1. Do not expect too much from yourself too soon, as this will only accentuate feelings of failure. Avoid setting difficult goals or taking on ambitious new responsibilities until you’ve solidly begun a structured treatment process.
2. Break large tasks into small ones, set some priorities, and do what can be done, as it can be done.
3. Recognize patterns in your mood. Like many people with depression, the worst part of the day for you may be the morning. Try to arrange your schedule accordingly so that the demands are the least in the morning. For example, you may want to shift your meetings to midday or the afternoon.
4. Participate in activities that may make you feel better. Try exercising, going to a movie or a ball game, or participating in church or social activities. At a minimum, such activities may distract you from the way you feel and allow the day to pass more quickly.
5. You may feel like spending all day in bed, but do not. While a change in the duration, quality and timing of sleep is a core feature of depression, a reversal in sleep cycle (such as sleeping during daytime hours and staying awake at night) can prolong recovery. Give others permission to wake you up in the morning. Schedule “appointments” that force you to get out of the house before 11 a.m. Do this scheduling the night before; waiting until the morning to decide what you will be doing ensures you will do nothing.
6. Don’t get upset if your mood is not greatly improved right away. Feeling better takes time. Do not feel crushed if after you start getting better, you find yourself backsliding. Sometimes the road to recovery is like a roller coaster ride.
7. People around you may notice improvement in you before you do. You may still feel just as depressed inside, but some of the outward manifestations of depression may be receding.
8. Try not to make major life decisions (such as changing jobs or getting married or divorced) without consulting others who know you well and who have a more objective view of your situation.
9. Do not expect to snap out of your depression on your own by an exercise of will power. This rarely happens. Many churches and communities have depression support groups. Connect with people who understand depression and the recovery process.
10. Remind yourself that your negative thinking is part of the depression and will disappear as the depression responds to treatment.
Personally, I have wrestled with anxiety over the years. The residual effect on my personality has been profound. The ‘panic attacks’ are coming about once a week, and they can be a formidable enemy. So far, I have not required meds for them, but I usually just crawl into bed, dim the lights and pray. They seems to pass in about 20 minutes. However the other symptoms kind of linger– a sort of ‘background noise’ to the soundtrack of my everyday life. Low levels of anxiety can be brought under control by the work of the Holy Spirit.
I hold God by His promises of peace. I have not been instantly healed yet, but I’m learning to cling to Jesus through it. I have to believe that anxiety keeps me close to Him, I suppose that is a good thing.
Common anxiety symptoms include:
Body (anxiety symptoms commonly associated with the body in general):
Allergy problems, increase in allergies (number, sensitivity, reactions, lengthier reactions)
Back pain, stiffness, tension, pressure, soreness, spasms, immobility in the back or back muscles
Blanching (looking pale, loss of color in the face or skin)
Blushing, turning red, flushed face, flushed skin, blushing, red face or skin
Body jolts, body zaps, electric jolt feeling in body, intense body tremor or “body shake”
Body temperature increase or decrease, change in body temperature
Burning skin, itchy, “crawly,” prickly or other skin sensations, skin sensitivity, numbness on the skin
Burning skin sensation on the face, neck, ears, scalp, or shoulders
Fear of making mistakes or making a fool of yourself to others
Fear of passing out
Fear that you are losing your mind
Fears about irrational things, objects, circumstances, or situations
Fears of going crazy, of dying, of impending doom, of normal things, unusual feelings and emotions, unusually frightening thoughts or feelings
Heightened self awareness, or self-consciousness
Need to find nearest washrooms before you can feel comfortable
Need to seat near exits
Head (anxiety symptoms commonly associated with the head):
Burning, itchy, tight scalp
Dizziness
Dizzy
Dizziness or light-headedness
Frequent headaches, migraine headaches
Feeling like there is a tight band around your head, pressure, tightness
Head, neck or shoulder pain, tightness/stiffness
Head zaps, head tremors
Giddiness
Numbness
Numbness tingling, numbness and tingling
Shooting pains, stabbing pains, and odd pressures in the neck, head, or face
Shooting pains in the face
Shooting pains in the scalp or head
When you close your eyes you feel like are beginning to, or will, float upwards
Sore jaw that feels like a tooth ache
TMJ (Temporo-Mandibular Joint) – clenching of the jaw or grinding of the teeth
Hearing/Ear(s) (anxiety symptoms commonly associated with hearing):
Feel like there is something stuck in your ear, that your ear canal it plugged or blocked, that there is a pebble in your ear that you can’t get out
Low rumbling sounds
Reduced hearing, frequent or intermittent reduced hearing or deafness in one or both ears
Ringing in the ears, noises in the ears, noises in the head
Pulsing in the ears, throbbing sound in the ear(s)
Mind (anxiety symptoms commonly associated with the mind and thinking):
Afraid of everything
Altered state of reality, consciousness, or universe feeling
Deja Vu, a feeling like you’ve done or experienced something before
Depersonalization
Derealization
Desensitization
Difficulty concentrating, short-term memory loss
Difficulty thinking, speaking, forming thoughts, following conversations
Disorientation
Fear of going crazy
Fear of losing control
Fear of impending doom
Feelings of unreality
Frequent feeling of being overwhelmed, or that there is just too much to handle or do
Having difficulty concentrating
Nightmares, bad dreams
Obsession about sensations or getting better
Repetitive thinking or incessant ‘mind chatter’
Short-term learning impairment, have a hard time learning new information
Short-term memory impairment, can’t remember what I did a few days, hours, or moments ago
Spaced out feelings, feeling spaced out
“Stuck” thoughts; thoughts, mental images, concepts, songs, or melodies that “stick” in your mind and replay over and over again.
Trapped in your mind feeling
Underlying anxiety, apprehension, or fear
You often feel you are carrying the world on your shoulders
Mood / Emotions (anxiety symptoms commonly associated with mood, emotions, and feelings):
Always feeling angry and lack of patience
Depersonalization
Depression
Dramatic mood swings (emotional flipping)
Emotionally blunted, flat, or numb
Emotional “flipping” (dramatic mood swings)
Emotions feel wrong
Everything is scary, frightening
Feeling down in the dumps
Feeling like things are unreal or dreamlike
Frequently being on edge or ‘grouchy’
Feel like crying for no apparent reason
Have no feelings about things you used to
Not feeling like yourself, detached from loved ones, emotionally numb
Underlying anxiety, apprehension, or fear
You feel like you are under pressure all the time
Mouth/Stomach (anxiety symptoms commonly associated with the mouth and stomach):
A ‘tinny’, ‘metallic’ or ‘ammonia’, or unusual smell or taste
Aerophagia (swallowing too much air, stomach distention, belching)
Burning mouth, feeling like the inside of your mouth is burning, or tingling, or like pins and needles, or all of these together or at different times
Burning tongue, feeling like your tongue is burning, or tingling, or like pins and needles, or all of these, or all of these together or at different times
Choking
Constant craving for sugar or sweets
Constipation
Diarrhea
Difficulty swallowing
Difficulty talking, pronouncing certain letters or sounds, mouth feels like it isn’t moving right, slurred speech
Dry mouth
Feeling like you can’t swallow properly or that something will get caught in your throat
Feeling like your tongue is swollen
Lack of appetite or taste
Lump in the throat, tight throat, something stuck in your throat
Mouth muscles twitching/jumping
Mouth or throat clicking or grating sound/noise when you move your mouth or jaw, such as when talking
Nausea
Nausea vomiting
Nausea or abdominal stress
Numbness
Numbness tingling, numbness and tingling
Stomach upset, gas, belching, bloating
Teeth grinding
The thought of eating makes you nauseous
Tight throat, lump in throat
Throat or mouth clicking or grating sound/noise when you move your mouth or jaw, such as when talking
TMJ
Tongue symptoms – Tingly, “stretched,” numb, frozen, itchy, “crawly,” burning, twitching, “jumpy,” aching, sore, or swollen tongue (when it isn’t).
Urgency to urinate, frequent urination, sudden urge to go to the washroom
Vomiting
Skin (anxiety symptoms commonly associated with the skin):
Burning skin sensations, skin sensitivity
Numbness
Numbness tingling, numbness and tingling
Skin problems, infections, rashes
Sleep (anxiety symptoms commonly associated with sleep):
Difficulty falling or staying asleep
Frequent bad, bizarre, or crazy dreams
Hearing sounds in your head that jolt you awake
Insomnia, or waking up ill in the middle of the night
Jolting awake
Waking up in a panic attack
You feel worse in the mornings
Sight (anxiety symptoms commonly associated with sight):
Distorted, foggy, or blurred vision
Dry, watery or itchy eyes
Eye tricks, seeing things our of the corner of your eye that isn’t there, stars, flashes
Eyes sensitive to light
Spots in the vision
Flashing lights when eyes are closed
Your depth perception feels wrong
Touch (anxiety symptoms commonly associated with touch):
Burning skin sensations, skin sensitivity
Feeling cold or chilled
Numbness
Numbness tingling, numbness and tingling
Pain
Tingling, pins and needles feelings
Other anxiety symptoms are described as:
Being like a hypochondriac, muscle twinges, worry all the time, tingles, gagging, tightness in the chest, tongue twitches, shaky, breath lump, heart beat problems, head tingles, itchy tingling in arms and legs, and so many more.
In addition to these anxiety symptoms, you may also find yourself worrying compulsively about:
• Having a heart attack • Having a serious undetected illness • Dying prematurely • Going insane or losing your mind • Suddenly snapping • Losing it • Uncontrollably harming yourself or someone you love • Losing control of your thoughts and actions • Being embarrassed or making a fool out of yourself • Losing control • Fainting in public • Not breathing properly • Losing control of reality • Choking or suffocating • Being alone
These are some of the more common anxiety symptoms. This list isn’t exhaustive. :-)
0If you know someone who has bipolar disorder, it affects you too. The first and most important thing you can do is help him or her get the right diagnosis and treatment. You may need to make the appointment and go with him or her to see the doctor. Encourageyour loved one to stay in treatment.
Your touch can make a big difference
To help a friend or relative, you can:
Offer emotional support, understanding, patience, and encouragement
Learn about bipolar disorder so you can understand what your friend or relative is experiencing
Talk to your friend or relative and listen carefully
Listen to feelings your friend or relative expresses-be understanding about situations that may trigger bipolar symptoms
Invite your friend or relative out for positive distractions, such as walks, outings, and other activities
Remind your friend or relative that, with time and treatment, he or she can get better.
Never ignore comments about your friend or relative harming himself or herself. Always report such comments to his or her therapist or doctor.
Support for caregivers
Like other serious illnesses, bipolar disorder can be difficult for spouses, family members, friends, and other caregivers. Relatives and friends often have to cope with the person’s serious behavioral problems, such as wild spending sprees during mania, extreme withdrawal during depression, poor work or school performance. These behaviors can have lasting consequences.
Caregivers usually take care of the medical needs of their loved ones. The caregivers have to deal with how this affects their own health. The stress that caregivers are under may lead to missed work or lost free time, strained relationships with people who may not understand the situation, and physical and mental exhaustion.
Stress from caregiving can make it hard to cope with a loved one’s bipolar symptoms. One study shows that if a caregiver is under a lot of stress, his or her loved one has more trouble following the treatment plan, which increases the chance for a major bipolar episode. It is important that people caring for those with bipolar disorder also take care of themselves.
This post is dedicated to Lynnie, who is both amazing and aware of me and my issues. She covers me through depression and delusions. She has bandaged cut wrists, and helped me through the blackest of despair. She has been the best caregiver ever. Thank you my love. –B
As stumbling and struggling believers in God’s grace, we gather in a simple circle and wonder out loud. There are many things that perplex us. We share notes and try to make sense of our Father’s sovereignty and grace. Sometimes, it seems He is out to get us. I remember reading a saint, she said something like, “[God] no wonder you have so many enemies, when you treat your friends so shoddily.” (You can tell that I’m working on my attitude here.)
But it isn’t that he is out to “get” us. It is more like he is out to “make” us. A distraught woman who just lost her children in a house fire sobbed bitterly. It was obvious that she was completely broken and shattered. She turned to a close friend, “What is God doing to me?” Her dear friend, an older saint, quietly spoke with a profound wisdom. “Honey, He has just now started to make you.”
Beware of giving counsel. As I age, I’m starting to see how stupid that really is. The human heart has pain that only God, the Father can discern. I really think it is more important to love, than to be right. It has taken me decades to come to this place, and I’m still not sure I’ve settled into this. (But isn’t something God might come up with?)
We can guide, but we can’t direct. We can give out a road map, but honestly it seems that is the best we can do. I’m of the opinion that Job’s friends have a real need within themselves– to be “counselors.” They seem to fulfill a selfish interest when the give their friend directions. They want so much it seems, to be regarded as perceptive and astute. They seem to be like Boy Scouts trying to get their “merit badges.” Often people in ministry are this way. It’s like it is an occupational hazard, that pastors, elders and counselors must be aware of.
We live in a twisted world, and we are all trying to make our way through it. We often are clumsy and bumbling. But there is an acquired humility and a gentleness that drips slowly on our own hearts. This how wisdom is secured. This is a wonderful work of God’s grace that ends up changing us. Surely He is making us, and the promise is that when it is all said and done–we will be like Jesus.
“And I am certain that God, who began the good work within you, will continue his work until it is finally finished on the day when Christ Jesus returns.”
Broken Believers 