Category: manic

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

Is Mania A Spiritual Experience? [Bipolar]

by Chris Cole

I was eighteen years old when I first experienced acute manic psychosis. I had just arrived at the University of Georgia for my freshman fall semester when I suddenly had what seemed like a profound spiritual awakening. I felt as if I was waking up from a bad dream, as if my mind and body were merely figments of my imagination. I felt an incredible transcendence and oneness with the universe, an experience I could only fathom to be spiritual. Back then, I didn’t know anything about bipolar disorder.

My first thought upon being struck with this overwhelmingly blissful state was, “This is what God feels like; I must be Jesus!” It was from there that I began my deluded descent into madness. I ran upstairs in my dormitory, assuming that my friends would be my first disciples, and tried to perform miracles to prove my divinity. When they attempted to calm me down, I punched one of them in the face, calling him the devil, and ran back downstairs. Campus police promptly met me in the dorm lobby and arrested me on the spot.

On my way to jail, I was no longer feeling so ecstatic. In fact, it was the most excruciating fear I had ever experienced. I began believing that the police officers were the Pharisees taking me to my crucifixion. They placed me in my own jail cell, and I began stripping off my clothes, demanding for the officers to come look at my naked body. Throughout the whole experience, I felt almost completely dissociated, as if I was watching a movie of myself with little to no control of the actor.

After a few days of trying to convince my parents that I was returning humanity to the Garden of Eden, they realized my condition might not be from taking psychedelic drugs as they had thought. I was escorted to my local psychiatric hospital, and once medicated, came down from my messianic mission to create heaven on earth. The only problem was, I had never been more certain of God in my life, and the clinicians just kept telling me that it was normal for grandiose delusions to take on religious and spiritual themes. I was not convinced.

My thoughts immediately went to the biblical stories I grew up with: how God tested Abraham’s faith when he was told to sacrifice his son, and how God communicated to Moses through a burning bush. Were these not examples of delusions and hallucinations? Even Jesus was convinced to be the Son of God. Were the holy men of the Bible bipolar? I had a lot of questions, and my questions seemed to be forcing me to choose one side or the other—either spirituality or psychiatry.

It took me about a decade to finally integrate both truths and find some peace around my manic episodes. I studied spirituality and psychology, and I came to the conclusion that bipolar disorder and spiritual experiences didn’t need to exist in opposition. I’ve come to some basic definition of spirituality as the transcendence of ego. In this sense, mania was indeed a spiritual experience, albeit an unmanageable one. This didn’t mean my bipolar diagnosis was bogus, and I’m not saying all psychotic episodes are spiritual. But I can now rest easy knowing that my experiences were both spiritual and bipolar.

If I’m honest with myself, a major sign of my mania is increased spirituality, but at the same time, a major sign of my depression is a lack of spiritual significance. Finding balance in recovery means that I am able to seek both spiritual and clinical solutions to my bipolar symptoms without fear that I am falling out of grace with God. When I was first diagnosed, I had the idea that either bipolar existed or God existed. There was no space for both.

My spirituality has necessarily evolved over the years. Because of my history with manic psychosis, I have to guard myself against dogmatic or superstitious beliefs. I try my best to live a life of love, and I rest assured knowing that the more kindness I spread to the world, the more aligned I am with my spiritual path. Telling my story of recovery has become part of this spiritual process. My faith means a great deal to my health, and without it, my recovery wouldn’t be as strong as it is today. I hope that by sharing my story, others going through the same difficulties might not take so long to make sense of their own experiences.

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Chris Cole has authored a book recounting his experiences, and he’s now a life coach for folks in recovery.

Source: http://www.ibpf.org/blog/mania-spiritual-experience

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Riding the Underground, [with Jesus]

“And he said to them, “Come away by yourselves to a desolate place and rest a while.” For many were coming and going, and they had no leisure even to eat.’

Mark 6:31, ESV

Our Savior would never drive us to do things with a whip.  He is not a taskmaster, and he will not insist or impose his will over us.  Nothing about him is brutal or demanding. (He could, really– if he wanted to.)  But no, we learn how to serve him from our loving hearts.

It is interesting that it was Jesus that was very careful, and aware of his disciples needs.  No one suggested a break from the work, but Jesus initiated the break from the massive press of the crowds. He knew intensely what his disciples needed.

 “Crowds of people were coming and going so that Jesus and his followers did not even have time to eat. He said to them, “Come away by yourselves, and we will go to a lonely place to get some rest.”

Mark 6:31, NCV

Underground-SymbolThe presence of so many people had put the disciples in a very hard place.  The NCV describes the crowds, as “coming and going.”  If you have ever been on the London Underground you will understand just the sheer number.  Everyday, 2.93 million people ride the trains.  I remember travelling from the backwoods of  Alaska, with just a backpack, and hitting the crowds on “the tube” in London, UK.

The intense masses were way beyond anything I ever imagined.  Talk about a “culture shock!  I saw more people in just 3 minutes than in an entire year of living in Alaska.  It was like an amazing giant ant-hill; I would stop, and just stare. Nothing prepared me for this. But I knew His presence was with me.

Jesus is more concerned about the living freshness of his disciples.  He shuts things down in order to rest with his followers.  Often the tendency will be the opposite, especially when the leader is weak and immature.  “Work harder, and even more hours!”  Jesus did not have the need to be available 24/7.  And he certainly didn’t expect his disciples to.  His heart is committed to his followers.

He “orders” his disciples, come apart and let’s rest!

“But so many people were coming and going that Jesus and the apostles did not even have a chance to eat. Then Jesus said, “Let’s go to a place where we can be alone and get some rest.”

Mark 6:31, CEV

I don’t know if you can grasp the sensitivity, or see the nuances of Jesus shepherding his disciples.  He has a deep awareness of them; he doesn’t get lost by people pressing in from every side.  He loves the world of men and women, but his followers are his “specialty.”

He tunes in on their frequency, and knows our spiritual capacity.

What gives his followers strength, is to be close with Jesus, and to separate from the needs that were densely surrounding them.  We can be flattered by being needed, but that can be very corrosive or destructive.  I’m guessing but I believe that a few of the disciples may have been annoyed by this break in the action. They found it hard to remove themselves from the action.  Some may have been frustrated, perhaps maybe even slightly irritated by “Jesus’ retreat.”

When you are pouring out, you will find there is only a certain capacity before you run dry.  You may think this is “noble and praiseworthy” but it is nothing of the sort.  It is a form of arrogance and pride.  In order to really mature as a believer, we must shake this off and not to entertain our seeming indispensability to the cause.

We must keep on following Jesus into the quiet places.

 “Are you tired? Worn out? Burned out on religion? Come to me. Get away with me and you’ll recover your life. I’ll show you how to take a real rest. Walk with me and work with me—watch how I do it. Learn the unforced rhythms of grace. I won’t lay anything heavy or ill-fitting on you. Keep company with me and you’ll learn to live freely and lightly.”

Matthew 11:28, MSG

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An Inconvenient Madness, [A Broken Believer]

lightanddark

Very simply, bipolar disorder is characterized by mood swings that are defined by major shifts between incredible mania and clinical depression. It’s usually intense and quite disabling.

Depression: There are days when I wake up and I don’t like what I see in the mirror. At times a deep and profound sadness seems to grip me like a vise. It’s like a huge heavy grey cloak covers me, and I can’t shake it off. Typically I hide and crawl into bed for weeks at a time. All is hopeless and I despair of life. I am irrevocably lost. This is bipolar depression and I’m slowly learning that I can shake it free.

Mania: When I’m manic it’s as though I have wings! I’m blasted with a special grace which makes me creative and intelligent and superior to mere mortals.  I become energetically impulsive and irritably crass. It’s all about ME! Thankfully these times don’t happen too often. These moods don’t last long but they’re intense. A measure of freedom can also be found.

Medication prescribed by my psychiatrist helps smooth things out. It was hard to adjust to taking them, but now I know I did the right thing. It’s been over 10 years since my diagnosis and I suppose I have the dubious honor of just surviving. I have several scars on my wrists that remind me of a long journey. Those afflicted will understand.

It’s been suggested that bipolar people can become more empathetic and sensitive to the suffering of others. I’d like to believe that this is true. This seems like a biblical idea.

“He comforts us in all our troubles so that we can comfort others. When they are troubled, we will be able to give them the same comfort God has given us.”

2 Corinthians 1:4, NLT

 “The Sovereign Lord has given me a well-instructed tongue, to know the word that sustains the weary.”

Isaiah 50:4

For the broken believer, I’m confident that the Lord can turn my mental illness into something positive and good. The Holy Spirit empowers the Christian to do the extraordinary. It’s in our weaknesses we can become strong. We are fully enough in Christ. (2 Corinthians 12:9).

I stepped down from my positions as a pastor and a Bible instructor when the bipolar symptoms became clear. This wasn’t easy but I knew it was what God wanted. Today I still speak on occasion at a local Church.

I also minister here at brokenbelievers.com and http://www.lambfollowers.com.. I try to post everyday and I get constant feedback from those who are in need. Just a single post, a list of 24 hour crisis hotlines, averages 175 hits a day by itself! (https://brokenbelievers.com/247-crisis-lines/)

I do covet your prayers for both ministry sites.

This work would never have happened unless I was “detoured” by my bipolar.

“And we know that God causes everything to work together for the good of those who love God and are called according to his purpose for them.”

Romans 8:28

I want to urge you to look at the big picture of mental illness. Sure it can be remarkably disruptive, but the Lord can transform you. Meds and therapy are vital for me. Prayer and Bible reading even more so. You can find a way through this. It’s not easy. Don’t fight the illness. The Father works close to His “special” children. There is a real and abiding hope for you. I’m convinced you can find it.

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