This week is a week of celebration for many. But sometimes, when you have bipolar disorder, particularly if you’re not doing well, it can seem like there’s nothing about life to celebrate. Well, I beg to disagree. Even though you might be in the midst of a major depression or a mania, there are still things to celebrate – even if you have bipolar disorder.
Impact of Bipolar
I have spent a great many years with this bipolar disorder thing. I have spent a great many years dealing with it. I have spent a great many years suffering with it. I have spent a great many years with medication unsuccessfully controlling it. I have spent a great many years in pain.
And when in an episode, for me it’s a depressive episode, I just want to know, “how many days until I get better? How many more days do I have to live in this agony?”
How many times of you heard, "oh, you can't date her, she has bipolar disorder." Well, okay, you might not have heard it, but many of us have been on the business end of that idea. People have advised others never to date us because we have bipolar disorder. In this video I talk about the stigma of dating someone with bipolar disorder and how it's just prejudice that produces statements like the above.
As I mentioned, I recently took a trip east to see some family. In addition to 5-hour plane rides and meeting a long series of people I didn’t know, there was also the three hour time change to contend with. In other words, there was a lot of things that could, and did, mess with my bipolar.
Now, like many people, I’m quite good at handling stressors in the moment. I can travel and meet and charm with the best of them and I can say it mostly went very well. The trouble, though, is upon return. Upon return I feel like I’ve been hit by a bloody truck and act pretty much the same way.
People with bipolar disorder, regardless of medication, are, on average, heavier than the average person. This is likely due to sedentary lifestyles and poor dietary choices due, in part, to reduced income. I suspect it’s also because of untreated and undertreated people exhibiting major depression and never getting off the couch (something I know a lot about).
But then, of course, there are the side effects from medication and one of the big ones that effects people drastically is weight gain. Antipsychotics, in particular, can make a person put on a lot of weight and fast. (Tip: the antipsychotic that was newly approved in bipolar disorder, lurasidone, has been shown to be weight-neutral.)
And while many people work very hard to try to lose it, the fact of the matter is, most can’t. Losing weight is something that is tough in the average population let alone in a medicated one. So sometimes, acceptance is the only answer.
I’m useless in the afternoon. My functional, working hours are extremely limited. And this is thanks to my bipolar disorder. It’s like every character I type and every minute that goes by zaps just a little bit more of me until, by mid-day, there’s nothing left.
This is hugely disheartening. I want to be like everyone else. In fact, I want to be like me a few years ago – me when I worked a full day – like everyone else.
But the fact of the matter is, I’m not like everyone else in this regard. In this regard I’m limited. In this regard I’m disabled.
Many of us know a person who has suffered a bad bipolar outcome. Perhaps the person has lost their friends and family because of bipolar. Perhaps the person lost their job because of their bipolar moods. Perhaps the person became so unwell they ended up on the street. Perhaps the person was driven to suicide.
Those are all very scary and worrying outcomes from a mental illness and, the trouble is, they’re real. I can’t take away your fear and worry by telling you that these things don’t happen because that would be a lie. These things do happen, every day.
But that doesn’t mean that there aren’t things you can do to fight the fear and worry that surrounds bipolar disorder.
I’ve been working on coming up with mission and vision statements for a charity I work with, and one of the things that a fellow board member said was that we want to end self-discrimination. I thought this was quite brilliant, and, of course, quite true. One of the things people with a mental illness face isn’t just discrimination from others but discrimination and stigma from themselves. And if we want to fight discrimination and stigma in the world, this begins by looking in the mirror.
Being sick, I think with anything, can be extremely isolating. Being sick, you’re not “like everyone else.” Be it cancer, HIV, diabetes or bipolar disorder, there is a moment when you realize that you’re different and that difference is isolating.
This is a form of internal isolation. But, of course, isolation can be external every bit as much as it can be internal. And sadly, most people with bipolar disorder experience heaps of both.
Many people with bipolar disorder hold down jobs, just like everyone else. We get up, swear in traffic, survive on coffee and rant about our bosses behind their backs.
But people with bipolar disorder or another mental illness have special challenges when it comes to work. We’re sick more often, we need time off for medical appointments and stress affects us more than your average person. Here are a few tips on handling work and bipolar disorder.