Call for Literary and Art Submissions

Turtle Way™ is Write into the Light’s online creative arts magazine showcasing the work of individuals suffering and recovering from mental illness. Its mission is to offer experience, strength and hope to those who are living with mental illnesses.

Each issue of Turtle Way™ may include poetry, photography, artwork, and prose (including quotes, meditations, opinion pieces and essays) from individuals with mental illness and/or those who love them.

It has been quite some time since an issue has been published, but I would like to put another one together soon. So, please check out the submission guidelines here if you are interested in being a part of this project.


Bipolar Disorder and Chronic Pain

The Bipolar-Pain Connection

According to recent research, about 14% of people with bipolar disorder experience migraines and another 24% experience some other form of chronic pain. That’s almost a third of people with bipolar disorder who are in some sort of serious pain!

In particular, migraines affect 1 in 7 persons with bipolar disorder, which is 3 times more likely than the general population. I’ve been living with chronic migraine for ten years now. Some days I feel like it’s a death sentence. Some days I wish that sentence was carried out. My doctors are still trying to figure out a way to decrease the frequency of my 8 to 12 migraines per month. Apparently, “bipolar disorder and migraines are multifactorial in etiology—there appear to be vascular, cellular, molecular, neurochemical (serotonergic and noradrenergic), and genetic (KIAA0564) components in common between bipolar disorder and migraine conditions.”

Pain and Mental Illness’s Affect on One Another

In general, people with mental illness who experience chronic pain tend to have worsening symptoms of their illness. Often doctors do not take seriously the complaints of physical pain from those individuals who have mental illness. A lot of times people with mental illness have increased sensitivity to pain because they are experiencing depression. Also, because they are experiencing symptoms of mental illness, many times people with mental conditions do not seek the medical care they need to address their physical pain. This leads to greater functional impairments, poorer quality of life, increased disability, and increased risk of suicide compared to those without pain.

Treatments that Address Pain and Mental Illness

Sometimes tricyclic antidepressants or other select antidepressants can be used to help minimize physical pain symptoms as well as address depression symptoms in some patients. Care needs to be taken in patients with bipolar disorder, however, due to the increased risk of triggering a manic episode in those who take antidepressants alone. Often times, a mood stabilizer will be used in conjunction with the antidepressant in these patients.

This is exactly the treatment I am currently receiving under the care of my physician. I am excited to see if it will decrease the frequency of my migraines while addressing my depression and anxiety symptoms at the same time.

Non-pharmaceutical treatments for physical pain and some mental illness symptoms can include things such as meditation, yoga, exercise, prayer, talk therapy, and diet modifications.

Work with your doctor to figure out what may be the best course of action for you. The most important thing is to not give up hope and to never give up trying to find a way out.

Mental Health and the Highly Sensitive Person

Do you ever find that noises are just too loud? Lights are too bright? Scents that don’t seem to bother others are noxious to you? You’re always either cold or hot? You find yourself exhausted after spending time with people? If so, you may be what psychologist, Elaine Aron, calls a “Highly Sensitive Person (HSP).”

About Highly Sensitive People (HSP)

HSP have super sensitive nervous systems that pick up on external stimuli more easily than most other people’s do. They also have a hard time filtering out or ignoring cues in their environment that are irrelevant to their situation.

For example, when having a conversation with someone at a party, a HSP may become distracted by the other conversations going on around them instead of being able to tune them out. Or they may not be able to concentrate on reading a book in a quiet room with a clock ticking softly nearby.

Cluttered countertops, the noise level of a cheering crowd at a sporting event, a crying baby, a windy day, a sunny day, a hot day, tight clothes, or a dirty bathroom can all send a HSP over the edge into an anxiety attack or severe agitation.

HSP also tend to over respond emotionally to situations. They can easily pick up on the emotions of others and can even feel drained or stressed out by negative emotional content portrayed on television or in movies.

Because of their decreased ability to regulate their emotional response to stimuli, HSP often have mental health disorders such as bipolar, depression, and anxiety.

What to do if you are a HSP?

  1. Recognize the warning signs. Take notice when you feel yourself becoming overwhelmed, anxious or agitated. Ask yourself, “Am I having a highly sensitive response to some neutral external or internal trigger right now?”
  2. Identify the trigger. Is it something outside of yourself like noise, light, temperature, or smells? Or is it something internal like fatigue, hunger or physical pain?
  3. Have a plan in place to counter act your triggers. Use headphones to block out irritating noises; sunglasses to mute lighting, cold compress to cool off, if hot. Bring a sweater or dress in layers, if cold. Spray perfume on the back of your index finger and inconspicuously bring to your nose to block out environmental odors. Drink green tea for fatigue; carry healthy snack for unexpected hunger pains and pain medicine for unexpected flare ups. Take time outs from social gatherings in your car, in the bathroom or back bedroom or leave early. Drive yourself so you can leave when you need to. Wear comfortable clothing, get a simple hair style, stay organized, and keep a routine.

All of these things can help a Highly Sensitive Person thrive. Are you a HSP? How so? What helps you cope?

Things are Getting a Little Personal

I noticed over the past year my posts have become somewhat generic and distant, like making small talk with someone at the water cooler. I haven’t offered much of anything in the way of myself or my personal struggles with mental illness. It’s not for lack of having symptoms, trust me! It’s just been easier to report the facts and keep anything extra under wraps.

My fear is mostly that my anonymity will be compromised, so I hesitate to write about anything in too much detail. I suppose my paranoia could be considered a symptom of my anxiety disorder, so there’s that.

I have recently become more open with family and friends about the limitations my anxiety disorder places on me as far as the things I can’t do, the places I can’t go, and the physical pain it causes me, especially if I push myself beyond my limits. I think this has surprised them some these last few months. I’m not sure they understand, but they seem supportive.

I feel blessed that I haven’t had a major depressive episode in quite a while. I do a little dance between hypomania and a brief down fall every spring turn summer, but other than that my mood disorder is fairly stable. It’s just this darn anxiety mixed with intermittent panic attacks.

I’ll continue to write what I know, sharing knowledge about mental health and mental illness, incorporating my voice a little more than I have been lately.

In the meantime, I’d like to know what you would like me to write about. I’ve written meditations, essays, writing prompts, poetry, and reported on research articles. What would you like to see more of?

Bipolar Anxiety or Bipolar and Anxiety


Bipolar disorder is a mental illness marked by extreme mood episodes ranging from mania to depression.  Anxiety can be a symptom of bipolar disorder as stated by Dr. Emil Kraepelin, back in 1921.  The International Society for Bipolar Disorders (ISBD) also claimed that anxiety is a symptom of bipolar disorder in a Task Force report on “mixed states” in bipolar disorder.  They described this anxiety as:

  • General hyperarousal
  • Inner tension
  • Irritability/impatience
  • Agitation
  • “Frantically anxious”

Individuals in mixed states may feel increased energy and have racing thoughts while also experiencing hopelessness and despair.  They may have insomnia and increased risky behavior but also feel empty and blank inside and have unexplained crying spells.

While anxiety can be a symptom of bipolar disorder, it can also be a separate condition in addition to bipolar disorder.  Having more than one condition or disorder is referred to as “co-morbid” and basically means that the two conditions stand alone and are not a symptom of one or the other.

It is important to know the difference because if the anxiety is coming from the bipolar disorder then it should get better when the bipolar disorder gets better.  If not, then when the bipolar disorder is stabilized, the anxiety may still persist.

There are several types of anxiety disorders.  They include:

  • Generalized Anxiety Disorder (GAD)
  • Social Phobia
  • Panic Disorder (with or without Agoraphobia)
  • Post-Traumatic Stress Disorder (PTSD)
  • Obsessive-Compulsive Disorder (OCD)
  • Specific Phobias

Regardless of whether the anxiety is a symptom of the bipolar disorder or in addition to the bipolar disorder, mood stabilizers are recommended as first line treatment choice due to the potentially mania-inducing risk of antidepressants in patients with bipolar disorder.  Psychotherapy or cognitive behavioral therapy is sometimes then recommended even before antidepressants as well.


When Panic Attacks Here is What You Can Do

Symptoms of a panic attack include:

  • Racing heart
  • Shallow, rapid breaths
  • Tunnel vision
  • Sweaty palms
  • Feeling faint
  • Nausea, vomiting
  • Fear of going crazy
  • Crying
  • Shaking, tremors
  • Irritability
  • Increased sensitivity to sound, lights, touch
  • Inability to focus or concentrate

There is usually a precipitating factor or something that has caused or is causing the panic attack to occur. Or fear about future events or a future incident can incite an attack. 

One way of dealing with it is to distract yourself from thinking about said event by reading a book, watching a show or playing a game. Draw, paint, listen to music or go for a relaxing walk. Find something to distract youself from your anxiety producing thoughts. 

Another way to cope is to take a short nap. Sometimes your brain just needs a break and it is okay to give it one. Just make sure not to overdo this one as it can become chronic and unhealthy. 

Talk to a trusted friend or professional to get the thoughts and feelings out of your head. Releasing them decreases the power they have over you. Also, problem solving ways to reduce anxiety is way more successful when you work on it with someone else. Keeping it to yourself only intensifies it. Trying to figure it out on your own only makes the anxiety worse. 

When possible don’  Panic attacks are the body’s response to overstimulation. Resting in a quiet calming room may help tremendously. Experiment with what works best for you and take the time and breaks you need to let your system return to normal. 

Panic attacks are scary. Uncomfortable at best. Not your fault. Be kind to yourself when they come. Get through them the best you can and move on. Talk to a healthcare professional if they become chronic or significantly interrupt your life or cause you serious adverse effects.  There is medication and other treatment options that can help. You are not alone. 

Mental Illness is a Surmountable Obstacle

~ Guest post by Jackie Cortez

According to the World Health Organization, 1 in 4 people suffer from mental illness. And while treatment is available, it’s often underutilized.

For many people, mental illness can be something that troubles them periodically in life but never something that incapacitates them. For others, mental illness can be completely debilitating. What’s important is recognizing mental illness and treating it with the best approach for people so they may live healthy, productive lives.

Inner turmoil

While there are social stigmas attached to mental illness, it is the self-stigma that can be the most dangerous to a person’s overall well-being. A person with a mental illness may feel ostracized from his peers and turn to outward or inward destructive behaviors to cope. These may materialize as bursts of aggression, depression, or isolation or as reckless actions including sexual promiscuity and alcohol abuse and drug abuse. A mental illness makes it difficult to see past the negative aspects of today to the bright and beautiful possibilities of tomorrow. It is estimated that more than 90% of suicides are committed by persons with a diagnosable mental disorder. Approximately half of these individuals will struggle with drug or alcohol abuse before their death.

Physical self-care

If you’re struggling with a mental illness, you should take extra care to take care of yourself. Stress takes a toll on the body and can cause headaches, insomnia, muscle tension, upset stomach, and fatigue. These symptoms’ impact can be lessened through protecting your physical health. It is easier to maintain good mental health habits when your body – your foundation – is strong.

It is important to exercise daily. This may be done individually or in a group setting as exercise provides the body with natural stress relief hormones. Maintaining a balanced diet devoid of processed foods, including sugars, additionally goes a long way toward whole-person health. Sleep is essential and most adults require between seven and nine hours each night; a brief 30 minute nap in the early afternoon can also offer a person with a mental health disorder a bit of a boost. Most importantly, drugs and alcohol should be avoided completely as, despite common belief, these substances actually exacerbate stress and depression.

A mental illness will not go away overnight. However, many people find they are less affected when they practice these good mental health habits:

Avoid guilt

Negative emotions happen and it is important not to dwell on them or pass judgment. Understand that it is how you react to these emotions that matters. Recognize them but don’t get caught up in the moment.

Pay attention to the positive

Even in your deepest, darkest hour, positive things are going to happen in your day. It could be as small as a glimpse of the mountains or fresh ocean breeze. When they happen, pause and enjoy. It may help to keep a journal and write down one good thing that happens each day. You can go back and read about your happy days when you’re feeling sad or stressed to remind yourself that not everything in life is bad.

Find strength in numbers

There are virtually countless support groups in every city in every state for people struggling with mental illness. You can perform a quick online search for groups in your area. Know that you cannot solve things on your own and there are people out there who, like you, are dealing with invisible and taboo issues. Spending time with others will not only help you get things off your chest but will keep you connected to the world around you.

If you or someone you love is dealing with a mental health issue, such as depression or drug abuse, get help. Always remember there is no shame in asking for assistance from others, be they medical professionals, family, or friends. Tomorrow is a new day and a new opportunity to look at the world with a fresh set of eyes.


~ Jackie Cortez works with The Prevention Coalition to identify and highlight resources on every aspect of substance abuse, ranging from prevention to addiction treatment. Her mission is to use her writings to help prevent drug and alcohol abuse.