Ask Julie: Bipolar Anger and Irritation. Do people with bipolar disorder get snappy?

Hi Julie,

I am going to court tomorrow, and I have been a mess, shaky, anxious, and frustrated at everybody around me.  I feel like everything someone says is just irritating and worthless to me.  I don’t’ want to around anybody, but I know that is not healthy for me. I have been getting worse all week leading up to this stressful situation.  I am worried that I am going to have a full blown depression episode.  I cannot concentrate and am having trouble sleeping. I get snappy at people, even when they are trying to help and then I fell terrible!

Hi Colby,

Isn’t it amazing what stress can do to our bodies and minds… I would be stressed too. It hits us harder- that’s for sure.  It’s amazing that you are aware of your anger and frustration- this means you can keep it from ruining relationships and getting you into trouble. I was majorly irritated yesterday and even yelled at a friend- I felt terrible and then realized that is not the real me and I have to manage myself better. I suggest that you have a mantra to say the rest of the day.

I am angry because I am stressed and anxious and I have bipolar disorder. I will NOT take this out on other people. They are not the problem. I will NOT ruin relationships. I have made it through many tough things and I will make it through this. I know when the court session is over I will feel differently. I can do this and I will. Now, what do I need to do right now to feel better?

I talk to myself like this constantly- even with the stress is overwhelming. The truth is that you can’t get out of the court situation, so you might as well use it as a learning experience to see how well you can manage the anger. If I can keep myself from punching a wall- you can too!!! 🙂

Julie

Bipolar Disorder Work and the World Cup

raffle final pic smallBIPOLAR DISORDER AND WORK….

Guess what guys. You can get better as you get older. I made it through my World Cup work without quitting or getting too sick! One more semi final and then the final on Sunday. Here’s the final result of the raffle I created a few weeks ago. We draw from this bucket of tickets on the 10th. The winner gets a RESERVED table for six.  As good as gold! I’m excited to see Argentina play the Netherlands today and am glad I stuck this out. There were many moments when the bipolar said it was impossible for me to finish, but I used my Health Cards and worked it out! I will get back to the contest I talk about below once this work is done. We can learn how to manage this illness to the point that we can find work that we love that doesn’t make us too sick! Julie

What is Lamictal (Lamotrigine) and How Does it Help Manage Bipolar Disorder?

LamictalAs you may already know, Lamictal changed and saves my life.  It’s the only drug I’ve been able to take since I was diagnosed in 1995. I am always singing the praises about the drug.

It comes with side effects for sure-   the main one being a rash that can be serious. But it’s very, very rare.  Many health care professionals are wary of Lamictal because of the rash, but I always remind people that a potential side effect is just that. If monitored correctly, the potential is small. Also, the rash is normally benign. Make sure your prescriber knows all of the history before saying no to prescribing Lamictal or Lamotrigine. A rash doesn’t mean you can’t take the drug. It often means you just need to start with a lower dose and increase is slowly.

What is Lamotrigine?

The generic form of Lamicatal is called Lamotrigine.  Lamictal is the brand name and is still prescribed. If you search under the word ‘generic’ you can read  my stories of woe regarding the generic form.  It didn’t work for me at all and I went back to brand name Lamictal. If Lamotrigine works for you, that is fantastic as it’s very cheap. If you try it first and it doesn’t work, defintely ask about the brand name Lamictal. Insurance companies will usually allow the brand change if your prescriber explains why.

For most, the generic is just fine. My mother takes Lamotrigine with very few side effects and great results.

In my experiences with my clients as well as my own experience with myself and family members, Lamictal has many, many more benefits than being a mood stabilizer for bipolar depression. I have seen the following benefits for many years:

Benefits of Lamictal

1. It works extrememly well for irritation and mild aggression.  It’s especially effective for negativity.

2. Rapid cycling. Though this is not talked about as much, Lamictal reduces my rapid cycling by at least 50%.

3. Hypomania- the milder mania from Bipolar two.  Lamictal is not an anti mania drug- this is why people with bipolar one almost always take Lithium, Tegretol, Depakote and or an antipsychotic such as Seroquel, Ability, Risperdol or Zyprexa to manage the mania along with the Lamical for depression.  I have bipolar II and belive me, Lamictal helps my hypomania!

4.  Mild psychosis.  Lamictal keeps me more in touch with reality! It doesn’t have strong anti psychotic benefits, but it defintely helps my paranoia.

I’ve seen it change the lives of so many people! I suggest that anyone who is having trouble with bipolar disorder symptoms at least try Lamictal. As mentioned before, it can be started at a super low dose in order to minimize side effects and then kept at an effective dose for a very long time.  It’s considered the least side effect heavy of any bipolar disorder medication.

I have been on Lamictal since 2005. I defintely have side effects off and on from a stiff neck to itching and twitching! When my dose gets too low- I twitch ‘like a maniac!’ as my friend Pam once said. She really found me amusing! It has also stopped working for me before and my dose had to be significantly increased.  The average dose is 250 mg.  My mom takes 125 mg and I take 700 mg!  Making sure it’s dosed correctly is essential as the range of doses is so high.

I just got this comment from Lin:

Hi, my daughter has taken Lamictal for siezures for many years with no side effects. We had just increased her dose and she started developing tics and high anxiety . Her Neurologist said they are both side effects.Hope this helps.

All drugs have side effects, even aspirin. But I always, always look at the payoff of the drug. If it helps more than it has side effects, I am up for it.

If you are having a hard time or if someone you love is having a hard time, it’s always a good idea to talk to a prescriber about Lamictal.

It can change a life!

Julie

Lucky me! Lucky me!

When you’re a person who is depressed a great deal of the time, you have to really notice and appreciate the times when things go right. I have a phrase I use to remind myself that great things do happen in my life. I think it’s important to have a phrase to use each time you experience something great- a nice short phrase where you can say thanks for what happened.

 

When I have a good time with a friend- or someone helps me feel better, or I learn something or I get to go to karaoke and have fun!

I say, “Lucky me. Lucky me! ‘ to myself. This triggers the realization that good things happen to me.

What phrase can you use!

Julie

 

I love to find pictures to go with blogs. This time I typed in Lucky Me and saw a LOT of noodles. There is obviously a noodle company called Lucky Me!

 

Twitter Bipolar Disorder Definitions

BIPOLAR DISORDER: A genetic illness that makes it difficult for a person to regulate their moods. It’s not a personal failing, and though it can look like we’re a mess –we’re not!

SCHIZO AFFECTIVE DISORDER: Separate diagnosis of bipolar and psychotic disorder. When person has psychosis without a coexisting mood swing, it’s schizoaffective disorder. BP psychosis often comes with mania. 

ABILIFY: Antipsychotic (neuroleptic) used for psychosis and mania. Side effects -agitation (akathesia). Possibly has less side effects than many anti psychotics.

LITHIUM: True mood stabilizer. Anti mania drug- possible anti depressant. First drug of choice in hospital. Can have little to very strong side effects. Very inexpensive. A salt.

 

 Julie

 

Bipolar Disorder and Sleep:Euphoric Mania vs. Insomnia

People with insomnia count sheep. People with mania draw sheep and make a collage!

Manic sleeping problems are different from insomnia in many ways-
with insomnia you’re tired, you want to sleep, you toss and turn, you
worry about how worn out you will be in the morning and you often want
medication relief.

I need a Tylenol PM!

With euphoric mania-  Whew! You want to stay up, you’re wide awake and doing
something creative. You have unlimited energy, a racing mind, and rapid
body movements.  You have no desire to get in bed and sleeping feels like a
total waste of time. When the euphoria gets too high, it takes a lot of
psychiatric medication to get to sleep (and you definitely don’t want to
take them and wreck your buzz!) and there is a chance you will be wide
awake and even more manic the next day…….

Here are some of the things you may think when you’re manic at night:

– Sleep is SUCH a waste of time.  I am so much more productive now.
– It’s only 1:00 AM. I could go to the grocery store right now!
– The tile really needs to come up in the bathroom.
– I have not had sex in a long time and tonight is the night. Watch out!

These manic thoughts can be funny- but many people act on them.  When you have insomnia, you just lie in bed and punch your pillow and wish you could just get some sleep so you won’t be tired the next day. It never feels good.

Euphoric mania feels good.

If you’re on the outside of this mania looking in, it’s very important to know that the manic brain is not really hearing you. It’s hearing that you want to ruin its FUN.  The manic person can get very angry and say, “I’m not manic! I’m just finally feeling better! Why burst my bubble!!!”  Mania is definitely treatable- but out of all of the mood swings, mania needs an aggressive prevention plan. It’s just too dangerous if it goes too far.

Like many people, my euphoric mania  focuses on money, men, alcohol and travel.  I never want to sleep when I get this way- interestingly, all of the items on that list are dangerous when it’s late at night!

Tips:

1. Monitor your sleep. If you have been manic before,what were the signs? The minute you notice these signs, take action and get help.

2. Ask others to be honest and tell you if they think you are manic. Deal with the anger you will feel and get help.

3. If you care about someone with bipolar disorder, use the Health Cards to create a plan. Trying to talk to someone who denies mania or who is manic is basically impossible. The best plan is to plan ahead with a plan!

The next time I am lying in bed with eyes wide open, I hope it’s insomnia. It’s much safer.

Julie