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Bipolar Treatment – Breaking Bipolar

I’m a mental health writer and I have a mental illness, so, of course, I write about my mental illness. I write about my symptoms and the affect they have on my life. I write about their treatments and their success or lack thereof. I write about what it’s like to have bipolar disorder. And boy do people feel fine about judging me for it. Commonly people will say that I don’t have bipolar disorder (being, I’m sure, expert diagnosticians) or say that I’m an idiot (and whatnot) for trying the treatments I have. It’s gotten so bad, in fact, that some things I don’t like to talk about at all. People like to attack me for electroconvulsive therapy and vagus nerve stimulator use specifically. And I don’t like to talk about self-harm, because inevitably people yell about that. But I learned something earlier this week – not everyone judges people with a mental illness.
For many years, the psychiatric community has known that therapy plus medication is more effective than either mental illness treatment alone. It all depends on the specific therapy, medication and person, but that’s, generally, the rule. But the question is, if you’re being a good patient and you’re working your therapy and taking your psychiatric medications as you should, how do you know which one is causing positive results?
We all have good things happen in our lives. It might be marriage, a child, a new job or a stunning new hair color. All these things are good, but all these things are also changes. Good changes, but changes nonetheless. And as someone once said, “change is bad.”
There are a lot of things I don’t believe in. Religion. Ghosts. Tarot card readers. Tea leaves. Homeopathy. Taylor Swift. And so on. We all can make a list like this. We all have things we believe in and things that we don’t. But one thing we all have in common is that we’re all looking for ways to get through the pain of mental illness, bipolar disorder. And some people find religion, ghosts, tarot card readers, tea leaves, homeopathy or Taylor Swift comforting. And I think it’s important we don’t disavow or judge something just because we don’t believe in it.
There is a type of denial of mental illness that goes beyond mere psychological denial – this is called anosognosia and it is the clinical term for the lack of insight required to understand you have a mental illness. Anosognosia is a neurological disorder thought to be caused by abnormalities in the frontal lobes (Impaired Awareness of Illness (Anosognosia): A Major Problem for Individuals with Bipolar Disorder).
This week is Mental Illness Awareness Week in Canada. (Mental Illness Awareness Week in the U.S. starts next week. Why the two countries couldn’t get together on this I’ll never know.) And in honour of this week, I thought I would feature the Mental Illness Awareness Week’s campaign – the Faces of Mental Illness. The Faces of Mental Illness Focuses on real people with real mental illnesses who have faced the worst and still found recovery. If you’re looking for some hope, these are the people who will give it to you.
Treatment for bipolar can be a beast. You try medication after medication after therapy after cocktail after doctor and so on. It’s exhausting. And at some point you stop. You just stop. Maybe some of your symptoms are controlled but not others. Maybe your symptoms are only partially controlled. Maybe you’re just too tired to fill another prescription. I understand, really. And this stopping can persist for weeks, months or even years. But the thing is, if you change nothing, then nothing will ever change.
What made you seek help for mental illness? Your answer could help people who love someone with mental illness because one of the questions I get more than any other is asked by loved ones. In short, people want to know how to help their loved ones get help for a mental illness. Some people want to know how to make their loved ones accept treatment. Some people want to know how to make their loved ones follow through with treatment, like take their medication. And some people just want to know how to convince someone that they have a mental illness. I’m dealing with people who love someone with a mental illness who is refusing help, for one reason or another. So I ask you – what made you get help for your mental illness?
Bipolar disorder has an approximate prevalence in society of 1% and obsessive-compulsive disorder has an approximate lifetime prevalence of 2.5%. When you put those two numbers together, you should have a very small population that has both bipolar disorder and obsessive-compulsive disorder. However, this turns out not to be the case. Actually, according to a recent study, 50% of people with obsessive-compulsive disorder also have a depressive disorder and 10% have bipolar disorder. In short, if you happen to have both disorders, you’re not alone.
“I hate wait.” – Inigo Montoya, The Princess Bride I hate waiting rooms. I know this hardly makes me unique, but I suspect my hatred is more pronounced due to the amount of time I spend in them. Stale magazines. Old furniture. “Art.” Institutional beige walls. Ick, ick, ick. I have had chronically on-time doctors and chronically late doctors but no matter what, somehow, in a waiting room, it feels like your life is wasting away.