I have been burdened with side effects since the day I took my first psychotropic medication some 13 years ago. At that time the medication I was on made it impossible for me to be awake, pretty much ever. I had no idea how much hell I was in for and my doctor didn't seem to believe me when I told him about it. So I did the responsible thing - I just kept taking the medication, hoped the treatment would work and that the side effects would go away. But that's mostly because I didn't know what I was doing. Today I know that severe side effects are something that we choose and are not something that is thrust upon us. We choose what we can live with, even tacitly, always have, always will.

I’m an independent contractor. This means I sit in front of a computer screen, working at home, alone and writing all day. While this is the dream for many a writer, I can tell you it gets lonely. It’s tough not having work in an office where there are coworkers to chat with at the water cooler. And this lack of socializing is particularly salient because I have bipolar disorder. I have a tendency to cocoon anyway, and then you take away the day-to-day interactions with people and I suddenly find that I haven’t talked to a person in real life in a week. So I have to schedule in a personal life – whether I want to or not.

Last week I wrote about how fighting bipolar disorder is like fighting an invisible enemy. And I suggested that creating an internal visual of an "enemy" was a helpful way of differentiating the sick person from the illness itself. I think stigma is similar. We can let stigma, or thoughts thereof, get into our heads. We can start to believe the ignorant judgements of others and we can let stigma bring us down. But we don't have to. We can fight. And while stigma is often something one feels, sometimes it is something one can see too. Like in print. Like in The Daily Athenaeum piece on depression that I wrote about on Monday. It was chock-a-block with ideas of stigma. But I chose not to believe it and instead I chose to fight.

I'm not a person who takes on a cause de jour - I simply have too much self-preservation for that. I have enough going on without worrying about the plights of the world. However, when someone tries to spread mistruths and tries to silence my voice, then I start to get peeved. Case in point. Recently, the West Virginia University's school paper, The Daily Athenaeum, printed an article about lifestyle factors and depression. And while I have no problem with that subject, the things they said therein were wrong and inexcusable. And when they tried to silence my criticism of that article, I got peeved. I will not allow the voice of mental illness to be ignored simply because someone doesn't like what we have to say.

One of the problems with mental illness is that it's invisible. As I've heard many times, "You don't look sick." Well of course I don't. You're not looking at an fMRI. And because we don't "look" sick, our illness moves into the "not real" category. Bipolar, the unreal illness, the imagined one. And it's even worse because others will tell you that mental illness doesn't exist. Other's will confirm your worst fears and tell you what the tiny, horrible voice in your head has been saying - you're just imagining you're ill. Really, bipolar disorder doesn't exist at all. But of course the voice is wrong and so are the ignorant people - bipolar is as real as it painfully, awfully, grippingly gets. But that doesn't make it visible. And its invisibility makes it all that much harder to fight.

As someone recently said to me, Halloween should be a national holiday. It should be the "wear-something-fun-and-gorge-yourself-on-candy" day. It should be just a national day of fun when we're not supposed to be giving thanks or making love or hiding eggs. I could get behind that. There are two reasons why Halloween is so fun: 1.       You get to dress up and pretend to be someone else 2.       You get to eat ridiculous amounts of candy and get a ludicrous sugar high Well welcome to everyday bipolar disorder.

I've seen quite a few doctors and I've talked to quite a few people who've seen quite a few doctors and one thing that constantly comes up - and decreases patient care - is a negative relationship between patients and doctors / psychiatrists. There are many reasons people have a poor relationship with their doctor, but one of them is that people are intimidated by their doctor. And doctors never seem to understand, or compensate, for that. So, quite simply, we have to.

I've been having a really hard time. Immobilized with depression. Frozen in time and agony. The pain of blinking keeping me weeping sporadically throughout the day. And so today I am angry. Oh sure, I'm depressed too, but I'm also largely angry. I'm hateful. I hate everything from people to stoplights to walking to moving my eyeballs. I'm just angry that I'm alive. But I have chosen this anger. I have chosen the anger over the depression because it is more useful. It's better to hate everything because hate comes with energy, depression does not.

"Life is pain, highness. Anyone who says differently is selling something." ~The Princess Bride Life is pain. Or, at least, it can be. I've found that during severe episodes every breath, is, in fact, pain. There is nothing else. Just pain or unconsciousness. I prefer unconsciousness.

One of the problems with mental illness is that it is episodic. Particularly in the beginnings of mental illness, someone will have an episode of illness, and then an episode of wellness. While I'm never against episodes of wellness, this does lead to a problem: when we're well, we convince ourselves we don't have a problem and refuse to get help. This is normal human behavior. No one wants to believe there is anything wrong with them. So it's natural to deny problems when they are not readily harming us. Unfortunately, this means that many people don't get help for a mental illness. When we're sick, we're too sick to get help. When we're well, we deny we need it.