Depression

Meeting the Triggers with Awe

/ Robin

I’ve been thinking a lot about what to do after I encounter a trigger and my bipolar or one of my other difficulties (like anxiety) are “activated” so to speak. I can’t just ignore it.

First I guess I should explain what I mean by a “trigger.” When I say I’ve been “triggered” I mean that something has happened that causes my bipolar to come out of balance or remission and become active, and there is a good possibility that I might become depressed or manic. Just like the other day when my daughter pushed my buttons.

This is the moment I’ve got to be ready for. I can’t just ignore it and hope it doesn’t become a full blown episode. It is so easy to be overcome by bipolar disorder. I must always be vigilant. I have Bipolar Type 1. I experience mixed states and cycle rapidly. I don’t enjoy it when it is running rampant. Sometimes in the past I haven’t wanted to live because it has been so devastating. I will do whatever I have to to avoid that from happening again. I want to live.

I was reading in Psychology Today yesterday in their March/April 2016 issue and I found an article on “awe” called “It’s Not All About You!” by Carlin Flora. The article talks about “rumination—or mulling over worries—is the biggest predictor of depression and anxiety” (52).

Wow is that ever true for me. I waited till my son got home and told him about it, then I blogged about it, then I talked to Kyle about it some more. And of course I thought about it in the in between times. What about you? Have you found that when you ruminate you are in more danger of having an episode? So what to do.

Awe. The article goes on to quote a study that says, “Awe is the opposite of rumination, it clears away inner turmoil with a wave of outer immensity.”

So I decided to do a little experiment. We live near Mount Rainier in Washington State. It’s only an hour to the park entrance from our house. I used to take the kids to the park when they were young all the time for a break from school and so we could have time away and together. Family time.

My experiment consisted of looking for “awe.” It included my son Kyle and my dog Bailey. We drove for 30 minutes to get to beautiful Alder Lake which is on the way to Mount Rainier. We enjoyed the drive and taught the dog to fetch in the lake and swim. She’s never been swimming before. She never hesitated. Then we played fetch with an old black and yellow football we found in the garage the other day. We spent time alone together, away from the normal stresses of daily life. We were gone for 2.5 hours.

I found AWE. It wasn’t hard. It was like it was waiting for me to notice it. I found it in the beauty of nature, laughter and the love of those I was with.

How do I feel now? Honestly, I feel good. I don’t know how long it will last, but for right now, I feel like I’m back in control.

Look for awe in your daily life. Whether it is in the eyes of someone you love or in the colors of an amazing sunset, look for awe. Maybe you’ll find it stopping you from ruminating too.

Preparation for a Bipolar Episode

/ Robin

I wrote this a few days ago. Today, I’ve just returned from walking my wonderful dog out in the beautiful sunny day and now I’m experiencing a sudden downward swing. Time to see if I can follow my own advice…… Stay tuned….

How can I prepare how to deal with an episode when every single one is different and while in one I generally can’t control my emotions? That’s a good question.

The first thing I’ve done is to make sure I always have enough meds on hand and that the boxes I put them in are always filled. This way when I start not remembering whether or not I’ve taken them I can just look at the box. I take meds in both the morning, afternoon and the evening. I have the most trouble remembering to listen to my alarm reminding me to take my mid-day meds.

Second, I try to live in such a way as to not provoke myself into going bonkers. When I do go off my already teetering rocker I have to fall back on my intellect and take my meds when I’m supposed to. Today I went for a walk in the beautiful sunny weather. 30 minutes later I feel sad.

Third, I tell a safe person what’s happening. I don’t have friends who I can call and tell I’m cracking up. And I’m getting another new counselor (my fifth at this clinic) because this one is retiring so I’m not likely to call her. Besides, even if I did the clinic is so busy I wouldn’t be able to talk to her or get in to see her sooner. So, I can talk to my Mom although sometimes she’s part of the problem. How can I talk to her and it be helpful rather than make things worse? We have a prearranged thing where I get ahold of her and ask if she has some time to listen because I need to dump. Usually this helps take some off the top and I know someone knows I’m having a hard time and that she’ll keep in closer contact with me without bugging me to death.

My three kids are my other safe people. They are all old enough to help walk with me while I’m in a “state”. We talk and they talk back. I usually let them talk to me rather than making them just listen. They usually have good ideas. Mostly, they don’t let me wallow in my own mental and emotional pool of piddle. Sometimes they bully me and sometimes that’s what I need.

Fourth, I give myself some space. I give myself permission to be who I am and accept that I have these times I go through and I also remind myself, if I can, that it will pass. It always passes.

Fifth, I never put myself in a situation where I can injure myself if things really go south. So, no guns or extra meds in the house. I may even have one of my safe people come over and watch me fill my pill boxes. Sometimes I’ll even have them pick up something from the pharmacy for me. They know when I’m depressed, it’s sometimes hard to get myself to do that.

I’m sure there are more but that’s what I can think of for now. I need to call my daughter. Maybe asking about her day will help me be lifted up a bit.

Uniquely Bipolar Me

/ Robin

[I’m putting this in “I” language, but I mean you too.]

For us, there is only the trying. The rest is not our business.
TS Eliot,  Bipolar Disorder

Simply put we don’t really know what causes bipolar, but current science guesses that Bipolar Disorder is caused by a chemical, a biological imbalance in my brain. Every person has a unique brain, but my bipolar brain came with some even more unusual stuff going on. I don’t have a “normal” brain. My brain has been kissed by the divine. (Wouldn’t that be cool!)

There has never been anyone like me and there never will be again. I are uniquely unique. I am special and have extra possibilities to achieve great things. (Delusions of grandeur? I don’t think so. If you google “famous people with bipolar disorder” you will be surprised by the number of people who had/have it.)  All the struggles I have gone through to get to this point have been different than the ones most people go through because of my bipolar. I am a different person than I would be than if I didn’t have bipolar. There is nothing I can do to change this. I will always have a special brain.

All the struggles I have gone through to get to this point have been extraordinary. I can’t help consider it now I wonder what I would be like and how my life would be different if I had not had this disability. But, that’s not how things worked out for me. There is really no point in wishing for a “better” life than I have. That might actually trigger an episode. I’d rather not do that. I have enough stresses in my life right now, I don’t need to add to the list.

My struggles have made me who I am today and now that I’m here I choose to go forward and live my best life. What does that mean and how do I do it? I’m going to spend some time over the next little while exploring these things and share with you my journey as I go through it.

Moving forward is pretty easy to spell out. I must not pretend that I’m normal while I’m in a pretty semi-stable state. I must try to grow and become a better person… to mature, while I have control over my emotional faculties. I am spending time preparing ways to deal with myself when I have an episode. I don’t want to get caught without a plan to fall back on. I know that may sound ridiculous, how can I prepare how to deal with an episode when every single one is different and while in one I generally can’t control my emotions? That’s a good question. I’ll tell you about it next time.  ;0)

I read books on self-improvement and try to learn new things that will help me in my personal and professional life. I try to connect with people who I would avoid when I’m depressed. And I try really hard to relax and have fun!

References:
Causes of bipolar
http://www.mayoclinic.org/diseases-conditions/bipolar-disorder/basics/causes/con-20027544
https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml
http://www.blackdoginstitute.org.au/public/bipolardisorder/causes.cfm

 

Alcohol and Bipolar Meds

/ Robin

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One of my biggest temptations that can trigger an episode or interfere with the way my medications work is alcohol. Having a drink. It just seems like a nice way to relax at the end of a long day or when I just want to mellow out a little bit more.

While I’m not in the mood for a drink I’m going to think about it. Most if not all of my psychiatric medications warn me not to drink alcohol or use other drugs while taking my prescribed medication. Okay. I’ve been warned. I ignore warnings sometimes. Should I ignore this particular warning?

We desire to have a drink at the end of a stressful day because alcohol is a depressant and we want to chill out.

Fun Fact: People with bipolar disorder are five times more likely to develop alcohol misuse and dependence than the rest of the people around us (the National Institute of Mental Health).

What does that mean, really? It means that alcohol is a leading TRIGGER of depressive episodes if you have bipolar disorder. According to WebMD “The link between bipolar disorder and substance abuse is explosive.”

In my mind, if I’m drinking alcohol and am taking medications that indicate I am NOT to take alcohol while I’m taking them, I’m engaging in substance abuse. Can you see why I look at it that way? Drinking can endanger my life while I’m taking these other medications and disrupt all my efforts to treat my disorder. I’ve worked too hard to reach a place where I mostly feel stable to jeopardize it by drinking a 4-pack of coolers that might easily become another 4-pack.

I realize a 4-pack of coolers isn’t likely to kill me but consider that if I’m depressed and drinking a depressant am I helping myself relax, in my depressed state, or making myself more likely to abuse alcohol while I feel like it’s deadening the stress of my day? When I’m depressed I don’t tend to make good choices. My inhibitions are lowered. I might do things I would otherwise not do. It’s the same for a non-bipolar person, but I’m special. I have all this other stuff going on too. While a person without bipolar disorder may return to normal the day after drinking we have to figure out how to slow down the wheels of our possibly artificially elevated mood phase we’re in and slow back down to a healthy place.

Is it okay to stop taking my meds for a few days and then go drinking and start back on my meds after that? Um, no. Many of the drugs used for bipolar disorder must be ramped up slowly to get to the dosage that is effective for us. It can be dangerous to just stop taking a drug cold turkey and then start back at the high level again. I’m currently taking a medication that I need to be careful not to miss a single dosage.

When I’m struggling with mood instability (which is what it’s all about after all) I’ve found that it’s a pretty simple thing… bipolar disorder and alcohol don’t belong in the same body.

Petiete Confessions: A Humorour Memoirette

/ Robin

Review: Petiete Confessions:
A Humorour Memoirette with Sassy Drink Recipes

By Viki Lesage. (I read the Kindle version. The Kindle version is free right now.)

Amazon rates this #1 in humor and #1 in bartending. Is it funny enough to make me laugh out loud and to do so more than once? Was it able to make my manic brain slow down long enough to finish it? The answer is Yes! I finished the whole thing in two sittings.

I’ve been looking for something to make me smile or otherwise engage my emotions in a positive manner for some time now. Mostly I’ve been looking for some good poetry that stirs that something inside my super charged emotional center. I’m not into poetry per se, but as a result of the Creative Writing Class I just took I’m willing to look around and see what’s out there.

Now, as for funny, did Petiete make me laugh? Yes! Not hysterically from beginning to end, but I smiled and grinned and did indeed laugh. Was it humorous enough for me to invest in reading another book in the series? Sure. Are you curious how drink recipes are mixed with humor? Easy, she writes a chapter then ends it with a sassy drink recipe. Wanna know what a “sassy” drink recipe is? Get the book. I can’t give away everything. If I could drink (I don’t mix my meds with alcohol) I would look forward to trying them. If I found they were good I might even consider working my way through the whole book just for fun!

If you’re looking for something refreshing and a little different than you usually read give it a whirl. It doesn’t take too long to read. If you’re depressed and are looking for something to pull you up I’m not sure this would do it for you. You probably need to keep taking your meds or have them adjusted and talk to your counselor. If you’re looking for a book to pull you out of the funk of depression or mellow you down from a manic high this isn’t the book for you. But, if you are someplace in between the two extremes this might just be the tickle for your giggle. Check it out!