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Bipolar Medication Woes

For an unknown reason, my Lamictal stopped working for a few months.  I do have some ideas on why this happened, but to be honest, they are not great explanations:

1. I really got off track with my dosage for a few weeks. It was hard to remember what I had or had not taken. I tried a variety of ways to deal with this. I have special pill boxes and reminders. I did everything that was needed.  (I got back on track quickly and it seemed like things were getting better. )

2. I have more stress in my life than normal. This can definitely make it harder for my meds to work effectively.  ( I use my Health Cards Treatment Plan for trigger management and dealing with stress.)

3. I had a different bottle of Lamictal. I don’t take generics as they don’t work for me, but the bottle was definitely a new design.  ( I researched this idea and realized that unlike generics that can be made all over the place with different recipes added to active ingredients- my brand Lamictal is quite regulated but Glaxo Smith Kline.  So there went that theory!)

I actually think the above reasons did contribute to the two months of terrible mood swings, but I’m pretty sure that the real problem was that the dosage I have taken for the past few years simply didn’t get the job done.  I get a lot of side effects when my meds are low. I actually have a lot less side effects when I am on the right dose. My main indicator is that I twitch like a marionette when the Lamictal isn’t working. It makes my friends laugh a lot and it doesn’t hurt, but it’s scary.

I seem to have found a solution to the problem as I am feeling better.  I  write about this in my next newsletter. Right now I am happy to have a focused and get it done mentality mind. I always take advantage of these days!

Julie

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Living with Uncertainty is Hard

I just have a phone conversation with my dear friend Gayathri. She has dealt with serious depression for most of her life. I asked her, “Do you have a hard time with your depression when you’re in a situation where you don’t know whats going on?” She laughed and said, ‘YES! I have learned to live with some of it. But I do get stressed.  We can’t make other people tell us what they are feeling. It’s up to them. And we can’t control when something will happen.” She is so right. I’m going through this right now and can feel the depression and anxiety boiling inside of me simply becuase I am in a situation where I have almost no control and have no idea of the outcome.

I have two options:

Option #1   Let it eat me up and affect my work and other relationships. I can let it grow and grow inside me until I have a panic attack or forcefully ask the person what is wrong or what I did.  (Been there! Done that! Doesn’t work! )

Option #2  Let people be who they are.  If you think about it- no one does anything that has any relationship to you. It’s 100% about their feelings and their reasoning. Unless they know why they are doing something and want to tell you about it - and many don’t, you will not have any answers.

That is living with uncertainty. The feeling is terrible for those without bipolar, it often feels unbearable for us. But we can live with these feelings and let life unfold naturally without forcing the situation due to our bipolar needs. If the time comes where you need to make a decision based off of what you need, think very carefully before you speak. Time is the best option in all cases as it gives you time and the other person time to decide on what needs to happen in the future. I have ruined many a relationship with angry emails and phone calls. Don’t do it.

You can learn to live with the rocky emotions of uncertainty.

Julie

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Just plunge in and do it Julie!

I have had a ton of trouble with my meds  (Lamictal) for over six weeks.  I will write more about that in a future blog.   Right now it’s essential that I keep up with work and life to the best of my ability. When a person gets sick due to the illness- it’s sometimes about meds, about life or just the illness itself acting up. For the past ten years my goal has been to work no matter what my brain is doing. It’s hard. Very hard sometimes. But it is possible.  Sometimes a person can only work at half capacity- but that is just how it is. It’s interesting- mood swings don’t affect the quality of my work- they just make it difficlut to..

1. Get started.

2. Keep going.

3. Get it done.

That’s all. Ha ha.  I have sayings that I use when the day is tough- You can do it Julie! Just sit down and get started! It doesn’t matter if it feels good or not- what matters is that you get it done!  Today- I say- Just plunge in and do it Julie!  So I am. All that matters is the outcome.

What about you? Julie

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Bipolar and Marriage: Reader Comment

I just received the following comment  from Jack. I know I have had the same feelings many times regarding relationships:

Hi Julie,

I have been diagnosed as bipolar type two and have already put my wife through more than I can handle (guilt). We have only been married for about two years. If I had known I had this illness before I would have spared her all of the pain. It hurts me more to see how much my pain hurts her. If there is no cure for bipolar disorder I don’t think I want to live for much longer. When we had our baby everything got worse because of my inability to deal well with any kind of stress. How can I raise a family like this. I love my wife so much. jack

Hi Jack,

First of all- every single person with bipolar disorder has trouble with relationships. This is an illness that affects our ability to regulate and control our emotions- think of how hard it is for people without  bipolar to navigate relationships! If you’re having trouble, it’s normal. But it does mean that you and your partner don’t have a plan you can use together to manage the illness. When bipolar is a part of a relationships, it takes a HUGE amount of planning and working together to make sure the relationship stays stable. I know this better than most as I have BP, obviously! and I lived with my former partner Ivan for ten years- he has bipolar one. If you read any of my books- they all explain what it’s like to have bipolar disorder from both sides of the illness. So I know what you go through and especially know what your wife experiences.

You obviously know that things must change. Nothing makes that more clear than having a child. The pressure is enormous on any man who has a child- providing for your family, maintaining stable work, being there when your wife needs you, dealing with inlaws, etc. etc. When you add bipolar it can be like adding gas to fire.

But, as you can also read in my work- it is 100% possible to have stable and loving relationships when one person has BP. It just takes a plan and daily management.

Here are some questions:

1. Do you know your triggers?
2. What are the symptoms of each major mood swing- from depression and mania to anxiety and psychosis?
3. Do you and your wife discuss what it means when you say and do certain things?
4. Do you have meds that work?

I could ask a million questions here- but you get the idea. My suggestions are that you get my books- they are available in bookstores, online and in libraries. My book Loving Someone with Bipolar Disorder is essential for your partner. Just essential. There is simply NO way she can intuitively know how to help you. She has to learn about the illness and then learn from you how she can help. I also suggest my Health Cards- they are the management plan I have used since 2000. They gave me my life back. It’s so important to see that others go through the same things you do. You can use them together.

My site www.bipolarhappens.com has a lot of free information on the illness I think your wife would find very helpful.

Now, here are some words of encouragement. Not wanting to go on because you are hurting the people you love is all about bipolar and not necessarily about your ability to have relationships. When the illness is managed- that is when you can truly see what is you and what was the illness. I always write about the language of depression- and when we feel the guilt, pain and sadness that comes from being too sick to have basic relationships – it’s a horrible place to be. Especially if you see it’s affecting a beautiful child. I feel the same about my nephew David. I have explained bipolar to him since he was two and he understands that it’s an illness. You will be able to do the same. Having bipolar is nothing to be ashamed of. It makes us feel ashamed though!

I suggest that you give yourself a solid year to learn to manage this illness. You can talk with your wife about this and make an aggreement that ALL of your attention will go to reading about and learning to manage bipolar disorder so that you can be the loving and wonderful partner and father you obviously want to be. Managing bipolar is life long. It NEVER ends, but that doesn’t mean you can’t learn to do it successfully.

You can keep going even when you’re feeling hopeless and helpless. Just remember, you never have to be completely stable to have great interactions with the ones you love - you can still love and be loved when you’re sick. This is part of the learning process. You will have to learn how to manage yourself when you’re ill (this includes a treatment plan and bipolar meds) and you will then have to teach your wife exactly what to do to help you. You will eventually teach your child the same.  These are the secrets to managing this illness.

It’s 100% possible.

Julie

A note to readers- please do leave comments and words of encouragement for Jack. We have all been there! Julie

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Add Your Profile to the Blog

The bipolarhappens.com blog receives over 15,000 visitors a month. Many leave comments, but I had the thought that it would be great to read more about the visitors and how they are connected to bipolar disorder.

If you would like to be interviewed for the blog- please add a comment to this blog post and I will be in contact.  The interview would include a picture and your first name. I do think the pictures are important! I will then send you questions and we can have a dialogue about your life and interests. I will post the profiles on a regular basis.

Let your voice be heard! ( I have had ten responses so far- all women- so I would love to hear from the men.  I know the illness affects men and women differently!)

Julie

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The Difference between Bipolar I and Bipolar II

I recently added more information to my bipolarhappens.com website. One topic is the difference between Bipolar I and Bipolar II. Everyone affected by the illness needs to know the difference as their treatments are very different! Do you know your correct diagnosis or if you love someone with the illness, do  you know their correct diagnosis? You can find more info on the web page.

Click here to read (and listen!) more about  bipolar i and bipolar ii.

I recorded a great podcast on this topic- you will find it midway down the bipolarhappens.com web page.

julie

Feel free to send the podcast to family and friends- it’s not easy to understand the differences between the two bipolar diagnoses! It can be confusing for family members.

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33 Tips to Manage Bipolar Disorder- a list you can't resist!

I wrote my first book- Bipolar Happens!- in 2001. I was amazed that I could actually write.  I started using my Health Cards Treatment Plan for Bipolar Disorder in 1999.  I was able to have a career and write books over a year later.  Bipolar Happens! is a fun book about a serious topic- managing this illness. Many people tell me that this is their favorite out of all of my books.  Here is an excerpt- there are more on the bipolarhappens.com site. This excerpt below is a list- the other parts of the books are tips and stories.

Bipolar Happens! excerpt- 33 Tips to Manage the Illness Successfully

 

Julie

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