I have bipolar disorder. I’m lucky that I’ve found the right cocktail of antidepressants and mood stabilizers that work for me. Of course, like everyone with this illness, I struggle, and I’m not immune to having episodes. But because I take my meds every day, and I practice self-care by getting enough sleep, eating healthy, exercising and avoiding triggers when possible, I’m generally stable and high-functioning.
I need to pay bills, and I require health insurance to cover medications and doctor visits. I’m not on disability, so I have to work. Like many people with bipolar disorder, I experience challenges in many aspects of my life, including my career. I have to pay close attention to my day-to-day routine, so it’s imperative that I work in a job that fits my needs.
I just read some disturbing news the other day. According to the Centers for Disease Control and Prevention (CDC), the suicide rate in the United States is at a 50-year high. If that weren’t concerning enough, I’m also seeing multiple news outlets reporting that more than half of the people who died by suicide in 2016 had no known mental health problems. The trend in reporting is attributing the dramatic rise in the suicide rate mainly to opioid addiction and overdose.
Let me preface this by saying I’m not a health care professional, so I’m not an expert. Nevertheless, as someone who struggles with mental illness, I keep asking myself the same questions. Why are so many people getting hooked on opioids? Why are so many of the people dying by suicide not known to have mental health problems? Why is the discussion around substance abuse disconnected from the discussion around mental health? Are we missing some key information here? It’s possible many of these people who died by suicide just had never been diagnosed with mental illness.
My eating disorder started in high school, but it really got into full swing after I split from my fiancé of four years in 2009. It was a rough breakup and I was devastated. I withdrew from people around me, ignored phone calls and cried constantly. I lost the spark that makes me who I am. My body felt like a balloon with the air let out, lying limp and sad on the ground. I was in a depressive episode. Everything tasted metallic and bland at the same time. I’d sit down to eat, take a few bites and lose my appetite. “Why bother eating?” I’d think to myself, “What’s the point? I just want to die.” Yep, that’s depression alright. So of course, I lost a lot of weight. My clothes got baggier, and it seemed like every other day I was buckling my belt one notch tighter.
And something strange happened. People around me began saying things like “You’re so skinny, you look different. You look so pretty!” Friends I hadn’t seen in years were asking me what my secret was, how I lost so much weight. I’ve never been overweight, but when I went from a size 8 to a size 2 I got attention like I never had. Men were flirting with me (something I’m not used to) and women were showering me with flattery.
I grew up with a bipolar dad who committed suicide when I was 24. I was diagnosed with bipolar disorder four years after he died, when my delayed reaction to his suicide triggered my first depressive episode. Before my diagnosis, I struggled with unexplained racing thoughts, impulsive behaviors, and conflicted relationships. I always knew there was something wrong with me, but I didn’t know what it was. It wasn’t until I had a psychological evaluation, underwent therapy and found the right mood-stabilizing medication that I was able to finally find peace within myself. I’m thankful to finally have an answer as to why I made so many bad decisions. Here are five reasons I’m grateful for the insight my bipolar diagnosis has given me.
- I can explain my behavior.
From sleeping with strangers to getting arrested for shoplifting, I struggled with impulsive, destructive behaviors for years. I’m not saying my bipolar disorder was an excuse, but it’s given me an explanation as to why I compulsively made so many mistakes that hurt myself and those around me.
I can’t believe I ever wanted to die. But then again, things right now are really good. Sometimes it’s hard to remember what it felt like to be so hopeless I was willing to end my own life. But that’s why the saying “suicide is a permanent solution to a temporary problem” makes so much sense. Just because one day, one week, even one year or more of your life is rough, that doesn’t mean things will be that way forever. Death is forever. And you can’t take it back.
I have bipolar disorder, which means I’m vulnerable to emotional stresses that can trigger a manic or depressive episode. My dad—who also had bipolar disorder—committed suicide in 1998. I was numb until four years after his death, when I crashed, suffering my first major depressive episode. I felt like I was encased in a black slimy ooze that slowed my mind and body. I cried constantly. Completely unable to function, I went on disability from work. My mom (who is a therapist) sent me for a psychological evaluation and after six hours of testing, I was given a nine-page document. Laid out in black and white, there it was: I was diagnosed with bipolar II disorder. I was horrified to learn I had the same disease that killed my dad. Would I end up committing suicide too? At that moment, a bipolar diagnosis seemed like a death sentence. I started seeing a therapist and a psychiatrist. I tried antipsychotics, anticonvulsants, antidepressants and mood stabilizers. The struggle for chemical equilibrium in my brain was grueling, but I finally found a cocktail of medications that helped even out the intensity of my moods.
I’m really lucky the meds I started in 2009 are still working like little champions to curb my mania and depression. Not everyone finds a drug cocktail that works. Wellburtin and Trileptal have been my saviors.
I’ve tried so many antidepressants, anticonvulsants, and antipsychotics it’s been hard to keep count.
So let me see if I can remember all the meds I’ve taken and what they did for me:
Neurontin (when I was first diagnosed with bipolar disorder).
Result: I stopped taking it because I didn’t notice a difference.
Concerta (my doctor thought I may have ADD – I was diagnosed ADD when I was a kid).
Effects: I was cracked out, like I had taken speed.
Result: Since my doctor only gave me 1 pill as a test to see if I had ADD, and I reacted the way I did, he deduced that I didn’t have ADD, so I only took that one pill, once.
INTERESTING SIDE NOTE: I’ve heard from both doctors and people who suffer from bipolar that bipolar kids are often misdiagnosed with ADD/ADHD.
Result: Stopped taking it under my doctor’s supervision because it did literally nothing.
Effects: It just made me really sedated and sleepy, and I gained fifteen pounds. I can’t put up with weight gain. I get so upset that I’ve gained weight (hello lifelong eating disorder) that I just refuse to take the meds. It helped my mania a teeny tiny bit but not enough to make me OK with gaining fifteen pounds.
Result: Stopped taking it under my doctor’s supervision.
Effects: I was suuuuuuuppppppeerrrr slow and sedated on it and I gained weight. So nope.
Result: Only took it for 2 weeks and then stopped on my own.
Photo by Thomas Iannaccone/Penske Media/REX/Shutterstock (6908974a)
Designer Kate Spade with a handbag of her own design on March 13, 1998 in New York
It’s such a terrible tragedy that we’ve lost Kate Spade. I was driving with NPR on and the moment I heard she’d committed suicide, my first thought was (and I even said aloud) “I’ll bet she had bipolar disorder.” I do that a lot, and too often, I’m right. Robin Williams, Anthony Bourdain, and far too many more that you and I don’t hear about on the news because they’re not mega-famous. As someone who struggles with bipolar, I was deeply affected by Kate Spade’s death.
Sometimes I feel like people only love me when I’m hypomanic.
And it’s hard for them to love me when i’m depressed.
When I’m hypomanic, I’m:
An incredible extrovert
But when I’m depressed, all of the above is either terribly muffled, or else completely gone.