How are you? This is one of the most disingenuous, lie-provoking, overused sentences in the English language. How are you? We say it to fill time and pretend that we care about people whom we obviously don't. As no one is interested in actually knowing the answer, I have a series of pat answers I typically give. Snazzy. Fabulous. Wonderful. Delightful. Sparkly. Peaches and cream. You? But the truth of the matter is, when someone asks how I am, even if they really wanted to know, it would make no difference, because really, I have no idea.

Kate White, our anxiety blogger here at HealthyPlace asked the question: what does a mental illness feel like? Well, that's a big question. I've been writing for years to answer it. In today's bipolar video though, I expose one facet of crazy that really ruins my day.

One night in 2007, I started a new antipsychotic. It was to be taken at dinner time. I did as told and took it at the universal dinner time of 6 pm. By 7 pm, I had mostly lost touch with reality. I was suddenly so tired that my eyes wouldn’t open but I was far too anxious, scared and twitchy to go to sleep. I felt incredibly ill. I was frantic, terrified and panicked. I was thrashing in a sharp, steel cage between sleep and wake with no way out. I cannot express to you the horror of that night. Bipolar medication side effects suck.

We're all different. There is something fundamentally true about this statement. Red hair, black hair, blue eyes, brown eyes, cat lover, dog lover - see, all different and most of us are mature enough to think that's OK. But with bipolar, our symptoms vary wildly and for reason, people don't think that's OK.

I feel, sometimes, that I am at war with the mentally-well world. This isn’t to say that many of them aren’t lovely or that I have a desire to harm anyone, but I do feel embroiled. And it’s mostly because the well population just doesn’t understand what it is to be unwell. They demonstrate this heartily by repeatedly saying the worst things possible to a person with a mental illness.

The hypomanic mind isn’t like a single life happening all at once, it’s like every life happening all at once in a tiny, tinny, echoing room. Hypomania is like having ball-bearings bouncing around inside my skull faster and harder and fast and hard and faster and harder. Hitting each other, making divots on the inside of my skull, becoming interior decorators. Fragmented, distracted thoughts. Sentence fragments. Problem grammar.  No capital letters. No punctuation.

When most of us were young we learned that life isn’t fair. Yes, that boy got a bigger slice of cake than you. Yes, that girl gets better grades than you even though she doesn’t study. Yes, that’s boy’s imaginary friend’s clothes are nicer than yours. Life isn’t fair. But when I was diagnosed with bipolar at 20, my definition of “unfair” had to be reviewed.

We all take part in the game of denial. Humans need denial to exist. We can’t think about our inevitable death, the fact that we are aging, or that our marriage may end in divorce and expect to care about jobs, mortgage payments and the obvious importance of Jimmy Choos. We know unpleasant possibilities and inevitabilities are true, but on a daily basis we deny them. We need to. Denial produces a workable life. What gets under my skin though, is the fact people expect me to deny my bipolar disorder, my experiences with it, and its effects – mostly just to make them feel better.

Once you’re on a magical medication cocktail, see doctors regularly, have done years of talk therapy, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), tried shock therapy (ECT), exercise, have social contacts, a support network, a support group, eat well, tried light therapy, dark therapy, and a series of awful tasting herbs and you find yourself still unwell; the question must be asked: If I’m doing everything right, why am I still sick?

When I was a kid, show and tell created the most memorable moments in school. Not the tell part. The tell was boring. We heard about Betty going to a “real, real fun zoo” and Bobby getting a new bike; this information made us shift in our seats, roll our eyes, and make funny faces at whoever was talking. But the showing, now that was great. We got to touch a slimy frog, hear Cathy scream as a budgie landed in her hair and be frightened as a snake’s tongue lashed out in front of us. Showing was where the action was. But with mental illness, it’s never the show that people want, only the tell. People are frightened by, and run from, the show.