Surviving the Daily Grind

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“I am reckoned among those who go down to the pit;
I have become like a man without strength,

Psalm 88:4

In May 2011, this is what I wrote–

“I feel like I am going through a meat grinder. Pushed against my will (and desire) I’m finding myself in a place I’d rather not be. My therapist confirmed today that I’m in a “mixed state” where bipolar mania and depression come together.  I compare it to two massive ocean currents smashing into each other.  (please Google, “mixed state”).

I’ve been into this state for just two weeks and the urge to commit suicide is starting to become surprisingly strong. For my own safety, I’m almost thinking that it maybe time to go to the hospital again.  I must tell you that these are places that you really don’t want to go if you don’t have to.  (FYI, my particular choice is Alaska Psychiatric Institute in Anchorage. It’s actually a somewhat “nicer” degree of miserable, and they have cooler art.)

I also get paranoid that people are attacking me and are plotting to ruin me. I am quite  suspicious of Facebook and my depression chat. I believe that the people that I encounter there are trying to get at me behind my back. Social networking with these type of services can be a nightmare.

But, then there is also the grandiosity. I believe that I think clearer, better, and faster than other people. It’s like I have superpowers.  I will think of myself as extremely gifted, superior to others.  I paint and write poetry and do “noble” things.

But I also have tremendous anxiety, with racing thoughts, and even heart palpitations esp. when I am sitting trying to relax. I don’t sleep well at all, in spite of the sleeping pill, the Klonopin and the melatonin, and the Benadryl, (to make sure I do sleep).

I continue to take my psych meds like a good boy. But they don’t seem to work like they used to. I think they can’t handle this particular concoction of depression/mania.  Sometimes, I feel like I’m getting better, but I never seem to get well.

The endless cycle of feeling really good and then feeling really bad is a challenging thing.  It is difficult to have a stable walk of discipleship under these circumstances.  I think being starkly honest and broken over my own fallenness is the key for me. (Now if I can only remember this.)

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I know that I’m being very blunt here. Tact has never been an easy thing. As I read I remember the struggle, and how I couldn’t see a way out. I’m thankful for the Holy Spirit who led me when no one else could. I wrote this post some time ag0. I’ve been reasonably stable, but I’m certain that putting it up now maybe timely for some. I’m in a better frame of mind the last several months.

 “For when we were still without strength, in due time Christ died for the ungodly.”

Romans 5:6

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Mental Illness in Children & Teens

Does your child go through intense mood changes?

Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice he or she is very sad at other times? Do these changes affect how your child acts at school or at home?

Some children and teens with these symptoms may have bipolar disorder, a serious mental illness. Read on to understand more.

What is bipolar disorder?

Bipolar disorder is a serious brain illness. It is also called manic-depressive illness. Children with bipolar disorder go through unusual mood changes. Sometimes they feel very happy or “up,” and are much more active than usual. This is called mania. And sometimes children with bipolar disorder feel very sad and “down,” and are much less active than usual. This is called depression.

Bipolar disorder is not the same as the normal ups and downs every kid goes through. Bipolar symptoms are more powerful than that. The illness can make it hard for a child to do well in school or get along with friends and family members. The illness can also be dangerous. Some young people with bipolar disorder try to hurt themselves or attempt suicide.

Children and teens with bipolar disorder should get treatment. With help, they can manage their symptoms and lead successful lives.

Who develops bipolar disorder?

Anyone can develop bipolar disorder, including children and teens. However, most people with bipolar disorder develop it in their late teen or early adult years. The illness usually lasts a lifetime.

How is bipolar disorder different in children and teens than it is in adults?

When children develop the illness, it is called early-onset bipolar disorder. This type can be more severe than bipolar disorder in older teens and adults. Also, young people with bipolar disorder may have symptoms more often and switch moods more frequently than adults with the illness.

What causes bipolar disorder?

Several factors may contribute to bipolar disorder, including:

  • Genes, because the illness runs in families. Children with a parent or sibling with bipolar disorder are more likely to get the illness than other children.
  • Abnormal brain structure and brain function.
  • Anxiety disorders. Children with anxiety disorders are more likely to develop bipolar disorder.

The causes of bipolar disorder aren’t always clear. Scientists are studying it to find out more about possible causes and risk factors. This research may help doctors predict whether a person will get bipolar disorder. One day, it may also help doctors prevent the illness in some people.

What are the symptoms of bipolar disorder?

Bipolar mood changes are called “mood episodes.” Your child may have manic episodes, depressive episodes, or “mixed” episodes. A mixed episode has both manic and depressive symptoms. Children and teens with bipolar disorder may have more mixed episodes than adults with the illness.

Mood episodes last a week or two—sometimes longer. During an episode, the symptoms last every day for most of the day.

Mood episodes are intense. The feelings are strong and happen along with extreme changes in behavior and energy levels.

Children and teens having a manic episode may:

  • Feel very happy or act silly in a way that’s unusual
  • Have a very short temper
  • Talk really fast about a lot of different things
  • Have trouble sleeping but not feel tired
  • Have trouble staying focused
  • Talk and think about sex more often
  • Do risky things.

Children and teens having a depressive episode may:

  • Feel very sad
  • Complain about pain a lot, like stomachaches and headaches
  • Sleep too little or too much
  • Feel guilty and worthless
  • Eat too little or too much
  • Have little energy and no interest in fun activities
  • Think about death or suicide.

Do children and teens with bipolar disorder have other problems?

Bipolar disorder in young people can co-exist with several problems.

  • Substance abuse. Both adults and kids with bipolar disorder are at risk of drinking or taking drugs.
  • Attention deficit/hyperactivity disorder, or ADHD. Children with bipolar disorder and ADHD may have trouble staying focused.
  • Anxiety disorders, like separation anxiety. Children with both types of disorders may need to go to the hospital more often than other people with bipolar disorder.
  • Other mental illnesses, like depression. Some mental illnesses cause symptoms that look like bipolar disorder. Tell a doctor about any manic or depressive symptoms your child has had.

Sometimes behavior problems go along with mood episodes. Young people may take a lot of risks, like drive too fast or spend too much money. Some young people with bipolar disorder think about suicide. Watch out for any sign of suicidal thinking. Take these signs seriously and call your child’s doctor.

How is bipolar disorder diagnosed?

An experienced doctor will carefully examine your child. There are no blood tests or brain scans that can diagnose bipolar disorder. Instead, the doctor will ask questions about your child’s mood and sleeping patterns. The doctor will also ask about your child’s energy and behavior. Sometimes doctors need to know about medical problems in your family, such as depression or alcoholism. The doctor may use tests to see if an illness other than bipolar disorder is causing your child’s symptoms.

How is bipolar disorder treated?

Right now, there is no cure for bipolar disorder. Doctors often treat children who have the illness in a similar way they treat adults. Treatment can help control symptoms. Treatment works best when it is ongoing, instead of on and off.

1. Medication. Different types of medication can help. Children respond to medications in different ways, so the type of medication depends on the child. Some children may need more than one type of medication because their symptoms are so complex. Sometimes they need to try different types of medicine to see which are best for them.

Children should take the fewest number and smallest amounts of medications as possible to help their symptoms. A good way to remember this is “start low, go slow”. Always tell your child’s doctor about any problems with side effects. Do not stop giving your child medication without a doctor’s help. Stopping medication suddenly can be dangerous, and it can make bipolar symptoms worse.

2. Therapy. Different kinds of psychotherapy, or “talk” therapy, can help children with bipolar disorder. Therapy can help children change their behavior and manage their routines. It can also help young people get along better with family and friends. Sometimes therapy includes family members.

What can children and teens expect from treatment?

With treatment, children and teens with bipolar disorder can get better over time. It helps when doctors, parents, and young people work together.

Sometimes a child’s bipolar disorder changes. When this happens, treatment needs to change too. For example, your child may need to try a different medication. The doctor may also recommend other treatment changes. Symptoms may come back after a while, and more adjustments may be needed. Treatment can take time, but sticking with it helps many children and teens have fewer bipolar symptoms.

You can help treatment be more effective. Try keeping a chart of your child’s moods, behaviors, and sleep patterns. This is called a “daily life chart” or “mood chart.” It can help you and your child understand and track the illness. A chart can also help the doctor see whether treatment is working.

How can I help my child or teen?

Help your child or teen get the right diagnosis and treatment. If you think he or she may have bipolar disorder, make an appointment with your family doctor to talk about the symptoms you notice.

If your child has bipolar disorder, here are some basic things you can do:

  • Be patient
  • Encourage your child to talk, and listen to him or her carefully
  • Be understanding about mood episodes
  • Help your child have fun
  • Help your child understand that treatment can help him or her get better.

How does bipolar disorder affect parents and family?

Taking care of a child or teenager with bipolar disorder can be stressful for you too. You have to cope with the mood swings and other problems, such as short tempers and risky activities. This can challenge any parent. Sometimes the stress can strain your relationships with other people, and you may miss work or lose free time.

If you are taking care of a child with bipolar disorder, take care of yourself too. If you keep your stress level down you will do a better job. It might help your child get better too.

Where do I go for help?

If you’re not sure where to get help, call your family doctor. You can also check the phone book for mental health professionals. Hospital doctors can help in an emergency.

I know a child or teen who is in crisis. What do I do?

If you’re thinking about hurting yourself, or if you know someone who might, get help quickly.

  • Do not leave the person alone
  • Call your doctor
  • Call 911 or go to the emergency room
  • Call a toll-free suicide hotline: 1-800-273-TALK (8255) for the National Suicide Prevention Lifeline.

Contact NIMH to find out more about bipolar disorder.

National Institute of Mental Health
Science Writing, Press & Dissemination Branch
6001 Executive Boulevard
Room 8184, MSC 9663
Bethesda, MD 20892-9663

Phone: 301-443-4513 or
Toll-free: 1-866-615-NIMH (6464)
TTY Toll-free: 1-866-415-8051
Fax: 301-443-4279
E-mail: nimhinfo@nih.gov
Web site: www.nimh.nih.gov

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Dancing With Bruises

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Bruises seem to be part of life’s package to us. Some will be serious, most minor. But each are noted, and some will just have to be endured.

Dancers are some of the most wonderful people I know. Their gracefulness can be seen both on and off the stage. A dancer’s training is far from easy. By choosing to become dancers they have made a decision to absorb pain. Their toes and feet are blistered and bruised; they take constant abuse. Some must live with chronic tendinitis. Their feet bleed sometimes, and pain is their constant companion. Two things to consider.

  • They choose to dance. Dancers have an iron-will and a elegant grace. I suppose that is why they can dance.
  • The scars and bruises often become “badges of honor.” And they wouldn’t have it any other way. They would rather dance in pain, than not to dance at all.

Someone once compared depression as a “mental bruise.” I understand this. As depressed people, we must choose to walk out our lives from this pain. I know what it is like to bury myself in my bed for several weeks. My own mental bruise was simply more than I could take. There was a sensation of sinking into blackness, a sense of total and complete despair. I felt completely lost, and completely alone.

I prayed. I groaned, and I prayed. My sense of being totally lost was beyond comprehension. Dear reader, this was something quite real, and you must become aware of these things. Some of your friends are suffering. And it is a hellish and desperate depression.dancer-feet

To my Christian friends. Yes, I believe Jesus died for all my sins. He has forgiven me of much evil, I know that will live for eternity (with you). But mental illness is real, and like other illnesses it seldom is caused by evil or Satan. We would never say that diabetics are that way because of the enemy. Now the dark one will surely exploit it, but I think you give him far too much credit if you suggest he was able to initiate it. Satan just doesn’t have the spiritual “voltage.”

So, inspired by my dancing friends, and the Holy Spirit– I will make the choice to dance again. I’m pretty bruised, but I will try to ignore the pain. I would exult in my God, walk in His love, “leaping with joy like calves let out to pasture” (Malachi 4:2.)

“A bruised reed he will not break, and a smoldering wick he will not snuff out, till he has brought justice through to victory.”

Isaiah 42:3

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Drowning in Despair

 

despair (2)“For we do not want you to be ignorant, brethren, of our trouble which came to us in Asia: that we were burdened beyond measure, above strength, so that we despaired even of life.”

   2 Corinthians 1:8

“…we should all fortify ourselves against the dark hours of depression by cultivating a deep distrust of the certainties of despair. Despair is relentless in the certainties of its pessimism. But we have seen again and again, from our own experience and others’, that absolute statements of hopelessness that we make in the dark are notoriously unreliable. Our dark certainties are not sureties.”

John Piper

It is my ‘deliberateness’, and not my impulsiveness that gives me the most concern.   I know ‘despair’.  I know what it is like to be ‘backed into a corner’ and then feel the empty desperation of being lost.  But you must understand, there can be a weird seductiveness to ‘being lost’, a ‘strange sort of nobility’, a twisted honor, when it comes to despair.

Piper talks about the ‘dark certainties’ of knowing you are lost.  Now this really seems rather bizarre, that people could do this intentionally, without duress.  But I’m afraid to tell you that it happens all the time.  Despair is chosen over the option of life. This is the ‘lostness’ of the race of Adam.

Pop culture has given us words, albeit in a simplistic form.  I just happened to think right now of an old AC/DC  song, ‘Highway to Hell‘.  The lyrics are pretty basic, very simple, but the lead singer seems to really have a chronically, decided dedication to being one of the irretrievably lost.  He formats a ‘certain glory’ to being part of the damned.  This is a simplistic approach to the next stop– a more advanced case of stark-white despair, suicide. (We can call this ‘spiritual hubris,’ or even, “drugs, sex, and rock-n-roll.”)

In examining the striated world of despair, we must come to the interesting place when our foolishness combined with our arrogance produces a decision to be lost.  Of course, our fear of God must be extracted from the situation.  But for the eager candidate for despair, this is not an insurmountable problem.

Escaping this ‘drowning despair’ we must first dethrone our right to personal sovereignty.  And secondly, we need to grab the concept that God’s grace has an ultimate power that supersedes our notions of a ‘deserved’ love.  (It is completely undeserved).  We must believe that somehow, someway God chooses us out of a pile, a pile of the worst and ugliest.  And somehow, He delights in doing this, and He is Lord.

We are meant to be the people of redemptive hope. 

Because of our problems, our addictions, we must clearly renounce our evil folly of despair.  These are the issues that make us vulnerable.  There is a seductiveness to ‘giving up’ and taking up the sin of despair.  There can be a ‘weird romance’ that lures those who ‘walk out lostness’.  We are pulled into a vortex of an exotic melancholy with a dash of fatalism, which makes it reasonable and weirdly heroic. But is it not even more heroic to live in hope?

“Why are you downcast, O my soul? Why so disturbed within me?  Put your hope in God, for I will yet praise him, my Savior and 6 my God. My soul is downcast within me; therefore I will remember you.”

Psalm 42:5-6

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Despondency and David’s Theology

For those on the mat and wrestling, things can move very fast.  Our adversary is strong, and he knows us too well.  He is counterintuitive and quite aware of the sequence of moves needed to pin us to the floor.  He is dangerous.  And he also despises us.

I get bewildered and rattled by his attacks.  He knows how to pressure me at just the right time, and he refuses to follow the rules. He is no gentleman, you might say that he is both a cheater and a bully.

Of course I am talking about Satan and his team of demons.  I will not dispute their reality with you.  There is almost as much scriptural support for his existence as there is for Jesus’.  His hostility is  toward God and His people, and his viciousness cannot be camouflaged.  Evil is real, and believe this– Satan has a terrible, and ugly plan for your life.

As a mentally ill Christian, my depression quickly morphs into despondency.  When I sink to that level I start to abandon hope.  It’s like I’m in a lifeboat and decide that I should abandon it and tread water on my own.  Despondency is not rational and just a little bit is deadly.

David knew all about desperation and disheartenment.  He had been chased by his enemies, and maneuvered into the most difficult of situations.  To observe him at a distance we would say that “there is no hope for him in God.” Even God can’t save him, he is reprobate.  We would be convinced that there is nothing for him in God’s thinking.  Nothing.

It would be so easy to make this judgement.  For David was a moral failure; he was an adulterer and a brazen killer.  David had sinned deeper and more intensely than Saul ever had.  Join with the crowd, “There is no hope for him in God!”  No hope, none, nada, zero.

“Yet I am always with you;
you hold me by my right hand.

You guide me with your counsel,
and afterward you will take me into glory.

Whom have I in heaven but you?
And earth has nothing I desire besides you.

My flesh and my heart may fail,
but God is the strength of my heart
and my portion forever.” 

–Psalm 73

David defied the theology of his day.  He embraced the Lord God with a desperate passion.  It was not orthodox or logical.  You could say it was disturbing.  But David would not let go of God!  He hung on, and continued to sing in faith.

I encourage you besieged brother, and embattled sister.  Hold on to Him, even if it defies logic or theology.  Seek His promises with a fervency, open your heart to Him with a passion.  Remember that sin can and will destroy you.  It is part of Satan’s stratagem.  Sing in the cave, and never lose hope. Never.

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‘Sunning Ourselves in the Smiles of God’

A boy stood on a windy hillside, flying a kite. He continued to release the string of the kite and it went higher and higher until it was completely out of sight. One of his friends walked up and asked how he knew there was still a kite on the other end. He replied. “I know it’s there I feel it tugging on the line.” Like the kite, we can’t see heaven with our eyes, but we feel it tugging at our souls!

As a person with Bipolar its easier in some ways to think about that place I am journeying to.  Through many cycles of mania and depression I find this present life gets old, and the more I hear about heaven, the more excited I get.  I imagine a life without meds, and the constant monitoring of my moods.

 Heaven is described as:

  1. a great reward, Mt 5:11
  2. present suffering not worthy to be compared with future glory, Rom 8:18, 
  3. eternal weight of glory far beyond all comparison, 2 Cor 4:17,18,
  4. surpassing riches of His grace towards us, Eph 2:7, 
  5. beyond all we could ask for or even think, Eph 3:20.

I think of my infirmities and pain.  I can’t wait to “shed” this mental illness. 

To be free from it will be one of best thing I can think of.  To take off my depression, like a heavy coat on a warm day. To sit with Jesus in a garden with living water, that’s more refreshing than any iced tea. Eternity is my favorite thing to think about–

“Where the unveile’d glories of the Deity shall beat full upon us, and we forever sun ourselves in the smiles of God.

—Ezekiel Hopkins 

I want to encourage you who are struggling now, with depression, anger,  schizophrenia, paranoia, abuse, OCD, addictions, PTSD or Bipolar, etc.  There is a day coming for us, when we will forget the agonizing battles that have gone on within us.  I boldly tell you with all the strength I can muster–there is coming the day.  So take hope and journey one more day, thinking of heaven.

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Tightrope Theology

As a person with a mental illness, it seems my issues are a matter of extremes.  Life seems uncontrollable; the wheels seem to always ready to come off of the wagon.  It strikes me as a semi-crazed place to be.  I look at the “norms” with envy, as their lives are crisp, healthy, and strong.

I once met a man that had a prophetic ministry who was speaking at a local church here in Alaska.  When I met with him, he looked at me intently.  He said many things, but the most significant was this. “You are an unstable man; you are like water.”  This was almost 30 years ago.  It has been an accurate prophecy and assessment since I heard it.  At first it stung, I hated it; but now, all these years later, I find a certain comfort in it.  God knows me; He understands.  I haven’t found any reason to be condemned for being Bipolar.

Those of us who walk the tightrope of sanity and insanity have One in heaven who not only knows us, but is on our side.  Hebrews 7:25 declares:

“Consequently, he is able to save to the uttermost those who draw near to God through him, since he always lives to make intercession for them.”

I must realize that I am not the “bad apple in the barrel,” nor am I cursed.  Rather the opposite is true.  I am the richest of all men, because of His radical grace that gets extended to the weakest. Those who “touch” my life are blessed by their contact with me, and since I have been so unnaturally “graced,” they become blessed by His presence through me. WOW! I simply need to be me, and they are drawn to you.

The issues that a mentally ill person (and those who are often a struggler and a rascal) faces are formidable.  But without His promises they are impossible.  The secular view is just to create a “zero sum” game.  It is to bring a person to some stupefied place of stasis.  Not exactly up–but not down either.  Stable, sort of.

It is very good to be stable.  But my goal can not be stability, but an obedience to a supernatural God who loves me supernaturally.  I simply can’t live without knowing that.  However, when I know it, I can handle the tightrope.  I will start to walk a “supernatural” walk.

You could say that God has a hobby, or a specialty.  It is weak and handicapped people.

He loves working with us and in us.  And I have become very much convinced that He pours out special favor on those of us who struggle so difficulty, those of us who will never fit in or be ‘normal.’

We need to come to that real and authentically holy place where we see God. But also in that place, and at the same time, we need to see ourselves as well.  And actually, both are most critical.  They are done imperfectly— but both must happen, nevertheless.

I exhort you to take on your tightrope.  You will only stay upright and cross it if you are aware of His grand love and presence.  It is an amazing thing to balance and walk, and if we fall?  Well, we drop into His net.  Get back up, and get in line again.  Secure your heart into the love of God for your soul.

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