Category: bipolar disorder

A Broken System

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“Sixty million Americans – that’s one in five adults – will experience a mental illness in the coming year. That means every one of us knows someone who is living with a mental illness – depression, anxiety, schizophrenia, an eating disorder, bipolar disorder, borderline personality disorder and some additionally have a substance abuse.”

The stats are staggering. They are also easily forgotten. (It seems that we approach life not as it is, but as we want it to be.) But consider this:

• Half of all adults will suffer from mental illness in their lifetime.
• Half of all chronic mental illness begins by the age of 14.
• One in five children will have a mental illness by age 18.
• Ninety percent of people who die by suicide also had mental illness.

Brokenbelievers is not just a “niche” site– we’re dealing with hardcore issues that are significant for far too many. Mental illness is a pervasive and terrible issue in our society. Christians must witness to what Jesus can do in the midst of this. We are his witnesses.

Accentuating this, our mental health care system is broken. Jails and prisons have become “dumping grounds” for afflicted people. I guess that this is considered “routine” for us. Imagine the outcry if, instead of doing this to the mentally ill, we did incarcerated those with diabetes? Yet we do so because that’s the way the system works.

There are many beautifully competent people who toil in the mental health field. Some of the kindest and caring can be found working in these places. They deserved to be commended, not vilified.

The landscape is strewn with casualties. Mental illness will affect half of adults in their lifetimes, and the collateral damage can’t even begin to be quantified. Our therapists, nurses and doctors have a grisly job security. Money can never fix our system of dealing with those with a mental illness.

Many of us will disagree about what to do.

Perhaps we should advocate a multi-prong approach. Brokenbelievers exists for Christian believers that are having to work out their faith in the presence of a tenacious illness. It’s good to have someone that understands depression or other issues in the life of a disciple of Jesus Christ.

We must think differently– and do differently. With God’s help we can.

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Sources:

https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

http://www.huffingtonpost.com/kay-warren/hope-for-mental-illness_b_8045810.html

From Spiritual Self-Destruction

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A Very Simple and Honest Prayer

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Change me.

God, please change me.

Though I cringe

Kick

Resist and resent

Pay no attention to me whatever.

When I run to hide

Drag me out of my safe little shelter.

Change me totally

Whatever it takes

However long You must work at the job.

Change me– and save me

From spiritual self-destruction. Amen.

Ruth Harms Calkin

6 “And I am certain that God, who began the good work within you, will continue his work until it is finally finished on the day when Christ Jesus returns.”

Philippians 1:6, NLT

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Relapsing [Without Being a Moron About It]

 A Bumpy Road: Dealing with Relapse

There may not ever be a last episode, but there are ways to fend off and mitigate the next one.

By Jodi Helmer

Doctors never talked to Elly L. about RELAPSE.

Although she was hospitalized during a manic episode and diagnosed with bipolar disorder, doctors never mentioned that it could happen again. Instead, Elly was stabilized, handed a prescription for mood stabilizers and discharged. She had no idea that she’d be battling mania and depression for the rest of her life.

“I was told that as long as I took my medications, I’d be okay,” recalls Elly, a mental health coach in Toronto, Ontario.

Elly experienced at least eight relapses between her diagnosis in 1978 and 1991. Each time, she was hospitalized, often placed in restraints and taken to the psychiatric ward in a police car or ambulance. Upon discharge, Elly always promised herself it would be her last hospital admission-but she had no idea how to stave off future relapses.

In bipolar disorder, relapse is defined as the return of depression or a manic or hypomanic episode after a period of wellness. According to a 1999 study published in the American Journal of Psychiatry, 73 percent of those diagnosed with bipolar disorder experienced at least one relapse over a five-year period; of those who relapsed, two-thirds had multiple relapses.

“You can never say that someone with bipolar disorder has had their last episode; relapse is part of the illness,” explains Alan C. Swann, MD, professor and vice chair for research in the Department of Psychiatry and Behavioral Sciences at The University of Texas Medical School at Houston and director of research for the University of Texas Harris County Psychiatric Center. “Relapse is self-perpetuating; once it happens, the more likely it is to happen again.”

Searching for Answers

It’s possible to do all of the right things- follow a proper medication regimen, eat well, exercise, minimize stress and get enough sleep-and still experience relapse. Unfortunately, there is no clear understanding of why this happens.
“There may be changes in the cellular level that cause cycling but their cause is unknown,” says Joseph R. Calabrese, MD, director of the Mood Disorders Program at the Case Western Reserve University School of Medicine in Cleveland, Ohio.

While the neurological causes of relapse are unknown, a few things are certain: Those who are diagnosed with bipolar II are more likely to relapse than those with bipolar I. Their episodes of depression, mania or hypomania are often shorter than the episodes experienced by those with bipolar I but tend to return more often, according to Calabrese. It’s also far more common to relapse into depression than into mania or hypomania. Calabrese estimates that in bipolar II, there is a 40-to-1 ratio of depression to mania; the ratio of depression to mania drops to 3-to-1 in bipolar I.

“The key to recovery is a low tolerance for relapse,” says Calabrese.

In fact, Dr. Roger S. McIntyre, MD, associate professor of psychiatry and pharmacology at the University of Toronto and head of the Mood Disorders Psychopharmacology Unit at the University Health Network, believes that even the mildest symptoms of depression and mania should be treated as potentially hazardous.

“The takeaway message is that we need to seek complete elimination of symptoms as our treatment objective,” he says…

Click here to read the full article, “A Bumpy Road: Dealing with Relapse”

“bp Magazine” is a wonderful “shot in the arm.”  I would suggest that you get a subscription, and for a friend as well.

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Join NAMI today!

When you become a member of NAMI, you become part of America’s largest grassroots organization dedicated to improving the lives of persons living with serious mental illness. And now you can join online.

http://www.nami.org/template.cfm?section=About_NAMI

The Inertia, [Apathy]

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“Science may have found a cure for most evils; but it has found no remedy for the worst of them all – the apathy of human beings.”

Helen Keller

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As I suffer with manic depression I have come to see that much grief comes not from mania, and not from the debilitating depression. These are both substantial, but my biggest issue has to do with the inertia that lies between these two poles. There is a paralysis– an apathy that immobilizes me. And this is as bad as any other state of mind.

“And Elijah came to all the people, and said, “How long will you falter between two opinions? If the Lord is God, follow Him; but if Baal, follow him.” But the people answered him not a word.”

1 Kings 18:21

My passivity is disturbing, and bipolar disorder is as much of “detachment” as it is of extremes. I sit and stare, not able to motivate myself to get up and do something. I’m not really depressed, but nor am I manic– I’m just “there” unable to find energy to do anything. Life just rolls over me.

Perhaps the most deadly sin is this “faltering between two opinions?” We are content to just sit and watch with no commitment. We’re content to let things just roll on by as we sit in our inertia and passiveness. This is the part of my BP that scares me the most (or at least it should.)

If you suddenly went up in flames I wouldn’t stir. Yes, it would get my attention, but I probably wouldn’t do anything, (I’d probably just take notes for my book.)

Inertia is not just a part of a mental illness. It effects normal people as well, and there are degrees of it. The average person it seems will avoid making a real decisive decision at all costs. Inertia can be encountered in any church (ask a pastor who tries to get volunteers) or workplace.

In his day, Elijah cried out for a decision from the Israelite people. I have to believe he was disturbed not only by the idolatry– but by the passiveness of the bystanders. Their neutrality was a big issue.

Joshua would call out to a passive people these words:

“But if you refuse to serve the Lord, then choose today whom you will serve. Would you prefer the gods your ancestors served beyond the Euphrates? Or will it be the gods of the Amorites in whose land you now live? But as for me and my family, we will serve the Lord.”

Joshua 24:15

I know my own heart, and I know my own spiritual paralysis. Rather than commit myself, I would rather settle down on a sofa and just let things happen. I’m quick to point out how those in the arena are doing it all wrong. I’m ready to criticize, but unwilling to volunteer.

Mental illness is filled with ordinary things, but often in the wrong proportions. When we do things it is extreme or not at all. My own apathy is just a mirror of what happens in the hearts of normal people.

I may be excessive, but my own issues have made me aware of what is happening in others.

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“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.”

–Theodore Roosevelt

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