Archive for November, 2008

Bipolar Disorder and Pristiq (desvenlafaxine): a new antidepressant

Thursday, November 20th, 2008

I recently opened a magazine and saw an antidepressant (Pristiq) I had never heard of- so I asked my coauthor Dr. John Preston to explain the mistique of Pristiq!

Hi…Pristiq (desvenlafaxine)is a clone of Effexor…I like it because the starting dose is often the therapeutic dose (50 mg)…with Effexor you had to start low (37.5 mg) and gradually increase the dose (often up to 150-300 mg)…also Pristiq has somewhat less nausea than Effexor….but like all antidepressants is absolutely can cause mania… John 

**And as we all know… people with bipolar disorder can’t take antidepressants alone- and if they do take them- it needs to be in combination with a mood stabilizer such as lithium, depakote or tegretol!  Pristiq sounds like a resort! Who names these things!  Julie  

PS: If you view this blog from amazon.com, you can see the whole blog at www.bipolarhappens.com/bhblog

Thanksgiving Holiday Horrors Reader Comment

Thursday, November 20th, 2008

hi! I just received this great comment from Debbie regarding my post about Thanksgiving.

Amen! This year my husband and I decided to do just that…..say no and do our OWN Thanksgiving. I was always going to other’s homes for Thanksgiving but hauling half my kitchen over there. We decided we would have a small dinner at our house. If it ends up us ALONE, well what’s so bad about that! We have ruffled feathers and caused a massive fruit basket turnover but we have never been happier and we are looking forward to Thanksgiving for the first time in our 33 year marriage! We call it ‘house rules’ now. You are welcome to our home, but you will follow our ‘house rules’. My husband likes to say, ‘Be nice or leave’. It has put a hault to much traffic but those that come seem to be the ones we wanted here anyway. And the meal is just part of the day. The parades, ballgames, naps, shopping and being with people you love is the other part. Enjoy!

 

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wow, I could not have said it better. A friend of mine is coming into town and we will do something fun with my mom and then I will go over to some friends who will be finished with their obligatory family get together that always stresses them out.

 

Please know that I’m not against Thanksgiving at all- in fact, I think it can be a wonderful occasion. I’m simply saying that you can do what you want on that day- even if it does ruffle turkey feathers!

 

You have a week to decide what works for you!

 

For those of you outisde the states- Thanksgiving is a huge family/friend get together where your table is literally covered in traditional Thanksgiving food-  a huge turkey, mashed potatoes, sweet potatoes, rolls, cranberry sauce, corn ,string beans, black eyed peas, ham, ambrosia- a southern dish of oranges and coconut, etc etc. At least that was my family in Alabama!

 

julie

Thanksgiving: Bipolar Disorder and the…. Holiday Horrors #1

Wednesday, November 19th, 2008

 There is a commercial on the radio where I live here in Portland, Oregon that always makes me laugh. It says… beware of the holiday horrors! Buy all of your holiday presents now and save yourself the stress of waiting until the last minute! Ha. What always amazes me about the holiday season is that more people don’t know that they can say no to the ‘horrors.’ For example, every single person I know gets stressed over Thanksgiving. They either don’t want to cook, don’t have the money to spend $200 on a dinner for the eight family members who want to come over,  have to spend time with family members they don’t really like, or more seriously don’t have a place to go for Thanksgiving which is just not considered normal in this country! I have experienced all of this. Thanksgiving is one of the most stressful holidays of the year.  My friend Sherri- who has bipolar disorder just called and told me that her sister just canceled their plans for next week and now they have to decide what to do for dinner. Sherri said, “I ended up cooking one year Julie! I’m not spending days cooking for something that is gone in a few hours! It’s too stressful!” I agree. I stopped holiday cooking many years ago. I tend to burn everything these days anyway! I remember the big spreads my mother used to put on. They were amazing! I had no idea how hard it was to cook all of that food and then do all of the clean up! She doesn’t do it anymore either. Sherri and I discussed her options: - Call a local natural food store and order Thanksgiving dinner for six. - Make reservations at a restaurant All that matters is that those are the only options. She has to be firm and say she simply won’t cook. And she doesn’t even have to explain why! I’d like to say I’m immune to the whole Thanksgiving hype- but I’m not. I have to make sure I have something to do that day or I know I will get depressed! It’s my nature. But I certainly know it won’t involve cooking and cleaning! If you’re someone who loves Thanksgiving and has a good time, please invite me over next year! I will bring a house plant as a thank you gift! And if you’re someone like me who doesn’t have firm plans yet, start making them today. It’s hard to be lonely on the holidays when you have bipolar disorder! Julie

Simple and Inexpensive Things to Make You Feel Better

Tuesday, November 18th, 2008

I often get overwheled by having too much to do so I don’t do the little things that will help me feel good enough to tackle the big things!  Here are some ideas!

Get a nice haircut

Take a walk near some water

Play with an animal- but not a squirrel or a possum!

Look at the people in your life and think- wow, I am lucky to have them around!

Answer a few email that you feel guilty about for not answering!

Fix the thing on your car that has been nagging at you for weeks- wow Julie- do you mean your front right headlight that has been out for months!

Get a nice shave

Hire someone to do your lawn

Read Get it Done When You’re Depressed!

Take your car through a drive through wash

It’s easy to do one little thing that makes you feel better. I don’t know about you, but I tend to jumble my to do list all together into one big blob- just picking one thing like getting my light fixed is not so hard!

Julie

bipolar disorder and work woes

Tuesday, November 18th, 2008

I can work today!

 It’s like catching lightening in a bottle- when I catch it, I’d better take advantage of it. What happens in our brains to make it so very hard for us to work when we’re in a mood swing?
I know that parts of our brains accomplish different tasks- some are verbal, spatial, emotional, etc.
For people with ADHD, sitting and working can be hard- here is a brain explanation for ADHD from myadhd.com
Current research indicates the frontal lobe, basal ganglia, caudate nucleus, cerebellum, as well as other areas of the brain, play a significant role in ADHD because they are involved in complex processes that regulate behavior (Teeter, 1998). These higher order processes are referred to as executive functions. Executive functions include such processes as inhibition, working memory, planning, self-monitoring, verbal regulation, motor control, maintaining and changing mental set and emotional regulation. According to a current model of ADHD developed by Dr. Russell Barkley, problems in response inhibition is the core deficit in ADHD. This has a cascading effect on the other executive functions listed above (Barkley, 1997).

Hmm.  That’s one part of our problem with work. All people with bipolar disorder have ADHD symptoms. The REAL problem is that bipolar doesn’t stop there. Our neurochemicals affect so much more than our ability to sit still and concentrate. We all know that!
When someone asks you why it’s so hard for you to work- you can say:
Well, you probably know how hard it is for people with ADHD to concentrate. Now, multiply that by one million and you may have an idea of what it’s like to try and concentrate when you’re manic or suicidal!
Of course, I’m being a bit flip here, but you get the idea. :)
I’m thankful I can work today. I just hope I’m not hypomanic. That is always a question I want to answer very honestly!
Julie 

Books written by athletes- we can learn from them!

Sunday, November 16th, 2008

I just received this email regarding my admiration of athletes who can remain stable under pressure:

“Please give me a list of books of people who are athletes that have been successful because of their ability to take control over their emotions. I have a difficult time with this and especially the approval and non-approval comments and how affected I am about how my performance appears to others.  It is all about the need for approval. Thanks a lot for any info in this area. A fellow peer.”

I have three books I highly recommend.  They get quite technical in terms of the sports they cover, but the psychological  content is always interesting!

How I Play the Game by Tiger Woods

http://www.amazon.com/How-Play-Golf-Tiger-Woods/dp/0446529311/ref=sr_1_1?ie=UTF8&s=books&qid=1226879054&sr=1-1

A Champion’s Mind by Pete Sampras

http://www.amazon.com/Champions-Mind-Lessons-Life-Tennis/dp/0307383296/ref=sr_1_1?ie=UTF8&s=books&qid=1226878389&sr=1-1

Mind Gym by Gary Mac

http://www.amazon.com/Mind-Gym-Athletes-Guide-Excellence/dp/0071395970/ref=sr_1_1?ie=UTF8&s=books&qid=1226879172&sr=1-1

My book Get it Done When You’re Depressed has a strategy called Think Like an Athlete. This is a great book for people who who want to move forward when bipolar only wants to pull them backwards!

http://www.amazon.com/Get-Done-When-Youre-Depressed/dp/1592577067/ref=sr_1_1?ie=UTF8&s=books&qid=1226878874&sr=1-1

Athletes are able to do their job even when their minds are in pain. They can separate themselves and perform when they have to. I want to do the same.

Thanks for writing!

Julie

Wisdom for people with bipolar disorder: Obama and Flacco (quarterback!)

Sunday, November 16th, 2008

Ah yes… it’s Sunday football today. I do love football. The players are such amazing athletes- and their mental stability is also very admirable.  Barack Obama is the same…. No matter what you think of Obama or football, there is no question they know what to do under pressure.  A reporter asked Obama how he handled the stress of the campaign. His answer actually surprised me:  “I don’t let the highs get me too high or the lows get me too low.” My first thought was- wow, that is excatly what I do every day in order to stay as stable as possible. Here is an interesting fact- Obama and I went to the same high school in Hawaii. He was two years before me, but I didn’t know him!  

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I just saw an interview with the Baltimore Ravens rookie quarterback Joe Flacco. When asked how he handled the pressure of being a rookie in the NFL he said, “Stay level headed- exude confidence and let that travel throughout the rest of the team. ”

Another interesting fact- Joe Flacco makes a lot more money than Barack Obama!

My goal is to keep my moods stable and become the leader in all that I do- and sometimes leading is knowing when to let others lead!  It took me many years to get well enough to even be well enough to work- and now that I have created a life where I can work more, I can learn how to stay calm and be a leader.

What are your views on this? I always wonder if people look to athletes as mental health role models like I always do!

Julie