In one year I write over 100 blog articles for Breaking Bipolar. I’m honoured to say that many people have responded to this writing and it has spawned many great conversations. Popular topics this year ranged from self-harm to passing down of bipolar to your kids to the understanding of mental illness. Check out these popular articles you might have missed.

As happens from time to time, I recently received feedback from someone who was not a fan. Anonymous's remarks included: …The way you go about it, you’d suggest that anyone with bipolar or any kind of mental illness shouldn’t lead a full life. Let me be clear. You can lead a full life. Anyone can. What I recommend is calibrating your definition of “full” to allow for a mental illness.

A commenter recently asked about how to handle New Year’s Eve celebrations with bipolar disorder. Basically, she was concerned because her husband wanted to celebrate New Year’s but she would rather sleep through it to keep her bipolar in check. So the question is, what do you do if you’re feeling pressured into celebrations?

In my last article I wrote about creating reasonable expectations for the holidays and how that can help your mental health. Today, I want to talk about the stress of holidays with family. Now, don’t get me wrong, family can be great, but more often than not, holidays cause a gathering of family members you both gel with and those you don’t and I hear from a lot of people that they hate such family gatherings. But why? Are family gatherings worse for people with a mental illness?

I believe the holidays hit everyone. Sometimes that hit is very positive, sometimes it’s really negative, but I think that hit is real and pretty universal. If it’s not parents, it’s siblings, if isn’t not kids it’s money, if it’s not partners it’s the planning of perfection. In short, there’s something for everyone to be stressed about at this time of year. For me, personally, I can’t count the number of times I would leave my family and cry and sob for hours as I drove home. Holidays have never really hit me positively. And as I’ve said before, even if you’re lucky enough to get a positive kick from the holidays, even good times can lead to bad health. But knowing the hit is coming, is there anything we can do to soften it?

It’s the holidays. Some people love them, some people hate them, but as a general rule, it’s tougher for people with undertreated mental illness than for others. For people battling with the symptoms of bipolar disorder, holidays and hope may be the last thing on their mind. But, believe it or not, while the rest of the world glistens and twinkles, you too can find things to be hopeful about and things to feel grateful for, even if you happen to be in a black pit bipolar-wise.

As I’ve mentioned, recently I’ve started volunteering for a local bipolar organization and what I do is give presentations to others. One part of the presentation is my “bipolar story.” It’s the story of my life before diagnosis, the process of treatment and whatnot. It’s long and, well, not that happy. But one of the things that stands out is that treatments have turned me around, but then they stopped working and new treatments had to be found. And these new treatments were extremely hard to find. In fact, successful treatments have been found through guessing as often as through any type of clinical judgement. And there’s a reason for this: bipolar disorder and bipolar disorder treatment are moving targets and our responses have to move with them.

One of the problems with psychotherapy (and, keep in mind, I like psychotherapy) is that psychotherapists try to look for a cause for every emotion. And this seems reasonable. Or at least it does, to a person without a mental illness.

For many years, the psychiatric community has known that therapy plus medication is more effective than either mental illness treatment alone. It all depends on the specific therapy, medication and person, but that’s, generally, the rule. But the question is, if you’re being a good patient and you’re working your therapy and taking your psychiatric medications as you should, how do you know which one is causing positive results?

One of the things that is so debilitating about a chronic, long-term mental illness is that it is so relentless. Day in and day out you face the challenges it brings. On your birthday, it’s there. On Christmas, it’s there. On Arbor Day, it’s there. And no matter how you’re feeling and what’s happening in your life, you have to deal with it. Mental illness isn’t the kind of thing that you can push “pause” on. Mental illness doesn’t wait for later. Mental illness is like a 2-year-old. It wants you now, now, now, now and if it can’t have you, then heck hath no fury like a two-year-old ignored. But I swear, I could be a better crazy person if I could just get a break once in a while. If I could just get all the nuttiness in my head to shut up for a while I swear I could get on with things like work, and taxes and cleaning and the gym. But the nuttiness in my head will not be quelled and this, I think, is one of the hardest things about mental illness.