Archive for December, 2007

Stunned Bipolar Disorder Depression

Monday, December 31st, 2007

I have a lot of names for the myriad types of depression I experience. For the past week, I’ve had stunned depression off and on. This type of depression is especially hard because it makes movement difficult. This rotten mood swing makes me sit on the side of the bed with my hands in my head like I’m in a daze. It’s harder to think. I have all of the normal upsetting depression thoughts- that is bad enough- I just can’t stand how it stuns me. Like a sucker punch. Technically, it’s catatonic depression… but it still feels like I’ve been hit from behind.

The holidays aren’t the best time for a lot of us. My friends are out of town- there are too many expectations-  people are out of the office- my hands are injured.

I could go on and on- which is exactly what depression wants me to do. I just can’t do it. So, I got out today and did everything I could to feel better. I watched football, played with my mom’s new puppy, saw my nephew and am now going to meet a friend. I have to deal with my hand injuries as a normal person would- I can’t let the depression take hold- I wrote Get it Done When You’re Depressed for this stunned depression. I often think of the table of contents and use what I can. I have one called Think Like an Athlete- which is applicable during the football playoff season- I’m always amazed at how athletes keep going even when they’re sick.

I am going to be like them! I will not let depression stun me all day!  

Julie

Julie Fast video – about bipolar disorder triggers

Thursday, December 27th, 2007

[flv]http://www.bipolarhappens.com/bhvideos/Trigger.flv[/flv]

Fighting Depression on New Years Eve

Thursday, December 27th, 2007

I managed to get depressed on Christmas Eve, despite having a plan to make sure I didn’t get depressed! Some of my plans fell through and I went straight down. It just makes no sense! I worked through it. Now it is time for New Years- it’s as bad as Christmas in terms of expectations. I have solid plans with a friend.

What about you? If you had trouble this week- you still have time to plan for the last day of the year. Plans make sure that the depression doesn’t take over.


Julie

* Be sure and see the Preventing Holiday Blues newsletter posted below for more tips.

Bipolar Disorder Conversations

Wednesday, December 19th, 2007
The Bipolar Conversation
I talk about the bipolar conversation in all of my books. It’s a concept I created to help family members and friends communicate with people who are in a mood swing. (You can read more about this technique in the Health Cards and my Loving Someone with Bipolar Disorder book.) This truly is a technique that can improve your relationships immediately.

A Change is Needed

I think it’s time we change the way we treat mental illnesses. It’s time to stop talking to them and listening to them. It’s time for US to tell these illnesses how to behave. It’s time for friends and family to learn how to respond to the illnesses instead of reacting to them. Here is an example of the bipolar conversation and how this much needed change can take place in your family.

Scene one: A mother is talking to her daughter who is psychotic and depressed due to bipolar disorder. The daughter had to move into a half way house as she was no longer able to take care of herself and her two little girls. The mother is very scared and upset with her daughter. She is a bit angry too. She just can’t understand why her daughter can’t see that she is losing so much because of how she is acting. The daughter just told her that she wants to die.

Mom: I just don’t understand how you can say you want to kill yourself. There are so many people who need you! What about your two kids at home? Don’t they mean anything to you? Why are you crying? Why are you doing this to us? We love you and we want you to come home. Why would you want to kill yourself? What about your little girls?Daughter: Are you telling me again that I am a bad mother? I love my children. I love them! I just do not want to live here. I want you to get me an apartment so that we can all live together.Mom: (Starts to cry) I can’t afford an apartment! You know that. I would like to, but I can’t. We have to economize right now. We have to be careful.

Daughter: You always tell me we can’t do this we can’t do that. It is because you are drinking every night!

Mom: (shocked) What? What? Drinking? What are you talking about? I am at home with your kids!

Daughter: I know that you drink mom. Every night. I know what happens!

Mom: Why are you saying these things to me? Why? What have I done? I am taking care of your children! Why are you doing this?

Daughter: We need to know the truth. You are an alcoholic.

The mother looks at daughter and suddenly slaps her hard in the face. When she realizes what she has done she runs out of the room crying.

Scenes like these happen every day in families where a member has a mental illness. It has happened in my family and has probably happened in yours. When a well person REACTS to an ill person there is only one outcome: anger, frustration, sadness and ultimately a ruined relationship.

I believe that we can and must train ourselves to respond to people with a mental illness. I believe we can respond in a way that HELPS the ill person instead of pushing them further into illness.

Here is an example of how this conversation would sound if the mother were trained in what is normal behavior for a person with schizophrenia and was taught to respond accordingly.

Scene two: A daughter who is in a half way house for people with schizophrenia tells her mom she wants to kill herself. The mom is scared and worried, but she knows that this is normal behavior for schizophrenia and is the reason her daughter had to leave her two young girls with her so that she could get the treatment she needs.

Mom: I know you want to kill yourself. You have had so much stress lately and you have an illness that causes you to say these things. It scares me when you say them, but I understand you. Tell me what your doctor says when you say you want to kill yourself. Are you getting help?Daughter: He says I will get better when I take the medication. But I don’t want to take it mom. I want to get out of here. I want an apartment! (She is crying)Mom: (Crying) That really makes sense. (She hugs her daughter) It must be so hard for you to live here, but you are here because you have an illness and you have to get help. The girls are fine with me and we are waiting until you get out so that we can be together.

Daughter: But I need an apartment. I will just kill myself if I have to stay here!

Mom: I know that you are so frustrated. But we do not have the money for another apartment. I would get you an apartment if I could. What can we do as an alternative?

Daughter: We have no money because you drink mom. You drink all the money. Every night.

Mom: (Very shocked and upset by this lie from her daughter, but she remembers that this is normal when her daughter is psychotic, so she does not react to what her daughter says.) I know your mind is telling you that right now. But I know that you have lived with me and you have not seen me drink. I know that you are not really saying those things. It is the illness. Are you stressed right now? How can I help you?

Daughter: Help me get out of here! Help me get an apartment!

Mom: We have talked about that once and that is enough. Now I want to talk about something else. I am here to see you because I love you. What are you having for lunch today?

This is the only way to respond to someone who is mentally ill and in the middle of an episode. If they were able to reason and have normal conversations, they would not need treatment. So why do we expect the mentally ill to be normal? Why do we talk with them as though we would talk to a normal person? We have to remember that the time to TALK is when they are well, it is not the time to have a life conversation when they are ill. Those conversations just have to wait until they get better.

I have used schizophrenia in this example, but this technique works with all mental illnesses. When someone is depressed and says they have no friends, it does not help at all to respond with, “But you do have a lot of friends! They call you all of the time! Why are you saying these things?” The better response would be, “I can see that you are depressed. And depression really does make you feel you have no friends. I am your friend. How can I help you with your depression?” That works. That gets results. That is how we need to respond.

I created the Health Cards because I realized one day that mental illness is separate from who we are as people. It is its own entity and needs to be treated like the cancer it is. It is not talked to, cajoled, or reasoned with. It only responds to action. I discovered that those of us with bipolar disorder can change the way WE respond to the illness in the same way the mother changed in the above examples. The illness may not always respond in the way we want it to- but WE can decide how we respond. And that will help us stay healthy. Friends and family members of people with bipolar disorder can also learn to respond in a way that helps the person get better. This saves lives and saves relationships. Bipolar disorder has taken enough from us. Let’s not let it take ANY MORE!

Very Good Job! Good for You Julie!

Monday, December 17th, 2007

Before I created the program I use to stay stable- I used to be terrifically hard on myself. I don’t think I praised myself for years- except when I was manic of course and then the praise was a bit grandiose. ;)

I now praise myself each time I accomplish something. Always. It’s automatic now- even when I’m depressed. When I finish something, I have the thought- Good for you Julie!

Do you do this? It took me a while to master the technique, but I’m glad I did. It’s a lot better than what my mind used to say. 

Julie

Lithium

Sunday, December 16th, 2007

Lithium is called a mood stabilizer, but is officially a drug in its own class. It’s usually used as a mania drug and works miracles for many people. I know people with bipolar disorder who have been on Lithium for 20 years. For this reason, Lithium is usually the first drug of choice for people with bipolar disorder. Lithium is a naturally existing salt, which is why drug companies can’t make any profit from Lithium! It’s one of the cheapest drugs on the market. 

If you’re lucky enough to respond well to the drug, stay on it! Easier said than done sometimes for sure, especially if a manic episode breaks through, but it’s proven that those who stay on it are much less likely to get really sick.

Lithium does have its side effects. When I was on Lithium I couldn’t read at all and I also had excessive thirst. Lithium can also damage the liver which is why people on the drug need blood tests to check their Lithium levels.

Over all, Lithium is a good drug- it’s not too dirty (the term used to describe a drug with super bad side effects) and it seems to work for people very long term. 

Julie

Prevent the Holiday Blues Newsletter

Wednesday, December 12th, 2007

Prevent the Holiday Blues

The holidays are a great time to visit with family and friends, exchange presents, look at beautiful lights and eat delicious food. Unfortunately, they can also be a very stressful and depressing time for people with a mental illness and their family members. As a person with bipolar disorder, I often have trouble with the holidays.   This is why I plan my day’s way in advance to make sure I minimize stress and increase my enjoyment.  

Do you have a plan for the holidays yet? No matter what you celebrate- now is a good time to really think where you want to be and what you want to do during the last few weeks of the year.  

The following ideas can help:  

Holidays have the reputation for being jolly, family oriented, exciting times. People are often on vacation and families who haven’t seen each other in a while get together. Because of this, there is naturally a built in expectation that a person has to be happy this time of the year. This is not always the case with bipolar disorder is it? If a person doesn’t have close family or a place to go- the holidays can intensify this and make a person very sad. Television and movies don’t help. When I watch the holiday commercials with all of the parties and gorgeous looking people I start to think- they are having so much more fun that I am! This isn’t necessarily true, but it feels real. This is one reason I don’t watch much television!  

In terms of loneliness, there is a group called meetin.org that has holiday events.  There are many people who want to be with others during the holidays- it just takes some planning to find them and create a good experience.  

Feeling Overwhelmed 

For others, the frantic pace of the holidays can cause stress and an overwhelmed feeling that can lead to hopelessness and sadness. You may ask yourself- I have such a great family, why can’t I just have fun like everyone else? Or I have so much to be thankful for, why am I unhappy when it’s such a great time of the year? You can experience a lot of guilt because of these feelings and family members may not understand at all. This is when I suggest that you plan to do a lot less way ahead of time – you can then warn family and friends that in order to stay sane and happy, you are  letting everyone else decorate, plan and cook.

You still have a few weeks to decide what is realistic for you. Remember, as I always talk about in my work, you have to treat bipolar disorder first. Even before the holidays .A friend of mine decided last week that she’s not decorating the outside of her house for the first time in 10 years. She felt guilty as she has an 11 year old son, but there is no doubt that he would prefer a stress free mom who has time to actually enjoy the holidays instead of one who is so stressed that nothing is really fun.  

Suicide 

The holiday season is the number one time for suicide for people with bipolar disorder and depression. If you have suicidal thoughts or have a history of suicide attempts, now is the time to make sure you are well protected and loved during the holidays. In fact, this is essential. I always remind people that suicidal thoughts are normal when you have a mental illness.  The holidays are so stressful for some, that the thoughts just start raging. If this sounds true for you, what do you need to do right now to make sure you stay safe? Call your doctor? Talk with a friend? Talk to family members? Create a plan for yourself you can use if or when the thoughts begin? There are options. You have to start planning now.  

A Set Schedule 

I know that I have to be so careful and make sure I know exactly what I will do on Christmas Eve, Christmas day and New Year’s as I will not stay well if I’m alone. Luckily I have family and friends who understand- at least they try to.  They know I don’t do presents- except for my little nephew.  I stopped giving and getting presents over eight years ago and don’t regret it! I never cook either!  I keep away from busy stores and work on my mental health daily. It’s not fair, but I’ve learned that the depression can be really bad if I don’t do these things.  I like it when my mom and friends decorate and I try to spend as much time with them as possible. I do love to be in festive settings- I just can’t create them myself. If you decide to do something similar this year, expect it to be hard on others at first, but they will definitely happy if you’re happier!   

The New Year 

And finally- the rituals around New Year’s Eve can magnify what didn’t happen the year before- such as still being single or not having the stability you need to work.  (Sound familiar?) So many people have goals for a year and yet they don’t get it done. Facing this all on one day can be pretty tough. This can be prevented by saying to yourself – I did my best this year. 2008 is a new year. The past is the past and I learn from it! I am proud for what I have accomplished.

You can do this as soon as you finish this newsletter.  No matter what did or didn’t happen this year, you can have a great holiday season. You have a few weeks to get ready- I hope you have a lot of fun.     
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ABOUT THE AUTHOR: Julie A. Fast best selling author of Take Charge of Bipolar Disorder and Loving Someone with Bipolar Disorder is a critically acclaimed six-time author, award winning bipolar disorder advice columnist, national speaker, and sought after expert in the fields of bipolar disorder and depression. Julie’s work specializes in helping people manage all aspects of their daily lives -despite the complications that bipolar disorder creates. To learn how to personalize a plan to help yourself or a loved one find and create stability that ensures the quality of life that we all deserve, visit: http://www.bipolarhappens.com