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This topic is close to my heart...or, rather, high on my level of irritation. Diagnosed with bipolar disorder at the age of twelve, I have seen my share of psychiatrists, psychologists, social workers---I am missing a few people, er, professionals. The list is extensive. Some of us are blessed to be working with a wonderful mental health team right of the bat. Diagnosed with a mental illness? This is your new psychiatrist, he or she will make you well, provided you put the work in! My experience has been quite the opposite--a bit more complicated. Contradictions in Diagnosis
The holidays can bring a lot of stress to people, and there may be an increase in triggers for those in recovery. There are a lot of articles and stories about how to stay present, and mindful of recovery throughout the season. I think it is important to continue to remind people to embrace a perspective of gratitude for all the joys we have in our lives. It isn't only a necessary recovery tool, but important for all areas of our life when we feel overwhelmed or stressed.
Let’s admit it: family dynamics can be huge triggers for those of us with mental illness. Social support can be great, and we all need to know that we have people in our corner when things get bad. However, families are often the breeding ground for the very emotions that make our illnesses harder to manage. So, how do you prevent Aunt Margaret and Uncle Joe from sending you from the living room couch to the therapists’ couch?
It has been said that - an expectation is a preplanned resentment – and since the holiday season is built upon wave after wave of rosy, grandiose expectations it is reasonable to imagine that an avalanche of resentments ready to sleigh you cannot be far behind. This is particularly true for those of us who every day unwrap that most bizarre of all gifts, commonly referred to as mental illness. As ever, your friends at Funny In The Head are here to help.
Yesterday, I met with the "team" to discuss an IEP for Bob (my 4th-grade son, diagnosed with bipolar disorder and ADHD). Apparently, the team has met before--without yours, truly--as I discovered a couple of weeks ago when I emailed the principal asking whether we were going to meet before or after Bob's teacher returns from maternity leave. The return email I received from the school psychologist indicated no meeting had ever been held, but Bob's ineligibility for services via IEP had already been determined and we could meet to discuss a 504 plan.
All too often women are presented with the black/white thought that they can be either 'good', or get what they want. Not true! First, what do we mean by 'good'? Every girl grows up learning what this means in her family, school, and eventually professional life. Whatever your definition, whatever 'the rules' are for you, they're probably more flexible than you imagine. Even if you experience anxiety (really). Second, strength isn't being tough on yourself
How she got a job on our unit, I'll never know. When I was a patient on the borderline personality disorder (BPD) unit at Larue D. Carter Memorial Hospital in Indianapolis, we had a patient-led group. Staff stayed out of this group; it was strictly for us. L (name withheld) didn't care. She came into the group, and when we protested, accused us of "plotting against staff" and said we needed to "respect my authority." This was not going to end happily.
Last week we talked about five of the top things that we learned about mental illness last year: Statistics on Prevalence of Bipolar Disorder How often is Bipolar Diagnosis Mistaken for Depression? Predictor of Bipolar Treatment Success Antimanic Treatment Efficacy - Drugs Compared Are Two Antidepressants Better Than One? Today we will discuss 6-10 in part two of this article.
Let me stress this: Do Not Self-Medicate Mental Illness. This is obvious, right? It should be simple. Why make things more complicated? Being diagnosed with mental illness is crazy enough, so why do a large portion of people, statistically, abuse drugs and alcohol? I'm human and sometimes I hurt. Just like you do. A few years ago: I have not slept in three days, maybe four. Sheets hang on my windows. The light stings my dilated eyes. I wince, even among the relative darkness I have created. I have not eaten in days; I drink water tainted with vitamins hoping that's enough.It's been days of drugs and of alcohol. I am surprised I have not died yet. For many years, that was my life. That was my way of dealing with the diagnosis. I hid behind drugs and alcohol because, in my mind, I would rather be an addict and alcoholic than to be bipolar.
I come home from the drugstore with a bagful of meds - for me this time.  With threatening bronchitis and a theatre show to do in two days, I must take care of this cough and cold, and nature is just not cutting it alone this time. Ben watches me unpack my goodies - four prescriptions in all - and line them up on the counter. This is a familiar sight, one we create every morning and evening when Ben stays with us.  The rule? We supervise him as he takes them, and for 15 minutes afterward. No judgment, no explanations, no trying to "convince" him that he needs the meds.(More info on psychiatric medications here) It is, simply, the rule. So far, so good. One lesson I've learned while parenting Ben from toddlerhood on, is that explanations often lead to loopholes he tries to widen and leap through. We are getting along so well these days. Much of it has to do with Ben's self-esteem having returned to his "baseline functionality" after this summer's relapse. So, I feel comfortable enough to start the following exchange:

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Claire
Good heavens, we may have been friends with the same person. I befriended a woman about 3 years ago when we first moved to this new town. At first, I thought she was sophisticated and well-bread, but the incessant complaining, finding fault, nitpicking, promising to appear somewhere and then cancel due to a myriad of issues; headaches, sleeplessness, mood, anxiety, and other issues....Every social media post is cryptic and always a put-down of the food, the area she lives in, and people in general. I finally had it after she said she needed medical insurance as a retiree and wanted a part-time gig with insurance benefits. She gets the interview, then rants that they didn't call her back ASAP to start onboarding. Then she onboards and is eligible for insurance in 30 days. She simply fails to return to the job. No call. No text. No email, nothing. Worst of all, my husband works there and the upper management barbed him on the new hire and her no-show, no call, no communication. I asked her what happened. She states, "Nope. not for me. too many red flags." "I" 'm just going to focus on my dogs and my weight." I wanted to throw my phone across the room, I was so outraged. She literally couldn't care less how this action affected us. We look like a fool for giving her praises to the management team... I have since just stopped liking her posts or commenting. She used to attend our bible study on Wednesdays and claimed to like it. Now, she is no-show completely. I finally just had it. No more communication with her and life is better. I don't often give up on ppl but once I see where they're heading, it's just a no-win for either party. It's been a little over 3-4 weeks now and I feel just plain better to be away from it. No guilt on my end. I tried, but I am not going to drain my life energy for this person.
Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!