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Being Crazy

Even amongst people with bipolar disorder, the disorder is highly contested. People argue about what it’s “really” like to have bipolar disorder. What mania is like. What depression is like. And perhaps most hotly debated of all is what the appropriate treatment of the symptoms is – antipsychotics, mood stabilizers, antidepressants, psychotherapies, alternative treatments and so on. People argue about virtually everything. And one of the reasons why this is the case is because the experience of bipolar disorder is so vastly different. Some people experience manic psychosis, others do not. Some people experience delusional depression, others do not. Some people experience suicidality, others do not. And so on. Severity varies as do symptoms. And I would argue that much of this disagreement stems from the two basic types of bipolar disorder: well-controlled and not well-controlled bipolar disorder.
A normal life is something I’m not very familiar with. I’ve never really had one. From the time I was a kid with an alcoholic father, to the teenage years I spent depressed, to my adult years dealing with psychiatrists, symptoms and medication side effects, I’ve never really enjoyed anything termed normalcy. But the question is, does anyone with bipolar enjoy a normal life?
There is something I have noticed about my busy bipolar brain. I’ve noticed that it seems obsessed with multitasking. It almost seems to not allow me to do one thing at once. If I sit down to watch TV, for example, I can’t stop myself from also picking up my computer or playing a game on my cell phone. When I sit down to write an article, I have to constantly also be checking in on my social media at the same time. People always wonder how I can be everywhere at once. That’s easy. I’m everywhere at once because my brain is everywhere at once.
Bipolar moods vary in duration by person but typically, an untreated bipolar mood can last months or even years. All a bipolar disorder diagnosis requires is the presence of one manic/hypomanic mood episode and one depressed mood episode. This means that a person could be in a year-long depression and have only experienced one week of mania, a year ago, and still qualify for a bipolar diagnosis. This is much to the surprise of many as there is a pervasive belief that bipolar disorder is about frequent “mood swings.” However, simply “being moody” is not indicative of bipolar disorder.
We all have parts of our lives that we wish were different. One might wish her boyfriend hadn’t cheated on her. One might wish that his boss wasn’t so micromanaging. One might wish that she wasn’t bipolar. And so on. One might feel that these situations are unfair. And sometimes when experiences arise around these situations, we react, not to the situation itself, but to how we wish the situation were and this gets in the way of making healthy choices.
Recently, Karl Shallowhorn of our Debunking Addiction blog wrote a post called, Am I An Alcoholic? This got me to thinking about another question that people ask: Am I mentally ill? This is a good question. It’s a good question because, by and large, people don’t want to be considered “mentally ill” so they want to know if they meet the definition.
Recently I was contacted by someone who was unfortunately going through a divorce. He felt that his spouse left him because he was bipolar. He asked me the question that so many people with a mental illness have asked themselves: I’m bipolar – will anyone ever love me? Well, I can’t tell the future, but I do know a few things about love.
The first thing I thought of this morning was killing myself. Literally, as consciousness slowly overtook my brain thoughts of suicide were all that were there. It’s a bad day.
A while back I wrote on a campaign that was working to change the face of mental illness. It presented real, live people with mental illness that challenged the assumptions that people might have about mental illness. Namely that we’re all unemployed, unsuccessful, useless crazy people. Now, I did have some problems with the campaign but I applauded their attempt to get people to realize that mental illness is about real people and that each person with a mental illness is an individual with all the possibilities of any other individual in our society. And I found myself putting my own face on mental illness, bipolar disorder, just the other day. I did it by using the phrase, “. . . people with bipolar, just like me.”
I am not an angry or an aggressive person. This is not to suggest I don’t have my moments, as we all do, but overall, I have far fewer issues with anger than most people I know. There are lots of reasons for this, I’m sure many have to do with my psychology the way I view anger (I view it as pointless and particularly undesirable). Nevertheless, it seems that people with bipolar disorder do, on the whole, have anger issues. I’m a bit surprised to hear this as anger is not a diagnostic feature of bipolar disorder, but people write in again and again and talk about either having bipolar and being very angry or being with someone who has bipolar and this partner being very angry. But are these just anecdotal accounts or do people with bipolar disorder have aggressive and angry tendencies?