Category: mental illness

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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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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Christians with Depression, by Dr. John Piper

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by John Piper

Does being depressed mean that something is wrong with our hope?

Every Christian who struggles with depression struggles to keep their hope clear. There is nothing wrong with the object of their hope–Jesus Christ is not defective in any way whatsoever. But the view from the struggling Christian’s heart of their objective hope could be obscured by disease and pain, the pressures of life, and by Satanic fiery darts shot against them. We all have to fight the same way, by getting our views of Christ and his promises clear every hour of every day.  All discouragement and depression is related to the obscuring of our hope, and we need to get those clouds out of the way and fight like crazy to see clearly how precious Christ is.

This means we should help each other see Christ, right?

Yes. It seems that whenever one person is struggling—whether in a family, church, or small group—another person is given strength. The point of that is so that the body would work together and the strong would minister to the weak. Then the roles might be reversed the very next week or month, and the one who was just weak becomes strong to help the other who has now become weak. The weakness can be psychological, spiritual, or physical. But the strength should flow back and forth between us.

As we come up out of a discouragement we should minister to others.

This is exactly what Paul said in 2 Corinthians 1:4 where he speaks about comforting others with the comfort with which he had been comforted by God. God ordains that one person walk through a valley, find comfort in the valley, come out, turn around, go back to the beginning of that same valley, and help other people walk through it with the very comforts they discovered there. We miss some of our greatest blessings by not enduring through hardship in our own families or in a church. God has things to teach us through hardship that we will not learn if we flee from it every time it comes.

http://www.desiringgod.org/ResourceLibrary/AskPastorJohn/ByTopic/24/2530_

Can_Christians_be_depressed/

 

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