Category: mental illness issues

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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Dealing with an Uncertain Future Due to Bipolar Relapse

Earlier I wrote about the realities involved in bipolar relapse and now I want to address the question as to how to plan for a future when relapse of bipolar disorder tends to hang over your head.

I understand this question and this uncertainty. It’s very hard to live with a disease like bipolar that you know can bite you any day, any time and often without any provocation. And it can be very hard to see yourself as a serious professional, with a 24/7 career, when you know that relapse is almost a certainty, at some point.

It’s trite to say that, “no one knows what the future holds for any of us.” It’s true, but it’s hardly helpful, and it’s unfair to compare the uncertainty that the average person faces (ie, I might be hit by a bus tomorrow) to the uncertainty that a person with bipolar faces when, in his case, bipolar relapse is very likely.

So how does one plan, or even make big life decisions, when bipolar relapse means an uncertain future?

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Being Honest When You Have Bipolar

I am rarely honest with anyone about my bipolar disorder. I admit it. I think, on some level, my friends know it. Lack of honesty with bipolar disorder is just better. At least, it’s better if you want to keep your friends.

See, my reality of bipolar disorder is extreme. It’s severe. It’s brutal. It’s constantly life-threatening. And people can’t handle that. Going on about how painful bipolar is, is just a good way to wear someone out. It’s just a good way to make someone tired of you. It’s just a good way to make them walk away.

I have learned this lesson the extremely hard and painful way. I have watched people walk. Over and over. The people with whom I have been honest, in the end, couldn’t handle it. It was too hard to watch me being sick with bipolar so much of the time. Which, in a way, is a testament to how much they cared. Sort of. I would just have preferred they not express it in that way.

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Children with a Mental Illness – Yes, It Could Be Your Child

I give presentations on mental illness in different places, and one of those places is in schools. Kids aged 12-18 get to hear about mental illness, stigma and my personal story of bipolar disorder. This takes around an hour. And after hearing an hour of me speak about my personal challenges and about how I have faced down bipolar disorder are a myriad of treatment failures, the teens often feel a certain closeness with me. I suspect it is for this reason that after the presentation, so many of them come up and talk to me. They talk about how they have been in the hospital or how they have a friend with bipolar or that they think they might have a mental illness.

And, of course, if a teen thinks they have the symptoms of a mental illness I always say, “Have you talked to your parents about this?”

And I always expect them to look at me like I just said something ridiculous because when I was their age, I sure would have found the notion laughable.

But they generally don’t. Many, many of them have, indeed, talked to their parents. And what have the parents done?

Nothing.

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I Can’t Have Bipolar – I’m High-Functioning, I Have a Job

I started thinking about alcoholism the other day because of some stuff going on with a friend and I started to think about how high-functioning people often don’t consider themselves alcoholics because they’re high-functioning. How can I be an alcoholic; I have a job? A family. A wife. Friends. Money. A house. And so on…

And the same is true for people with bipolar disorder. People think to themselves, “I can’t have a mental illness – I have a job.” Or, “I can’t have a mental illness – I’m a good mother.” Or, “I can’t have a mental illness – I have a degree from a top-tier school.”

But as I have told audiences over and over – mental illness happens, and it can happen to anyone.

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Living with the Shame of a Suicide Attempt

I have attempted suicide. This is not a fact that I wish to wear on my sleeve. This is not a fact a want on my resume. This is a fact that I wish was shoved in a trunk, thrown in a closet and locked away for all eternity.

And I think that most people who have attempted suicide feel the same way. There are many reasons you might want to forget but one of them is the shame associated with a suicide attempt. Many people around you and you, yourself, might consider attempting suicide shameful.

We get the notion of shame from those around us. Imagine looks of scorn if someone happens to belong to a religious community that considers suicide a sin and has no compassion for those who have attempted it. Imagine embarrassed parents forbidding their children to wear short sleeves so that the scars on their wrists are never seen. Imagine the person arriving home from the hospital, after a suicide attempt, not to a welcome home party but to pained silences and looks of pity and contempt. These are the realities that people who have attempted suicide face. And do we feel shame about what we’ve done? Many of us do.

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Not Every Emotion is a Bipolar Emotion

Sometimes I’m Just Mad

As I have stated, over and over, that to experience bipolar disorder is to experience such inflated emotions that they swallow you whole. Bipolar emotions are bigger than you and the particularly nasty ones are bigger than any therapy or coping skill could ever be.

However, not every emotion is a bipolar emotion. Just because I feel a strong emotion like anger, sadness or elation, that doesn’t mean it’s a bipolar overreaction I’m feeling. It’s not necessarily depression, mania or hypomania. Sometimes, people with bipolar disorder feel just like everyone else. Sometimes we’re just reasonably mad.

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What You Need to Know When Your Loved One Commits Suicide

I have written a lot about what to do before, during and after a suicide attempt. I guess that’s because the people who are here on my blog are the survivors and the loved ones, mostly, of suicide survivors.

But there’s a very underserved community in conjunction with suicide and that is the loved ones left behind by suicide. They are suicide survivors too. These people are left with a void. These people are left with a hole in their hearts and a hole in the information that’s available. But there are things I think you should know if your loved one commits suicide.

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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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