Category: mania

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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Becoming Manic: What You Can Do

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Top tips for coping

These are a list of things that people who have difficulties when they become high or manic have found helpful:

  • Try to get some sleep. Going without sleep has been shown to cause manic states and make them last longer.
  • Eat well. Don’t go without food or eat high energy food. Eat slowly.
  • Use relaxation techniques.  Quiet prayer works well right now.
  • Stay in bed even though you feel compelled to do lots of things.
  • Don’t act on your ideas. In a few days time you may see things completely differently.  Emailing friends now is dangerous. (I know).
  • Don’t buy anything expensive. Some people have found it helpful to give their credit cards/check book to friends.  (I tried to buy a 7 foot potted tree in London, UK once, because it was lonely.)
  • Use medication, herbal remedies, or other things that slow you down and/or help you sleep.  Think “speed bumps”.
  • Take relaxing (rather than high energy) exercise e.g. walking, swimming.  This is a must-do.
  • Make a plan for each day and keep to it. Don’t plan to do too much.
  • Try to do things slowly rather than quickly. Talk and walk consciously slower than you feel driven to.
  • Challenge any grandiose ideas you might have about yourself.  You must do this!
  • Reduce any pressures or stresses on you.
  • Cut out stimulants e.g. coffee, sugar, chocolate, fizzy drinks, alcohol. Some anti-depressants (e.g. the SSRIs like Prozac) can have stimulant-like effects – discuss this with your doctor and consider stopping them.

It may be helpful for you to make a plan about what to do before you get really elevated. You know yourself best, so build as many things into the plan that you feel will help you not do things you may later regret. It may be helpful to draw up a plan, and a list of ‘warning signs’, with a trusted friend or mental health professional at a time when you are not ‘high’, but that can be put into place as you or others notice your warning signs.

Some people believe that ‘getting manic’ is a response to not thinking about or facing things that might be quite frightening or depressing. It might be helpful to ‘get connected’ to such things, by talking and thinking about your life and some of the root causes of some unhappiness in your life. You could do this with a trusted friend or mental health professional.

 

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No Monkey

“What are these scars from?” she asked.

“They’re battle wounds.” I replied.

She looked at me a long time.

“Who were you battling?”

“Myself.” I replied.

My thinking this morning is how long does the battle have to go on? It seems far too long (and lately tedious). If my life had a sound-track, it probably be a very bland and dull roar, punctuated periodically by maniacal laughter. I hope yours is better than mine.

My battle with mental illness has scarred me for life. I can’t seem to put enough varnish on it to be presentable. I’m aware of all these things. And saddened that it has to be this way. My favorite author is Anne Lamott. She once made this observation, “You can get the monkey off your back, but the circus never leaves town.” Monkeys are one thing, the circus is another.

“We walk by faith, not by sight,” my Bible tells me so. Each new day has faith embossed in it. Hebrews 11 tells me that many have gone before me, but they had to journey by faith through pain and suffering. Knowing this, I sometimes feel like “jumping ship.”

I hope you don’t regard me as unduly self-absorbed. Astonishingly, my meds aremonkey1 finally working. Life isn’t caustic any more, just mildly abrasive. But I am still a bit unhappy about my attitude. I thought that these meds would make me incredibly normal, but instead I feel blah.

But blah is good. The terror of running amok through another manic phase scares me thoroughly. Anything is better than that. No monkey, but still a circus. But I’m fully known by the One who loves me the most. Jude talks about being “safe.” This is our responsibility.

“But you, dear friends, must build each other up in your most holy faith, pray in the power of the Holy Spirit, 21 and await the mercy of our Lord Jesus Christ, who will bring you eternal life. In this way, you will keep yourselves safe in God’s love.”

Jude 20-21

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Bipolar Disorder– Basic Stuff

 

If you have bipolar disorder, you may recognize many below. Not everyone has exactly the same symptoms. Talk with your healthcare provider about your symptoms at each visit.

  • Feeling sad or blue, or “down in the dumps”
  • Loss of interest in things you used to enjoy, including sex
  • Feeling worthless, hopeless, or guilty
  • Sleeping too little or too much
  • Changes in weight or appetite
  • Feeling tired or having little or no energy
  • Feeling restless
  • Problems concentrating or making decisions
  • Thoughts of death or suicide

 

Symptoms of mania may include:

  • Increased energy level
  • Less need for sleep
  • Racing thoughts or mind jumps around
  • Easily distracted
  • More talkative than usual or feeling pressure to keep talking
  • More self-confident than usual
  • Focused on getting things done, but often completing little
  • Risky or unusual activities to the extreme, even if it’s likely bad things will happen

Here are some behaviors that may be seen in people with bipolar disorder. Please note some of these behaviors may also indicate a different problem, so proper diagnosis is important.

  • Agitation
  • Alcohol or drug abuse
  • Irritability
  • Excessive gambling
  • Violence
  • Poor judgment with decisions
  • Careless spending, buying sprees
  • Talking about hurting oneself
  • Risky sex or change in sexual activity
  • Impulsive financial investments
  • More arguments
  • Change in energy level, appetite, or sleep pattern
  • Relationship problems at home or work
  • Mounting debt
  • Drinking or drugging for ‘escape’ or maintenance purposes
  • Legal/criminal issues
Visit http://www.webmd.com/depression/guide/bipolar-disorder-manic-depression for more detailed information about bipolar disorder and its symptoms.

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