The Diagnosis (Helpful Resources)

The momma and I have decided to make March the month where we talk about the diagnosis. So in the next month I am hoping to share my thoughts on the diagnosis (and more specifically that of bipolar disorder, since that is the one I know most intimately), my thoughts on the pain of having a new label ("bipolar"), and my thoughts on the importance of finding an eventual diagnosis so that you can get the treatment you need.

So, the first thing that I would like to do is to provide resources for information about the main diagnosable mental health conditions. I want to provide this first, rather then share my personal story, because to some, good resources may be more urgent. As I discuss my diagnosis throughout the month you can always go back to this post for further information. Because so many of these sites do such a great job at explaining and addressing these illnesses (though I hate to call them illnesses) I will simply provide links to their explanations and definitions rather than attempting to create my own. I want to provide resources so that you can learn more about these illnesses and their signs and symptoms. All of these resources should be hyperlinked, so just click on the pinky/purply text.

The best place to start when learning about mental illnesses is to check out NAMI’s (National Alliance on Mental Illness) “mental illnesses” links page. Through this page you can access information on illnesses such as bipolar disorder, schizophrenia, post-traumatic stress disorder, major depression, borderline personality disorder, obsessive-compulsive disorder and many others. Each page talks about what the illness is, how common it is, what the symptoms are, what medications and treatments are used, and more. You can also visit BringChange2Mind.org and under “Learn the Facts” view a quick list of common signs and symptoms for Post-Traumatic Stress Disorder, Depression, Bipolar, and Schizophrenia. For more detailed information you can visit the National Institute of Mental Health’s (NIMH) Health and Outreach page .

If you are worried that you are suffering from an undiagnosed mental health condition there are several online mental health screenings. You can find some of these at the Depression and Bipolar Support Alliance (DBSA) website. At this link you can find confidential online depression, mania, and anxiety screenings, as well as a downloadable child mania rating scale. Of course, if you are not only worried that you are suffering from a mental health condition, but are also having thoughts of suicide please visit the National Suicide Prevention Lifeline (http://www.suicidepreventionlifeline.org/) or call 1-800-273-TALK.

The important next step if you think you have a mental health condition is to talk to a professional. It is extremely important to talk to a doctor before you diagnose yourself, but it is also important to go into the appointment with as much information as you can so that they can look at all the facts and get you the help you need. If you do not have your own doctor, and cannot find one in your area resources like BringChange2Mind's contact us page and the Knowledge Exchange Network (KEN)
(1-800-789-2647, 1-800-789-2647 or  1-877-495-0009, 1-877-495-0009
Live operators available 8:30 AM — 5 PM EST to refer you to public mental health clinics near you) may be able to help you.

Once you have an appointment, Healthy Minds has a page devoted to “Choosing a Psychiatrist”, answering questions like “where do I start?” and “what treatments do psychiatrists use?”.

I hope that some of these resources help make it easier to learn about a possible mental health condition and how to move closer to a diagnosis. In my next couple posts I will be discussing my personal diagnosis, and the importance of reaching a diagnosis.

From Storytelling to Advocacy

I am going out of town next week to present at two conferences, one in Wisconsin and one in Texas. At these conferences I always share my story and read from my personal journals written during my most painful moments. Presenting to teachers, mental health professionals, and others who are somewhat well-read in the subject of bipolar and mental illness, I know that I want to share my most intimate moments with the illness. I want to let them see the mindset and thoughts that go through someone's head while they are in an episode. I want them to be able to see what it is really like for someone suffering with a mental health condition because I know it will help them help those struggling with it. I know that through sharing my story I can create a compassion and empathy that cannot be found in psychology textbooks. I know that through honesty I can help them reach out to just one more person.

When it comes to the world outside the conference room I am not always as aggressively vocal about my deepest darkest moments. At least not right away. My way of sharing stories outside of the classroom or conference room is through honest answers to often simple questions. People may ask things like, "Why did you take a quarter off in your sophomore year?" And instead of running or come up with a lie on the spot, I simply tell them the truth: I had to take a medical leave because I was suffering with a severe depression and was eventually diagnosed with bipolar disorder. This usually turns into a question and answer session, "what is it like to have bipolar disorder?" "what is it like to be hospitalized?" "tell me about your medications". And often times, if it doesn't produce questions I often tell them flat out, "Feel free to ask me questions, I'm not embarrassed".

Oftentimes in the "real world" of offices or classrooms or living-rooms people may not bring up mental health conditions, and if they do, the fear, misinformation, and misunderstanding is enormous. It is in these times that we (those who have a mental health condition, and those who know anyone who does) need to speak out. Be brave when you hear, "Oh my god she was like soooo bipolar! That's like the worst roommate to have!" Be brave and say, "that must have been hard for you to live with someone having such a hard time. I hope that you provided her with the support she needed. I am bipolar, so I know it's so hard to foster healthy relationships when you're in an episode..." It is in these moments when you give them the "she doesn't know what she's talking about" and try to inform and not get mad.

I get mad about injustice. Alot. I get mad when people make fun of others for any reason. When people are unfair or unkind to someone they know nothing about. But it is important that we don't get mad. If we want to make a difference we must be the  stronger man (or woman) and simply inform. Tell your story: Let people see the face of mental illness and know that it looks just like everyone else, just like theirs. Provide information: Help people find resources to get better informed. Let them know how many people actually deal with mental health issues.

Here are some of BringChange2Mind's thoughts on what you can do to make a change:

Speak Up

The general population is largely unaware of the number of people with mental illness; because of this, the stigma of mental illness is a “hidden stigma.”

• Strong evidence shows that contact between the general public and people with mental illness may be an effective approach to significant and lasting attitudinal changes.

• The stories and experiences of people who live with mental illness, and corresponding stigma, may have the greatest impact.

• People who come out about their disease find significant release in no longer having to keep it a secret. This reduction in stress can aid in treatment, as well as improve relationships, job satisfaction and support from family members.

• Unfortunately, coming out may lead to social disapproval and possible housing or employment discrimination. However, being open about your disease may allow you some protection against discrimination through the Americans with Disabilities Act (ADA).

• Strength in Numbers: The World Health Organization has done research that suggests that nearly half of adults will experience some form of mental illness in their lifetimes. The more people realize that people affected by mental illness are “just like me,” the easier it will be to live with any form of mental illness.

Watch your Language

• Refrain from using terms like “crazy,” “nuts”, “psycho” and “lunatic”.

• Say someone “has schizophrenia”, or “has bi-polar disorder” rather than calling the person a “schizophrenic” or “they’re bi-polar.”

• Although correcting someone else’s use of language might not be a good approach, you should always try to watch your own. 

So these are my thoughts. Now go out and make a difference!!

Facing Us and the Wellness Tracker thingy

I just found an amazing site called Facing Us. It is pretty amazing for anyone experiencing bipolar disorder because it allows you to track your moods with the DBSA Wellness Tracker, you can create your own wellness plan, journal, gather wellness tips from others, and find new ways to use creativity as a key to wellness. I like the site because it is super easy to use, it basically takes the form of a little house in which each room provides new ways to organize and track your wellness. It is both cute and artsy, so that works for me, and it provides easy check mark boxes for all those things I should keep track of but never do, such as moods, and wellness goals. It is definitely something cool everyone should check out.

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)