Treatment for bipolar can be a beast. You try medication after medication after therapy after cocktail after doctor and so on. It’s exhausting. And at some point you stop. You just stop. Maybe some of your symptoms are controlled but not others. Maybe your symptoms are only partially controlled. Maybe you’re just too tired to fill another prescription. I understand, really. And this stopping can persist for weeks, months or even years. But the thing is, if you change nothing, then nothing will ever change.

Hi. My name is Natasha and I have bipolar disorder. In fact, I have had bipolar disorder for at least 14 years. And many of those years I spent not really getting better. Much to the chagrin of the doctors and those around me. After all, if I was taking pills, seeing a psychiatrist and psychologist, shouldn’t my wellness be just around the corner? Sometimes I felt pressured to just say “yes, I’m feeling better,” when that wasn’t the truth of the matter at all.

Stigma is something that can be seen outwardly like when a family member avoids you due to your depression or  you’re passed over for a promotion because your coworkers discovered you’re diagnosed with schizophrenia. It’s also seen in public perceptions as noted in the Surgeon’s General report where 60% of people felt like people with schizophrenia behaved violently. But the biggest danger of mental health stigma is when it’s felt inwardly. Because no matter how unfairly people treat you ourwardly, it’s nothing compared to the effects of feeling the stigma inside.

I’m sitting on my red, plush couch in my living room and I have started crying. Tears well in my eyes at first while I try to convince them not to roll down my face and splash the back of my glasses. As usual, the tears don’t listen and soon my cheeks and lips and chin are wet with saline. I take off my glasses and put them on the wenge coffee table and my head falls into my hands. Loud crying now, choking sobs wrack my body as I feel the pain of illness that I had been pushing away for so long beat me once again. And I wonder – will it get better?

My last post was about accepting the limitations that having a mental illness puts on us. The examples I used in that article were: Not watching upsetting movies Maintaining a strict bedtime (not staying out late) Not watching / reading the news These are three of things I do to maintain stability. As commenter Mary Ann stated, these limitations might be considered enduring the illness rather than suffering per se. But I say tomato, tomahto. But regardless, these limitations are self-imposed and the rules they bring about are there to keep me safe. In response to a commenter’s question, here are a few more rules I obey:

I met a beautiful young creature. I then flirted with said creature, as is my habit. Eventually, she asked me a question about local politics. A perfection reasonable question, one assumes. There was just one problem, I don’t know anything about local politics. This is because I refuse to watch the news as I find it depressing and I told her so. She said she understood. Then we planned to go out to a movie. She asked me to pick the film. I picked one of the action-suspense genre as then there was no chance of me becoming emotionally activated by a stupid movie. Nope, no romantic movies on a date with me. And then we discussed the showing to see. I have to see the early show because I turn into a pumpkin at 9:00 PM. And really, I prefer to see matinees because they disrupt my sleep cycle less which disrupts my bipolar less. Poor girl, she had no idea what her flirtation had waded her into.

Happy new year to everyone. Thanks to all for joining me for a wonderful year of information, interaction and debate. I have learned a lot and I hope you have too. But in case you missed it, here are the top ten articles people were reading from Breaking Bipolar last year:

A little while back I went through an amazing phase of remission. I started a new medication and it worked like magic in a very short period of time. In short, it was a miracle. At the beginning, I kept the miracle to myself. Others noticed I had changed but no one said anything and neither did I. But eventually, a few weeks passed and I just had to tell people how great I felt. I thought I was "safe." I thought the remission would be around for a while. I thought I would be able to announce the good news and then not disappoint people when the treatment stopped working. I, of course, was wrong. As fast as the remission came, it left. And I couldn't get it back. It felt like I was being punished about being happy about, well, being happy.

So, interesting thing. Mental illness has a tendency to run roughshod through a person's life. Everything in life goes by the wayside to make room for the unbearable being of crazy. You know you're alive because you're in pain. And then, against all odds, or at the very least against some odds, you start to feel better. It's a miracle. Breath and life and oxygen and delight fill the lungs. Suddenly life is easy. Cupboards get organized, relationships get mended and Work Gets Done. Life is Good. Why, then, is it so freakin' scary?

Today I read another article on a reasonable person's assertion psychiatric medication doesn't work. The evidence is thin, they say, and the studies don't always show a meaning difference between the drug and the placebo. According to them, everyone with a mental illness doing better on psych meds is experiencing the placebo effect. OK, so let's look at this for a minute.