Understanding Bipolar

Bipolar disorder, also known as manic depression, is a psychological condition which affects your mood and creates two extremes. Your mood goes from a state of mania, where you are extremely impulsive, charged, and excitable; to a state of depression, where you feel low self-esteem, low self-worth, and are unable to get energized enough to do anything. This can be very harmful as it may interfere with a person’s daily life.

This is not to be confused with regular mood swings, as those are mild to moderate. Bipolar is extreme, and both states can be very harmful to the patient as their elevated or depressed mood can affect their perceptions, judgment, and actions, along with many other aspects of their lives.

Mania and depression may not occur evenly. Many people are more depressed and their manic periods are shorter, or may be so moderate that they are virtually indistinguishable from stabilized mood. Others may experience the opposite.

Sad woman sits alone outdoors.

Symptoms

Bipolar can affect one's quality of life when not treated properly, and if you begin to notice these symptoms in yourself, or in any of your loved ones, seek out a proper diagnosis as early detection can save them so much suffering. The symptoms are divided into those of mania (or hypomania) and those of bipolar depression.

Mania/Hypomain (symptoms lasting at least 4 days)

  •  Unusual optimism and happiness

  • Sleeping less but feeling energized

  • Talking excitedly and very fast

  • Jumping from one thought to another very quickly

  • Inability to concentrate

  • Acting impulsive and reckless

  • Grandiose and unrealistic ideas

  • Delusions and hallucinations

Depression

  • Feeling unusually irritable

  • Loss of interest in pleasurable activities

  • Fatigue and loss of energy

  • Changes in weight and appetite

  • Changes in sleep pattern

  • Low self-worth and esteem problems

  • Feeling hopeless, guilty, sad, and empty

  • Inability to remember things

  • Sluggishness of thoughts and actions

  • Suicidal thoughts or attempts

If you are beginning to experience any of these symptoms, or have noticed them in someone close to you, it’s time to take action.

Causes of Bipolar

There is no one factor that can be singled out as the cause of bipolar disorder, and there are number of theories and studies that suggest multiple causes for the disorder. Some people are genetically predisposed to bipolar disorder, but this is not the only factor because studies with identical twins (who have the same genetic make-up) have proved that this is not always true.

Environmental and psychological occurrences, known as triggers, can cause bipolar as well. They include, but are not limited to, sleep deprivation, certain medicines, seasonal changes, trauma, stress, and substance abuse.

There are studies which document the chemical changes in the body of a diagnosed bipolar patient. Serotonin and dopamine levels, as well as other hormonal and neurotransmitter changes are sometimes thought to cause the disorder.

Living with Bipolar

People who say that bipolar disorder diminishes the quality of one’s life are wrong. Yes, having bipolar is challenging, and can lead one to do impulsive things like quit their job or take life-threatening risks; alongside suicidal thoughts and attempts. Therapy for bipolar disorder is helpful for learning to identify triggers and develop good coping skills to lessen the affects of Bipolar disorder. My clients find that when they learn to manage their symptoms properly, bipolar disorder does not prevent them from living a happy, successful, and fulfilling life.

Photo by Kyle Broad

Is Your Teen Struggling With Depression?

Teens are moody, they get sad, and they are reserved. But “depressed” is not a word to use lightly. Understand that Depression is a clinically diagnosed illness, and it may have nothing to do with outside circumstances. Andrew Solomon, author of The Noonday Demon: An Atlas of Depression, wrote, “Grief is depression in proportion to circumstance; depression is grief out of proportion to circumstance.” This means that the feeling of depression is so overpowering, it feels entirely out of context to what is happening around you, and you may feel as though you are grieving when there is nothing, externally, to grieve about. The brilliant poet and author, Sylvia Plath, was successful in her career, had a beautiful young daughter, and a husband she loved, but her suicide is well-documented: she stuck her head into an oven one day and gassed herself to death. One of her most famous quotes is "Is there no way out of the mind?"

If your teenager is depressed, this is serious and requires care the way a physical illness like cancer would. Do not take depression lightly and expect your child to “snap out of it”, because that doesn’t happen.

Here’s how you can tell if your teenager is struggling with depression:

Father talks with a depressed, moody teenager who is non-responsive.

Common Symptoms

If your teenager is exhibiting certain changes in sleeping and eating patterns, irritability, uncharacteristic quietness, frequent crying, lethargy, and a general air of sadness, it’s important to keep an eye on them and document their moods and actions. If these signs persist for more than two weeks, contact a specialist who has the qualifications to correctly diagnose your child, as well as a medical practitioner who can rule out other possibilities. They may require medication, or therapy, or even a combination of both. A therapist that specializes in teen therapy can help you understand your teen and their depression.  Understanding how depression is affecting your teen can help improve your relationship. Teen therapy can help with teaching your teen how to cope with depression.

Side-Effects

Due to depression, your teen’s grades may be falling; they may lose interest in their friends and other social activities, and may be spending more and more time in isolation. Finding a new peer group, or engaging in new and dangerous activities like sneaking out are probably not signs of depression, because a depressed person has no energy to even get out of bed and dress every day. Depression, however, can lead to drug abuse or alcohol consumption in order to numb the mental anguish, and left untreated could lead to suicidal thoughts and self-harm. People don’t die of suicide, they die of sadness; and depression is a sadness so great it takes over every aspect of your life and grows around you like a vine.

Parents can help the most by not shrugging off depression as moodiness, and not blame themselves or their children. If you see signs of depression, talk to your teen and try to understand what they say, and also what they aren’t saying. Seek help, and just be there for your child, even if you don’t know what to do.

Proven Ways to Manage Stress

Stress is more commonplace today than it’s ever been in the past. Our daily routines are so demanding that our minds are in constant state of fight or flight. We all have high levels of stress, and it won’t stop. There will always be more bills to pay, more deadlines to meet, more work to manage, and more relationships to maintain. It’s important to reduce and manage our levels of stress before they get too much to handle, and prevent our bodies from functioning the way they should.

Woman who is stressed out lays on the floor covering her eyes.

Understanding What Causes Stress

When we think of what really causes stress, we see traffic lights, messy houses, damaged plumbing, and piles of checks before our eyes; but those are just external triggers. To understand stress at a deeper level, we must look at it from a biological and evolutionary standpoint. In prehistoric times, human beings had to face life-threatening situations like encounters with wild animals almost regularly, generating large amounts of fear. When the brain picked up on these feelings of fear and anxiety, it knew that the body was in danger, and prepared it for either attack or defense, i.e. fight or flight.

Adrenaline was released, which affected almost every part of the body. Arteries constricted to provide more blood to the limbs; pupils dilated for better vision, blood was sent to the surface of the skin to let out the excessive heat from the body, metabolic processes sped up; the heart rate increased to aid in higher blood production, and so on. All this was to prepare the body for what it must do to fight off or escape its attacker.

Our society and surroundings may have evolved, but our brain still responds in the same way to fear and anxiety. So when we see exam schedules and rent notices, our brain treats them as wild animals charging at us, and we experience a rush of adrenaline. This adrenaline eventually takes a toll on the body, causing us to experience stress. 

Reducing Stress by Identifying Triggers

Now that we know what actually causes stress, we can learn to identify triggers, and alter our perspective on them. If there are certain things which are bound to stress us out, but we have no control over them; such as traffic jams on the way to work, or examinations in less than a week; we can learn to relax our minds and consciously not take on too much stress.

Identify what causes the stress, and then strategize. You need to plan out a strategy for overcoming this problem while taking on as little stress as possible. If there is an exam in a week, plan out what you will study on what days, instead of panicking and limiting your mind’s ability to retain information. Set your alarm for ten minutes earlier than usual so you can beat the traffic. Decide that one third of your salary is only for bills, and not to be touched for any other purpose. 

3 Tips to Reduce Stress

1) Alter the situation

2) Adapt to the situation

3) Accept the situation

Once you know that you are stressing out, breathe, releax and focuss all your energy on getting through it without any fear or anxiety. 

Effective Exercise to Reduce Stress

If you are experience extreme stress and anxiety that start to cause you to panic a simple grounding exercise can help the body and mind relax. When you “ground” yourself in the moment, the instinctual brain (reptile level brain) that wants to flight or flee the situation is shut down.

My favorite grounding exercise is “I Spy - Right Now, Right Here.” 

Here at the 5 simple steps:

1) Stop what you are doing

2) Looking in front of you and name the first object you see (spy)

3) Then move to the right and name of the next object

4) Proceed around the entire room naming off objects

5) Go around the room 3 times naming of the objects you see 

When you focus your mind on recalling names of objects you are activating a different part of the brain, this allows the instinctual brain that is reacting to stress to calm down. If no one is around say the name of the object out loud.  Try it, you will be amazed how this simple exercise can help you to feel calmer.

If you need more help managing your stress and reducing anxiety, CBT (cognitive behavior therapy) can help, contact Jennie Marie at www.Hope-Therapy-Center.com