Strange News Stories

Friday, August 7th, 2009

Bipolar Disorder Causes Extreme Shift in Moods – What is the hope for Recovery?

Bipolar Disorder, also known as manic depression, is a brain disorder that causes unusual shifts in mood, energy and activity levels. Individuals experience abnormally elevated moods or manic episodes as well as abnormally depressed moods either lasting weeks or months at a time. Sufferers may also display mixed episodes where both mania and depression occur at the same time.

These episodes are usually separated by periods of ‘normal’ mood, but for some people, depression and mania may rapidly alternate. Extreme manic episodes can sometimes lead to psychotic symptoms like delusions and hallucinations. Substance abuse may heighten the mood changes which disrupts sleeping patterns and may affect work, school or relationships and some patients are hospitalized whether voluntarily or involuntarily.

Bipolar disorder often develops in late teens or early adult years, and almost half of all cases start before 25. Some people have their first symptoms during childhood, while others may develop symptoms late in life.

Diagnosis is difficult and the disorder can be undiagnosed for years, or misdiagnosed as Major Depressive Disorder if only the depressive moods are noted. Diagnosis is often based on self-reported experiences by the sufferer and reports of unusual behavior by family, friends or work colleagues, followed by clinical observations by a medical professional.

According to the Diagnostic and Statistical Manual of Mental Disorders, there are four basic types of bipolar disorder: Bipolar I (mainly defined by more than one manic or mixed episode); Bipolar II (a pattern of depressive periods with hypomanic episodes, but no full-blown manic or mixed episodes or Bipolar Disorder Not Otherwise Specified (BP-NOS) diagnosed when a person has symptoms of the illness that do not meet diagnostic criteria for either bipolar I or II.

Cyclothymic Disorder is a mild form of bipolar where sufferers have episodes of hypomania that shift back and forth with mild depression but the symptoms do not meet the diagnostic requirements for any other type of bipolar disorder.

There is evidence of a genetic predisposition to Bipolar Disorder, but environmental factors tend to play a bigger role in the onset of the disorder like abuse during childhood or recent traumatic events.

There is no cure but long-term treatment will help in managing the symptoms. Mood stabilizing medication like lithium carbonate and lamotrigine and anti-depressants are prescribed. Psychotherapy is also used to deal with the symptoms of the illness, as is cognitive behavioral therapy and psycho-education.

With adequate medical care and psychoanalysis, up to 50% of sufferers recovered within two years, but many patients are prone to a recurrence of symptoms.

42 Responses to “Bipolar Disorder Causes Extreme Shift in Moods – What is the hope for Recovery?”

Chris Says:

A large part of the bi-polar problem is the world’s ignorance to it. This includes insurance companies, social service agencies, and the everyday person.
Unless you have lived with a bi-polar person, most people simply don’t get it. They think that these people can control their moods and snap back to reality, but that is so far from the truth. These people can NOT control their moods (often despite medications and therapy), it’s a disorder that many people just don’t understand, nor do they care to understand it.
Until the disorder is given the proper attention and research that it needs and deserves, the struggles will continue to grow.

Anne Wingate Says:

My husband has had bipolar depression all his life. It is now under almost complete control with valproic acid, which he must take five times a day on schedule. If he’s half an hour late with a dose I know; if he’s an hour late the whole neighborhood knows. This is entirely biochemical and genetic. It cost him one marriage and nearly cost him a second, before he got appropriate treatment. When he’s on valproic acid he’s a normal, charming, brilliant, and creative man.

Mary Says:

Bipolar people are a menace to those around them, especially if they aren’t taking their meds. They are hateful, antagonistic, and aggressive. It amazes me that some brag of their condition. I say we put them all on an island and let them drive each other crazy.

Tracey Says:

Mary,
I hope someday you have the good fortune to have a child with bipolar disorder. Then you will receive the proper retribution for you idiotic comment above.

-DIANE Says:

The peroson Mary should be locked up with a bio-polor person Instead of being stupid about the sickness maybe she would learn something about it.I think she is a cold cold person with not heart.-

Kevin Says:

To Mary… that was just about the most hateful thing I have ever heard. I have bi-polar disorder, didn’t ask for it nor have I bragged about it. I think you need an island for you and others like yourself.

Cheryl Says:

I don’t believe that “Mary” woud say such a mean and hurtful comment if she actually knew first hand what bipolar disorder does to not only the person suffering from the disorder, but to their families. My huband SUFFERS from this condition and it has effected myself and our children. It’s a living hell. I feel like there is nobody out there for me to talk to about this.. . HELP

Luke Says:

Mary, you astound me.
This is entirely the kind of ignorance which makes bi-polar such a terribly difficult illness to live with.
Perhaps you think that everyone with AIDS or cancer should be put on an island too?
And there’s the rub, a disease of the body is easier to understand and accept. But a disease of the mind? We struggle to differenciate between the illness and the person, because the disease affects and alters the person so drastically (for a time).
And so Mary describes them as hateful, antagonistic and agressive and suggest that society should write them off. Well, these people have enough internal problems without being abandonned by those around them.
Shame on you Mary.

Julia Says:

Luckily, some of us whom have been diagnosed with Bipolar have a loving support group around us who understand and want to learn more about the disorder. Unlike Mary, our “hatred” or anger comes with the disorder and is not something that can always be controlled with medication but can be managed through understanding and learning what my triggers are. For me, it is the ignorance of others like Mary that set me off. Probably why she should be put on an island with others like her, so that people like me don’t seriously hurt her. Mary, people like you, Hitler, the KKK etc. are a menace to society, not those that recognize there is a problem and working hard to correct it.

william west Says:

Mary, you are hateful,antagonistic and aggressive. The MENACE is YOU.

Andrew Says:

I have delt with being Bipolar most of my adult life. I never knew I had this condition. Thanks to the Veterans Administration Hospitial it is under control with the drug divalproex.

I can recall that all through out my adult people always asked me what kind of mood I am in. I always thought nothing of those questions, with hindsight I now understand why I was asked them.

lilydale Says:

Mary, your violent reaction to people with mental illness is not a balanced one.
I suggest you look into the reasons for your hatred and try to find peace.
I am Bipolar.

Mike Says:

I am a sufferer of bipolar disorder with more depressive episodes. It was not properly diagnosed until 5 or 6 years ago. My first primary care dismissed is as depression – medicated as necessary – My new physician thought I should see what I call “the nut doctor”. (Hey, you have to have a little humor) I put it off until I couldn’t take the side effects of the meds I was on. So I went to see him – got on Cymbalta, Lamictal, Prozac and Seroquel. I was good for nearly three years. Then I went down again to suicidal thoughts – got put in the hospital – reconfigured things around – higher doses, etc. Been good now for 19 months but the 6 months of unemployment got me down a little. You learn to recognize when your mood changes and get help right away. This was a partial cause to my divorce. My young kids don’t understand why daddy is tired. Medications take their toll on a body. Right now I am back employed, my mood is better, etc.

It has been hard for my exwife, kids, parents and other relatives who have helped care for me in my darkest hours. While those who live with someone with bipolar can understand to some degree, the really don’t understand the devastation that the medications due to the body, mind and spirit.

More research is needed for mental disease. A better understanding with people, and tolerance for mental illness in any form – be it mild to terrible. A lot of people still consider it a taboo subject – I know my mother said not to ever say anything to my friends, etc. But unless they know what to look for, they won’t be able to help you – and my friends have been wonderful.

Tell people about it, talk about it, write about it in newspapers and web pages – get the research going. Without better research and better medications, mental health in the future will NOT get better.

Lorene Says:

I have 2 children who are both bi-polar and a 28 yr
old grand daughter who is also bi-polar. 2 other
grandchildren I think may be, but have not been
diagnosed. My one grand daughter is so pitiful. She
is in the down mood most of the time. Very quiet, stays
in bed with horrible headaches for 2 or 3 days at a time.
then has a period of time that she does pretty well.
But has never enjoyed laughing and enjoying life. People
use her and run over her, and she just doesn’t respond.
She has no self confidence, but is an exceptionally
beautiful girl.

sherrt Says:

Mary,
It do not believe people choose to suffer with bipolar or any other mental or phisical illness.Try a little compassion.
life is hard enough

Lynne Says:

Not all people who are bipolar are a menace to others. Saying so and saying they should all be put on an island is a snapshot of how many people are ignorant – or afraid – of the subject. Yes, there are those who may be menacing, but also those who seem perfectly normal. As Chris said, not enough is known about bipolar disorder which only feeds the ignorance of it. The lack of funding for medical research is a huge problem that also feeds into the basic ignorance of the illness. Psychiatric illnesses are wide spread and cost businesses and the economy a lot of money and productivity yet they are treated like the step-children of the health world. Until that changes, until more research is funded and more medications are developed the ignorance will continue. Consequently millions of people – those with bipolar and those around them – will continue to suffer.

Lynn Says:

Too bad there isn’t a medication for stupidity, I would prescribe it for Mary who posted the comment 8/7 10:33 pm.

Jorge Rodriguez Says:

My son suffer from Bipolar, but most of the time he is happy and can work. The only problem is his temper, and the lack of interest for the medications. Lithiun make him to get fat very easily and it doesn’t like it. So when he is getting close to his… days that he lost his appetite and lack of sleep, he start again taking his medications for 2 or 3 days and he become normal again. But the most important factor is that as a christian that he is, the faith in God help him extremely well. Since 1999 when he was very sick until now, his progress has been amazing. All because God. He was in a detention center few times and also in three mental institutions. No more. Just those episodes that sometimes he has to go to his medication that he sleeps a lot. But he can be without his medication 3 or 4 months. Thanks

Marge Snyder Says:

I am an educational consultant and advocate for people with disabilities. I rarely write in response to blogs or other commentary by reader, but I could not let Mary’s comment stand. As with other “hidden” disabilities (generally neurobiological ones), people only see the manifestations or behaviors, not the problem. Mary’s comment (8/7/2009 @ 10:33pm)displays the attitude that is the reason why our legislatures must provide laws and regulations to protect our citizens with disabilities from discrimination, and allow them access to the rights other citizens naturally enjoy each day. Time for mass education! Along with assistance to these folks in managing the disabling symptoms, our families and communities need to find the many abilities also hidden on first blush so that these folks find some peace and balance. Note for Mary: there are millions of hateful, antagonistic and agressive people in this world. Most of them do not have a bipolar disorder. Know of a good island for them too? Seems there have been many “purists” who have attempted to purge the world of those people they don’t understand or like. This country has been trying to move beyond that. You should too.

nan williams Says:

Mary,

Speaking of hateful – go back a read what you just wrote.

You need to pray that you will never have a child born into your family with this condition. From what you just wrote that child would not stand a chance. Yes, they can have all the behaviors you stated BUT those are not chosen behaviors. Yes, they are a PAIN to the rest of us when they don’t take their medications.
So instead of being a smart ass, why not be the better person and work toward finding better treatment modalities? My guess is that you are the type that can’t be bothered with being a part of the solution. You are just too busy shooting your mouth off about something that you cannot understand. God help you.

Steve Says:

I have suffered with bipolar for years, and my wife has suffered with me. When I was diagnosed we both sat on the couch and cried. She said,”I am so sorry. I never knew what you were going through.” I said,”I am so sorry. I never knew what I put you through.” I can say only that we both went through torment unspeakable and we are still together because of her devotion to our marriage. Did anybody hear me? I said to our “marriage” not to me. There is a difference and we are now married 34 years. This is treatable, and maybe the most important thing the doc told me was “Remember, that if you were a jerk before you take the pill, you will be a jerk after you take the pill.” That means that we have work to do, not hide behind a diagnosis and a pill. I hope this helps someone…Hopefully you Mary.

jonathanRodriguez Says:

mary mary,
quite the contrary.. Could YOU imagine IF WE put people with attitudes such as yourself in an island, it would be called Rikers ISland! I worked with kids as an art teacher, in an art gallery, am a poet, in the choir, so quite the contrary marymary!!
If u have ever been given a chance at something, then YOU owe it to others. I dont have the flip out episodes, but i have mild case symptoms. doesnt mean i should be put on an island like that. Id rather be on an island near Dubai that i bought with my own money away from judgemental people such as yourself. That statement makes me think you might need some medicine.
peace and love to all(theres enough to go around for centuries)
mr. composure

Alyce Says:

Mary,
Your comment was down right mean and shows her intollerance. Hour thinking is not uncommon and is based on your own fear and ignorance. I have a daughter that has suffered for ten years and no one wishes this on anyone. I just finished a psych class at my local community college. When we covered psych disorders most of the students were fearful and discriminatory in their thinking. I base this on their lack of education that contributes to their own ignorance. Mary needs to learn the meaning of empathy.

Sue Says:

To Steve,
I have been married 34 years also to a bipolar man. After years of being treated for unipolar depression unsuccessfully, and a suicide attempt, I was the one who diagnosed him after reading the book, “An Unquiet MInd”, written by a woman who is a psychiatrist and has suffered from bipolar disorder for years. My husband is still depressed after trying mood stabilizers in conjunction with antidepressants. He cycles in and out of mania and depression, sometimes in the same day. His mania was never diagnosed because his mania looks like normality. He is never “up”, but his mania is only obvious to me when he talks too much or multi-tasks. Alas, this has not been the case in the last two years as he is almost always depressed. He started lithium in addition to Abilify yesterday. We are hoping for some relief for him. Interestingly, he was diagnosed as narcoleptic 6 or 7 years ago. He still takes stimulants for that, and sleep meds, but honestly, I think the brain chemicals of bipolar disorder mimic other things, and wonder about the narcolepsy diagnosis. I think in the future they will find a cross-over, as people with bipolar disorder clearly have sleep issues, like most folks with unipolar depression. Any physicians out there willing to discuss this? This is the first time I have ever posted anything online, but Mary’s response could not go unanswered. Mary, bipolar is a mental illness. It is extremely hard to cope with, like most mental illnesses, and sometimes you hate the behavior the bipolar person exhibits. But if the silence about mental illness is not broken, then the world remains ignorant like you. Ignorance is a shame.
It is hard to have a normal life when someone in your family is bipolar. Everyone in the family needs understanding and compassion, along with the person who suffers from BPD.
It is far easier to dismiss these folks than to work with them, but they are human beings who deserve empathy and patience from their loved ones. I think that it may be easier to cope with a fatal disease than a mental disorder that no one understands. At least if you have cancer, people understand that you didn’t ask for it and that your family is in crisis. The same holds true for bipolar folks and their families.
It may not be a fatal disease, but the fact is that many bipolar people are successful in committing suicide, because they can’t emerge from their deep depression. Depression, be it unipolar or bipolar is life-threatening.
So,Mary, I hope that the overwhelming response to your ignorant statement gives you pause for thought. Clearly you have been hurt by a bipolar person, as many of us who have bipolar family members have been hurt. The disease can be very dramatic, and my guess is you were dating someone bipolar, not married to them. So you can walk away. Just know that you are closing your eyes to a very serious health issue and you may meet it again someday. Some of us deal with this everyday and can’t ignore our loved one’s serious problems.
I would love to hear from a psychiatrist or sleep disorder doctor that has seen a relationship between bipolar and narcolepsy. Both diseases exhibit fatigue and sleep problems.

jwhite Says:

My mother has Bi-polar Disorder. I haven’t talked to her since I was 18. I am 23 now. I am in the military, so I’ve at least sent her letters knowing I’m alive. People have no idea what it took for my grandmother to let my mother stay with her after my parents divorced. She would sometimes be on the street, sometimes back with my grandmother… My last summer visit (During my senior year of high school)… I’d decided I’d had enough of her.. My mother had 3 attempted suicides, doesnt take her medication, and i think she or at least used to prostitute herself… My father is a respectable engineer, so from what I described of her, dont picture my family as being ( a low income-cant do much about it-family). It’s really sad when you’re afraid to indtroduce your wife and kids to your own mother…

Hector Says:

This whole discussion about BiPolar and its causes and effects is finally due. For years, shrouded in ignorance, people were termed crazy. Now, finally, it is being looked at for what it is, a neuropsychological disorder, hence a chemical imbalance, on par with any other imbalance in the body. The physical and mental are not two seperate and distinct entities inhabiting one body, but rather two intertwined and overlapping parts of a whole. This progessive holistic perspective has been talked about in the book The Balenyata over 3000 years ago. The Balenyata, an ancient scripture of spiritual renewal, elucidates in detail, the mind-body-spirit nexus. Therefore, many in the mental health field have been looking to Balenyatic philosophies lately in the struggle for improved mental health care, access and coverage, according to Dr. Roberta Reid, chairwoman of the New Jersey chapter of the Mamalestian-American social workers association. In closing, based on this information, Teresa Gallo, Mamalestian feminist and political activists concludes, “the Balenyata is a much needed source for guidance as we try to develop a consensus for a new health care-universal health care paradigm in this country”. I could not agree more.

David Says:

My guess is Mary feels she has been deeply wronged and or offended by someone with out of control actions towards her. Mary if you cannot control your own reactions to others who suffer beyond their control, perhaps you could at least be more sympathetic to those who you feel so uncomfortable to be around. I would prefer to be around anyone with bipolar disorder then one who goes out of her way to be consciously hateful.

Ralph D.from New Jersey Says:

It appears that this Mary iconoclast has dominated this page and that is unfortunate. While most of us feel compelled to respond to such unfounded vitrol, we on the other hand, give her attention and a platform to disperse her divisiveness. In response to what Hector said in his previous comment, I can think of a Mamalestian saying that goes “He who hates others with such intensity, only look to himself for what he fears and doesn’t understand”. I also agree with Hector about how the lessons spoken of in the Balenyata would help people better understand mental illness and would also help us understand better the fear, bigotry and ignorance of people like Mary. And i agree with Ms. Gallo about the need for perspectives like those found in the Balenyata to help guide us in creating a more accessible and humane health care system.

Janet Says:

My son fell in love with by polar woman, I can uderstand she could not help her condition, but she would not stay on her medication, or continue her treatment. She loved him wirh all she had in one minute, but wanted to destroy him in the next, this went on for years, she damaged him in so many ways. He stood by her every way he could, trying to HELP her, he thought he could save her from her, but she would not try…I realize this is not every bi-polar person…she controled my son in every way she could until she pushed him into suicide, because he could not live with her condition, but could not live without her. She still refuses treatment! She is the mother to my son’s children. I read and try to understand everything I can about the condition but what can I do if she won’t get the help?

maggie Says:

There are a more and more cases of bipolar disorder being diagnosed as food additives increase in usages (think addicted! when you think additives). Look for info on food additives such as Aspartame, MSG, etc. They use many names for these additives including “Natural Flavorings”. These items are in your everyday food and have known side effects such as behavioral disorders (see truth in labeling web site).
Our foods and beverages are saturated with chemicals. No one tells you this (including the doctors) because no one wants to be sued by the food industry (powerful corporations with lawyers on hand to intimidate anyone).
Fast foods are like drugs in that they contain chemicals that addict the eater to eat more. The drug industry actually produces drugs for disorders that increase the appetite and simply cover themselves by saying in the info “may cause increased appetite” dah!
You are on a vicious merry go round and must get off. These chemicals are responsible for the high increases in type 2 diabetes and autism as well. Get information on the web on food additives and the increases in these problems.
Truth in Labeling has gone before your Congress and the info is out there. Organize and Act now. In the meantime, switch to fresh foods that have not been tampered with. Try it. What have you got to lose? There is much to gain with educating yourself and nothing to lose! Let’s put them all out of business and gain back our health!

maggie Says:

I just put a comment online on this site at 6:50 a.m. and the time was changed to 4:2l p.m with the caveat that my “comment is awaiting moderation”….which means they will edit what I said because I gave my opinion on food additives and the problems they cause including mood disorders. So just go to the web site Truth in Labeling and educate yourself. This comment may get less editing!

Many times Hurt Says:

Not that I defend Mary, but My Husband is Bi-polar and living with someone when they are manic and don’t see that they are. I feel like putting him on an island!!! Better yet I want to runaway to an island:)

another woman Says:

Oh, get off Mary’s back, for Pete’s sake. She was writing from emotion. I live with a husband who is a sex addict and also has bipolar disorder. He refuses to get help and claims he doesn’t need it. His mother had BD as do two of his sisters. Another brother is an alcoholic, another a former heroin addict, and another has anxiety issues. Lots of history there. Yeah, it does make me angry. The roller coaster ride sucks and I plan to get off in the near future. Angry outbursts, compulsive spending, lying, denial. I’m fed up and plan to get away from it.

It is a horrible disease/disorder and has the potential to ruin the person’s life and the lives of those around them.

Just don’t be quick to judge someone who obviously has been through the wringer and feels angry, exhausted, bitter, etc. Those are HER feelings. Don’t try to invalidate them.

becky Says:

Wow! lots of feelings here. That’s good. Were only human. I know a young lady who flew of the handle many times and didn’t want to get help, due to not wanting to be diagnosed with the system. She turned to street drugs instead…many years later after many episodes..she now lives a better life. The only concern that come to my mind is I don’t believe as depression that you need to stay on meds forever. I think you should definitely follow doctors orders, but maybe seek another maybe holistic type of doctor as well for alternatives. Many meds have placebo effects after long usage. I’m not claiming to have knowledge over this just take care of yourselves. Your a vessel of Gods

Maria Says:

ENOUGH! (A very long post)

Can we stay “on topic?”

I think the topic is Bipolar Disorder.

I am a masters-level psychotherapist who has worked with patients diagnosed with this disorder for years. It has only been within the last 10ish years that I have been willing to admit that I also suffer (SUFFER) with this disorder.

I review my past in its entirety and chiefly recognize the depressive episodes. I now recognize that I was able to breeze through graduate school because of one of my first (FULL) manic cycles. I was able to keep my life “between the lines” until my life imploded with the premature death of my father. My existence has been a circus ever since that time – 10 years of this hell. My life is in shards at this time and it is only because of the unconditional love and understanding of one man that I am not homeless and under a bridge.

My own family refuses to admit that I am mentally ill and instead blames the medication I take to minimize the symptoms as THE CAUSE for the behaviors that they do not understand. My own family shuns me due to my illness – chiefly the depression. (I was born into a jovial family). My family thinks I can just “shake-off” the episodes of depression that paralyze me. I was always told that “happiness is a choice” and I simply was making the wrong choice.

When my first DESTRUCTIVE bout of mania hit me (after my father’s death) and I destroyed, a “perfect life” (married to a beautiful and wealthy man) my family shunned me.

Somehow, through the unlikely help of AA (although I do not have a substance disorder) I received the support and guidance I needed put my life back together and get a position as a psychotherapist. That was the pivotal moment when I was able to give the monster that inhabits my body and, at times, seems to control me, a name – Manic-Depression (bipolar disorder). I was educated in the diagnostic criteria for this disorder so I avoided it with my own psychiatrist and received treatment only for my depression.

I continued to diagnose the manic-depression in others and as noted by the comment from Sue on (8/8/09 @ 10:14 AM) behaved much like the author of “An Unquiet Mind.” Just as Dr. Jamison noted the behaviors and alarming rate of treatment/medication noncompliance in her own patients – I was guilty of the same behavior.

I am making this self-disclosure for a reason. Bipolar disorder is perhaps the most evil, insidious disease I have ever encountered professionally – and (unfortunately) personally. Patients with this disorder have the highest rates of SUCCESSFUL suicides. Although I am trained in its diagnosis and treatment, I am unable to battle it successfully on my own.

*For the record, I am considered a successful psychotherapist based upon treatment protocols established at my facility. My colleagues brought me to my own self-disclosure and diagnosis.

After acknowledging the possibility of bipolar to my psychiatrist, my medication regime was altered accordingly. I immediately gained 60 pounds. I was young, single, and a formerly attractive female. I did not come to obesity naturally – it was a side effect of the medication. I would not (nor could I blame another female in our society) remain on any medication that caused me to blow-up like the Hindenburg. Thus began my own personal battle with treatment noncompliance.

As stated earlier, I am writing to educate the willing from a front row seat about this disease. I will also provide information for the saints who remain at our sides while we battle this demon at this message’s conclusion.

EDUCATION: This disease is evil and alluring to its captives. We are captives – unable to escape the push and pull of a torrent of emotions equal to that of Katrina. Mania encompasses your every sensation – the ends of your hair tingle with excitement. Your mind needs only to choose from the endless array of exciting possibilities that are laid out before you like a winning hand of cards. I am superwoman. I can do absolutely anything during these episodes. Nothing can stop me. Secondary to my religious upbringing, I have personally been imbued with the power of the Holy Spirit to accomplish many spiritual tasks and right the wrongs of society. My life has a meaning and a purpose. The air about me sparks with energy. I am the very real center of all attention in every situation. I lead all discussions and have all the correct responses. Everyone laughs at my quips and the timing of my jokes – perfection.

These episodes may last for months (hence a speedy masters degree) or simply until noon when the thick velvet veil of depression brings my world to a crashing halt. The transition period is the most gruesome to those in my presence. I become pure hatred as the joy slips from my grasp. I return to the real world, which is in a disaster due to my inability to “will” the energy of my manic endeavors to completion. I exist in a world of unfulfilled promises and shattered careers. I am a vessel filled to the brim with my own self-loathing. My plans for suicide become comforting to me. Suicide becomes my constant companion as I withdraw from the world about me – my fallen house of cards.

A MESSAGE TO THOSE FEW WHO REMAIN AT OUR SIDES:

A word does not exist to express the gratitude we owe you. During our moments of clarity – between the push and pull of the disease – we may be able to peer out at you and recognize your sacrifice and loyalty. During the torrents of emotions, we are not at the helm of our minds/body.

I described it this way to my one remaining support person. I feel like I am on the back of a wild stallion, galloping at top speed into the wilderness. My only option is to hold on tight to the horse’s mane until the energy drains from his body and then, and only then (MAYBE), I can assert some control over my own emotions and destiny.

I offer a most sincere thank you to those of you who remain beside us through the tides of this potentially fatal disease.

My “Angel” has emotionally and physically carried me through the intoxicating highs and the near fatal lows of manic depression. He has seen me through multiple treatment and therapy regimes. He has loved me at a size 20 and a size 6. It is to him I owe my life.

I make this “confession” as a way of thanking him for the unconditional love he has given me through the course of this disease. It is my hope that my confession may offer insight, understanding, hope and most importantly “thanks” to those of you who are also “Angels” because you have remained by the side of your loved one battling this disease.

Bless You!

Maria

Julia Says:

Maria,

Thank you for many reasons. I will forever recall your words. Bless you and you “Angel” as well.

Julia

Austin Reader Says:

The challenges related to BPD are endless- as clearly indicated in the range of responses to this article. Beginning with difficulty in diagnosis, the problems often stack up from there as friends, family, and doctors weigh in on the true diagnosis or cause of the issues. My best advice here is to consult multiple professionals- especially in the beginning. Look for professionals who specialize in BPD. There are a lot of counselor directory sites and therapist finders out there. One that I use is austin.feelgoodtown.com, or “Feel Good Austin”. It has a search tool, in the “Counselors” section, and you can choose “Bipolar Disorder” as the Presenting Issue to view the local wellness professionals who work specifically with BPD cases. Nearly all of the members on this site offer a free phone consultation to assist people in finding a right-fit counselor. The danger of misdiagnosis is BPD cases are tremendous. I hope anyone struggling with what might seem to be BPD will take the time to consider all options in terms of diagnosis, ongoing treatment, and counseling.

col0rado Says:

Can anyone speak to or specifically know what the effects of marijuana has on the bi-polar person? I’m interested in the possibility of using medical marijuana instead of the lithium.

Sincerely,
Terry Colorado

Joe Says:

Oh Mary how sad of you. Perhaps there is a bi-polar person in your life as well and that is why you have so much distain for this condition and those poor unfortunate folks that live with it. The person effected and the families and friends around them.
My family and I have seen our share of the bi-polar condition
with our brother. When he was younger -we would call it his ”
seasonal depression”
Unless you have lived with someone who is bi-polar; Mary, you have no idea.

acajudi Says:

My only child will be 30 soon, and I admit, that I do not know how to deal with a bipolar person. I keep our relationship to e-mails, for I never know when my child will go off orally. I feel sorry for my child, and medication has been used, to no avail. I am 67 years old, and I will not spend my last days on a mental roller coaster ride with my child. I am happy B. is alive, but I do not trust B. with my life. B. tried to poison me as a teen, and nothing I can do will satisfy B. I have placed B. in to the hands of God. B. can be so very mentally cruel, and nice on occasion, but B. can switch like a light switch. The biggest COMPLAINER in the world. I love B., but for my own sanity, I cannot allow B. to destroy me. I wish B. well. It is a very sad situation, and I just play B off. B. was never on medications as a child, and at the age of 11, B. started acting “mental.” I love B. enough for B. to hate me. I do feel they need to be in
a mental hospital, if medications do not help.

Tim Says:

I have been married twice. Both were Bi-polar. In my case neither would accept help or accept they were Bi-polar.
This is a devistating disease. I am a single father with two wonderfull daughters that hate their mother. I wish this on no one.

Dana Singleton Says:

BiPolar is a disease, however… In this world we have a million hanger ons, who choose to blame their selfish and self medicating habits on a disease that cripples many. I can name 2 true bipolars that I know and love, and I can name 5 that claim the disease in order to not have to pass a drug test to work, or to avoid child support, or to just do what they want, no more mo less. This is where the difficulty lies, pepole and the medical profession equally, claim these diseases, in order to win a SS suit, or to keep a patient incoming medicated, with meds that they take in some cases, and in others sell them…..The true chemical balance is not documented, it is merely medicated, and no one really cares wether it was needed/used or not? The whole system is whacked, GL to you all.

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