Can People with Bipolar Disorder Get Better?

Yes!

 Here is a post from Bonnie. I am always looking for positive stories.

 Hi Julie,

 I just came across your site today. I can relate to your situation. I’m 44 today. Back when I was 17 in 1983, just as I was entering senior high school, I started acting strange. I didn’t want to sleep and I didn’t want to eat. Eventually I was admitted to our local hospital in the mental ward. I was there 2 weeks. I came home but was still not right. I was saying and doing things out of my character. I was becoming delusional. At the end of the year I was admitted to University Hospital in Seattle for about 2 months. It wasn’t until 1986 that I finally was diagnosed with Bi-polar. Back then it was called Manic Depression. I went to a Naturepathic doctor and he put me on a bunch of vitamins and Lithium. I take 300mg twice a day. I have not had an episode since. I will be interested in buying your Health Cards because I’m sure they will help me. I know that I still have Bi-Polar disorder, I just have it under control.

Bonnie

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Thanks Bonnie. I sometimes wonder if I will ever get better- to me that means long periods of time without mood swings. That is always my goal. Thanks for reminding us that it’s possible!  The name changes in bipolar are interesting: Mania Depression. Bipolar Disorder. Bipolar Affective Disorder, Bipolar Illness – and I just heard bipolarlity!

Julie

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Is it normal to be restless when you are depressed?

A relaxing picture for when we are restless!

Here is a reader question:

Hi Julie-

When you feel a down swing coming on what does it feel like for you?  Yesterday when I started feeling “the great sadness” start to creep up on me, at first I could just feel my mood start to sink a little but then I found myself getting extremely fidgety.  I started going a little crazy in my head saying things like “what is going on? I need to figure out what has triggered this.  Is it this?  Was it this?  Did this have anything to do with it?”  and the more I tried to ‘figure it out’ the more fidgety I was getting.  I told myself to go read a chapter of Get it Done or listen to some music that brings my mood up or sit down and do a little work but I could not force myself to do any of that.  I literally paced back and forth for at least an hour and then finally went to an appointment that I had set up for myself with a couple friends.  The chatting wtih friends was wonderful and I forgot about those voices in my head and I’m doing much better again today but I was wondering what it feels like for you when you start feeling a down swing coming on.

Anxiously awaiting your reply,

Keli….Goddess of Maui

Hello Keli,

    I break depression into two categories: restless and weepy. The restless depression often gets confused with ADD, but it’s actually just a normal part of the mood swing.   It’s all about how our brains work and has little to do with our work ability. When your thoughts say- What’s wrong! Why am I always like this! What is my problem! these are your reactions to the fact that your brain is not functioning correctly.

It’s so easy for us to blame ourselves when we get depressed. It’s part of the illness.

You ask about my tough day- I have ALL of the same thoughts and the same restlessness you have. I drive around and cry and get upset with myself. I miss work and feel worthless and hopeless. It’s part of the illness and it’s the same every time.  Isn’t it amazing that those of us with depression can go through the same symptoms for years and yet we still think it’s our own fault!!! That is why depression is such a nasty down swing. It lies to us.

You went to see friends- that is one of the things I do as well. I make sure I have appointments that I must attend so that I don’t mess around all day getting nothing done. I write all about this  in Get it Done, but I agree that sometimes doing what works is hard! I’m having one of those days today- I would rather be doing anything than writing. I keep getting interrupted by calls- I’m spending more time worrying about my current project than doing it. On and on. But then I make it stop. I simply say to myself- Get things done. No more driving around. Put yourself in a place you can work. Make an appointment later so that you know you have to be somewhere. Turn off your phone.  Set a time limit on your project and just get going. I actually pump my fist and say get going Julie! My brain may not want to work, but I can. As you have read in the book- we all need to use our inner drill sergeant.  

I can’t stand restless depression. It can really creep up on you- but there are ways around it. Action makes all of the difference! Thanks for writing and I’m glad you found a way to get better on a tough day!

Julie

Can you work when you are depressed?

    Yes! Absolutely! Always! It’s hard but I can do it!

     That is what you will normally hear me say and it’s true. I can work when I’m depressed. My   problem is that I don’t want to work when I’m stable.  How often are you stable? It’s a new world to  me that I rarely get to visit, but I have noticed many things about this world.

   –  People like to just sit around and do things- watch TV, go to a movie, have coffee with friends, knit, mess around in the garage, fish, take a walk, relax in a bath, listen to music, go on a road trip. ETC.

    Those things are all so hard for me due to mood swings.  I’ve had five days of stability recently. No mania and a bit of depression only. And I don’t feel like doing anything! Is that what it’s like for those who just want to live life and be happy? Is my drive for success, change, creation and survivial only a byproduct of my depression?

Interesting question.

I’m adding a chapter on medications to my book Loving Someone with Bipolar Disorder. My coauthor John and I are working on it this month and the new editon of the book will come out in 2012 (yes, that is crazy!). I work much better when I’m down. So right now that I feel normal, I am going to make myself work as though I were down. There is a dichotomy!

How about you? Is there a particular mood where you are more productive? Julie

Julie, can’t my child see he is depressed?

 My coaching clients often ask me this kind of question:

Why can’t the person I care about see that he is depressed?

Why would my daughter stay so unhappy and not do anything about it?

The answer is that depression is tricky.  It’s sneaky. It tells you that what it says is real and it tells you that what you feel when you’re depressed is real. I don’t think that it’s possible for people without depression to understand what it’s like, but I do know that it helps to know that those with depression who can’t see what is going on simply have an illness and this is one of the symptoms.

I’ve spent the past 15 years learning to separate myself from my depression. It has been constant work on my self awareness.  The depression is still here, but not today- though it could be back tonight!  If it were here right now, I would use the ideas in my books and make sure it is gone as soon as possible.  I have all of this experience and it still tries to trick me – always – daily. But a person can learn to recognize depression and see what is really happening. It comes with a management plan. I love my book Get it Done When You’re Depressed because it can speak to me when the depression says untrue things about my life. When I open the book, I remember- oh, that is not me. It’s the depression. Maybe just giving the book to someone and saying, “I just met a woman who said she knew the author of this book. What do you think about it?” Sometimes that works.

Julie

You can read more about my coaching here. It helps.  http://www.juliefast.com/family-coaching/

Guest Blogger: Lizabeth Schuch

         It’s been twenty-seven years since I heard the words that I still remember so clearly, “Lizabeth, you are a textbook case manic depressive” (now bipolar type I).  I was seventeen and in the throes of a manic episode.  The diagnosis did not mean a whole lot to me at the time.  Psychotic features came along with it (for me those were delusions of grandeur and even some slight visual hallucinations).  It pretty much came out of the blue—well after a trigger—but what I mean is that I never had any other symptoms prior to it.  After a month-long hospitalization and when everything got back to normal, you would have almost thought that it just “went away”.  I didn’t really consider if it would happen again.  A few months later, I graduated from high school and went to college, took my medicine and listened to my doctor—that’s all that had changed—for then…

The long and short of it is that I did experience more manic episodes (and then we got the medication right), but years later it was the depressions (and especially the Seasonal Affective Disorder [S.A.D.]) that became more debilitating.  Sure it’s been a long road of ups and downs, but what I realize is that even though there have been many difficult times, the good and healthy ones have been a bigger part of my life.  I learned at a young age that compliance with medication and listening to my doctors (which I always did) would prove to help in the long run to help diminish the extremes of this illness.

Life after diagnosis was never going to be quite the same.  I now had to pay attention to what it took to get to a place of wellness.  But, it’s taught me a lot—about perseverance and the will to get back up each time.  I did not and will not allow it to rob me of what I want to do.  Slow me down, yes, but stop me, no.  I continue to take my medicine and see my doctor.  I have my faith, I exercise, try to keep my sleep in line, research, try to eat healthy, am active in a support group, have a wonderful support network of family and friends and I won’t give up—ever.  My desire to just move on is what has always driven me.  I’ve never wanted to stay in a place of feeling sorry for myself—for a little while is ok, but beyond that would only prevent me from moving forward.  So, I guess I’ve kind of treated it as any other illness—you’re sick, you do what it takes to heal, and you recover.  Of course there’s a lot more to it, but giving up has never been an option (of course, with all this being said—it’s still a ton of work).

I don’t take my health for granted and I celebrate the good moments because I don’t know how long they will be there (sometimes a long time and sometimes very short).  I do thank God every day that I am alive.  This illness has taught me so much and has definitely made me a more compassionate and empathetic person.  If I can handle this illness as I have, others can too—and just maybe—the tools that work for me (after living with this illness for twenty-seven years) can help someone else.

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Lizabeth is a mental health advocate for people with mood disorders.  She is actively involved in the The Depression and Bipolar Support Alliance (DBSA) and The National Alliance on Mental Illness (NAMI) in the Metropolitan Washington, DC area.  Her latest article appeared in bp Magazine (On My Mind series).  She has recently completed her memoir and pursuing publication.  If you would like to contact her, please post a comment under her post.

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Thanks to Lizabeth for this posting. I find her so amazing because she is dedicated to advocacy- the political and personal kind.  I know that all of us have different ways to get the word out about bipolar disorder – for me it’s writing- for others it’s standing on the steps of a courthouse!  It’s great that we can all work together. I will keep you posted on when Lizabeth’s book is published.  

 Julie

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Am I in a dream? Is this a bipolar reality show?

Is this illness really REAL? I ask myself this all of the time.

I was diagnosed with ultra rapid cycling bipolar II with psychotic features in 1995. Now there is a diagnosis! I had my first hypomanic episode in 1980. So I have been living with bipolar disorder for all of my adult life. I’m 47 now. You would think that I would be used to it. I’m not. It always shocks me when I get really sick. The mood swings are just so odd. They can be so random and simply stupid-  I can get psychotic just because someone is rude to me in public? That is crazy! I have an argument with my brother and I get in my car and cry so hard I can’t drive? I go out and have fun and meet someone attractive and I get OCD so badly I never call the person again?

How about the depression that comes from change?  It can even be good change such as getting a book deal. Or how about the hypomania that starts simply because the sun comes out?

It’s hard to get used to this. I’ve done all that I can possibly do to manage this illness. It’s all in my books- It’s all written down in my Health Cards. I’m the expert! But bipolar could care less and it treats me just the same as if I were just diagnosed. I accept the diagnosis because I have no choice- but getting used to it has not been so easy! I’m so thankful I have a treatment plan that works or life would be really hard. I hope it helps to know that you’re not alone if you find this illness incredibly confusing. 

IT IS CONFUSING!

Julie