Staying Steady (again)

If you have been flowing my blog throughout the last year please forgive me for recycling this post, but I thought it was perfect for my "Treatment Month" posts. Here is my treatment plan, and my ways of staying stable:

Whenever I speak to a large group of people about being bipolar, they always want to know about my coping strategies. They want to know what I do when my life is going a little too fast, or when I am moving too slow to get help. They want to know, how I get through each day, month, year and remain safe, stable, and happy. I feel that though my strategies are based on my individual personality, most of them are rather universal. So, here is a list of the things that help me get through life relatively smoothly, for now anyways...

A Support Network

I can't move forward without some form of support network. (Actually, I could if I had to, but they sure make life a hell of a lot easier.) My family has fought long and hard to help me get the treatment, doctors, medication, and education I need both to help me cope with my first onset of bipolar, and my life today. They were always there to stand with me, even when I may not have wanted them there. On that note, my doctors, counselors, and psychiatrists have also all been amazing sources of stability. They are my solid ground when my life begins to sway, shake, or completely break to pieces. My boyfriend has also been an amazingly huge influence on my life. He has been through my rougher times and was the one to help me move from an extremely harmful lifestyle to one where I feel comfortable not drinking, doing drugs, or constantly partying. I also have amazing friends that sat with me in the worst of days. Wonderful ex-boyfriends, old roommates/best-friends and adopted sisters always make life much easier to swallow.

Lifestyle

For me this was one of the hardest choices. If you ask most 18-21 year olds what they do on the weekends, especially those in a college or dorm setting, they will tell you that they drink. They go to parties. They go to bars. And I was just your average 18-21 year old, minus the fact that I was bipolar. I was a little more than affected by the late nights, the excessive drinking, and the drugs. I was stuck in a cycle where all of my friends drank, and all of my coping mechanisms involved putting my mind in an altered state. In the first years of my diagnosis I didn't want to think about how awful I felt. I wanted to be "normal." I wanted a quick distraction. I wanted to be everything I envisioned a "bipolar" person being: a mess. It took a lot of work, a lot of self talks, good friends, and eventually some pretty scary moods swings to get me to move into the healthy lifestyle I live now. It would also have never happened without fate leading me to good friends who lived healthy lifestyles. Good friends who had been through pain, substance abuse, and eventually the decision to get straight. Good friends who inspired me to change my ways. It is also amazing that one of these good friends has become an amazing boyfriend and best friend.

Today my lifestyle has included sleeping well, eating well, meditating, flossing, running, yoga, reading, music, volunteering, and lots and lots of writing. I try to allow myself time to do the things that I know make me happy. These also happen to be the things that make my previous life of parties and anger seem like such a waste of time and energy.

Skills Training

Now, this is something I think about a lot,  but it has also been a big conflict within me. When I began skills training with a counselor  in high school she used to tell me things like, "look at yourself in the mirror and say, I am beautiful..." and I used to leave and swear that I would never go back to an appointment with her again. But I did, and every time she used to say some other cheesy skill I should use to make myself feel better. The next counselor I went to used to tell me to look in "my boxes." And I would again leave feeling angry and skeptical and decide I never wanted to see her again. It took me years to get to the point where I found a counselor I trusted enough to tell them that I hated those homework assignment kinds of exercises. I told her that I didn't want to be counseled by Oprah. I didn't want to be told to be kind to myself, unless it was hidden in something else she was saying. It was through my true honesty about my treatment that I began to actually use some of the advice I received from my counselors. Today I have developed a group of core skills that help me get through the rough patches in life. It was only through the skill of my counselors and the trust I eventually developed that I began to find life skills that worked for me, (that weren't cheesy or what I thought of as stupid.)

Counseling

This has been a huge art of my treatment, and now that I am stable, one of the most important. Because I talked about it in the previous section I simply want to say that I think everyone should see a counselor. It is so important to have someone who is not only trained to listen and respond appropriately, but who is not emotionally involved in your thoughts, feelings, or problems. I love my counselor very much because she has taught me how to begin to help myself, be nice to myself, and how to move forward after experiencing so much pain.

Medication

This was a hard one for me. I am not always a fan of medication. It has not always had the best effect on me and at two different moments it literally almost killed me. Now, I am a girl that likes my body to be healthy and natural, I don't want a bunch of chemicals deciding what mood I am in, but after two hospitalizations I have come to terms with the fact that medication isn't always bad. Today I am on Lamictal, Trileptal, and Lithium. It has taken me about 13 medications to get to three that work for me, and I have now been on these for about three years. I am on medication now because I know that I am not ready to be off of it. Even though I have changed my lifestyle and have become much healthier I am still not an expert on my body or my illness. I am still not aware of the natural ways to get out of a paralyzing depression or an extreme case of mania. And until I know that I am ready and able to use my new skills to get me to a safe place I will stay on medication. It is a slow process and I have only been diagnosed for five years. One thing I do know however, is that I will not be on medication forever. I will get to the point where I am aware and educated enough in my body and mind that I will feel comfortable being off medication. Someday I may want to travel to a third world country to save children, or someday I may want to have children of my own. If these things happen, I want to be free of medication. I do want to find a natural way to deal with my minds many states, but for now, I will continue my self-education from the safe place of medication.

These are just a few of the things I think about everyday when it comes to my health in my body and mind. I hope this is insightful, if not helpful, and please realize that each person's treatment plan and coping skills are different based on their own needs and understandings of the world.

(The picture in blue was taken by Ms. Morgan Minear at the MOMA while we were watching a video installation)

Treatment

Creation and the Lamictal High

Sleepwalkers

-Barbara Einzig-

The moon rises, a vengeance on anguish,

on my own arrogant privacy.

The hands of sleepwalkers,

of their own accord, rise, follow.

The ponderability of daily fatigue-

on wings consciousness runs wild,

transparent creations are flying,

they've heard the reflection of the moon.

It flickers cold, stingy,

not promising anything,

draws out of me distant art,

demands my agreement.

Can the torture and charm of its omens

be fought down, overcome,

can I make out of moonlight

a heavy, tangible object?

Having taken my pills, (a very high dosage of Lamictal, trileptal, and a normal dose of bcp,) and settled myself down to bed, I did the things I normally try to do to calm myself down after another day of breathing, I meditated and read a poem. This day was especially difficult because I was attempting to recover from a horrible cold, and I was also extremely worn down after having been at school for like 12 hours. So, as I was meditating my mind wasn't really slowing down, but instead fluttering more and more. When I finally stopped after about twenty minutes I realized that I should have taken my medicine until after the meditation process because I was really loopy and felt as though I had just had a night of heavy drinking. It was in this mix of exhaustion, frustration, and lack of mind coordination that I began having an amazing drive towards creativity and some form of inspiration. This however was not working out because I could hardly pull myself out of bed let alone make sense, so I went on with the night process and opened my current poetry book to a random page where I found none other then Ms. Einzig's Sleepwalkers.

Now, I don't know if I was just really loopy and read it one way and can never read it differently again, but all I can think about is creativity and inspiration, and how they always seem to come when I can't handle them, or can't do much of anything with them. I read it thinking "can I make out of moonlight a heavy, tangible object?" I was thinking why, why does creativity come when you don't want it? When all you want to do is go to sleep after a really freaking long day, or when all you are allowed to do is the never ending pile of work before you? I feel like it goes by the same rules as finding a lover: people whine and complain and go out to bars trying to pick someone up, but everybody knows that as soon as you stop looking you'll find them. Bam. Here's the perfect man you've been looking for. I suppose I could go even further and say that when I really didn't want a boyfriend I happened to realize that the man of my dreams was not only interested in me, but also moving half way across the country from me. But we all know how that ended up, Happily Ever After. (Thanks Josh.) So now maybe me and my creativity/inspiration will settle our differences and produce beautiful little creations. And maybe next time I will leave my computer next to my pillow to write that great poem, or play, or ideal piece of literature that I have been harboring deep down in some cavernous hole in my psyche only to be exposed through meditation and lots and lots of lamictal. I'll let you know what happens.

to sleep is to dream

(Image by Chris Applehands)

I have been thinking a lot about rest lately, (if you haven't already figured that out by my last rant about doing too many things.) But I have been thinking about it even more because I haven't been getting very much of it in the last few months. I'm not quite sure what has gotten into me, maybe it is my medication, (lamictal and trileptal,) or maybe it is a small case of PTSD and my fear of something going horribly wrong, again, but I have been having horrible dreams, and horrible anxiety when it comes to falling asleep in the first place.

My dreams are almost amusingly obvious when it comes to symbolism, they have to do with me protecting an innocent child, (probably myself,) or me being attacked or gunned down, or murdered. It is amazing that my body, (though it was me in the past that was close to murdering myself,) remembers and almost prepares itself for some reoccurring trauma. When I think about how I am doing today I don't think about any fears regarding any sudden feelings of wanting to harm myself, but when my sleeping mind thinks about how I am doing it always seems to think otherwise.

Again, I think it is just my continuous process of recovering from the horrible things that I did, and wanted to do, to myself in the past. As for now, however I am keeping a look out for any new symbols or feelings in my frantic dreaming. I am also aware of the increasing pace of my thoughts and the increasing number of dreams, so being aware of past patterns I am also keeping an eye out for any increasing signs of manic behavior.

There is one form of comfort in all of this however, I know what to look for. And I'm not afraid! It's really quite amazing to be comfortable enough in myself and my ability to know my symptoms that I am not in the least bit afraid of mania. In the past I would have made myself manic just by stressing over becoming manic.

staying steady

Whenever I speak to a large group of people about being bipolar, they always want to know about my coping strategies. They want to know what I do when my life is going a little too fast, or when I am moving to slow to get help. They want to know, how I get through each day, month, year and remain safe, stable, and happy. I feel that though my strategies are based on my individual personality, most of them are rather universal. So, here is a list of the things that help me get through life relatively smoothly, for now anyways...

A Support Network:

I can't move forward without some form of support network. (Actually, I could if I had to, but they sure make life a hell of a lot easier.) My family has fought long and hard to help me get the treatment, doctors, medication, and education I need both to help me cope with my first onset of bipolar, and my life today. They were always there to stand with me, even when I may not have wanted them there. On that note, my doctors, counselors, and psychiatrists have all been amazing sources of stability. They are my solid ground when my life begins to sway, shake, or completely break to pieces. My boyfriend has also been an amazingly huge influence on my life. He has been through my rougher times and was the one to help me move from a extremely harmful lifestyle to one where I feel comfortable not drinking, doing drugs, or constantly partying. I also have amazing friends that sat with me in the worst of days. Wonderful ex-boyfriends, old roommates/best-friends and adopted sisters always make life much easier to swallow.

Lifestyle:

For me this was one of the hardest choices. If you ask most 18-21 year olds what they do on the weekends, especially those in a college or dorm setting, they will tell you that they drink. They go to parties. They go to bars. And I was just your average 18-21 year old, minus the fact that I was bipolar. I was a little more then effected by the late nights, the excessive drinking, the drugs. I was stuck in a cycle where all of my friends drank, and all of my coping mechanisms involved putting my mind in a different state. In the first years of my diagnosis I didn't want to think about how awful I felt. I wanted to be "normal." I wanted a quick distraction. I wanted to be everything I envisioned a "bipolar" person being: a mess. It took a lot of work, a lot of self talks, and good friends, and eventually some pretty scary moods swings to get me to move into the healthy lifestyle I live now. It would also have never happened without fate leading me to good friends who lived healthy lifestyles. Good friends who had been through pain, substance abuse, and eventually the decision to get straight. Good friends who inspired me to change my ways. It is also amazing that one of these good friends has become an amazing boyfriend and best friend.

Today my lifestyle has included sleeping well, eating well, meditating, flossing, running, yoga, reading, music, and lots and lots of writing. I try to allow myself time to do the things that I know make me happy. These also happen to be the things that make my previous life of parties and anger seem like such a waste of time and energy.

Skills Training

Now, this is something I think about a lot,  but it has also been a big conflict within me. When I began skills training with a counselor  in high school she used to tell me things like, "look at yourself in the mirror and say, I am beautiful..." and I used to leave and swear that I would never go back to an appointment with her again. But I did, and every time she used to say some other hooky skill I should use to make myself feel better. The next counselor I went to used to tell me to look in "my boxes." And I would again leave feeling angry and skeptical and decide I never wanted to see her again. It took me years to get to the point where I found a counselor I trusted enough to tell them that I hated those homework assignment kinds of exercises. I told her that I didn't want to be counseled by Oprah. I didn't want to be told to be kind to myself, unless it was hidden in something else she was saying. It was through my true honesty about my treatment that I began to actually use some of the advice I received from my counselors. Today I have developed a group of core skills that help me get through the rough patches in life. It was only through the skill of my counselors and the trust I eventually developed that I began to find life skills that worked for me, (that weren't cheesy or what I thought of as stupid.)

Medication

This was a hard one for me. I am not always a fan of medication. It has not always had the best effect on me and at two different moments it literally almost killed me. Now, I am a girl that likes my body to be healthy and natural, I don't want a bunch of chemicals deciding what mood I am in, but after two hospitalizations I have come to terms with the fact that medication isn't always bad. Today I am on Lamictal and Trileptal. It has taken me about 13 medications to get to two that work for me, and I have now been on these for about two years. I am on medication now because I know that I am not ready to be off of it. Even though I have changed my lifestyle and have become much healthier I am still not an expert on my body or my illness (if you can call it that.) I am still not aware of the natural ways to get out of a paralyzing depression or an extreme case of mania. And until I know that I am ready and able to use my new skills to get me to a safe place I will stay on medication. It is a slow process and I have only been diagnosed for four years. One thing I do know, however, is that I will not be on medication forever. I will get to the point where I am aware and educated enough in my body and mind that I will feel comfortable being off medication. Someday I may want to travel to a third world country to save children, or someday I may want to have children of my own. If these things happen, I want to be free of medication. I do want to find a natural way to deal with my minds many states, but for now, I will continue my self-education from the safe place of medication.

These are just a few of the things I think about everyday when it comes to my health in my body and mind. I hope this is insightful, if not helpful, and please realize that each persons coping skills are different based on their own needs and understandings of the world.

(The picture in blue was taken by Ms. Morgan Minear at the MOMA while we were watching a video installation)