Monday 26 March 2012

BipolarChatroom Blog 9


Bipolar and me : When did it all begin?


Some of what I am about to say is still quite 'raw' to me, but I feel I need to discuss my 'experiences', warts and all, to try and answer the above question.  So I am being as honest as I possibly can be.


I really couldn't tell you when 'it' started.  I keep racking my brain but still come up with the same answer.  "I don't know".  That might sound a bit strange to some people who are thinking "Surely he must know, it was happening to him!".  But the truth of the matter is, I don't know!


It wasn't like remembering where you were when Princess Diana tragically died, or your wedding day, or even a memorable Birthday.  I think it gradually and subtley 'manifested' over a period of time until one day I  was someone different.
I think because it was so subtle, the changes in me weren't apparent all at once.  


I had a breakdown in my second job when I was nineteen.  At the time I didn't see it as a breakdown.  I had been to the dentist for a filling to be repaired and went back to work.  For the next, I would say, six months, I had toothache after toothache, going from one tooth to another, and it wouldn't go away.  What was causing it?  Each time I went back to the dentist he would say your teeth are fine.  I couldn't concentrate on my job.  One day I just burst into tears in my managers office and was taken home.  What had happened to me?  Eventually the tooth problems went away, but looking back in retrospect I had 'paranoia', 'neurosis' and no 'self-confidence',  all common symptoms of bipolar disorder.  Was this the onset of bipolar?  I didn't go to the Dr's at the time as I didn't feel I needed to.  I think I should have now.  I think the tooth-aches were psychosomatic.


Eventually, I was 'the old me' again, and I thought no more of it.  


When I started my third job in 1993, just after my 21st birthday, I was fine at first, but after a month or so, my confidence started to start grinding to a halt.  I did have a big responsibility.  I was in the accounts department, and when my colleague, who did the wages for the sub-contractors was on leave, it was my responsibility to calculate the wages.  Now, I'm not blowing my own trumpet, but I am quite an intellectual person.  But, each time I did the wages, which was quite complicated as you had to take off retention, I wasn't confident with myself and found I was double-checking my work, which led to a backlog on my purchase-ledger work.  This was more than just being conscientious,  this was lacking in confidence and being paranoid I had got it wrong.  My other work was building up.  I felt the pressure building and building in my head.  Was this the onset of my bipolar?


My 4th job I began in late 1993 at the Department of Work and Pensions, and because I wasn't the fastest person out of four of us to 'pick up' the benefit structure (training was 13 weeks), one of my colleagues said "you won't last!".  That only added to my lack in confidence.  What a cruel thing to say.  Another person used to say "Finished!", like we were doing a quiz or something, which put more pressure on me.  Anyway,  I succeeded in my training and went onto a section.  We were all given mentors and I was getting on fine. 


April 1995 came and a new benefit was introduced.  I found my work pile getting bigger and bigger, but I was taking the worry of it home with me, not sleeping, dreading going into work because my confidence was absolute zilch then.  One day I went into work and just burst into tears with my head resting on my arms.  I couldn't cope.  I felt like my head was going to explode.  It was then I went to the Dr's and I was put on this  'wonder drug' prozac, and signed off for two weeks with depression.  Looking back in retrospect, yet again, was this the onset of my bipolar?


I went back to work two weeks later and somebody had covered my work so I didn't have a backlog to go back to.  I was feeling much better, the only thing I will say is that part of my 'emotions' were taken away from me by taking 'prozac'.  I couldn't cry.  I was seeing life through rose-tinted glasses, which I didn't like, as I sort of felt numb to everything.


I have always been a paranoid and self-conscience person due to the fact I was bullied and beaten up all through primary and secondary school.  Even at college I suffered verbal abuse which consisted of 'name calling'.  I even had a few people say things to me during my working life.  It really does add to the confidence, NOT!!  It didn't even stop there, 'all' through my life I have been picked on and bullied.  In 1996 I was walking home from my local pub and a gang of youths, who were hiding in some trees by the church, decided to follow me home and one individual decided to 'attack' me.
I went to hospital with a head injury, but nothing too serious, luckily.  I remember the next day 'vividly', just lying on the patio feeling 'numb'.  The first person I told that day was one of my best friends at the time, sadly he is no longer with us, god rest his soul.


Another instance was when i was in the pub with my friends and these two men came up to us, who used to call me names and taunt me.  I did find this rather odd, but went with the flow.  Later on that night, when we were leaving the pub, my phone wasn't on the table.  I thought my friends had it.  But I eventually realised they clearly didn't.  I decided to ring it, and the man we were with answered the phone.  He told me where he was and that he had a knife and was I going to collect my phone from him?


He had been ringing all my contacts pretending to be me, saying I was in some kind of danger.  I knew who he was and called the police.  They arrested him, and he spent the night in a police cell.


That was in the March.  I bought a new phone and heard no more from them.  They didn't even go into the pub after that. 


One day in May/June of that year, 2000, I had just visited my very sick Grandad, and was waiting for a bus home, when this car pulled up, a man got out grabbed me by the scruff of the neck, pushed me against the bus stop and threatened to kill me. he said "I spent a night in a police cell because of you".  After that he drove off.  When I got off the bus, my friend took me to the police station, and because 'nothing' had actually happened, (I beg to disagree) they couldn't do anything!!  If they were called because I had a knife stuck in me then they could do something!!


I went back to work only a few days later and they said I should take longer off.  So I booked myself a holiday and visited one of my best friends in St. Albans to get away. That did me good.


I only lived up the road from my local, but for the next ten years or so I was always looking over my back, checking nobody was following me, or I would ask a friend for a lift home.


One day,  when I was walking down the town in Broadstairs in my lunch hour, this man, a bit younger than me, was following me and kept staring at me.  I kept thinking "Who are you?".  It dawned on me when I saw him closer, it was the man who had attacked me.  Thinking about that to this day gives me the creeps.


It all went to court.  Luckily I didn't have to attend, the police was acting on my behalf.  He got fined, i think, £100-00!!  And I think I received £2-50 a fortnight.  I might be wrong, but I'm not far off, and it was a long time ago.


I now ask myself if bullying in your life can 'bring on' bipolar?  This is the answer I found.               

I have looked up the above and apparently, stressful situations in life 'may' be a 'trigger' point in the onset of bipolar. Bullying is a stressful thing in life to go through. Bullying includes :-

  • Hitting or punching another child.
  • Kicking them or tripping them up.
  • Taking or spoiling their things.
  • Calling them names.
  • Teasing them.
  • Giving them nasty looks.
  • Threatening them.
  • Making racist remarks about them.
  • Spreading nasty stories or rumours about them.
  • Not letting them join in or play games.
  • Not talking to them by sending them to coventry.
  • Sending repeated false or obscene messages on the phone or internet/social networking sites.

I have certainly had my fair share of the above, and it also goes into the symptoms of being on the receiving end of the above, which all can be symptoms of bipolar :-
  • Feeling sad and lonely.
  • Lacking confidence and feeling bad about themselves.
  • Becoming depressed.
  • Complaining of various physical symptoms including headaches and stomach aches.
  • Worrying and trying to avoid going to school.
These problems can carry on a lot longer after the bullying has stopped.  So was I bipolar at school?  All of the symptoms weren't there then, but could its onset have begun as early as then?


I have experienced all of the above symptoms at some stage during my life, apart from the 'trying to avoid going to school'.  I guess I got so used to being picked on, it was the 'norm' as far as I was concerned.  Now reading what I have just written makes me feel really sad as nobody should go through bullying of any kind, and to 'expect' it and treat it as the 'norm' is even more sad.  Nobody should feel worthless and second best to anybody else.

I was very studious at school and the bullying didn't affect my work.  I left school with very good grades.  But, was I affected 'emotionally'?  Did this cause my bipolar?

I can honestly say that I  have never 'enjoyed' life to it's full potential.  :-
  • I'm always worrying about something.  If I have nothing to worry about, I 'try' to find something to worry about.
  • I have a type of OCD where I am always checking and double checking things, for example my finances, and I can be comfortable in bed and all of a sudden I have to get out, put the light on and check something that is on my mind.  Is my bank card in my wallett?  Where are my keys?
  • I suffer from paranoia, expecting people to say things to me; laugh or call me names.  I'm not surprised with the history of bullying I have had.
  • I repeat myself a lot, not being convinced that someone has heard what I have said, having to say it again and again.
How can I enjoy myself when I have all the above.  My mum, who loves life, says to me "If only I could give you some of my happiness".  It makes her sad.




The above findings are by no means 100% fact, but it's an interesting finding.  It mentions physical abuse, well I have been beaten up, even attacked in my life, maybe 'verbal' abuse can constitute for bringing on the onset of bipolar too?  The trouble is bipolar is all about chemicals in the brain, and I've been told there is not enough known about the brain yet as it is such a complex organ.  Which of the two is correct, I'm afraid is anyone's guess.

Anyway, going back to the work part of my life, I remember when, where how or why, but I seemed to gain back my confidence.  This wasn't immediate, it didn't just 'happen'.  I was supervising sections, going to meetings and relaying them back to the section.  I was still on prozac.  In fact, I have been on anti-depressants since 1995 which is 17 years.  I think the prozac was 'covering up the cracks'.

It wasn't just my confidence that seemed to return, I was actually finding myself in a 'good mood' more and more.  No more 'taking work home with me' & worrying.  No more 'sleepless nights'.
I actually felt good about myself and would enjoy going into work.

It got to the stage where my moods were so good, I was beginning to feel a bit hyperactive; even cracking jokes to the section, a lot of the time trying to make them laugh.  I loved to be the centre of attention all of a sudden!  Where did that come from?  The person who had no confidence because he had always been knocked down, mocked and poked fun at.

Was it the prozac?  Was this what taking it had turned me into?  Was this the onset of my bipolar?  At the time I thought nothing of it.  Well you wouldn't would you; being in a good mood?  I could handle these 'jolly' or even 'high' moments.

These 'high' moments seemed to get 'higher'.  It was as though I didn't feel in control of myself.  My brain was going twenty-to-the-dozen.  I was spending money like it was going out of fashion.  I remember spending £250-00 in Debenhams once on aftershaves!  What 'normal' person does that, or even needs to do that.  That is a classic sign of bipolar-excessive spending.

My 'highs' made me feel like I was on a thousand mph train, but being on a high didn't mean I would take any time off sick, because I didn't think I was sick, to be honest, I didn't know what it was.

It was when my highs would get to the extent that they would wear me out and gradually bring me back down to earth, exhausting me in the process.  This is when the depressive episodes started.  A high would, most of the time, bring on a low episode.  They say 'highs' in bipolar cause extreme spending, well I would spend a lot when I was on a 'low' to try and 'cheer me up'.


The 'highs' lasted quite a long time before the 'lows' were 'introduced' to me, so to speak.  It wasn't a case of a few months of the highs, and then the lows appeared, it was a lot longer than that.  I honestly couldn't tell you what the time span was now, as a lot of it is a blur and it was quite some time ago now.


They used to call me 'Rain Man' at work because of my memory from 'years' ago, and I'm talking remembering my school register from when I was about 8, or remembering release dates & chart positions of my favourite band T'pau in the 1980's.  They do say people with bipolar are quite intelligent.  You only have to look at people like Stephen Fry.  Take a look at the video below of famous people with bipolar.  The trouble is I can remember things as far ago as when I was at primary school, or during the 80's, but have difficulty remembering later things in my life.



Anyway, the 'lows' got to the stage where I was having time off with depression.  At the time I was still experiencing the 'highs', but they, to me, didn't warrant sick leave, even though I didn't feel 'in control',  I thought I could handle it.


This was the odd days here and there off sick at first, but then it became the odd 'week' here and there.  By the time 2000/2001 arrived I was due for an occupational health referral, because of the days I had had off sick.  I felt like I was stuck 'in the middle', I didn't know what was wrong with me.  Before I went for this referral, my work were awaiting a form to be completed by my Dr.  one day I called the Dr's and they confirmed the form had been filled out.  If I was to fax over consent to them, they will fax the form direct to me to give to Human Resources section.


The fax came through and all my Dr had written is possibly bipolar.  That meant nothing to me.  I had never heard of it.  And I worked on Incapacity Benefits.  So I looked it up.  and saw manic depression.  Apparently, bipolar affective disorder was the 'new' posh word for manic depression.  It all made sense to me now-the 'highs' and 'lows'.  


My Dr arranged a visit to see the psychiatrist, whom I have been under ever since.  (Not the same one I hasten to add-many, so there has been no continuity!)  It was then I got the proper diagnosis.
I was officially bipolar.  I didn't need to go for an occupational health referral after that.  




It turned out that the 'wonder drug' prozac was completely the wrong drug for me being bipolar, which looking back in retrospect, makes me wonder if taking it exacerbated my symptoms, or didn't control them as I wasn't obviously on a mood stabiliser or the right medications.  
I was then started on a course of 'mood stablisers'  Eventually, my 'highs' got less and less, over a period of time, and my 'lows' would creep up on me like having the 'devil on my shoulder'.




I became very 'introverted' and 'subdued'.  When I was on a high at work, they would know it, but when I wasn't, I would go into work sit at my desk, bearly muttering 'good morning' and get on with my work.  I had changed. Was it the medication?
This is when the dreaded 'panic attacks' started to rear their ugly heads.




My medication was changed a few times, as each one didn't appear to be doing the trick, and the medications I was on increased more and more.  I think you'd be shocked if I told you how many meds I am on now!!  But my psychiatrist is gradually reducing them at the moment.  I see him every 3-5 months, but can honestly say I get more help from my doctor who always 'has the time' for me.  I don't feel I have got anywhere with my psychiatrists in the 12 years I have been going to see them.




The panic attacks were getting so bad that I just couldn't face the world some days.  I just wanted to 'hide' under my duvet, and fall asleep again, just so that I wasn't 'experiencing' that 'feeling' of nervousness.  If I couldn't get out of bed, I certainly couldn't go to work.




Anyway, the rest is history and has been covered in previous blogs, I was dismissed from my job of fourteen years in 2007.  I did appeal twice, but lost.  Ho hum!!


When I would go out with my friends and have social drinks, some of the time I would burst into tears. No rhyme or reason as to why.  My 'so-called' best friend would say I was doing it for attention.  We all know alcohol is a depressant and doesn't mix with bipolar or the medication.  This was before I was diagnosed, or even knew about alcohol being a depressant.  He even said to me once after I had come out of the toilets after a coughing fit (my eyes were watering) "Have you been crying for attention again?"  Even two days before I was diagnosed, I got upset for no reason, he had a go at me!.  I wonder why I haven't seen him for two and a half years!!




The last theory I wanted to cover is "Does being born prematurely have any correlation on bipolar later on in life?





Link Between Premature Babies and Mental Illness



Children born pre-term have been found to experience over twice the rate of mental illness as compared to full-term, normal weight-for-age babies.
In a recent study at the University of Karolinska in Sweden, researchers noted in a long term study conducted over three decades that 5.5% of premature babies required admission to hospital for psychiatric related disorders compared to 2.9% of full-term babies.




The study involved premature babies born in the period 1973 to 1979 and followed their psychiatric health in the intervening decades using medical records. In order to adjust for pre-existing precursors of mental illness, statistical adjustments were made for mental illness predictors such as family history of mental illness and low socio-economic status.
The study has highlighted a casual link between the occurrence of premature births and various forms of mental illness. This knowledge has profound importance on the way mothers of premature babies and the premature babies themselves should be cared for, both during the immediate post birth period and through medical follow ups as the child reached its typical maturation landmarks.
The study, which involved over 500,000 infants indicated that babies born very early, between 24 and 28 weeks, were more than twice as likely to be admitted to hospital for psychiatric reasons by the time they had reached their 20s, as compared to their full-term peers.
It is hope that this conclusive knowledge will assisting in containing the trend among preterm infants, and assist in helping them to avoid possible mental health problems through early intervention ptograms.
source : Low birth weight linked to psychological distress in adulthood, 
Science Daily. http://sciencedaily.com
I was 6 weeks premature and was in an incubator for 5 weeks, going down to 3lbs in weight! I've always wondered if that had a bearing on my health issues in my life.  I was told I was lucky to survive as the worst was predicted.
So let's conclude :
  • I was premature which research has shown can lead to mental health issues later on in life.
  • I was bullied at school, college and throughout my life; physically and verbally.
  • I had various breakdowns at a few of my places of work.
  • I have gone from being that 'happy, chirpy' Deano, to somebody with no 'spark' a lot of the time.  A friend said to me recently "That Deano we all remember who used to have a laugh and us in stitches is in there somewhere waiting to break free!".  But that Deano, was it actually me or the manifestation of my bipolar?"
  • Did being attacked in 1996 bring on my bipolar as 'trauma' as discussed, can cause the onset of it?
I'm afraid the answers to the above questions I just don't know.  Infact, I think they raise 'more questions' than actually answer questions.

All I know is I was diagnosed with bipolar in 2000/2001 and I have discussed a period from 1991-2012 which is 21 years.  From when I was 19 to 39.  Was I bipolar during this time, or even earlier?

I hope you have liked Blog9, and please leave your comments either at the end of the Blog, or via the following methods :


       
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The website is a 'platform' for you to air your views/opinions/stories/experiences or anything bipolar related.  You can either leave a message at the end of the first page (Home), or you can follow the instructions, and who knows, maybe you will have your own Blog/article on there.  Please leave your feedback, it is valuable to me.


Take care my friends,


Deano x


26th March 2012.


Monday 19 March 2012

Blog 8

BipolarChatroom Blog8




Bipolar Support and Self-Help

LIVING AND COPING WITH BIPOLAR DISORDER

I found this article on the Internet and found it so interesting I wanted to include it in my latest blog.  I have changed parts of it, and when I am putting my opinions in, I will write in italic, like I am now.  It is titled Bipolar Support & Self-Help.  It includes 'living with bipolar disorder,'  key recovery concepts & 6 support tips :

  1. Get involved in your treatment.
  2. Monitor your symptoms and moods.
  3. Reach out to other people.
  4. Develop a daily routine.
  5. Keep stress to a minimum.
  6. Watch what you put in your body.
I have covered most of the above in previous blogs but this blog goes into more detail regarding each item.  I am definitely finding doing all of this research a learning curve.  I can honestly say that I have learnt more about bipolar disorder in the last two months since doing my research and starting up my sites, than I have from my psychiatrist in the last 12 years since being diagnosed!!




Although bipolar disorder tends to be a lifelong, recurrent illness, there are many things you can do to help yourself.
Beyond the treatment you get from your doctor or psychiatrist, there are many things you can do to reduce your symptoms and stay on track, including educating yourself about bipolar disorder, surrounding yourself with people you can count on, and leading a healthy "wellness" lifestyle.

You're not powerless when it comes to bipolar disorder.  With good coping skills and a solid support system, you can live fully and productively and keep the symptoms of bipolar disorder in check.

Living with bipolar disorder : What you can do to help yourself

Living with and well with bipolar disorder requires certain adjustments in your life.  It's exactly the same as alcoholics who have given up the drink and not being tempted into going back on it, or diabetics who need their insulin to maintain being well.  If you have bipolar disorder it is important to make healthy  choices for yourself.  Inevitably, making these healthy choices will help you keep your symptoms under control, minimise mood swings, and take better control of your life.

As previously discussed in a blog, I had an issue with the 'demon' that is alcohol.  Alcohol and bipolar disorder do not go hand-in-hand.  It can put you in a very depressed mood, because alcohol is a depressant anyway, and it doesn't mix with the medications, most of the time preventing them from working to their full potential.  There is also the affect it has on your sleep, and if you don't get regular sleep- going to bed and waking up at the same times every day, your moods can be affected,

Managing bipolar disorder starts with the 'obvious' and  'proper' treatments, including medication and therapy which all of us sufferers get.  Well, the first, most definitely.
There is so much more you can do to help yourself on a day-to-day basis.  The daily decisions you make influence the course your illness takes you: whether your symptoms get better or worse; whether your decisions keep you well or make you experience a relapse resulting in how quickly you rebound from a mood episode.



Bipolar Disorder : Key Recovery Concepts *

  • Hope.  If you manage your symptoms well, it is possible to experience long periods of wellness.  Believing you can cope with your mood disorder is both accurate and essential to recovery.

  • Perspective.  Depression and manic-depression often follow cyclical patterns.  Although a lot of us may go through some painful and difficult times and at the time there seems no way out of how we are feeling, it is important not to give up on hope.

  • Personal Responsibility.  It's up to you to take the appropriate action to keep your moods stabilised, this is very important and includes asking for help from others when you need it, taking your medication as prescribed and keeping appointments with your health care providers.  These may include Dr's, Psychiatrists, Social Workers or Community Psychiatric Nurses.

  • Self-Advocacy.  Become an effective advocate for yourself so you can get the appropriate and necessary services and treatment you need, and really strive to make the life you want for yourself.

  • Education.  Do some studying to learn as much as you can about your illness.  This will enable you to make informed decisions about all aspects of your life and the available treatment out there.  I bought myself a book titled 'living with depression and bipolar disorder.'  It's interesting the things you don't know about the illness!!

  • Support.  Working toward wellness is up to you.  However, support from others is essential to maintaining your stability, thus, enhancing the 'quality' of your life.


*Source Depression & Bipolar Support Alliance.

Bipolar disorder support tip #1:Get involved in your treatment

Be as pro-active as you can possibly be in participating in your own treatment.  Learn everything you can about bipolar disorder.  Make yourself an 'expert' on the illness.  Study up on the symptoms, so you can recognise them in yourself, and research all of your treatment options so you can prepare yourself and know what to expect when you do experience the symptoms in yourself.
The more informed you are, the better prepared you'll be to deal with the symptoms and make good choices for yourself.

As I have previously said, I have learnt so much over the last 2 months researching bipolar disorder; from finding out the smallest things, to things I felt I should have been told.  Once you start to have a better understanding of your illness, the easier it is to begin to 'put up a fight' when you feel an episode coming on.

Using what you have learned about bipolar disorder, collaborate with your doctor or Psychiatrist in the treatment planning process.  Don't be afraid to voice your opinions or ask questions.  Remember it is in your interests at the end of the day.  The most beneficial relationships between patient and health care provider work as a partnership, so make sure you are both 'on the same page,' so to speak.

Some people find it helpful to draw up a treatment contract outlining the goals you and your provider have agreed upon.

Other tips for successful bipolar disorder treatment :

  • Be patient.  Don't expect things to change 'over-night'.  There is no immediate and total cure.  Have patience with your treatment process.  It can not only take time to find the right programme that works for you, but also to find the right 'balance' in medication.
 The brain is a funny thing and time and time again I have been told this.  It can take years to get the right balance of medication for each individual because enough isn't known about the brain yet.
  • Communicate with your treatment provider.  Regularly keep in communication with your doctor or psychiatrist.  Your treatment program will change over time, so keep in close contact with them.  Talk to them if your condition or needs related to your illness changes.  You must be honest about about your symptoms and any medication side effects as you may not be on the right program/medication that personally suits you.
My medication has been changed so many times over the last twelve years because I start a new drug, wait for it to get into my system, get the side effects of taking a new tablet, and eventually i'm told this isn't the right drug for you, we'll try something else!
  • Take your medication as instructed.  If you are taking medication, it is important to follow all of the instructions and take it faithfully.  The worse thing you can do is skip or change a dose without first talking to your doctor, this can make your symptoms/moods worse.
In my last blog, I showed a video on Stacey Slater from Eastenders during a period she wasn't taking her medication, and she wasn't a well person.  It is imperitive that you stick to what you have been told to take and when you have been told to take it, otherwise the consequences can be quite shocking. 
  • Get therapy.  While medication may be able to manage some of the symptoms of bipolar disorder,  therapy/seeing a psychiatrist teaches you skills you can use in all aspects of your life.  It can help you learn how to deal with your disorder, cope with any problems that may occur, regulate your mood, change the way you think about towards your illness and improve your relationships, not just with partners, but family and friends.

Bipolar disorder support tip #2:Monitor your symptoms & moods

In order to stay well, it is important to be 'tuned-in' to the way you feel.  By the time obvious symptoms of mania or depression appear, it is is often too late to intercept the mood swing, so keep a close watch for subtle changes in your mood, sleeping patterns, energy levels and thoughts.

If I am having a manic day and really hyper, I know the consequences; later on that day I will gradually feel myself coming down to earth, having 'exhausted' myself, and the chances the next day will be a day of 'depression' and being on a low are quite high.

If you catch the problem early and act swiftly, you may be able to prevent a minor mood change from turning into a full-blown episode of mania or depression.

Know your triggers and early warning signs - and watch for them

It's important to recognise the warning signs of an oncoming manic or depressive episode.  Make a list of early symptoms that preceded your previous mood episodes.  It is also important to identify the 'trigger points' or 'outside influences' that have led to mania or depression in the past. Common triggers include :-

  • Stress
  • Financial difficulties
  • Arguments with your loved ones
  • Problems at school or work
  • Seasonal changes (Like seasonal affective disorder)
  • Lack of sleep
A lot of the above triggers have affected me.  Stress definitely.  I was spending too much money on 'silly' things.  Unnecessary things, which is a common sign of someone with bipolar disorder.  So keep an eye on yourself and the list above, it is important.  I lost my job over taking time off through being sick with bipolar and that was a very stressful time for me.  My Dr said if my work does dismiss me, my condition would worsen.  And guess what, it did!! Surprise surprise!!


Knowing your early warning signs and triggers won't do you much good if you aren't keeping close tabs on how you are feeling.  By checking yourself through regular mood monitoring, you can make sure that the 'red flags' don't get lost in your busy day-to-day life.


Keeping a mood chart is one way to monitor your symptoms and moods.  A mood chart is a daily log of your emotional state and any other symptoms you are having.  It can also include information such as :-

  • How many hours of sleep you are getting
  • Your weight
  • Medications you are taking
  • Any alcohol or drug use
It's practically like a diary and will help you to spot patterns and indicators of trouble ahead.


Develop a wellness toolbox

If you spot any warning signs of mania or depression, it's important to act swiftly.  In such times, it's helpful to have a wellness toolbox to draw from.  A wellness toolbox consists of coping skills and activities you can do to maintain a stable mood or to get better when you are feeling "off."

The coping techniques that work best will be unique to each individuals situation, symptoms and preferences.  It takes experimentation and time to find a winning strategy.  However, many people with bipolar disorder have found the following tools to be helpful in reducing symptoms and maintaining wellness :-
  • Talk to a supportive person
  • Get a full eight hours of sleep
  • Cut back on your activities
  • Attend a support group
  • Call your doctor or therapist/psychiatrist
  • Do something fun or creative
  • Take time for yourself to relax and unwind
  • Write in your journal
  • Exercise
  • Ask for extra help from loved ones
  • Cut back on sugar, alcohol and caffeine
  • Increase your exposure to light
  • Increase or decrease the stimulation in your environment
The above is a very important list, going from getting the correct amount of sleep, attend a support group, having fun more often, asking loved ones for help, exercising to asking for help from loved ones.  Every point in that list is essential to maintain better health with your bipolar disorder, so make sure you have it written in your diary, or print out a list and stick it on the back of your bedroom door!!


Create an emergency action plan

Despite your best efforts, there may be times when you experience a relapse into full-blown mania or severe depression.  In crisis situations where your safety is at stake, your loved ones or your doctor may have to take charge of your care.  Such times can leave you feeling helpless and out of control, but having a crisis plan in place allows you to maintain some degree of responsibility for your own treatment.

A plan of action will typically include :-
  • A list of emergency contacts (your doctor, therapist/psychiatrist, close family members)
  • A list of all medications you are taking, including dosage information
  • Information about any other health problems you have
  • Symptoms that indicate you need others to take responsibility for your care
  • Treatment preferences (who you want to care for you; what treatments and medications do and do not work, who is authorised to make decisions on your behalf)

Bipolar support tip #3 : Reach out to other people

Having a strong support system is vital to staying happy and healthy.  Creating a supportive environment includes not just who you surround yourself with, but who you choose to avoid.  In order to take care of yourself, it's necessary to limit your contact with people who drain your emotional energy or leave you feeling discouraged, ashamed or guilty.  Instead, spend time with people who truly value you and make you feel better.

I have had my fair share of people who fall into the 'negative' of the above, and all they do is think of themselves, not giving you a second thought and end up making you feel used and worthless.  Stay well away from them!!

  • Turn to friends and family.  Support for bipolar disorder starts ultimately at home.  It is so important to have people you can count on to help you through the rough times.  Remember in a previous Blog I was talking about having at least 1 person you can confide in and will always be there for you, well this is a must.  Isolation and loneliness can cause depression, so regular contact with supportive friends and family members is therapeutic in itself.
  • Join a bipolar support group.  Spending time with people who know what you're going through and can honestly say they've "been there" can be very therapeutic.  You can also benefit from the shared experiences and advice from the group members.
I have been to groups, including anxiety groups and it's amazing how quick you cal gel with the group of people that are there with you.  I used to have a real problem talking in class at school, mainly English, I put that down to being bullied throughout my school years, but now, you can't shut me up!!  So if you get the opportunity to go to any support groups, or are able to find where any are being held (your psychiatrist/therapist should be able to help you) I would strongly recommend going.  They give you Positive Mental Attitude!!

Although a lot of people can sympathise with you, empathy is so much better because all of the experiences are shared and will be very similar.  To sympathise, you haven't actually "been there" yourself, although sympathy is important from friends and family members, which goes back to 'turn to friends and family.'

I have found from starting up this site, whether it's a tweet/e-mail/message on facebook, there are so many people in the same boat as me.  Obviously I knew there was before, but to actually have messages from people thanking me for what I am doing as they don't feel so isolated now as they are communicating with someone in the same boat.  Well I feel exactly the same.



  • Build new relationships.  Isolation and loneliness makes bipolar disorder worse.  If you don't have a support network you can count on, joining a church or civic group, volunteering or attending events in your community will help you to 'fill your time' and give you back some of that confidence you may have lost in the bipolar process.
I have found starting up my twitter/facebook sites as therapeutic as I feel I am giving something back, whilst helping myself at the same time.


Ten tips for reaching out and building relationships

  1. Talk to one person about your feelings.
  2. Help someone else by volunteering.
  3. Have lunch or coffee with a friend.
  4. Ask a loved one to check in with you regularly.
  5. Accompany someone to the movies, a concert or a small get-together.
  6. Call or e-mail an old friend.
  7. Go for a walk with a workout buddy.
  8. Schedule a weekly dinner date.
  9. Meet new people by taking a class or joining a club.
  10. Confide in a counsellor, therapist/psychiatrist or a clergy member.

Bipolar disorder support tip #4 : Develop a daily routine


Your lifestyle choices, including your sleeping, eating and exercise patterns have a significant impact on your moods.  There are many things you can do in your daily life to get your symptoms under control and to keep depression and mania at bay.

  • Build structure into your life.  Developing and sticking to a daily schedule can help stabilise the mood swings of bipolar disorder.  Include set times for sleeping, eating, socialising, exercising, working and relaxing.  Try to maintain a regular pattern of activity, even through emotional ups and downs.
  • Exercise regularly.  Exercise has a beneficial impact on mood and may reduce the number of bipolar episodes you experience.  Aerobic exercise is especially effective at treating depression.  Try to incorporate at least thirty minutes of activity five times a week into your routine.  Walking is a good choice for people of all fitness levels.
  • Keep a strict sleep schedule.  Getting too little sleep can trigger mania, so it is important to get plenty of rest.  For some people, losing even a few hours sleep can cause problems.  However, too much sleep can worsen your mood.  The best advice is to maintain a normal sleep schedule, going to bed and waking up at around the same time each day.

Healthy sleep habits for managing bipolar disorder :-
  • Go to bed and wake up at the same time every day.
  • Avoid or minimise napping, especially if it interferes with your sleep at night.
  • Avoid exercising or doing stimulating activities late in the day.
  • No caffeine or alcohol at night.  Both interfere with sleep.

Bipolar disorder tip #5 : Keep stress to a minimum


Stress can trigger episodes of mania and depression in people with bipolar disorder, so it is very important to keep your stress levels under control.  Know your limits, both at home and work or school.  Don't take on more than you can handle and take time to yourself if you're feeling overwhelmed.



  • Learn how to relax.  Relaxation techniques such as deep breathing, meditation, yoga and guided imagery can be very effective at reducing stress and keeping you on an even keel.  Studies show that a daily relaxation practise of 30 minutes or more can improve your mood and keep depression at bay,
  • Make leisure time a priority.  Do things for no other reason than that it feels good to do them.  Go to a funny movie, take a walk on the beach, listen to music, read a good book or talk to a friend.  Doing things because they are fun is no indulgence.  Play is an emotional and mental health necessity.
  • Appeal to your senses.  Stay calm and energised by appealing to the five senses : sight, sound, touch, smell and taste.  Listen to music that lifts your mood, place flowers where you will see and smell them, massage your hands and feet or sip a warm drink.
I love my music and have to listen to that a lot of the time.  I also find it quite relaxing.  I can't just be on my computer in silence.  There has to be music playing!


Bipolar disorder support tip #6 : Watch what you put in your body

From the food you eat to the vitamins and drugs you take, the substances you put in your body have an impact on the symptoms of bipolar disorder-both for better or worse.
  • Eat a healthy diet.  There is an undeniable link between food and mood.  For optimal mood, eat plenty of fresh fruits, vegetables and whole grains and limit your fat and sugar intake.  Space your meals out through the day, so your blood sugar level never dips too low.  High-carbohydrate diets can cause mood crashes, so they should also be avoided.  Other mood-busting foods include chocolate, caffeine and processed foods.
  • Get your omega-3's.  Omega-3 fatty acids may decrease mood swings in bipolar disorder.  Omega-3 is available as a nutritional supplement.  You can also increase your intake of omega-3 by eating cold-water fish such as salmon, halibut and sardines, soybeans, flax seeds, canola oil pumpkin seeds and walnuts.
  • Avoid alcohol and drugs.  Drugs such as cocaine, ecstasy and amphetamines can trigger mania, while alcohol and tranquilisers can trigger depression.  Even moderate social drinking can upset your emotional balance.  Substance use also interferes with sleep and may cause dangerous interactions with your medications.  Attempts to self-medicate or numb your symptoms with drugs and alcohol only create more problems.
When I was drinking heavily (by the way it was 3 years last week since I have had a drop!) it would affect my sleep patterns, my tablets weren't working to their full potential and I found I was crying a lot of the time.  Alcohol is a depressant, that's why, and it doesn't mix with the medication or bipolar disorder.

  • Be cautious when taking any medication.  Certain prescription and over-the-counter medications can be problematic for people with bipolar disorder.  Be especially careful with antidepressant drugs, which can trigger mania.  Other drugs that can cause mania include over-the-counter cold medicine, appetite suppressants, caffeine, corticosteroids and thyroid medication.

I hope you have found this Blog as interesting as I have.  I have learned a lot from researching it to actually typing it up as a Blog.
I know I have covered a lot of what's here before, but there is much more detail, including do's and dont's .

I apologise the Blog is later than usual, but I have just set up a website, and in between that I wasn't well.

I need to credit a few people for some of the information in this Blog :-

Melinda Smith M. A.
Jeanne Segal, Ph.D.
Robert Segal, M.A.

Copyright Helpguide.org.  All rights reserved.  This is for information only and NOT a substitute for professional diagnosis or treatment.  Visit WWW.HELPGUIDE.ORG for more information and related articles.

For anybody who wants to contact me they can via the following means :-








deanhollett@aol.com

beany01843@gmail.com



















This is my new website I have created especially for you.  I want it for you to use as a 'platform' with your opinions/views/experiences/anything bipolar related.  You can either add your comments at the bottom of the first page, or follow the instructions.  You never know, you might be doing a Blog/page on it!!




Thanking you all so much in your kindness for following me and taking the time out in reading my blogs.  It means a lot.  Also your kind words give me confidence and inspire me to get on with the next Blog!!

Here's hoping you are all ok, and don't forget you all know where I am.

Take care,

Best wishes to you all,

Deano x 

19th March 2012.