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about bipolar disorder

What NOT to Say to a Bipolar Person

Stupid things said to people with bipolar disorder

Bipolar Disorder has become a bit more recognized lately, most likely due to the “coming out” of celebrities with outrageous behavior.  This has been good in raising awareness about bipolarity somewhat, but it has been bad because a lot of people think they know all about it.

In addition to not completely eradicating the stigma – it is also highly annoying when someone says something mean, wrong, funny, or even just plain stupid about bipolar disorder.  If you aren’t bipolar – don’t give advice to people who are.  Here are some of the things you should not do:

Don’t try to “join in”

Soo DepressedDon’t try to tell me you “know how I feel”.  Don’t relate your stories about how you were soooo depressed when your dog died.  Don’t try to tell me about how bad your insomnia is.  Don’t try to tell me about how you seriously almost destroyed a poster once or how embarrassed you were when…. Don’t.  Unless you are bipolar, you cannot understand the depression, the agitation, the anxiety.  I can understand that you want to show concern and make me feel “normal” but don’t.

Don’t tell me I should do better

Don’t tell me I can fix this.  Don’t tell me that I brought this on myself.  Don’t tell me to try harder.  Don’t tell me that it could be worse.  Don’t tell me that only religion can make me better.  I am doing the best I can; I didn’t want this disease, and frankly, I don’t want to hear it.

Don’t minimize

Don’t tell me to “snap out of it” or “get off my ass.”  Don’t give me platitudes like “this too shall pass” or “cheer up.”  Don’t tell me Not to Bipolar People“tomorrow will be better” or “everyone has a bad day sometimes.”  My disease, my experience is as bad as it is.  You can’t make it go away by acting cheerful or sympathetic.

Don’t try to shame me into being better

Don’t tell me that I am a real downer or that I am “dragging you down.”  Don’t tell me all about my bad behavior and how being around me is so painful – like “walking on eggshells.”  Don’t tell me about life not being fun…I already know.  If you don’t like it, it would be better if you just leave.

Don’t blame every disagreement on my disease

Don’t say anything about bipolar “shit” in the middle of an argument.  Just because I am angry doesn’t mean I am off my meds.  It doesn’t mean I am crazy.  Using my illness to win an argument is just plain wrong.  I have a right to be angry sometimes, and sometimes I am.

These are just a few things you should not do.  We have a lot of rules – some of which change just like us.

Happy Day!

Melissa Lind

Bipolar Disorder and Adolescents

Symptoms of bipolar disorder in children and adolescents may look like other disorders

Traditionally bipolar disorder has been thought to first show in early adulthood – and more often in females.  Bipolar disorder was considered to be quite rare as few as 20 years ago, to be more exact. The first emergence came in the early 20s, mainly in females. But, our knowledge about bipolar disorder has grown rapidly in the last 20 years.

Instead of the single manic-depressive diagnosis – which included diagnostic criteria of both depressive periods, alternating with manic periods – described as “euphoria”?

Those who did not have clearly rhythmic, alternating periods of a “happy” and frantic manic phase with a classic depression period were mishandled, misdiagnosed, mistreated, or dismissed.

Bipolar ChildrenIn addition, it wasn’t really known that bipolar disorder could start in adolescence or even childhood, or that there are different types of bipolar disorder.  Today, it still isn’t “officially” recognized in the “psychiatric bible” – the Diagnostic Statistical Manual of Mental Disorders (DSM), but at least more practitioners do know that it exists.

Today, we don’t exactly know what causes bipolar disorder (only that there is a genetic link of some kind, and often some past trauma). But, we can at least identify adolescent and childhood bipolar illness.  We also recognize a variety of different types of bipolar disorder (Such as mixed manic episodes, rapid cyclers, people without a depressive phase, hypomania, dysphoria rather than euphoria and cyclothymia). We also have a “catch-all” type – Bipolar NOS or “not-otherwise-specified”.

Adolescent or childhood bipolar disorder is official known as: “early onset bipolar disorder”.  In fact, childhood bipolar disorder can be more serious than a similar disease in adults and may have slightly different symptoms.

Symptoms of bipolar illness in children can often be more severe, and the cycling period may be more frequent.  Children also have more mixed episodes.  Children also have slightly different symptoms – so even the depression phase of the cycle may not be obvious.

Pediatric patients (children and adolescents) with bipolar disorder may have:

Bipolar Disorder in Children•    Abrupt mood swings
•    Periods of hyperactivity followed by lethargy
•    Intense temper tantrums
•    Frustration
•    Defiant behavior
•    Chronic irritability

These symptoms have to appear in more than one setting (school and home) and cause “distress”.

The problem is that many of these symptoms may look like other disorders.  They might be disorders such as ADHD, childhood depression, anxiety disorder, obsessive compulsive disorder, conduct disorder, premenstrual syndrome, oppositional defiant disorder and others. The danger might come from a misdiagnosis and improper treatment.

Bipolar disorder is treated with anti-manic agents (lithium), anti-convulsants (Depakote, lamotrigine) or atypical antipsychotics (Abilify, Risperdal).  In many cases, anti-depressant won’t be needed.  Treatment for other disorders like ADHD or depression may make bipolar disorder worse. Childhood bipolar disorder is something that desperately needs treatment as the distress caused to the patient, and the family can predispose the youngster to

•    Drug or alcohol abuse
•    Stealing
•    Involvement with law enforcement
•    Poor social integration
•    Poor academic performance
•    Suicidal tendencies
•    Premature sexual behavior

The Balanced Mind has a good self-check list of symptoms that can help a parent or a teen decide if bipolar disorder might be an issue.  Self-testing is not always accurate and should be discussed with a doctor, (preferably with test results in hand).  Not all doctors accept pediatric bipolar disorder. Parents may have to seek advice from more than one mental health professional and be aware that insurance may not cover the illness.

Melissa Lind