As I wrote last time, I consider about 95% of the time we spend feeling guilty wasted time. I have suggested that guilt does no one any good and instead of sitting around feeling guilty, we should try to make amends for whatever it is about which we feel guilty. But how does one make amends?

Guilt – noun – a feeling of responsibility or remorse for some offense, crime, wrong, etc., whether real or imagined. And people with a mental illness feel guilt over a lot of things. I hear from people every day who feel guilty about their illness, what they’ve done, what they haven’t done and how their mental illness and their behaviors due to it affect others (Feeling Guilty Because You Have a Mental Illness). But mostly I consider guilt a waste of time in mental illness recovery.

I recently returned from a trip to Chicago. I was at the National Council’s Conference on Addiction and Behavioral Health. I had a great time and met lots of great people (including our own Randye Kaye, author of Mental Illness in the Family here at HealthyPlace). But the conference was in Chicago, and while a great city, it did mean a day’s worth of travel and two time zone changes to get there. And travel has been known to really take it out of me. But I have learned tips for navigating travel with less disruption to my bipolar disorder.

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 am single. I have been single for a long time, actually. It’s OK; I don’t mind it that way. I have my dalliances, I have my friends and I have my cats. It’s a touch stereotypical, but it’s my life. I have, however, fallen victim to an irrational line of thought from time to time – I really want to couple. Some of this desire is completely rational. It’s normal to want to spend Sundays in bed with someone and have someone to share orange juice with in the mornings. What isn’t rational, though, is the idea that a relationship will make me “happy,” will make me “better.” In times when bipolar feels it’s darkest, more than anything I just want someone to hold onto even if holding onto someone doesn’t work. Holding onto someone, however special, will not cure bipolar disorder.

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?

For a long time I didn’t wear sandals. No, not because I don’t like them or because my toes have an aversion to open air but because of the scars on my ankles – that’s where I used to cut. My ankles looked like there were pink, wriggly worms embedded in them. And I was scared that everyone would see them and know what happened, know what I did. I figured people would take one look at me (zero in on my ankles for some reason) and then judge me as being a freak and a lunatic and I would be ostracized from normal, human interaction. That was a bit of an overreaction on my part driven by the shame of self-harming in the first place. I’ve gotten over it.

Last week, I wrote a post about stress possibly leading to self-harm. Here, I discuss the fact that really, it's the anxiety that lives between the stress and the self-harm of which you may want to take note.

People self-harm for many different reasons and self-harm in and of itself is not a symptom of bipolar disorder. But like many people with extreme pain in their lives, many people with bipolar disorder do self-harm. I have been one of them. And as sure as I’m sitting here I can tell you, stress precipitated most of the self-harm.

This was a question recently asked of me, “can people with a mental illness, like bipolar disorder, live alone?” The answer to me was obvious – yes! Absolutely. Of course a person, even with a serious mental illness, can live alone. But then I thought about it for a moment and maybe it’s not that simple. Maybe there are some tools that facilitate living on your own.