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

God Will Sustain You

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“Some Christians are called to endure a disproportionate amount of suffering. Such Christians are a spectacle of grace to the church, like flaming bushes unconsumed, and cause us to ask, like Moses: ‘Why is this bush not burned up?’

The strength and stability of these believers can be explained only by the miracle of God’s sustaining grace. The God who sustains Christians in unceasing pain is the same God — with the same grace — who sustains me in my smaller sufferings. We marvel at God’s persevering grace and grow in our confidence in Him as He governs our lives.”

— John Newton, 1725-1807, Author of “Amazing Grace”

“The angel of the Lord appeared to him in a blazing fire from the midst of a bush; and he looked, and behold, the bush was burning with fire, yet the bush was not consumed.”

Exodus 3:2, NASB

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Waiting On God (Who is Waiting on Us)

by Andrew Murray 

“And therefore will the LORD wait, that he may be gracious unto you, and therefore will He be exalted, that he may have mercy upon you: for the LORD is a God of judgment: blessed are all they that wait for him.”

Isaiah 30:18

We must not only think of our waiting upon God, but also of what is more wonderful still, of God’s waiting upon us. The vision of Him waiting on us will give new impulse and inspiration to our waiting upon Him. It will give us an unspeakable confidence that our waiting cannot be in vain.

If He waits for us, then we may be sure that we are more than welcome; that He rejoices to find those He has been seeking for. Let us seek even now, at this moment, in the spirit of lowly waiting on God, to find out, something of what it means. ”Therefore will the LORD wait, that he may be gracious unto you.” We will accept and echo back the message, ”Blessed are all they that wait for him.”

Look up and see the great God upon His throne. His love an unceasing and inexpressible desire to communicate His own goodness and blessedness to all His creatures. He longs and delights to bless. He has inconceivably glorious purposes concerning every one of His children, by the power of His Holy Spirit, to reveal in them His love and power. He waits with all the longings of a father’s heart.

He waits that He may be gracious unto you. And, each time you come to wait upon Him, or seek to maintain in daily life the holy habit of waiting, you may look up and see Him ready to meet you. He will be waiting so that He may be gracious unto you. Yes, connect every exercise, every breath of the life of waiting, with faith’s vision of your God waiting for you.

And if you ask: How is it, if He waits to be gracious, that even after I come and wait upon Him, He does not give the help I seek, but waits on longer and longer? There is a double answer. The one is this. God is a wise husbandman, who ”waiteth for the precious fruit of the earth, and hath long patience for it” (James 5:7). He cannot gather the fruit until it is ripe. He knows when we are spiritually ready to receive the blessing to our profit and His glory.

Waiting in the sunshine of His love is what will ripen the soul for His blessing. Waiting under the cloud of trial, that breaks in showers of blessing, is as necessary. Be assured that if God waits longer than you could wish, it is only to make the blessing doubly precious. God waited four thousand years, until the fullness of time, before He sent His Son. Our times are in His hands. He will avenge His elect speedily. He will make haste for our help and not delay one hour too long. The other answer points to what has been said before. The giver is more than the gift; God is more than the blessing. And our being kept waiting on Him is the only way for our learning to find our life and joy in Himself.

Oh, if God’s children only knew what a glorious God they have, and what a privilege it is to be linked in fellowship with Him, then they would rejoice in Him! Even when He keeps them waiting, they will learn to understand better than ever. ”Therefore will the LORD wait, that he may be gracious unto you.” His waiting will be the highest proof of His graciousness.

”Blessed are all they that wait for him.” A queen has her ladies in waiting. The position is one of subordination and service, and yet it is considered one of the highest dignity and privilege, because a wise and gracious sovereign makes them companions and friends. What a dignity and blessedness to be attendants in waiting on the everlasting God, ever on the watch for every indication of His will or favor, ever conscious of His nearness, His goodness, and His grace! ”The LORD is good unto them that wait for him” (Lam. 3:25). ”Blessed are all they that wait for him.”

Yes, it is blessed when a waiting soul and a waiting God meet each other. God cannot do His work without His and our waiting His time. Let waiting be our work, as it is His. And, if His waiting is nothing but goodness and graciousness, let ours be nothing but a rejoicing in that goodness, and a confident expectancy of that grace. And, let every thought of waiting become to us the simple expression of unmingled and unutterable blessedness, because it brings us to a God who waits that He may make Himself known to us perfectly as the gracious One.

My soul, wait thou only upon God!

 

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  Andrew Murray (1828-1917), was born in Cape Town, South Africa and became a revered missionary leader in the late 1800s and early 1900s, promoting and establishing missions in South Africa. His devotional writings are considered classics of the Christian faith.

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The Art of Offending Jesus

SIN_KILLS_SIGN Our actions can bless God, and others immensely. We really have no idea that we have such power in our grasp. But we do say and do things that do alter the realities of those who are trying desperately to draw close to Him. We like to be unattached from these very real things. We suppose that it is a “no-brainer,” we will always avoid any complications or entanglements, about our behavior.

However, reality is much more “unforgiving” then we imagine. How we conduct ourselves is certain, and is significant. Honestly, when we become believers and are added to His church, can we honestly behave worse than we were before our salvation from sin?

I’m afraid salvation from sin means “turning off the faucet.” We can’t avoid this, it will determine what kind of a Christian we are. What do we do? Do we continue to sin? “Well then, should we keep on sinning so that God can show us more and more of his wonderful grace? Of course not! Since we have died to sin, how can we continue to live in it?”

Romans 6:1-2, NLT

I’m truly convinced of this. Our decision to keep enjoying sin is disturbing. Our “death” in this case, has never happened. We have died to nothing, and remain untouched by the Gospel. We become just inoculated enough to make us believe that we are “ok.” Our lives keep moving, and we will never consider that we have made these wrong adjustments.11831809_417345445125926_2957479398676821867_n

Are we not “offending Jesus Christ” by not dying to our own sins? If we have pretty much remained the same kind of people, then it is very likely we have. Our enjoyment of sin indicates our real allegiance that we will have when “push comes to shove.” It really seems that we must shake off the old way before we can put on the new.

I simply suggest that you liaten to the Spirit as you make your choices.

Let him accompany you and show you what offends. I only speak boldly, because it matters more than you realize.

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