my sleeplessness entirely on my mental illness but as I’ve come to learn bipolar disorder and insomnia affect each other in such a way both deserve the attention and respect of proper self-care and good sleep hygiene.

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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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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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