What About Counseling Works?

Have you ever been to counseling? Did it help? I have been many times and it has helped many times and other times it has not.

I don’t know if it is where I was at or where the counselor was at, but the times it didn’t work were in particular with this one therapist who didn’t seem too confident in herself. Quite frankly, she looked like a deer in headlights which surprised me because she was an older lady so I assumed she had years of experience, but who knows, maybe she was a recent graduate.

On the other hand, I was pretty sick at the time. My symptoms were out of control with much hypomania and anxiety going on, so many of her tactics flew in one ear and right out the other. It was probably more of a “it’s me not you” thing going on.

The times that therapy works, however, oh those glorious times…like today. I went in there wound tight as a watch and left walking a little taller, out into a world that seemed a lot brighter than when I went in.

My good therapist, rephrasing my feelings back to me, validating my emotions, asking insightful questions and providing practical and logical feedback. What a grand lady!

Tell me, has counseling ever helped you?

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Mental Health Blogging is Cool

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I have been blogging here for eight years now. I have written a lot of posts I am proud of and some that are so-so like the medical research ones.  I say the are so-so because they are kind of fillers for the times I was taking a break from writing anything of personal substance because I became super paranoid that people in my real life were reading my blog and I didn’t feel like I could be as candid as a result.

My two most popular posts year after year are How to Deal With Complex PTSD Triggers and Are People with Bipolar Disorder Lazy?

My highest traffic years brought over 11,000 views and 9,200 unique visitors, which I know many people see in a month’s time, but for me this was good.

My subscriber count is just shy of 800 people. I have super slacked off on reaching out to other bloggers over the last few years and I took a year off from Facebook which hurt my page engagement, of course.

I’ve been back on Facebook for about six months now and things are finally starting to pick back up. It’s nice to finally know my messages of encouragement and hope are reaching more people again.

I’m fairly active on Twitter where people are really encouraging and friendly. I always enjoy sharing there.

I hope you find my blog useful and share its posts on social media and say, hi, and follow me on social media, too. I love to connect with other people and share ideas and thoughts.

Am I My Illness?

I’ve started this place on my phone where I keep blog post ideas and rough drafts because I have so many bits and pieces of information flying through my head at one time that I get completely overwhelmed at the thought of sitting down and writing something out.

I attribute these rapid thoughts to my anxiety disorder or to possible depressive symptoms such as the inability to focus or concentrate long enough to organize disjointed ideas into a single theme.

Then I get to thinking, is this it? Is everything always because of my mental illnesses? Is my difficulty writing or remembering or socializing or driving or losing weight or parenting or making friends all due to mental illness? How do I distinguish that which is part of my personality from that which is my illness? Are they one in the same?

I’m not going to pretend to have the answer and quite honestly this is not a rhetorical question. I would love for some feedback here because I have read on numerous occasions well-meaning memes that state “you are not your illness” when I think sometimes maybe I am.

Because I Journal…

I’ve been closely tracking my moods for the past four months because I slipped into a depressive episode back in August of this year. I keep an online journal that is password protected so that I am sure it is for my eyes only. This allows me to be as candid as I want to be, which I find to be extremely therapeutic.

I typically write in my journal every other week or so, making note of my mood or state of mind and writing all about what is going on in my life with regard to myself and others and my feelings and thoughts regarding all of these things. I also write about my hopes and fears and goals as they come to mind in random ways.

It has been a rough couple of months as looking back on my journal entries will reveal, peaking with a practice-go at writing a suicide note. I didn’t plan on writing one, but I got to writing about all of the hard things I’ve been through in my life and it just kind of turned into one. Then the weirdest thing happened: the next day I felt great and my mood has steadily improved since then. It’s like I just had to get the bad thoughts out of my head and on to the paper for them to no longer have power over me. I can’t say that it will work for you like this, but for me, it just does sometimes.

I am going on two weeks of an upswing in my mood and I’m real happy that things don’t seem so bad these days. They’re not wonderful, but they’re not unbearable like before, and you can bet I am writing praises about that!

Possible New Treatment for Depression

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Researchers have recently found a way to measure neural signals across regions of the brain that decode patterns that represent a person’s current mood. They did this by using the intracranial electrodes already inserted in seven patients who have epileptic seizures. They tracked brain signals across the electrodes and asked the patients to report mood symptoms. From this they developed a decoder that will predict mood variations over time based on brain signals.

Their hope is that from these findings a closed loop system can be developed to treat individuals with depression and anxiety who are treatment resistant to SSRIs, other medications, and standard therapies. This closed loop system would in theory be able to stimulate the appropriate neural regions of the brain needed to affect mood in a positive way in real time.

They think this decoding technology could even be useful for other conditions that are not localized to one area of the brain and are spread out through various regions like depression and anxiety are. Some examples include chronic pain, addiction, and post-traumatic stress disorder.

Source:  University of Southern California. “Breakthrough brain research could yield new treatments for depression.” ScienceDaily. ScienceDaily, 10 September 2018.

Those With Depression Have Larger Hypothalamus

New research shows those with depression have a five percent larger hypothalamus than those who don’t have the illness.

The hypothalamic-pituitary-adrenal axis (HPA axis), is the system that responds when we are under stress by releasing cortisol into the body, giving us more energy to react to a challenge, and then returning the body to its natural state when the stressor has been removed.

In those with mental illness, the HPA axis is dysfunctional and releases cortisol even when no real stressor is present due to the over activity of the hypothalamus. It is unclear whether the increased hypothalamus activity is leading to its increased size or not.

Regardless, the larger size could explain the increased levels of cortisol and the periods of tension often experienced by those with depression.

Source: Max Planck Institute for Human Cognitive and Brain Sciences. “In depression the brain region for stress control is larger.” ScienceDaily. ScienceDaily, 20 September 2018.

https://www.sciencedaily.com/releases/2018/09/180920115531.htm

Why I Never Get Used to Being Stable as a Person with Rapid Cycling Bipolar Disorder

Not barely one month ago I wrote here about my mental illness, and praised the universe for my glorious period of stability.  Months of relative non-dramatic and chaos and anxiety-free days left me to do as I pleased with family and friends; with hobbies and productive work.  I even made money doing something I absolutely love to do!  ME!  Someone on disability, making a dime doing a creative job for people that I would be doing anyway on my own.  It was a dream come true this summer, I tell you, a dream come true!  And then IT happened.

One day, all of a sudden, I dreaded the next paid gig that I was so eager to do just weeks prior.  The thought of having to do it; of being obligated to do it now weighed so heavily on me I started feeling panicky.  I was overwhelmed at the thought of all it entailed and so, so unmotivated to go through with it.  All I wanted to do was crawl into a hole and hide for the next … well, indefinitely.  I couldn’t focus on the amount of steps the whole job called for and I especially couldn’t cope with the social interactions it forced me to have.

Then two weeks later, the kids went back to school and things only got worse from there.  My depression plummeted to another level as I spent every day at home alone in bed with no purpose other than to get up when they came home seven hours later.  I came across this awesome mental health pain scale put out there by Rori, the Graceful Patient, and thought, “By God, I am already at a solid 6 going on a 7 here, and I was a fricking 1 five weeks ago!”

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As an aside, before my stable period this summer, I was in a mild depression for several months through the end of spring.  This is me.  This is the life of rapid cycling bipolar disorder.  It is not pretty or fun or predictable.  Although, many times the depression does coincide with transitional events like the kids starting school in the fall and ending the school year in the spring, so there is some predictability in that sense.  But, for the most part it is riding a mood wave that ebbs and flows over the course of weeks or months, sometimes even days when it gets really ugly.

So, here I am, turning to the thing I always turn to when I start to feel crazy: writing.  I get into that darkness and I write myself out (i.e, “write into the light” = this blog’s name.)  I also went and saw my doctor, of course, and told her what was going on.  So, I’m starting yet another new med this week.

I have been on so many medications I couldn’t even name them all.  No joke!  I seriously wouldn’t remember all of them that I’ve tried over the last 17 years.  I do know we make changes or adjustments at least a couple of times a year due to my rapid cycling.  She told me one time she has some patients with bipolar that go years without a med adjustment but not me and my rapid cycles.  I’m what they call “hypersensitive”…to people, to meds, to situations, to changes, to seasons, to temperature, to noise, to lights, crowds, to smells.  I also fall under the description of an “empath” as well, which explains a lot of my ills after being around certain people and large crowds.  It also explains my excellent intuition.

All of this just makes me realize this whole mood disorder, sensory system, personality thing is very complicated and intertwined.  Who’s to say what one thing is and what’s another or where one thing begins and another ends?  People are complex.  Don’t judge or compartmentalize, if you can help it.  We are all so much more than our labels.  Kind of makes me want to retitle my post.  But, for Google’s sake I won’t.  Google search likes labels. 🙂

Do you or anyone you know experience rapid cycling moods?  How do you cope with it?  What helps you manage?