How to Know When to Change Up a Medication

How to Know When to Change Up a Medication

There is a sure-fire easy answer to this: Talk to your doctor about it! I know many people, especially us mental illness people-types, who think decreasing or taking ourselves off of a psych med is a good idea, especially if we are manic and feeling good. In the past, every time I became hypomanic I would tell my doctor I wanted to try a med reduction and she would say, no the meds are working that is why you feel good. Then we figured out that wanting to come off a med was actually a sign of hypomania for me.

Fast forward to today…Life is becoming very different for me. I have been in some intense therapy, healing from childhood trauma and neglect, for over a year now and finally getting really good at setting boundaries with others and making major changes in my life that more fully align with my values and what I truly want to do and not want to do. Because of this, my mental health is such that I no longer need one of my sleep medications. I am actually sleeping ten times better than I used to with it, when I wasn’t as mentally healthy.

I am still on several other psych meds and am talking with my doctor about the next one to wean off of. She is letting me take the lead on which one to try because one is not necessarily more important than another.

I am weighing out my options based on how hard they are to wean off of, what their current risks and side effects are, and how much they affect my physical health. I know what I want to try because of its current risks and side effects but it happens to be the most difficult one to come off of. I tried once before, many years ago, and the irritability it caused affected my relationships. Granted, I believe now that I cut the dose down too much as I was doing it without my doctor’s supervision (which I said at the beginning of this post is a big no-no.)

With my doctor’s help this time I will tell her my concern and hopefully, we can find a way to minimize the irritability and get me off of this med in particular.

Have you tried weaning off a psych med with or without your doctor’s supervision? I’d love to hear about your experience.

P.S. In my last post, I wrote about having a goal of writing blogs of 600+ words. That blog post was about 200 words and this one is a little over 400. I am making progress!

Situational versus Clinical Depression and Tools to Cope

Is Your Depression Situational or Clinical?

I am going through a bit of a thing that has me worried and anxious and frankly, feeling depressed. I have dealt with clinical depression in the past — the kind that appears out of nowhere and lingers for reasons I couldn’t name. Most of my experiences, though, have been situational: postpartum after childbirth, losing a career, seasonal shifts, and maybe even this current situation.

Medically, situational depression is often labeled an “adjustment disorder with depressed mood.” It commonly eases with time, talk therapy, and the slow work of adjusting to life’s changes. But the frightening truth is that unresolved situational depression can tip into major depressive disorder, which is more severe and harder to shake.

That possibility is what has me worried now: I’m anxious about whether this sadness will pass — and anxious about being anxious. If that sentence made sense to you, you and I might be good friends.

The hard work is noticing patterns, asking for help early, and treating each episode with kindness and care. Small steps—talking, sleeping better, seeing a clinician—can keep situational sadness from becoming something darker. You don’t have to face it alone. Reach out today for help.

P.S. This post is about 200 words long. My goal is to write 600+ word blog posts. Unfortunately, my psych meds (one in particular) has zapped my creative writing ability. I’ll write more about this next time. Stay tuned!

P.P.S. What kind of depression have you experienced and what tools did you use to cope with it?

Give Me the Best Mental Health Blogs You Follow

I started this blog in 2011 (or 2012. It has been so long I can’t remember for sure.) At first I was very active but as the years wore on I got away from posting regularly and reading other blogs as well.

I checked a year or two ago and found that the people I had formed relationships with here on WordPress are not active on their blogs anymore at all. I miss them even though we only conversed via comments on one another’s blogs.

I would like to get back to writing about mental health topics on a regular basis. The thing that makes it difficult is that I don’t want to make it like a diary and tell the details of my personal life, but strictly writing in a research article style doesn’t feel right either. I will have to work on finding a balance between the two.

I also want to form some new blogger relationships which will help me stay connected with the topics I am interested in. So, please give me some good recommendations for mental health WordPress blogs. And if you have one, all the better!

Thanks for being a subscriber to my site, Write into the Light.

Until next time,

WiL (she/her)

Connection with Others Who Have Mental Health Issues

In an attempt to build up the Write into the Light community, I am committing to post a blog every Monday when possible. I want to get back to providing informative and engaging articles on mental health topics.

It has been difficult for me over the last several years because one of my medications has greatly diminished my creative processes. Additionally, I am no longer on another medicine that used to help me focus and concentrate.

Therefore, I have decided to research topics and enlist the help of an AI app to help me create reliable, organized, and detailed content. I want to be completely transparent about this because I want to maintain the trust and faith you have shown me by your support of my writing over the past 13 years.

If you have any questions or requests for specific topics, please let me know in the comments. Thank you so much!

What It Is Like to Have Borderline Personality Disorder

Image by Alana Jordan from Pixabay

“Borderline personality disorder is a mental illness that severely impacts a person’s ability to manage their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and negatively impact their relationships with others.”

– National Institute of Mental Health

Symptoms of Borderline Personality Disorder (BPD) include the following.

  • Fear of abandonment
  • Unstable relationships
  • Unclear or shifting self-image
  • Impulsive, self-destructive behaviors
  • Self-harm
  • Extreme emotional swings
  • Chronic feelings of emptiness
  • Explosive anger
  • Feeling suspicious or out of touch with reality

I have some of these symptoms but not all of them all of the time. I do fear my significant other leaving me through death. At this point we have enough history together that I don’t believe he will leave me willingly like I used to.

My self-image is in constant flux. I don’t know if I am a good person or a bad person much of the time. I often question my state of mind – whether I am mentally unstable or not, and whether my assessment of reality is true or not. I constantly seek reassurance from my significant other on these matters because I don’t trust my own judgement.

I used to have unstable relationships and impulsive self-destructive behaviors, including self harm, when I was younger. I still have the compulsion to self-harm when I become intensely overwhelmed by my emotions but I rarely give into it as it passes very quickly.

I have extreme emotional swings often within the same day and sometimes within the same hour! I don’t usually understand why this is happening or where the trigger is coming from. Although mindfulness helps me realize that it almost always has something to do with my thoughts – the story I am telling myself about events happening outside of me and within.

I do have chronic feelings of emptiness, often feeling like I have no purpose in life; constantly fighting feelings of loneliness and boredom.

I have problems with explosive anger when I feel like people have been unfair or unjust with myself or others. I have learned to curtail my anger in most other situations but those in which I become judgemental and intolerant my rage can be destructive to myself and my significant other who has to bear the brunt of my complaining and lamenting.

I am suspicious and question people’s motives ALL. OF. THE. TIME. I take things personally and tend to put myself at the center of the universe which makes everyone’s actions about ME instead of what they truly are which is about themselves and what they are dealing with or bringing to the situation based on their own beliefs, values, and histories. This is something that pains me most days and it is quite the hard habit to break.

I practice mindfulness, including in meditation; I pray to my higher self which helps me gain insight into my feelings and behaviors. I do movement therapy including stretching, yoga poses, and Tai chi. I deal with this mental illness along with several others in addition to chronic pain, so I suppose I am doing fairly well in spite of these things. I am always looking to do better, however, so if you have any suggestions please leave them in the comments and tell me if you relate to anything I said in this article. Thank you.

What Bipolar Disorder Has Given to and Taken Away From Me

In honor of World Bipolar Disorder Day I am going to discuss numerous things bipolar disorder has given to and taken away from me. I was diagnosed with rapid cycling bipolar type 2 disorder 15 years ago. I knew nothing about the disorder or how it would affect my life for the next 15 years. While there are positives that have come about due to having bipolar, the negatives far outweigh them.

What Bipolar Disorder Has Taken From Me

The ability to work a paying job

Since being diagnosed with bipolar disorder, I have tried various ways of staying gainfully employed. I have worked full-time outside of the home and part time from home for a healthcare employer, as well as part time outside of the home and from home for myself. In each situation my bipolar symptoms, especially anxiety (social, general and panic), anger/irritability, and depression, have left me unable to cope with the demands.

I even started a photography business since photography is my favorite hobby, but the business side of it and dealing with people was more than I could handle and bipolar symptoms were triggered. So, I had to quit or continue to suffer the negative health consequences.

My ideal body weight

Bipolar medications have caused me to gain at least 20 pounds over the last 10 years. Couple that with the fact that my previous career involved a lot of exercise that I no longer get and the weight keeps piling on. My rapid cycling moods make sticking to an at-home exercise routine or diet regimen nearly impossible.

The ability to be a stable parent

Unfortunately, my bipolar disorder has negatively affected my children. There have been times where, because of anxiety and depression, I have been unable to get out of bed to be there for them or to attend their activities, and even worse, times where I have been hurtful with my words to them due to hypomanic irritability. I worry that they have picked up their own anxieties from growing up in a household filled with mine.

The ability to socialize and be in public places without extra medication

Bipolar anxiety has left me with an extremely sensitive nervous system that becomes overstimulated with what is typical input for most people. For me, the noises are always too loud, lights too bright, smells too strong, and people too close. I have to take one or two additional medications to cope with all of these stimuli.

Spontaneous changes in my routine

Maintaining mood stability requires that I adhere to fairly strict schedules with my sleep, medications, food intake, and social calendar. I go to bed at the same time each night. A rare late night out can wreak havoc on my mood for days afterwards.

I take my medications on a strict schedule. Forgetting a dose can cause troubling side effects such as light-headedness and nausea.

I eat three meals a day because going too long without eating can affect my moods greatly.

Finally, I have to plan ahead for social events. Any last minute plans or changes to plans can send me into a tailspin.

Parts of my creativity

Before going on certain bipolar medications, I was prolific at writing, especially poetry and mental health blogs. I also painted a lot. I believe antipsychotics dried up those creative wells for me. I just don’t have the same drive and imagination for it anymore.

The ability to stick with something long term

I will often enthusiastically start projects such as writing a book, starting a new blog, beginning an exercise program, creating a house cleaning schedule, starting a new diet, reading a book, or learning a new skill, but after a few weeks my mood will shift and I will abandon whatever it is I began. It’s a pattern I’ve had for nearly my whole life, starting long before I even knew I had bipolar disorder.

Outdoor summer fun

Some of the bipolar medications I take make it difficult for my body to regulate its temperature. Therefore, I’ve had to give up many once enjoyed outdoor activities when the weather is too hot, such as spending the day on the lake with friends, watching the kids’ baseball games, lounging for hours at the pool, going for walks, and doing yard work.

Friends

The irritability that comes along with bipolar mood fluctuations has caused me to do or say things that most people might think but never act on and this has caused rifts in some of my friendships.

I also think that because of bipolar disorder my inhibitions can be lower at times in a way that makes it feel like I can’t control what comes out of my mouth and I find myself blurting out comments or answers that are inappropriate.

Paranoia has also caused me to embarrassingly ask friends if they are mad at me or don’t like me anymore which is just awkward for everyone.

Peace of mind

With bipolar disorder’s mood changes and the secondary emotions that can come with it, such as anger, irritability, and anxiety, I am always on edge and wondering what is coming next. Everything internally feels so unpredictable that I can barely ever relax and feel secure about my health. Even when things are going well I’m always waiting for the other shoe to drop. Lasting peace of mind seems to forever elude me.

What Bipolar Disorder Has Given to Me

An opportunity to stay home full time and work on my physical, mental, and spiritual health

Because I am home most days by myself, I am able to spend a lot of time learning, reading, writing, reflecting on things, and participating in hobbies, support groups, spiritual groups, and going to as many doctors’ appointments as I need to to reach towards my fullest potential in all areas of my health. If I did not have bipolar disorder, I would be working full time and not have the time to do all of these things.

The ability to truly help my children, who also suffer from mental illnesses

My kids have had multiple physical and mental issues over the years that have required many daytime doctor and therapy visits that I would have not been able to do if I was working a full-time job. Bipolar disorder has forced me out of the work place thereby allowing me to be home for them during some of the most critical and crucial times of their lives.

The ability to support others with mental health issues in real life and online with greater compassion and open-mindedness

Sometimes you can’t imagine what others are going through unless you’ve been through it yourself. I have been through a lot of trauma and heartache including hospitalizations due to suicidal behavior thanks to bipolar disorder. You just can’t help others in the same way when you haven’t experienced these depths of despair as you can when you have. I have something valuable to offer others because of my trials.

What About You and Bipolar Disorder?

What are some things bipolar disorder has taken from you and/or given to you? Share your experiences in the comments.

Why I Took a Mental Health Hiatus

It has been nine months since I posted here because I needed to take a break from thinking and talking and writing about mental health and mental illness.

I went through a big change around the time I quit blogging and I suppose that has something to do with the long break as well. This change altered some of my core values and helped me grow as a person in ways I never would have imagined. My love and tolerance for all people has blossomed exponentially.

I dare say I went about a psychic change that brought me through a depression and grieving process to a place of total acceptance. I am a better person for it today.

However, even with the positive impact this event had on my character, I still have all of my mental illnesses (bipolar type 2, anxiety and panic disorders, social anxiety disorder, ADHD, seasonal affective disorder, complex PTSD, recovered alcoholism, borderline personality traits).

The most prevalent illness currently causing problems for me is anxiety. The social and generalized anxieties are the main triggers for my chronic migraine. The ways in which I limit my activities outside of the house in order to decrease my migraine frequency has made my world very small.

Is your life limited because of your symptoms? How so? Tell me in the comments and follow me for more mental health updates.

Looking Back at Ten Years of Blogging at Write into the Light

Ten years ago today I posted my first blog here at Write into the Light. Ten years!  I feel like that is such a long time.  

I started off writing daily meditations because I couldn’t find any meditation books specifically written for people with mental illness or mental health issues. Over the years my writing has evolved from those meditations to journal-type entries and poems, to essays and opinion pieces, and finally, reports on mental health research articles. 

Regardless of the type of writing I post, all of it helps me process and cope with my own mental health symptoms and I hope helps others with the same. Writing has been one of my biggest coping skills when it comes to my mental illnesses, hence the name of this site. 

There were many months I was inactive and even full years where I only wrote a few blogs at most depending on my health status. Several times I almost closed the site down but I never did because even though I would go periods without writing, the stats showed that people were still viewing my posts on a daily basis.  And I thought, if the blog was helping someone by just being there then it was worth leaving up even if I wasn’t adding anything new to it at the time. 

Over the last 10 years I’ve written over 360 posts and have had over 44,000 visitors and 65,000 views. I have close to 900 readers on WordPress, a tad over 300 Twitter followers, 1200 and something Facebook fans, and 25 email subscribers. Definitely not a big outfit by any stretch of the imagination, but a small little part of the mental health community that I hope is contributing enough in a way that is making a difference in someone’s morning, afternoon, or evening every once in a while. 

I wonder who is out there who has been blogging for ten years or more. I am in contact with no one from my early days of blogging because their blogs have been dead for years and I miss some of them so much.  

I am happy to have found new bloggers throughout the years, however, and thank every one of you for taking the time to follow, read, like and comment on my posts. I appreciate you and always enjoy connecting with you. 

If you haven’t already, please follow this blog or subscribe via email and

Follow me on Twitter and Facebook

Election Stress

What a long exhausting week it has been. I’ve been sleeping like crazy and been generally unmotivated to do anything. I hate the feeling of being in limbo with no where to go.

I feel like a balloon that is a few days old, lost most of it’s helium and is just kind of suspended a few feet off the ground, barely floating around, pathetically living out the last few days of its existence.

I need a big wind to come along and boost me high in the air, twirling me up and around, giving me life and energy. I think most of my malaise has to do with the general state of the country due to the election and that I will feel much better and more grounded after it is decided. How about you?

In the meantime, I have downloaded a goal tracker app and have created some simple daily tasks for me to do so that I keep myself moving and feeling accomplished, while still allowing myself downtime to nap and indulge in my unmotivated moods.

What do you do when you’re feeling unmotivated and stressed out?

Grateful for Some Normalcy, I Think

The kids get to go back to school full-time in my county and play sports, and we get to watched them play, too, with some restrictions like social distancing and wearing masks. I feel so thankful for being able to do these things especially when some counties only a few miles away from us are not able to.

However, like every fall, due to the change in schedule from basically no schedule during the summer to now carpools and sporting events and small talk with other parents and loud gyms and small group social events, my anxiety is very high.

I take a lot of breaks at home, try not to schedule too many things on the same day, know that the high school sporting season only lasts a short time, although then club season begins! Take my antianxiety medicine when needed, get plenty of sleep – I need 11-12 hours a night to feel good mentally. Physically I don’t need that much sleep but mentally I do. I feel like that is weird. Drink plenty of water. I don’t exercise no matter how much people advise it it just isn’t part of who I am. I will go for walks in the evenings if it’s nice out several times a month but nothing on a regular basis. I also have a few hobbies I like to do that distract me from my anxiety.

How is life in the year of covid-19 going for you right now? How do you cope with your anxiety?