Is Mental Illness Real?

Mental illness is “any of a broad range of medical conditions (such as major depression, schizophrenia, obsessive compulsive disorder, or panic disorder) that are marked primarily by sufficient disorganization of personality, mind, or emotions to impair normal psychological functioning and cause marked distress or disability and that are typically associated with a disruption in normal thinking, feeling, mood, behavior, interpersonal interactions, or daily functioning.*”

I listened to a talk today by a behaviorist who proprosed that mental illness is not a medical condition but rather a dysfunction of our subconscious programming mostly likely which occurred during childhood. He stated that in order to change our moods and negative behaviors, such as anxiety attacks, depression, anger, lack of motivation, sadness, etc. , we don’t need medication or therapy. What we need is to change our subconscious programming, which will in turn improve our state of being and positively affect everything in our life.

He said we must also develop an attitude of acceptance (versus resistance.) The more you resist something the stronger it becomes. Accepting doesn’t mean you don’t try and change things that need changing. It just means you aren’t resisting it as it is in the moment you are in.

For example, I am trying to lose weight by changing my eating habits. I am accepting where I am now with my weight by not beating myself up about how far I have yet to go and by saying to myself that it is what it is and I accept what is without judgement, while still making changes. If I was resistant to my weight as it is now, I would be filled with frustration and self-loathing and would probably give up on my goals fairly quickly. In fact, I have done this many times in the past.

He didn’t really explain how to change the subconscious programming except to plug his own life coaching services for further help in this area. I think his ideas on acceptance are very useful and beneficial to everyday living. I highly recommend living life in a state of peaceful acceptance.

I felt very discouraged by his claim that people don’t need medication or therapy to eliminate stress, anxiety, depression, and other mental conditions in their life. He even said migraines could be eliminated immediately using the above techniques.

It scares me to think that people are advising others to go without treatments that could potentially save their lives. One thing does not work for everyone. So, please if you are reading this, be open to all possibilities when it come to mental illness treatment, because mental illness IS REAL and it may take all types of treatments to address it.

*”Mental Illness.” Merriam-Webster.com. Merriam-Webster, n.d. Web. 15 May 2018.

Rapid Cycling Bipolar Disorder: What it is and What You Can Do about it

dandelion-2817950_640

 

She said, “You’re fine and then you’re sad.  Then you’re up and then you’re depressed.  Then you’re fine and then you come back and your anxiety is out of control.  Then you’re fine again and then you’re sad.  You are a rapid cycler.”  When my doctor summed me up in that way I couldn’t help but feel deflated, almost hopeless, and at the very least, more ill than when I walked into her office.

Then I realized I’ve been dealing with this illness my whole life and the ups and downs have been such a part of my daily living that I hardly think twice about them.  To someone like her, observing from the outside with a critical eye, I must seem extremely unstable, but to me, everything feels completely normal, and believe it or not, my life does not have major disruptions due to my mood swings.

This is not to say we aren’t always trying to achieve stability because we are.  Tweaks to medication and coping skills are constantly being made.  It is a dance of fine tuning that takes the skill of a seasoned and caring specialist and the patience of a willing and compliant patient.  She said there are some people she sees with bipolar disorder who go three or four years without needing a medication adjustment.  She adjusts my medication several times a year.

According to WebMD, rapid cycling is described as having four or more episodes of mania, hypomania or depression in one year.  For many people, this is devastating and wreaks havoc on their life.  For me, it’s just another day in the life of me.

You get to the point of acceptance after living with an illness for so long and you learn that it is not going to kill you and it doesn’t have to control you either.  It doesn’t scare me anymore.  I know what I need to do to deal with my symptoms and I know that I won’t have my symptoms forever.  It is the very nature of cycling: the symptoms are constantly changing.  I think the vigilant tweaking of my medications keeps my symptoms from getting too far off-balance, so I am fortunate in that respect, but the cycling is still there.

Do you rapid cycle?  What does that look like for you and how do you cope?

As an aside, I just received news that Write into the Light was selected by Feedspot’s panelists as one of the Top 100 Bipolar Blogs on the web.  What a nice surprise!  I always thought you had to pay to be on those lists, but I was wrong. 🙂  Check out the list at https://blog.feedspot.com/bipolar_disorder_blogs/

Mental Health and Faith

For many people faith can be a wonderful aid in combating some of their mental health issues. Along with good medical and self care, prayer and spiritual meditation can go a long way in providing emotional health.

One of the most frequent commands used in the Bible is “be not afraid.” For those with anxiety disorders, faith in this directive may release people from some of their fears. The faith that all will be well in the end can sometimes be enough to get them through a moment or hour or even a day, if all other factors, such as medication and self care, are in working order.

Depression is a mood disorder that by definition brings people to a state of hopelessness. Someone with great faith may be able able to ward off the despair long enough to get help out of the depressed state before it gets dangerously bad, for faith breeds hope and hope combats depression.

It is best not to wait until you are experiencing mental illness symptoms to practice acts of faith. Engaging in daily spiritual activities will make it much easier for you to use your faith to your advantage when mental illness symptoms take hold.

Personally, I read scripture and meditate on it daily. I pray daily. I attend two different spiritual discussion groups weekly and I read spiritual books on a regular basis.

You don’t have to do a lot of things. Start off by doing one thing consistently. Even something as simple as a gratitude prayer said daily can make a huge difference on your mental health.

How does your faith affect your mental health?

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

worried-2310879_640

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.

References:
psycheducation.org/diagnosis/mixed-states/anxiety-and-bipolar-disorder/
http://www.dbsalliance.org/site/PageServer?pagename=education_brochures_bipolar_disorder_rapid_cycling

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’t.do.anything.  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.