Archive for the ‘Newsletters’ Category

Bipolarhappens.com Newsletter: Abilify – an Atypical Antipsychotic

Tuesday, June 10th, 2008

Hello! This is a reprint of the latest bipolarhappens.com newsletter.  Please note on the newsletter that I said a friend had trouble because she went off Abilify too slowly! I naturally meant she had trouble because she went off too quickly.

 All About Abilify

Abilify is an anti- psychotic used to treat bipolar disorder psychosis as well as bipolar psychotic mania.  Abilify is also known by the name aripiprazole (try saying that three times fast!) Anti psychotics are also called neuroleptics.

Abilify is considered an atypical anti-psychotic as it has less side effects than the older anti psychotics such as Haldol and Thorazine. It is also supposed to cause less weight gain.

This is a good thing as one of the side effects of drugs such as other the atypical anti-psychotics Risperdal and Zyprexa is weight gain!

In terms of side effects, Abilify can be sedating like many anti-psychotics-  but it can also be agitating. This is a somewhat uncommon side effect for this type of drug as anti- psychotics are known to cause a lot of tiredness.

Akathisia: A friend of mine tried Abilify a few months ago and had an extreme reaction called akathisia – which is defined as a syndrome characterized by unpleasant sensations of “inner” restlessness that manifests itself with an inability to sit still or remain motionless.  She had to go off the med- but when she tried to go down too quickly, the akathisia got so intense she had to go back up on her dose. She and her doctor monitored the reduction of the Abilify very carefully.  She is now stabilized on Zyprexa.

I have akathisia when my Lamictal dose is off. It’s terrible. You know it when you have it as it feels like your body is trying to turn inside out. I get a lot of twitching with it as well. I’m actually going through it right now as I messed up my Lamictal a few weeks ago. Not fun. I am back to a regular dose and hope it goes away soon!  (My mistake was going out of town for the weekend and not bringing enough Lamictal with me.)

Luckily, there is a lot of good news about Abilify- the drug is successful for many people. I hear far more positive stories about the drug than negative stories.

All psychiatric drugs have pros and cons. If your doctor suggests Abilify- there is much you can do to make sure it’s the right drug for you.

- Talk with your doctor about microdosing- if it’s appropriate (it depends on your level of psychosis/mania at the time) you can start with small doses of Abilify so that your body can acclimate to the drug with less side effects.  You can’t do this on your own, so make sure you work with a doctor.

- Keep a side effects journal- it may be that the drug helps more than it hurts. In other words, living with some side effects may be worth it at first. The side effects often get better with time.

- If you have akathisia symptoms- talk with your doctor immediately- this agitation means your dose is not correct. You don’t have to live with excessive side effects.

And finally, DO NOT EVER GO OFF ABILIFY ON YOUR OWN. I can’t stress this enough. All of us who have tried to reduce our meds on our own regret it. These are very serious drugs and we need professional help to make sure we are on the right drugs and right doses.

Abilify may be a wonderful drug for you- it just takes homework and questions to find out what to expect.

Julie

My Brother Talks About My Bipolar Mania

Monday, June 9th, 2008

Here is a copy of a recent newseltter.

My Brother Ed Talks About My Mania!

I recently did a radio show on mania. My guest was Andy Behrman, the author of Electroboy. It was a fantastic interview as it’s always great to two people with bipolar disorder to discuss the illness!
In order to prepare for the show, I asked my brother to tell me what it’s like to have a sister with bipolar disorder.  I did the same with my friends- if you listen to the show, you can hear the letter my friend Karen wrote explaining how she helps me stay stable when I get manic.
 
Here is what my brother wrote:

How to Deal with Julie’s Mania

Simple, blunt and to the point…

It’s hard to look for the signs that Julie has taught us. Even after all of these years, a conversation with my mom will have me saying, “Of course! How could I not have noticed the tell tale behavior of the week!”

If I were a casual friend, then I would probably never bother with it and would write off our friendship as too much work. It takes a special (unique!) person to care, learn and follow through on what Julie needs from a good friend. Actually, as an older, middle age adult, I care more about relationships and other people’s feelings.  I think I would be willing to put up with what Julie needs from a friend. As a young man. No way!
Julie’s qualities are worth it though! If it weren’t for those, I could see where some people with mental health issues would be out of luck!

Ed

**

Hmm.  It’s interesting (and sometimes painful!) to read an honest assessment of your own behaviors.  Ed and I have worked on our relationship for a long time. It took him a few years to even understand how the Health Cards work and why they are so essential to my health! He is a good brother. I will write more about how we work together in the next newsletter.

Julie

PS: If you are not on the mailing list, please visit www.bipolarhappens.com and click on the newsletter link.

Summertime and the mania is brewing!

Friday, April 11th, 2008

Mania prevention newsletter

My next newsletter is on mania. I will write about it constantly for the next few months. I’ve seen the destruction it causes in the spring and summer.

It’s the weather for sure- as well as many other factors.

Do you know the difference between full blown mania and hypomania? Bipolar I has full blown and Bipolar II has hypomania.

This is why it’s so important that you know your exact diagnosis.

I’ve been manic off and on for the past few days. It’s from work stress- and the stress is not necessarily bod, but it is a stress to my system.

How are you?

julie

Bipolar Disorder FAQ Newsletter

Tuesday, March 18th, 2008

Bipolar Disorder FAQ

There are questions I regularly get regarding bipolar disorder- what better way to answer them than in a newsletter!

#1 WHAT IS THE DIFFERENCE BETWEEN MANIC DEPRESSION AND BIPOLAR DISORDER? 

There is no difference. Manic depression is the old name of the illness. The term bipolar disorder better represents the reality of the symptoms- as there is a lot more to bipolar than mania and depression. When I first started managing my own illness in 1998, I made the discovery that bipolar has many, many mood swing symptoms outside of mania and depression including: anxiety, psychosis, mixed episodes, paranoia (a form of psychosis), OCD and ADHD symptoms and so many more! The diagnosis of ‘bipolar disorder’ represents the illness as a continuum between the lows and the highs with many, many symptoms in between.

#2 WHAT IS THE DIFFERENCE BETWEEN BIPOLAR I(ONE) AND BIPOLAR II (TWO)? 
It’s often difficult to know the difference between the two main types of bipolar disorder. It can even be difficult for health care professionals to explain unless they have had special training on the topic. When you know the facts, you can see that the difference between the two is actually quite simple.

Bipolar I and Bipolar II (two)have the exact same symptoms in terms of depression and both have mania.  The difference between the two diagnoses is the type of mania a person experiences. Bipolar I (one) has full blown mania while Bipolar I has hypomania.

What is the difference between full blown mania and hypomania you may wonder? The difference is intensity.

Full blown mania if untreated usually leads to a hospital stay- especially if it’s someone’s first episode. This episode usually starts around the age of 20. The mania can start off mildly with a sense of creativity and then spin out of control very quickly. When my partner Ivan had his first full blown episode it started with agitation and confusion, then moved into a complete behavioral change as he started to talk more than usual and couldn’t hold a coherent thought. The night before he went into the hospital, he wasn’t able to remember how to write a check or even have a normal conversation. He was seemingly very creative, but it was agitated and not fun and very scattered. He talked over people and moved around very rapidly. His face looked different and he talked with a different voice. He had what is called dysphoric mania- in other words he didn’t feel very well! This mania was accompanied by severe psychosis.

Euphoric mania is the opposite of dysphoric mania. When it’s full blown, it’s very dangerous as it feels so good. The person almost always refuses help when they are really euphoric. When a person has euphoric mania, they feel no pain and have no reasoning ability- and most importantly, they can’t see the consequences of their behaviors as they feel invincible. This is very, very dangerous mania as it can just seem like excessive enthusiasm, creativity and charisma from the outside.

All full blown manias lead to disasters and most people go into a deep depression if medications are not used successfully.

Hypomania

Hypomania is much less intense and doesn’t put a person into the hospital. As with full blown mania, a person can have euphoric and dysphoric hypomania. Extreme psychosis is rare with hypomania- though it’s common to have grandiose thoughts as well as negative thoughts. I get euphoric mania at the beginning of my hypomanias. Nothing feels as good as euphoric mania- absolutely nothing- but I always do something stupid and I always crash. I work very hard at preventing hypomania.

As I say in my book Take Charge of Bipolar Disorder, it’s essential that you have a distinct diagnosis of either Bipolar I or Bipolar II as the treatments for the two can be quite different! You have to know if you have full blown mania or hypomania. No matter what form you have, the mania is serious- you can make horrible and life altering decisions when you’re full blown manic or even hypomanic. Prevention is the only way to make sure this doesn’t happen.

Tips for dealing with your depression – Depression Doesn’t Care Newsletter

Wednesday, January 9th, 2008

    Tips for dealing with your depression – Depression Doesn’t Care

I often think of the things I say in my books. I have to use the ideas myself when I get sick. It’s not as though I have become super human in managing this illness.(I wish.)

One thing I often write about is how depression could care
less about the reality of your life. You may have loving friends, a loving family, a great partner, kids you adore, a job you find fascinating and all of the money in the world and yet depression will still make you feel that you have nothing. It will tell you that you have nothing and then it will make you
act as if you have nothing. Nothing tastes good, feels good or will ever be good again.

When this happens to me, I have a few things I say to myself:

- It’s an illness Julie. You know these thoughts are not real. Focus on what is real. You have people who love you. Call them and see them. You do enjoy writing, so get out your computer and write. You have two legs, go walk. Stop listening to what your brain is saying. Do what you need to do. You will be okay Julie. It always ends. It will be okay.

I actually talk to myself like a military sergeant when I get depressed.
Sometimes I talk to myself like a loving mother. I do what is needed. If I’m depressed in the morning, I always have the goal of being better at night. Ittakes work, but it’s better than sitting and watching DVDs all day. The Health Cards remind me what to do which helps. My mother often gets them out and does what the third column tells her will work. When I get sick, I tell people. They know how to help me because I’ve taught them what works.

I just sat down and wrote this (because writing makes me feel better and the act of getting things done helps me feel better) and now I am going for a walk depression doesn’t want me to take a walk, but I do.

Are you depressed today? What do you need to do to end the depression?

Julie

www.bipolarhappens.com

Bipolar Disorder Medications and Weight Issues Newsletter

Thursday, December 6th, 2007

Bipolar Disorder Medications and Weight Issues

 

Many of us with bipolar disorder have trouble with weight gain due to medications. For others, eating enough is a problem and serious weight loss can be a result. No wonder weight issues are one of the main reasons people stop medications.

 

My Story

 

As many you know, after three years of constant medications from 1995-1998, I gained over 80 pounds. I don’t know the exact amount because after a certain point I was so profoundly depressed and upset by this weight gain that I stopped getting on the scale. I simply had an out of control appetite for three years. I couldn’t stop. I know I weighed over 250 in 1998.

 

I asked for help from the doctors and the only reply I received was, “We will deal with the weight gain when the mood swings are under control.”  I was so naïve back then. I thought I had to only LISTEN to doctors. I know now that I have to WORK with doctors as a team. There is a lot more awareness today regarding the potential for weight gain, but as the medications haven’t changed much, knowledge is not enough to deal with the problem.  Gaining or losing too much weight needs to be addressed from the minute a person starts bipolar disorder drugs.  

 

What Causes the Weight Problems?

No one seems to be quite sure why people gain weight on medications. There is the theory that the meds slow down the metabolism. I personally believe that they stimulate the hunger portion of the brain to the point that we no longer have a good sense of when we are full. I have also had food hallucinations when I’m on certain meds. I actually hear voices that say, “You are going to eat until you are sick.” No kidding! On the other side, my brother takes an anti depressant and AHDH medication and he has lost almost all of his body fat. Hey! Why didn’t that happen to me!

 

I’m always amazed at how quickly my appetite changes when I take medications. I sometimes take an anti psychotic when the psychosis gets bad and within hours I’m craving junk. I crave it like I’m starving. I get images of cake, cookies, ice cream and candy. I think about it and fantasize about it. I want to eat big spaghetti dinners with a lot of bread and could literally drink Coke at every meal. 

 

 It’s almost exactly like the food cravings caused by marijuana. (Before anyone writes me, I don’t use marijuana to treat bipolar disorder. It messes up the brain and I can’t risk that but I did use marijuana before I was diagnosed.) It’s an odd phenomenon. I also remember taking Prozac in the 90’s- (this was before doctors realized that no one with bipolar disorder should take an anti depressant without extensive questioning from an experienced mental health professional beforehand) and my appetite was simply gone. I used to walk into the kitchen and the thought of eating made me feel nauseas.

 

There are Things You Can Do

I’ve lost a lot of the weight I gained in the 90’s. It hasn’t been easy. I’ve found that consistent exercise with a lot of weight training and walking is the best way to keep my body healthy. I know that if I approach losing weight as something I HAVE to do, I will rebel and eat junk just to feel better. Instead, I approach it as just another tool to add to my Health Cards. If I see eating healthy as a way to reducing weight gains caused by meds, I am more likely to think before I put a lot of junk in my mouth. I know that eating sugar is not an option for me. I would eat it for every meal if I let myself.  I’m lucky now that I don’t need to take the meds that cause so much weight gain. I just still have to deal with the weight I gained so long ago. It’s crazy!

 

This Doesn’t Always Work

A friend of mine has been on Zyprexa for a year. It has saved her life. She stays out of the hospital and is able to work more consistently. The problem is that she gained 30 pounds the first three months she was on the Zyprexa. She didn’t change her eating and often walked miles a day and she still gained the weight and can’t keep it off. What can a person do? Luckily the weight gain stopped at 30 pounds. Mine just kept on going. Our bodies are so different. She and I talked a lot about her dilemma. Her clothes no longer fit at all. She is depressed about the weight gain and she wants to stop the med. But her doctor doesn’t think she is stable enough. When she lowers the Zyprexa, she starts to get psychotic again. It’s so unfair. She made a decision to stay on the Zyprexa despite the weight gain. It’s all about weighing options. Weighing options- get it!

 

Her future goal is to switch from the Zyprexa to Abilify as it is supposedly easier on the liver and cholesterol and has less weight gain problems. I have my fingers crossed.  I’m just so thankful she’s stable and of course her weight gain has no bearing on our friendship. Her partner is okay with it as well, but that is not much of a help when you can’t wear your clothes.

 

Are You Getting Too Skinny?

I can joke that I wish I could take a medication that made me lose weight, but if you’re thin already this can truly be a problem. Often the restless energy caused by meds takes your appetite or you simply lose all desire and pleasure in eating. If you’re in this situation, you have to treat eating as a task instead of waiting to be hungry. Even if the thought of eating makes you feel sick. Some meds can cause a drug induced anorexia feeling. So this is serious stuff. Remember, you don’t have to want to eat in order to eat. Eat foods with a higher fat content. Eat yogurt and good cheese. Have some meat. Eat tortillas and tofu. Apples and bananas are good fillers. If you’re stacking on carrots and celery, low fat foods or junk, your body will literally just burn it up. For you, eating has to be scheduled and required.

 

TIPS:

 

Walk. This is absolutely the best way to stay healthy and get the sunlight your brain needs. As you read this, maybe you’re thinking- gosh, I’m so tired of reading all this information on how I need to walk. I don’t have energy to walk! Well, guess what. You will definitely gain weight if you don’t exercise when you’re on weight gaining meds.

You can join a walking group if you won’t walk alone. Make it something you want to do, not something you have to do. In the US there is a program called USA Fit. It starts in the spring and teaches people how to walk a marathon. I’m sure that no matter where you live, there are places to walk and people to walk with. This really can make a difference with bipolar disorder. Many people never start a walking program because they are waiting for the DESIRE to walk. The truth is you don’t have to want to do something in order to do it. Depression will tell you it’s pointless anyway. You simply have to say to yourself, I am going to walk and then wait for the good feelings that come regarding your body after the walk is over.

Hire a trainer. If you have the money, hire a good personal trainer. A Pilates trainer, a professional body builder (natural, not one who uses steroids) or a really dynamic private yoga teacher can make all of the difference. When you pay good money for something there is a chance you will take advantage of it more than if you just have a monthly membership to a gym. If you don’t have the money for this, find your least expensive local gym and see what they have to offer –then really take advantage of their services. Become a regular at your favorite class and meet others who want to stay in shape. And then get a training partner. It’s too hard to stay in shape alone for most people. We need help and encouragement from someone.

 

Eat a protein breakfast or skip breakfast! If you’re losing too much weight, eat eggs with some meat, toast and fruit for breakfast. You don’t have to eat a ton, but get all of those food groups in there.  This is not too hard to do and can make a real difference with your blood sugar. I’m in the opposite situation, so I now skip breakfast on most days. I know! That goes against all of the talk in the media, but it really works for me. I feel so much better if I have long periods between eating.  It all depends on if you’re overweight or underweight.

 

Talk to your Health Care Professional about changing your meds: I now take Lamictal (Lamotrigine). I’m lucky that weight gain is not a side effect, because I simply don’t know what I would do. I know I will NEVER be 80 pounds overweight again. I took Serequel a few months ago and gained 26 pounds in less than three months. I had to stop it for that reason. And yet, another friend of mine takes Zyprexa and has had no weight gain. You have to keep trying different meds and talk with your doctor about your options. I say that gaining more than 20 pounds is a PROBLEM that must be addressed.

 

Here is Some Encouragement

If I can go from an overmedicated, sick and despondent 250+  pound woman to someone who is at least healthy, alive and kicking and getting on with her life, you can do it as well. Give it time. This has been a seven year odyssey for me. The Health Cards gave me my life back, but now I have to use them daily to stay well. This means I can take less meds. I can definitely get into why me? mode- and I feel it’s a legitimate question.  But the reality is that my life is about managing bipolar disorder. This is an everyday process. I don’t get a break. This goes for my eating as well. Do you sometimes feel it’s too hard to deal with all of this? Well, you are not alone. It is very hard, but it can be done. And like me, you can be in a different place regarding your weight next year than you are now.

 

Remember Bipolar disorder is an illness-

Not your life.

You can get better.

Julie Fast

======================================================================

 

My coauthor, Dr. John Preston has written an essential book for anyone with bipolar disorder or the people who love them. His book,

The Medical Treatment of Bipolar Disorder covers everything you need to know about the medication treatment of the illness. It’s now available exclusively from BipolarHappens.com. It’s available in download or hard copy format (as so many of you requested). I’ve provided links to the book and ordering information below. 

 

We all need to stay informed about our bipolar disorder medications and their possible side effects. This last manic episode I experienced really reminded of the importance of correct medication management. Don’t be in the dark about your medication treatment!

 

 More information about the book can be found by visiting  www.bipolarhappens.com/mdtx.php  If you have trouble with the link you can copy and paste or type this address directly into your web browser.

 

 www.bipolarhappens.com/mdtx.php

 

Latest Bipolar Happens Newsletter: Creating Positive, Stress Free and Enjoyable Holidays

Saturday, November 17th, 2007

Latest Newsletter: Holidays 

I just sent out a newsletter on holiday stress! This is a tough time for a lot of us. The newsletter is filled with great information to help you manage bipolar while still having fun.  If you didn’t receive the newsletter- check in your spam folder. Please add comments@bipolarhappens.com to your approved list so you get it for sure! I’ve reprinted the newsletter below just in case you can’t find it! 

Creating Positive, Stress Free and Enjoyable Holidays

Holidays are supposed to be such a wonderful experience. Television tells us this all of the time! And yet for those of us with bipolar disorder- as well as those who love us- holidays can be very stressful and ultimately unsatisfying for many reasons. This newsletter will cover some of the potential problems you may face in the next few months and then offer suggestions to help you manage and ultimately create a stable and loving environment so that you truly can experience the rewards of the holiday season.
STAYING WELL DURING THE HOLIDAYS

I guess the holidays sneak up on all of us no matter what part of the world we live in. In the states, we are getting ready for Thanksgiving, Christmas, Hanukkah, and much more. It can be a very, very stressful time. Suicide is at its peak in the holiday season as well – while the excitement and travel associated with the holidays can send a person into mania overnight.

The Holiday Rush

Now is the time to get ready for the holiday rush. So many people with bipolar disorder either become overly stressed, irritated or manic from all the seasonal requirements or severely depressed during this ‘cheerful’ season. Let’s make this year different. You can create a plan now for dealing with the holidays before the decorations and obligations take over your life and make you sick.

Think Ahead

What are your plans for the holidays? Have you thought about how the next months will affect your bipolar disorder symptoms? Maybe now is a good time to think seriously about what you need to do in order to stay healthy and stable during this frantic time.

The first step is to check in and determine how you currently feel:

- How are you doing right now?
- Where is your bipolar disorder on a scale from 1-10?
- Are you stable?
- Is there an upcoming event that causes anxiety just thinking about it?

Sometimes we get so caught up in life that our symptoms creep up on us and we’re soon too sick to do anything.
Family and Friends Are Affected As Well
If you’re a friend or family member of someone with bipolar disorder, you can ask yourself the same questions. How is my loved one? Is she stable? Is he doing too much? What can I do to make things easier? Does the person I love go through a tough period because of the holidays? How can I help this year?

You Already Have the Tools

The good news is that learning to stop bipolar disorder mood swings is not always about learning something new. It’s often about stopping something you’re already doing. This is a simple way to get some stability in your life before the hectic holiday season starts. Personally, I’m going to do absolutely as little as possible this holiday season. I will go to friends’ houses and let them cook! I’m creating checks and balances now that will make sure that my time with friends and family over the holidays will be relaxed and fun. I no longer buy presents and am very careful to be ready for family stress.

What Can You Do Now?

Is there anything you can stop now in order to prevent bipolar disorder mood swings over the holidays? Have you thought of what’s coming up and how you will deal with the shopping, food and family obligations? It may be a good time to add a holiday card to your Health Cards or ask someone for help in planning events. It’s also a good time to reread any of my books you may have! If you’re already depressed, you have to treat depression first and then get ready for the holidays. Waiting for the holidays to make you feel better may not work as well as you would like it to. But feeling better before the holidays will make a difference.

Tips for Staying Stable

Mania, anxiety and depression are serious problems during the holidays. It’s important that you’re ready with a plan before the symptoms start.

* Be very careful about sleep changes due to travel. Time changes are triggers of bipolar mood swings and we all have to be careful when we travel. One secret is to start the time change weeks before you actually leave. For example, if I’m traveling to a place with an eight hour time change, I will slowly make the change in the weeks before I leave so that I’m on the destination’s schedule before I even get on the plane. This can prevent the mood swings that can really wreck vacations.
* Holiday parties are fun, but they sure are stimulating. There’s lot of fun food and alcohol and many people see it as a time to let go. This can be over stimulating for those of us with bipolar disorder. You need to think carefully of what you can and can’t do. Start to think now about the checks and balances you can set up in order to stay well. For example, limit the alcohol and junk food, go to the parties but leave early if you have to, and ask for help from friends and family.
* Say no without guilt. I really mean this. Just say no if you know that something is going to make you ill. Remember, you don’t have to explain yourself to anyone and if cooking a holiday turkey (or whatever special holiday dinner you have in your country) is too much for you, then just say no. If decorating the house for the holidays is too much, then don’t do it. You really do have the final say on what you do and don’t do. Take advantage of this power and SAY NO! This may break a tradition at first, but if you explain the reasons, people often understand- at least they will when you do the same the next year!
* Families! Well, it can be pretty stressful for families during the holidays. Take your Health Cards with you to family gatherings and use this time as a way to introduce your family to your management plan. Make a decision before you go to any get-together that you absolutely will not get into stressful discussions no matter how hard someone baits you. Picture yourself walking away and then do it if and when things get heated. Another solution is to have a holiday season away from your family. You have so many more choices than you think you have. Always make the choice that keeps you healthy. If you do find yourself in a contentious situation and you start to cry or have a panic attack, remove yourself from the situation and do everything you can to get back on track and join the party again.
* Spending is such a big issue during the holidays. When I first started using the Health Cards it became very obvious that the emphasis on spending had ruined the holidays for me. So I made a decision- I stopped giving presents completely and asked others not to give me presents. The relief was enormous and the holiday time became about family and friends again instead of rushing around in over stimulating shopping malls buying things that no one needed any way. I read a book called ‘Unplug the Christmas Machine’ and stopped seeing Christmas as a spending orgy and decided it was more about family. If you are religious, then this may be a good time to rediscover what the holidays mean to you outside of shopping. Whether it’s Christmas, Hanukkah or the particular holiday your country celebrates, try to make this year the year you change the focus from things to people. It’s a lot less stressful and very few people ever became manic from a family hug! Believe it or not, just reading what I wrote here makes me feel a little stressed. The holidays really can be overwhelming. I’m glad I’m thinking ahead.
* Try the daily check in. At a certain time every day, check in and ask yourself how you are on a scale of one to ten. This can help you slow down and see if a mood swing is starting. If you feel a symptom, go to the Health Cards and look in the What I Can Do column and stop the swing before it goes too far. I often set the beeper on my watch to remind me to do a check in during stressful times.
* Loneliness. I’ve had quite a few letters from people who say they are very lonely during the holidays as bipolar disorder has taken most of their friendships. This is often a reality of this illness. As many of you know, I also lost most of my friends when I was ill. There are many things you can do to make these holidays less lonely, but over all I still suggest that working on becoming a good friend by stabilizing your bipolar disorder with the Health Cards is the first step in taking care of the problem. Here are some suggestions for making the holidays happy and fun when you’re lonely:

- Volunteer to help others on the major holidays. Believe me, people in a homeless shelter, battered women’s shelter, youth home, or hospital would love your company. Make it a goal to help others this holiday season and make sure you do the following: Don’t talk about your problems and your illness when you do this work. This puts people off and is a barrier to new friendship. Try to get outside of this illness and be the real you. Listen to what others have to say and get interested in something besides your own mood swings. And yes, you can get out and do things even when you’re depressed.
- If you have the money, go to a singles event for the holidays. Go there with the idea of making friends and being social. Make it a goal to listen to others and hear about their lives. Keep talk of yourself to a minimum and work on listening to what other people have to say. I emphasize the listening part because I know that when I was sick and lonely, I tended to talk about my problems constantly instead of opening myself to learning about other people.

- Get back in touch with any family members you may have alienated when you were ill. Tell them about the Health Cards and ask them to work with you. It never hurts to try.

- Make it a goal that by this time next year you will be healthy and stable enough to have strong and loving friendships. Do the work on yourself now so that you don’t have to be lonely during the holidays ever again. If I can do it, you can do it too.
No matter what, if the holidays are important to you and you don’t have any plans – now is the time to make plans. You don’t want to be alone and depressed when everyone on TV is having so much fun. I’ve been through this and it’s not nice. There is always somewhere to go and someone to see if you plan far enough in advance. If you’re already having suicidal thoughts, it’s time to do something about them before they take over completely. Use the Health Cards, go see your doctor and get some help. As you have heard me say many times, suicidal thoughts are a normal part of bipolar disorder but they have to be treated quickly and effectively so that you can get back to your normal life.

There is an event group throughout the United States called www.meetin.org. This group offers events throughout the holidays. The group is expanding to other countries as well. I have been a member for over a year and love it. You can also look for groups and events on www.craigslist.org.
*Think about the holidays before you simply rush into them.*
Start Your Plan Now

Hopefully these tips will help you to stop and take a look at yourself today, before the mad rush begins. This is the time of year I tell people with bipolar disorder to watch their stress levels very carefully. It really is ok to say no to people and events if it means you can spend stable quality time with the people you love. Think about the holidays now and create a plan. That is what I’m going to do. I know you can do it as well. Make this a time to appreciate what you have and how far you have come, despite bipolar disorder. The holidays are not only about gifts or parties, they are about people. And the best gift you can give anyone is your own health.
 
Book News
My new book, Get It Done When You’re Depressed: 50 Strategies For Keeping Your Life On Track will be released January 2, 2008. We will be offering pre order discount specials from our website in December. Be sure and watch for details in your inbox from us.

My new book, Take Charge of Bipolar Disorder: a Four Step Plan for You and Your Loved Ones to Manage the Illness and Create Lasting Stability is now available in bookstores and on Amazon.com. This book is also available as part of a package from the home page of bipolarhappens.

My book Loving Someone with Bipolar Disorder: Understanding and Helping Your Partner is available in stores and on amazon.com. This book was written for couples, but the tips work just as well for family members and friends. This book is also available as part of a package from the home page of bipolarhappens.

As always, if you find my books helpful, please go to amazon.com to post a review. It also helps if you ask your local bookstores and local libraries to carry the book. You can also suggest a copy for any mental health groups you belong to. Your support is so appreciated!

New
We are now offering the Full Package (all 6 books in hard copy) in two easy & affordable payments of  $82.00.
*No additional shipping or handling!

It’s easy, you are charged $ 82.00 now, we ship your full package of books and provide you your immediate download links. You will be charged the second installment in 30 days.  A simple and an affordable solution for the holiday budget.

The Full Package is perfect for spouses, parents, siblings, Health Care Providers, friends, family and of course, your loved one with bipolar disorder. Were so sure that this package provides you with what you need to manage bipolar disorder that we have added no hidden costs or fees in our payment plan. You can visit the home page of the web site to access this offer.

Happy Holidays!
 
Remember Bipolar disorder is an illness-
Not your life.
You can get better.
Julie Fast
www.bipolarhappens.com