Bipolar Essays

Index

  • Accepting the Diagnosis Bipolar Disorder
  • Bipolar Breakout Mood Episode 2003
  • Bipolar Breakout Mood Episode 2005
  • Tuning Knobs - To Medicate or Not To Medicate?
  • How Treatable or not Treatable is Bipolar Disorder?
  • Self Care - Self Management - Coping Strategies
  • These essays were written by me. My name is Linda.
    My bias is that I have Bipolar Disorder. And so does my brother.
    I have a university degree in Environmental Science and worked for 20 years in corporate computing before becoming too ill. (15 years of that in Aerospace and 5 years in Telecommunications)

    Learning to Live With Bipolar Disorder

    These essays, at least so far, are related to one another (2003).

    New, in 2005, another set of essays
    (On Living with Bipolar Disorder),
    all related to one another - click here.
  • Bipolar Breakout Mood Episode 2005
  • Mood statistics On Lithium (354 days), and Off Lithium (394 days)
  • Safety Plan / Emergency plan - Have one!
  • How do I know whether I am safe or not?
    I use a Decision Tree.

  • I have a personal list of "Save Me Tactics".
  • Hopelessness / Worthlessness rebuttal.
  • WRAP "Wellness Recovery Action Plan" by Mary Ellen Copeland
  • Managing the Energy Discrepancies of Living with Rapid Cycling Bipolar Disorder
  • I was trying to come to some kind of understanding of my Bipolar Disorder which under treatment, had broke out in a mood episode anyway. I did catch the entire 2 month breakout mood episode 2003 in the mood chart I keep on a daily basis. And I graphed it.

    For a more recent 2005 episode when I was Off Lithium see:
  • Bipolar Breakout Mood Episode 2005
  • Mood statistics On Lithium (354 days), and Off Lithium (394 days)

  • A little mood shift is not so bad, but you can see in the breakout mood episode 2003 where on day 16 I was "up" and agitated (I wanted to smash in the store windows on Main Street) and on day 17 I was "mixed" and psychotic (deluded in a bad case of the "I thinks" - long story) and by day 18 I was down and suicidal with the urge to act (and took my emergency med at that time). This is not a little mood shift. This is one wild ride.

    I did get about 8 days of a respite from all that extreme mood, before it overtook me again. And whether I am the exception or the rule, I do not know, but I was afraid it would come back. "What if it came back and I couldn't handle it?" "Why isn't there somebody that can help me?" I am nearly sure this sentiment was behind my suicidal ideas a few days into my respite.

    But like all of us who live with a chronic serious medical condition, I got my feet back under me and got my face out of the mud. And that journey is really what these essays are about. Many Bipolars are talented in the arts, but my talents have always lay in my intellect, and so that is how I approached this problem.

    I toyed with the idea of medication. "Was I on the right medication?" The answer to this is "I have to be, every other possibility has been tried without success". "Was I on the right dosage"? This was possibly debatable. I had been on higher dosages, so I had some knowledge of what effect that had on me. Raise the Lithium and it turned me into a zombie. Raise the Tegretol with the Lithium raised and I got toxic on Tegretol - so not possible. But maybe the Tegretol could be raised, if the Lithium remained the same?

    So do I go asking for more (higher dosages) medication? I personally am very reluctant at that idea. I really am quite drugged (thank you very much). Then there was the issue of my emergency med. I am reluctant to take it also, but in hindsight can see I should of and 2 days earlier at that. I think medical science has done what they can do. But how can that be? They haven't "fixed" me.

    These turned out to be the right questions, though. I proposed the question To Medicate or Not To Medicate? on one of the online message boards. I stated the problem as "I am looking for as high a quality life as is attainable - which is some sort of delicate balance between Bipolar wrecking havoc on my mind and life versus medication wrecking havoc on my mind and life." And that is what sent me on the wonderful discovery, much of which is captured in these pages.

    Out of the question came 2 suggestions I thought were great. A concept of 3 Tuning Knobs - Self Care, Severity of Symptoms, and Expectations where if the symptoms go up, you turn up the self care and turn down the expectations. And when you can no longer turn up the self care and turn down the expectations your only place to turn, is more medication. Secondly, to use the DSMV IV criteria for depression and hypo mania to determine how severe your episode is. After all it is the measuring stick.

    Along the way I dug up the statistics on how treatable or not treatable is Bipolar Disorder? and that has allowed me to reset my expectations of modern medical science.

    So now I can measure (DSMV IV), track (mood chart), adjust to changing conditions (tuning knobs), and do something about my Bipolar Disorder (self care). What's there to be afraid of? Okay an agitated, mixed, psychotic state could still be a problem. But it is not a problem today.

    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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