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Managing the Energy Discrepancies
of Living with Rapid Cycling Bipolar Disorder

Where you say:

"That one day I can accomplish so much but then the next, I can hardly muster up the energy to get out of bed. "

I am Rapid Cycler. Managing the ever changing energy level about drove me batty at first. I couldn't plan anything - I couldn't count on anything. I may be able to go do, or I may not be able to go do - and there was no way of forecasting when was which.

I think I got used to it. That is the way it is. If I agree to go to dinner 2 nights from now, whoever needs to understand that this energy level may change, and I might not be able to go. If I am down, I may need to take the day off and pick back up where I left off, on another day.

But it probably took me a good 18 months to get used this - it's a different way of living, for sure. And I think I balked every step of the way.

Linda

Tell Us More...
By: Interviewer

Hey Linda, I’d love to hear more about how you got used to things and what your “strategy” and experience was.

One of my struggles at the moment is, “do I fight this” or “do I accept this”, because they kind of seem like different strategies.

“Fighting” (which I’m trying now), involves using the normal and up phases to come up with plans and systems to learn to recognize and “control” (step-up or step-down) moods – the ultimate goal being “I control my moods, not my moods control me”, whereas “accepting” seems more to be about functionality – “I can do X when I’m up”, when I’m down I just have to sit it out.

Accepting is less stressful, and therefore perhaps less harmful and more conducive to healing, whereas fighting accentuates the ups and downs, you can’t help beating yourself up when you “lose” or getting excited when you have wins.

anonymous

Do I Accept this, or Do I Fight This?

Interesting - Do I fight it or Do I accept it.

Interesting - “I control my moods, not my moods control me”

Let's look at this "control" thing. Have you ever found yourself in a behavior, where it appears that bipolar has flat run off with your mind? I have. I have done some pretty crazy things.

I held fast for a brief little while that this is impossible. That somewhere along the way, I had let Bipolar run off with my mind. That I had made a conscious choice to do whatever crazy thing I had done. Not that Bipolar had chosen for me. A friend of mine told me that if that were true, bipolar wasn't the issue - because true bipolar can and does run off with your mind. I investigated further - what is this human thing of "loosing control?"

Self Help Book

Here are some of the more common ways we lose self-control:
  • 1) we set no goals or impossible goals
  • 2) we lose control or don't pay attention to our goals or to our behavior
  • 3) we quit because we get tired or stressed and weakened
  • 4) we attend to our immediate situation and needs, overlooking long-range goals
  • 5) we misjudge what is important to do
  • Whether it be dieting, quitting smoking, or Bipolar running off with my mind - I could see this progression behind "loosing control".

    What is it that happens in me - when Bipolar runs off with my mind? This is long, bear with me:

  • 1) I have a goal. It is to “manage my day and not mess up”. My mantra.
  • 2) I forget I have this goal.
  • 3) After some while, I get tired of fighting for control – tired of being a “good girl”.
  • 4) I attend to the immediate situation – I believe Bipolar alters our sense of time – pure emotion has no time
  • 5) I believe Bipolar impairs my judgment (ability to evaluate consequences)
  • I propose that this is a running progression of brain mal function. When my brain is operating correctly - I know I have a goal, I know what it is, I don’t forget. I don’t mess up. Easy. I do get very tired after some while in a mood swing either way, or both ways (mixed). I get wore out fighting for my mind. Then think about it, either in the height of mania or the pits of depression, if you are like me – I can only comprehend now. I can not cause my mind to remember or predict, that things will be any other way, but the way they are now. It is incomprehensible. Finally, when I’ve gone and messed up, and I’ve pulled my share of wild ones – I have lost my ability to evaluate consequences. Bipolar has flat run off with my mind.

    But, did it have to happen? Where in that progression, is it possible for me to catch myself, and therefore “NOT mess up”? It has to be in 2) paying attention, don’t forget – “keep your eye on the 8 ball”. Once I’ve lost sight of my goal, and get tired, and time becomes altered, I don’t think it enters my mind, whether I have any judgment, at all.

    I just saw it happen in a recent 2 month episode. My friend is right. Bipolar can and does flat run off with my mind. I have no control. I loose sight of my goal, in favor of the immediate NOW.

    I have never thought as you suggest that “I control my moods, not my moods control me” Rather, what I have thought is "I must manage my day and NOT mess up". ... So what I have been thinking is to "manage my moods, rather then let my moods manage me".

    Manage and control are 2 different things. I am in the business of managing my moods, not controlling them. I literally can not control them and just saw that explicitly on Thursday.

    I believe in "getting used to this ever changing energy level" I am doing both - accepting and fighting.

    Sunday/Monday I had a migraine pull my mood low - I paid it no mind. The migraine did that and the migraine will pass.

    Tuesday my mood came up as I expected, as the migraine passed.

    Wednesday afternoon, my mood had come up too high I protected myself (NO shopping) - I also on purpose went into listening mode over dinner. My husband needed me to listen.

    Thursday - I motor mouthed my dear husbands ear off in the morning. My mood is still high. Over lunch it switched and dropped like a rock. I am not happy about this drastic contrast that I had no control over. I accepted - tomorrow is another day.

    Friday - I would call the mood the old fashion word melancholy and it was also irritable. I am pissed that a migraine has triggered a bipolar mood episode in me. I fought it. I took my dogs for a walk - no puppy training as I would have in normal mood - just a nice walk with my dogs. I battled on and mowed my field. On field mowing - I will confess that my choice of PRN meds would not stand up to doctor scrutiny. In the old days, I would have smoked some pot, but I can't do that anymore, without risking jail time. I managed some combination of PRN meds that altered my mood sufficiently to get my field mowed. My theory still remaining - tomorrow will be a different day.

    It is tomorrow. I will fight on. Am I okay? Okay enough for right now. I did mess up yesterday - I misused my PRN meds. I chose the immediate now (mow the field) over my goal "do not mess up". Did I have to choose that - or did Bipolar choose that for me? I guess Bipolar did. I know better then to mess up - it is my goal - over getting a field mowed. As it is a brand new day - first priority is to get back on track - do not mess up. Given the requirements of this day, I think that will work out. All I have in mind for today is taking my puppy to the mountains for exploration.

    To have handled Friday correctly, instead of choosing to fight on - I ought to have chose to accept it - and postponed field mowing till today. I didn't. Thunderstorms were coming and today is Saturday - I didn't want my Saturday to have field mowing work.

    It's a balance. I can not control bipolar, but I can manage it. And my tools to manage bipolar run the spectrum from accepting it, to fighting it --- it's not an either or thing.

    I did not consciously choose to mess up yesterday. I did consciously choose to fight on - and in choosing to do so, messing up was my mechanism for getting there. I betrayed my own #1 goal - Do mot mess up. I lost sight of my goal. A very globally human way of loosing control - not necessarily bipolar, but undoubtedly a bipolar (low) was the problem.

    Just as chocolate cake is to a dieter, or a room full of smokers to the smoker who is quitting. I chose the immediate now over my goal.

    Good grief - I have no idea if I am making any sense. This is what your words suggested to me.

    Linda

    - in Describing This to My Husband
    a Normie (a Person Without a Mental Illness Diagnosis)

    I think I better add, that in describing this post to my husband - a normie (a person without a metal illness diagnosis) ... who knows of my battles with messing up and the story I just told here ...

    I do recall in my 20's being able to control my mood. Like wake up in a bad mood, and put on a happy face for work. This is no longer possible for me, but I have lived to 48 by now. So what I am saying, is just because I can not control my mood, doesn't mean you can not - okay?

    I also wanted to comment on your:
    "One of the “evolutionary” theories of depression is that it’s a way of disengaging from an unachievable or improbable goal, thus preventing further futile energy expenditure. "

    Depression is one word that covers a spectrum of things. From I'm bummed out, my favorite team lost the big game - to unrelenting suicidal depression that goes on for months. Because of this, I rarely pay much heed to popular books, speakers, etc - on the subject. They are often trivializing the problem I experience - all part of this spectrum thing, so I guess what they say may be true for someone.

    This is where I will get caught between acceptances and fighting. I experience times where I don't want to get off the sofa, let alone be conscious at all. I have come to accept this in myself, because I know myself - I will not lie on that sofa not even one minute longer then I need to. I will get tired of it - and get up and fight. I can count on that in me. So I accept, and then I get up and fight. But that is just me.

    Interesting questions about living with BP. Or they are interesting to me.

    Linda

    Time Machine
    By: Interviewer

    I'm finding it very interesting Linda, still re-reading and digesting your posts.

    I guess I was kind of hoping for an "easy" answer - like "accept it and everything will be easier", or "keep fighting and things will improve." But really, I knew you were going to come back with the, "You have to fight and accept."

    But what piqued my interest in the first place was you said that it took you 18 months to get used to the new way of living, and you “baulked every step of the way.” I guess I kind of transcribed that to mean, you came up with a strategy, kept resisting (fighting) it, and then accepted it and things were better for that.

    I’m in my 20s, and I can control my moods – put on the happy face and go to work – but it’s kind of like, what’s the point, if it’s not part of a grander plan of resistance – if every minute with the happy face I’m really just pining to be curled up at home on the floor staring at the wall, why shouldn’t I just accept that and structure a life for that, like what my friend has done? At least, I’m less unhappy doing that.

    Anyway, I’m not expecting you to tell me what I should do, but thanks for the info, it helps so much. I want to ask, if you went back in a time machine to your 20s, knowing what you do now and the path that your BP will take, what different “plans” would you put in place?

    Cheers
    Anonymous

    Great question!

    I am sorry, I am not familiar with what your friend has chosen to do.

    - your time machine question - has got to be the favorite soap box of every old fart - and you just invited me to step upon mine.

    I have never been a person with many regrets. I do what I do, when I do it, because I thought it was the best thing for me to do, at the time.

    All I ever wanted from the time I was wee little - was a little place of my own and some land my grandma's standard response to my childish "I want's". She'd say, "And all I want is a farm and it fenced". Well, that's all I turned out wanting. And I did achieve that, for myself - I bought it, no one bought it for me.

    So I headed off to corporate America with my college degree and squirreled away every penny I had the opportunity to earn - with this farm and it fenced goal in mind. I never intended to do that work alcoholic thing one minute longer then I had to.

    My first major disaster came in the mid to late 80's. It was bipolar at play in hindsight. I was undiagnosed. I was 30 or so, at the time. I made it through work being all over my butt for pressurized speech and jumping subjects. I made it through the following depression. And then I got my first "political thrashing" in the workplace. Basically it's a power play, and some manager felt threatened by me and effectively took me down. This happened twice, but mid 80's was my first.

    I looked up one day and wondered what a nice girl like me was doing in a place like this (work). And I decided a "leave of absence" might cure whatever ailed me. I was granted my leave of absence (8 weeks) and I took myself off on an adventure - a road trip to Alaska.

    It worked! I learned the solution to the inflated self esteem of hypo mania. The solution is - it is not important. And when it comes right down to it, not much is really all that important. I have been able to draw from the lesson.

    But for your time machine question - I learned something even bigger. Life is for living now. There may be no future. And in my case, where the Bipolar has progressed to some very nasty business - this is very true. If I had continued to do that traditional work thing - postponing my dreams for some fictions retirement --- my health wouldn't have been there for me.

    So #1 - Live your dreams now! Caveat - make sure their not some kind of bipolar whim, okay? But to anyone, with some burning desire - my response would be - go do that now. That retire and live your dreams thing may work out for some, but personally ... if I'd waited to 65, or even 55 for my Alaska adventure - it would have been an entirely different sort of adventure, then the one I had in my early 30's, right? Mountain climbing would have been much harder, for instance.

    Let's see, I have already said it - but it bears repeating, because it is always true ... Life is a balance.

    I was busy squirreling away money for my farm and it fenced - but I cut a gaping hole in that dream, for a more immediate dream of my Alaska adventure. I was strongly raised to pay my own way in this world. That "save for a rainy day" couldn't be truer, for a young person in their 20's - who already knows they have a chronic debilitating progressive disease for life - bipolar.

    I was cut loose from my ability to earn any real money by age 42. Bipolar had progressed too far, and now I also had chronic migraines. This was sooner then I was planning, of course. My income today is at the whim of disability - government weenies choosing or not choosing - to dole me out money. This is not freedom. I hate it!

    I do have my little old farmhouse and a few acres in a remote location, so the cost of living is low - and it didn't burn all my savings - I didn't really have the option to go in any higher style. Rainy days are standard affairs anymore.

    So #2 - is squirrel away for the rainy days (known, and as yet - unknown). The ability to pay your own way is freedom. I cherish sunshine and freedom above all else.

    So you see, what this all boils down to is that balance thing again - not an either or, not a nice clean one or the other:

  • #1 - live your dreams now - there may be no future health
  • #2 - squirrel away for a rainy day - rainy days might become standard affairs.
  • I did buck up to the high pressures of big city corporate America with those high paying big bucks jobs - as long as I possibly could. But when that was over, and no longer remotely possible - like a train coming into the station, when it stopped - I got off, and downsized. And I was lucky enough to be able to ride that gravy train long enough to go grab my dream (my farm and it fenced). I'm not sure everyone is as lucky as me.

    The worst "having to go to work" day I remember, was the night I had paced my house with my finger gun to my head, and drove into work - thinking every tree I passed, looked like a likely target for my truck to hit at 60 mph. The answer for me, to that one, was I had to get out of there. I was a round peg in a square hole and to continue was to kill me. And I left. I quit that job without another one. And I sold that house after having only owned it 4 months. And I moved. This bought me another 4 years of corporate America’s gravy train big bucks. I kept on, until there was no more keeping on in me - period.

    My diagnosis didn't come until 5 years past there was any possible anything in me. 9 years after that finger gun. 15 years after that Alaska adventure. No - I never wish the bipolar was treated earlier. I draw today on what I learned along the way, about how to co-exist with the beast.

    Never ask an old fart a standing on their soap box question? Us old farts can get long and windy.

    Life is a balance.

    Bipolar is a balance - just more extreme.

    Linda

    Recommended Reading - Must Reads For Bipolar's and Their Families

    Cognitive-Behavioral Therapy for Bipolar Disorder, Second Edition
    Absolutely the best description of Bipolar Disorder I have read anywhere. An excellent read for giving your mind a chance to over come mood.

    The Bipolar Workbook: Tools for Controlling Your Mood Swings
    By the same author as Cognitive-Behavioral Therapy. This is the CBT workbook I have needed from the beginning. Truly non-pharmaceutical Mind over Mood stuff - that works.

    An Unquiet Mind: A Memoir of Moods and Madness
    An easy, quick read that both the person with Bipolar will recognize themself in, and their loved ones will recognize what Bipolar Disorder is. Kay Jamison both has Bipolar Disorder, and is a Psychiatrist. If you read no other book - read this one.

    Wellness Recovery Action Plan
    Wellness Recovery Action Plan WRAP - the most self empowering recovery method I have run across anywhere.

    My name is Linda. I welcome your feedback.
    However, please be gentle and speak softly.
    Ordinary real life rocks my mood, and I really don't need Internet email, to set off a mood episode in motion - you know what I mean?
    I look forward to hearing from you, and if I can be of help in any way, I sure will try.

    Disclaimer

    The intention of this site is to provide understanding, information, and commentary. The diagnosis and treatment of Bipolar Disorder requires trained medical professionals. The author of this site is NOT a trained medical professional and cannot give professional advice, diagnose, prescribe, or in any way treat Bipolar Disorder. The information here should NOT be used as a substitute for seeking professional care for the diagnosis and treatment of any medical/psychiatric disorder. If you feel you are ill or know someone who may be, seek medical attention as soon as possible.

    © Copyright 2003 Linda Fisher™


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