decided to give myself a break

now the next question is, what should I do first?
a bath? a book? yoga? meditation?
what about yoga, bath/book, meditation.
sometimes its good to let yourself just be...

Grieving the diagnosis

(I have no idea who did this art, but if anyone knows please let me know so I can give them the credit they deserve for such an awesome piece of work!)

My it has been a long time since I wrote a post. With school ending, the holidays, and a trip to Chicago I've been a little distracted as of late. However, its back to work, ultimately leading me back to blogland.

As I have somewhat discussed in previous posts, the last few months have been rather difficult for me. As my psychiatrist explained, I am a rather "hard patient" because my "life isn't all that stable" at the moment. But I wonder, now that I have what I believe to be a rather stable life, how is my life not stable? Now, I understand that I am in a strange sort of limbo being a new college grad without a job, (or at least a job that makes enough money to live an "adult life"), and I know that I do a ton of traveling doing speaking engagements, (and as many people explain, jet-lag is hard if you're bipolar), but I feel that I manage my "unstable life" rather well. Or at least most of the time. Until I hit three solid months of depression, having been completely emotionally stable prior to my normal yearly late October relapse, (this yearly relapse is due to a mix between solemn and painful mental health related anniversaries and changes in weather), but this year it just kept going due to a few major added stressors (such as impending graduation and the fear of finding health insurance).

But all of this I believe has been addressed in past postings, so what I really wanted to talk about is grief. In these past four months I have been trying my damnedest to be healthy and stay well. I made sure that I was not only continuing to take my meds, but I was also maintaining healthy habits such as exercising (yoga and running), meditating, and additional stress relieving activities like my new found hobby: knitting. I have tried to be patient and kind to myself and have worked with my psychiatrist to increase and adjust medications to help me get over this bump. But as I found myself continuing to move deeper or simply stay in the "pits of despair" I found myself moving into the same mind-frame that I experienced when I was first diagnosed with bipolar. I found myself feeling, to put it simply, angsty. I found that I was reverting to the teenage-angst felt when life just doesn't seem fair. When you realize, why me? And why now? I found myself getting angry at whoever or whatever has done this to me. And though I continually feel that my bipolar is part of me, though not all of me, and that I wouldn't want to get rid of it, I simply wanted it to go away, if not for even a little while.

So I suppose my question to the world is, and specifically to anyone suffering from a chronic condition or disease (and I don't really consider bipolar a disease), do you ever get over this grief completely? Do you ever just cope and come to terms with the fact that you may continually have dips in your health, even if they continue to become increasingly easier?

I know that for me they have become easier, this is by far better than my initial diagnosis, but it is still terribly frustrating sometimes to know that I may have this occur again and again. All I know is that I will get through this and it will continue to get better, but somedays, on my most 13-year old angst ridden days, I can only continue to say, this sucks.

Time to Breathe

Being that I am getting closer and closer to the end of this six year bachelors degree I am suddenly having that future focused, world ending, life-crisis that every college grad eventually feels. Well, that most every grad feels. I tell myself, if I would have been working harder towards a specific goal, i.e. grad school, I wouldn't be feeling like this. Or I say, if I would have chosen a degree that fed right into a job I wouldn't be feeling like this. But then I say, how? How could I have done these things when life is so unpredictable? When and how could I have chosen a degree and grad program that would have included several hospitalizations, a diagnoses, and what seems like millions of medication changes? How could I have planned for this? And though I may talk some sense into myself at this point, the cycle continues going round and round: panic, intellectualizing, sense, relief, panic...

So, in a time when I am feeling more overwhelmed then usual, (though I am almost always usually feeling overwhelmed,) I find myself having to be extra good to myself, both mind and body. When I present around the country people always ask what I do to help myself stay stable in times like this, so in order to truly explain I will just give you a run down of my day today...

I woke up and made myself breakfast. Having recently bought some new cookbooks that focus on the importance of healthy food to our mind and body's overall health, I took extra time preparing a breakfast that was nutritious with all the vitamins and minerals my body needs. Being a vegetarian, and a person easily susceptible to all sorts of colds, viruses, etc., I find it especially important to get a healthy diet.

After breakfast, (and a bit of light reading,) I stretched and did some strength training exercises. I find that even if I do a very minimal amount of exercise, my body and mind feel so much better throughout the day. I feel best if I do between twenty minutes to an hour and a half of good cardio, stretches, and other exercises. I prefer running, yoga, pilates, and a little weight lifting. If I am feeling depressed running is better, but if I am feeling manic yoga and stretching is best.

After I exercised I did a small meditation. I try to do a little meditating each day because I feel it helps me refocus and organize my brain. I feel that by allowing my thoughts to calm and settle I can find relief from stress, worry, anxiety, agitation, and lots of other emotions that I can't manage if I continue to multi-task at break-neck speed. Though it is sometimes difficult to meditate, I find that it is very important to my wellbeing and I find that the more I do it, the more I begin to feel it in the rest of my life.

The last thing that I do is to allow myself breaks throughout my work. Because I always have a million things going on I try to allow myself small breaks and small rewards to make the work easier and more manageable. When I have a chance to do work outside (or in a different atmosphere then I would usually work in, such as a coffee shop,) I try to take the opportunity. Though I may feel like I work slower, I find that it is important for me to have a change of environment. Today, for instance, I worked by the lake. I also like to give myself small breaks from really difficult work by allowing myself to do things I normally wouldn't do, like watch a little television or buy dinner out.

Well, these are some of the things that I have been working on that I thought could be both beneficial for me to remember and useful for others to see. I will continue to work on these and hope that others might integrate them into there own lifestyles. And as that terrible cliche goes, I need to "stop and..." well, you know...

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)