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mood disorder

Why do Bipolar Patients Quit Taking Their Meds?

Why do bipolar and schizophrenic persons quit taking medicine?

Talk to any medical professional about the trials and tribulations of dealing with bipolar patients and they will tell you that the single most bothersome thing is the frequency with which manic-depressives quit taking their meds.

This problem isn’t unique to bipolar patients, but it is more insidious and often more surprising.  Schizophrenics, who quit taking their meds, are identified fairly quickly.  Those with depression who quit taking their meds stay in their houses – this is troublesome but not a public nuisance.

People with bipolar disorder are usually quite memorable both at the best of times and the worst of times.  They are vivacious; they are shining; they are exasperating; they are amazing, and they are irritating.  Generally in order to be diagnosed, a bipolar patient will present one of two ways – either severely depressed or psychotic but their illness has gone unnoticed or unaddressed for a long time.

To be fair, psychiatric patients of any type may quit taking their meds for a number of legitimate reasons.  Well, semi-legitimate.

Mood DisordersLegitimately, a psychiatric patient of any type will have consulted with his or her physician before quitting can be medically supervised while doing so.  Even with medical supervision, the only really legitimate reason for a psychiatric patient to quit taking their meds completely is a person who has been taking anti-depressants for a short period of time (less than one year) who has only had one episode of clinical depression.  In this case, a psychiatrist would agree that a patient who does not have a long term history of depression can taper off the medication because they may not need it forever.  This patient is rare. Once another episode of depression or mood disorder occurs, virtually everyone will agree that it is a chronic problem that should be addressed with medication.  Permanently.

One legitimate reason for temporarily discontinuing use would be pregnancy, to avoid potential harm to the fetus.  In most cases, the medication would be re-started as soon as the patient is able.

Patients may also approach their physician about discontinuing a specific medication to switch to another.  Reasons for this might be ineffectiveness, intolerable side effects or cost.

Unfortunately, for most psychiatric patients there is no legitimate reason to discontinue medication altogether.  The physician will suggest or even prescribe an alternative medication.  The patient may feel that they have been unheard by their physician and while this may be the case, for most patients who “quit”, it is actually more likely that they have not talked to the physician at all.

Bipolar patients and those with other psychiatric conditions most often quit taking their medication without medical supervision or intervention in secret.  Oddly, this is because the brain is a tricky thing – most often they quit when they are doing well.  When the medication is working, they begin to believe that they do not need the medication – that they are “OK”.

Most psychiatric patients don’t want to have a mental disorder – or more likely they don’t want to be told that they have a mental disorder.  This may be in part due to the social stigma, but it may also be because they really like the way they are.  Medication often takes away the “spark” that has made them vivacious, memorable, brilliant and even irritating or dangerous.

It is very difficult to go from “outstanding” – whether it is good or bad to normal.  Bipolar patients in particular also quit taking their medication because their brains are bored.  The brain is used to go up and down, backwards and forwards, in and out.  When medication is working, the roller coaster goes away.

This may be good for a while, after the crisis because life has gotten way out of whack, they need time to recover, rest, and breathe.  But when the fires are put out, and the dust clears, the brain begins to crave the excitement.

Again, this really means the medication is working, and they will quit, yet again, starting the cycle all over again.

So, what can a caretaker, a parent, a spouse, or a friend do?  Likely any attempt at supervision or intervention will be met with anger, avoidance or outright denial.

Bipolar CaosAs bipolar disorder, and schizophrenia most often emerges in the late teens or early adulthood, is should be predictable that they do not want supervision.  They do not want to be told that someone else knows best.

When confronted or even questioned, the bipolar will almost always say that everything is OK – even if it is far from OK.  In short, they will lie.

Again, what can a caretaker, a parent, a spouse, or a friend do?  In short, especially in the newly diagnosed (and for a bipolar or schizophrenic the definition of newly would be likely less than 10 years), there will be no opportunity for supervision.  They will be secretive and untruthful.  You must wait for the crash and be there to assist with the crisis and recovery – only to repeat it again in a few months or years.

The good news is that eventually, the periods between “the crashes” will likely lengthen. When they are thinking clearly, when the medication is working – ask them why they do it.  Encourage them to participate in therapy, join a bipolar or mental disorder group. Realize they may not always go.

Over a period of years, perhaps decades – the patient may eventually become to accept that they truly do need the medication.  Likely they will never be completely compliant but one can always hope.

A caregiver, a parent, a spouse, a friend can look for signs – if you are close, you may be able to keep track of their medication, physician visits, refills but you may not be able to.  You should prepare yourself when you see signs: a developing increase in communication, vivacity, anger – likely followed by erratic behavior and hiding.

Intervene as much as you can but know that your may not be able to stop them.  They quit medication when it is working because it makes them….normal.

Melissa Lind

Dealing with Bipolar Disorder, Depression and Anxiety

To deal with bipolar disorder(manic depressive) loneliness, (sadness) depression and anxiety (panic attacks) is not an easy thing to do.

Concept of Bipolar DisorderSometimes people may feel that everything is lost, and they have no recourse to change the way they are feeling. Take a deep breath and walk out the front door can open up many opportunities for one, and can provide better feelings in no time.

One out of three people has experienced a sense of loneliness and depression, and some of them cannot even say what is making them feel this way. These feelings can stop people in their tracks, making them unable to function in their daily lives.

Here are some ways to chase the loneliness and depression away, and then, perhaps enjoy each and every day as they come.

The main thing a person should try to figure out is what things are making them feel the way they do in the first place. Feeling lonely can be as straightforward as not having anyone around them to interact with on a regular basis. Sometimes one can be around people and still feel lonely, and in order not to feel this way, try to find out why.

Being depressed can happen to anybody, and the reasons for it varied from person to person. Being lonely can lead to becoming depressed, but they do not always go hand in hand. Feeling tense and despondent happens when we cannot deal with things in life at the moment, and we feel that there is no hope to getting past that.

Once a person has identified some of the reasons why he or she are feeling the way they do, they can begin to seek out ways to make they feel better. Certainly, one of the ways folks can utilize is taking medication to help get rid of the sad feelings they have. This is not for everyone. Consult with a doctor to determine if it is right, before taking any medication.

Using herbal solutions can be an acceptable substitute to using traditional medication. Going to a health store can provide many excellent options for taking a natural approach to your depressed state of mind. The people who work there can be extremely helpful in finding the legal remedies that will work best.

Another great way to get rid of the blues is to make an appointment with some mental health specialist in your area. Sometimes talking things out with someone totally distanced from one’s life, can give the opportunity to work out some of what is bothering a person. These professionals provide a safe environment for all and do not represent a condescending or judgmental point of view.

If folks do not want to take any medications to help them, there are some basic things they can do that may work in conjunction with taking to a professional. Putting oneself amongst friends is an excellent way to shake off the lonely feelings. It will also help with depressed thoughts. Going outdoors and experiencing different environments is also helpful.

Read also: Bipolar Disorder Myths (Demystifying of myths) (Article by Bruce Anderson)

Major Depressive Disorder (MDD) – Additional Information

feeling-blueAdditional information to what is written on the page : “Menopause And Depression

Major depressive disorder (MDD)

(also known as recurrent depressive disorder, clinical depression, major depression, unipolar depression, or unipolar disorder) is a mental disorder characterized by an all-encompassing low mood accompanied by low self-esteem, and by loss of interest or pleasure in normally enjoyable activities.

This cluster of symptoms (syndrome) was named, described and classified as one of the mood disorders in the 1980 edition of the American Psychiatric Association’s diagnostic manual.
The term “depression” is ambiguous. It is often used to denote this syndrome but may refer to other mood disorders or to lower mood states lacking clinical significance.

Major depressive disorder is a disabling condition that adversely affects a person’s family, work or school life, sleeping and eating habits, and general health.
In the United States, around 3.4% of people with major depression commit suicide, and up to 60% of people who commit suicide had depression or another mood disorder.

Depression is a state of low mood and aversion to activity that can affect a person’s thoughts, behavior, feelings and physical well-being.
Depressed people may feel sad, anxious, empty, hopeless, worried, helpless, worthless, guilty, irritable, or restless.

They may lose interest in activities that once were pleasurable; experience loss of appetite or overeating, have problems concentrating, remembering details, or making decisions; and may contemplate or attempt suicide. Insomnia, excessive sleeping, fatigue, loss of energy, or aches, pains or digestive problems that are resistant to treatment may be present.

Bipolar Disorder and Social Media

Use Bipolar Chat as a Means of Support?

Bipolar disorder chatting online is currently the preferred option for the growing support for people suffering from bipolar disorder (sometimes known as manic depression).Bipolar Online Chat

While bipolar chat option will not replace an appropriate treatment option recommended, everyone can provide some benefits for other bipolar people.

As the Internet has grown, the opportunity to interact with similar interests and conditions has increased.

Although we often assume that the social possibilities in terms of the fans to discuss their passions or professional exchange of ideas, it will also result in the creation of discussion groups and chat rooms for those suffering from certain diseases. The bipolar chat is an example of this phenomenon.

Despite a certain level of social development, mental illness still carries a stigma. Also, just based on symptoms, mental health problems can make people feel marginalized, and can stimulate ineffective separation. In discussing these issues with others in a supportive environment, some of the negative consequences can be minimized.

When there is someone to talk with, bipolar chat can allow victims of depression to feel less alone with their problem. It can help them realize that their struggle with the burden of this disease is not unique to them. This can reduce the feeling of being “out” and can give positive reinforcement as one continue to deal with the condition.

In some situations, bipolar chat may be one of the only real ways in how people can appraise significantly, and interact with other people who suffers from the illness. Those in rural areas or small towns cannot always have a “face to face” is an option, and then online bipolar chat can be extremely useful.

Others may feel uncomfortable with the “face” the situation and still be able to get some therapeutic value of bipolar disorder chat.

Although the online chat option can help, should not replace professional advice or therapy sessions prescribed. The support offered by a group chat can be brilliant but will allow coping skills, and information offered by the program receives professional treatment.

Nevertheless; we should not eliminate the need for bipolar chat medical use of drugs.

We must recognize that bipolar disorder is a hugely serious medical problem that requires * professional medical assistance. * Self-help in the form of a bipolar chat or other possibilities should be done only with the approval of a physician. In some cases, doctors may recommend that a person not involved in the effort and patients should pay attention to medical advice.

Advances in technology led to the creation of a valuable resource for those suffering from mental illness. An opportunity to share and learn from others with a similar analysis can be reassuring and helpful, which is the main reason for the growth of online opportunities such as bipolar disorder chat.

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* professional medical assistance*

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Curse of the Ferrari Brain: the Other Side of Bipolar Disorder

Manic Episode: Another Side of Bipolar Disorder.

Welcome back, my friends!

My apologies for the extended absence. I’ve been very busy with other projects, which I’ll have to return to soon. Also, I wanted to make sure this article was perfect, because this one’s a little tricky.

So far, most of my articles have focused on depression. As someone with type II bipolar disorder, that’s the side I know best. Also, it’s the side that’s easiest for a person who doesn’t have bipolar disorder to understand. Everyone has been bummed at some point. Wanna understand bipolar depression? Take your depression, magnify by about a jillion, and there ya go. Pretty easy to understand, right? The other side of the coin isn’t as straightforward. A good metaphor, I hope, will make it easier to understand.

Let’s say that the average human brain is like a Volvo.The Volvo gets great mileage and is one of the safest, most dependable cars on the road. You wanna get to work on time, day after day and with very little fuss and worry? A Volvo is the car for you.Average human brain - Volvo

The bipolar brain is more like a Ferrari.

Bipolar brain - like a Ferrai

“Farrah”

The Ferrari is fast and flashy. Its sleek, predatory looks practically demand that you drive it at dangerous speeds. You want to make it to work in forty seconds flat? Then the Ferrari is the car for you. Unfortunately, it guzzles gas like your Aunt Janie guzzles gin and tends to spend more time in the shop than on the road. The insurance premiums are astronomical and you are almost guaranteed to wrap it around a tree someday.

Now then… bipolar depression is like the times when the Ferrari is in the shop. It’s up on the lift, and you’re going nowhere. You can’t even show it off by rolling it into your driveway. Not only that, but you gotta walk to work while all the Volvo drivers practically blaze by at 35 mph. In your mind’s eye, they laugh at you as it starts to rain. Your anxiety tells you they are ALL aiming for puddles near you, and the occasional sociopath WILL soak you for his or her amusement.

But then the shop owner calls. Your chariot awaits! You go down to the shop, pay the exorbitant bill, and fire up that 16-cylinder Italian ego trip.

“I’ve missed you, Farrah,” you say, not caring about the look the shop owner gives you. If HE had a Ferrari, he’d name her Farrah, too. Your foot barely taps her gas pedal and she purrs delightedly. She’s missed you, too.

“Good girl,” you say, then ease Farrah’s shifter into first, the action so smooth that instinct alone tells you that she’s out of neutral. You pull out of the shop’s parking lot and into traffic. At first, she’s just glad to be off of that horrible rack and back on the road where she belongs, but every red light, every school zone is an irritant, and sand only makes pearls in oysters. Sand in an engine is death, but Farrah complies and stays below the speed limit… for now.

As you pull into the parking lot at work, all eyes turn to you and your beautiful machine. You pull into your space and reach for the key to kill her ignition, but you stop short.

“It’s been so long. Just once,” she begs. “Pretty please?”

You know this is how it starts, but you’re still in control. Just once won’t hurt anything, right? It’s not like you’re doing anything dangerous. Besides, what’s the point in owning a car like Farrah if you can’t show her off?

With Farrah’s gears in neutral, your foot presses hard on her accelerator and her engine screams ecstatically. Those who weren’t looking before certainly are now. Many are impressed. Many others are jealous. And Farrah, at long last, feels warm and tingly.

“Mmm… baby,” she purrs. “You’re the only one who knows how to touch me right. Again. Please.”

“Sorry, babe,” you say, a little defeated. “I gotta go to work now.”

Farrah pouts as you shut off the engine, sputtering just a little to let you know she’s put out. You promise her a full tank of premium and a stretch of deserted highway tonight followed by a loving sponge bath. You know that will make her happy, but she’s still sulking.

When five o’clock rolls around, you dash into the parking lot to find Farrah waiting. It’s a beautiful day, so you decide a little sun would be good for you both. You drop her top, fire up her engine and gun the accelerator—just a little—as you exit the parking lot. No harm done, and at last you’re out on the open road where both of you are more happy… for all of about twenty seconds.

Gridlock. No one’s going anywhere fast. The traffic jam drives you nuts, but you try to smile regardless. You’ve gotten so many “nice car, man” comments from the Volvos that your ego has slipped into overdrive. Eventually, though, it gets old. You’re sick of hearing how nice your car is. You wanna FEEL how nice she is, and in this traffic, how can you? You can’t even get out of first gear! You’ve got to MOVE!

Speed isn’t Farrah’s only good quality. She maneuvers like… well… like a gdamn Ferrari! Each time you see an opening in traffic, you seize it. At first, you make sure there’s plenty of space, but soon ANY amount of space is enough as long as it moves you forward. Other drivers stop saying “nice car” and start saying “watch it, a-hole!”

“Fuc.. them,” Farrah says. “They’re just jealous, baby.”

Finally, you come upon a stretch of open highway, just begging to be devoured. You stomp Farrah’s accelerator and instantly know that what she said is true. Who wouldn’t be jealous of this speed? This freedom?

“At last!” she screams as you tear away from the nightmare behind you. The wind whips your hair as the speedometer climbs. This is what she’s DESIGNED to do, you tell yourself. It’s just you and Farrah and all is well in the world. You drive off into the sunset, victorious, just like in the movies.

But real life isn’t the movies, and sunset only means the end of the day, not the end of the film. You pull into your garage and park Farrah for the night. You have to work in the morning, but you’re too wired to sleep. You try watching TV. You try a hot shower. Nothing works. Sleep just won’t come, not with Farrah calling to you from the garage.

“Sleep is for those Volvo people,” she says, spitting out the word Volvo as if it had the arsenic taste of bitter almonds. “You’re better than them, baby. All you need is me. Come on. Let’s go for a drive.”

But you know better. You’ve been down this road before. With the help of a few Benadryl, you ignore her voice and drift off, but your sleep isn’t like real sleep. Your body lays motionless but your mind spins like a screeching tire. Dreams and reality melt together for a few fitful hours of sleep and traffic nightmares.

You’re awake long before sunrise, but you force yourself to stay in bed until the alarm goes off, then you’re up in a flash. You sing in the shower. You skip breakfast. You rush to the garage.

“Good morning, sexy,” she says. “Ready to play?”

“Are you?” you ask, smirking as you sink into a kid leather bucket seat that fits you like a glove. You deftly slip your key in her ignition and give it a twist. As you pull on your driving gloves, the temperature gauge begins to rise. “Like that, do you?”

“Sailor baby, you get me hotter than Georgia asphalt,” she purrs.

You bet your sweet a-h I do, you think as the garage door rises to release you from your prison. Your house isn’t your home. Here with her. This is home. This is where you belong.

Now, there are two different ways this scenario can end…

END #1

The garage door is barely up before you’re skidding out of the garage and into… another fu–ing traffic jam! No! No no no no NO NO NO!!! You honk madly. Farrah’s engine growls at any Volvos who get too close. The admiration in the Volvo drivers’ eyes is gone. Today, they look upon you with fear, but you don’t give a damn. They’re just in your way, anyway, right? One Volvo tries to pull in front of you. You stomp the accelerator and he weaves out of your way just in time.

“My lane, a-hole,” you shout. “Mine!”

Your lane or not, the traffic light turns red and you’re stuck. Time stands still. You scream and rev your engine, both you and Farrah quickly reaching redline. The temperature warning light comes on, but you ignore it. It just wants to slow you down, too. You smell oil smoke, but don’t care.

“Go baby,” Farrah shrieks. “Go! Go! GOOOO!”

KABLAM!

Something snaps. Thick gray smoke boils from the engine compartment. Farrah’s engine chokes and sputters as the light turns green. She’s got just enough strength to ease to the side of the road.

“This is all your fault,” she says, dying. You weep at what your anger has done.

The tow truck guy clucks his tongue as he winches Farrah’s front end into the sky. “Damn shame,” he says. “Such a nice car.”

In your mind, you finish his sentence. If only you knew how to treat it.

Welcome back to depression.

Or, it could end like this…

END #2

The garage door is barely up before you’re skidding out of the garage and onto the open road. Your floor it and Farrah jumps over the speed limit like an antelope. There’s no traffic, no cops, nothing but miles of open road. You cut each corner closer, but not because you’re out of control. You do it because you’re fucking amazing! Every move you make is the right one. The world is yours and everything is perfect…

…until you run out of gas in the middle of nowhere during a thunderstorm and have to walk to the nearest payphone (you forgot your cell in your hurry to hit the road) only to find you don’t have any change, so you have to walk all the way back to your house. Once at your house, you reach into your pocket and find that you’ve lost your keys somewhere along the way.

Welcome back to depression.

George Carlin, one of the funniest men to ever live, once said that the cliché phrase “more than happy” sounded like a medical condition.” Well, he was right. “More than happy” is called euphoria, and euphoria is sometimes a symptom of a manic episode. Sometimes, bipolar disorder feels WONDERFUL. At the beginning of the upswing, you have hypomania, and hypomania can be very, very good. It’s your chance to really shine.

Sometimes, when you’re hypomanic, you are the life of the party—charming, witty, friendly and filled with energy. Your mind becomes razor sharp, your reflexes like those of a kung fu master. You make friends easily, accomplish incredible amounts of work, and have flashes of brilliance that astound and amaze everyone around you. I LOVE it when hypomania works that way!

Sometimes, however, it doesn’t. Sometimes when you’re hypomanic, you are the total buzzkill—cranky, bitter, sullen… and yet still filled with energy. Your mind is sharp, but it’s your tongue that’s the razor. You’re nerves are so jittery you twitch. Fine silk feels like sandpaper against your skin. You still have that keen focus, but all you focus on is the neighbor’s g-damn stereo and if you had one ounce less of willpower, you’d crash right over and shove the thing straight up his a-h. But that wouldn’t fix the problem, because dammit, you’re pissed and you’re gonna stay that way. I HATE it when hypomania works that way.

Now, if you’re bipolar type II like me, hypomania is the ceiling. You hit it, stay there for anywhere from a few hours to a few weeks (depending on how rapidly you cycle) and then spiral back down into depression. If you’re type I bipolar, then hypomania is just the beginning.

Hypomania basically means “little mania,” so for a full-tilt manic episode, take my description of hypomania and magnify it exponentially: the occasional sleepless night becomes days on end without sleep; the occasional ego trip gives way to full-blown narcissism and delusions of grandeur; euphoria becomes psychosis; irritability becomes hostility and anxiety becomes outright paranoia. Some even experience hallucinations.

No matter how high the ladder goes, unless you drop dead from exhaustion (which does happen occasionally) or wrap your Ferrari around a tree (yes, those on the upswing really do tend to speed) then you’re going to find yourself right back where you started. For some, that’s a relatively normal mood. For others, it’s welcome back to depression. Hope you enjoyed the ride.

And on that note, I hope you, my readers, have enjoyed the ride. I’ll be taking a break from this blog now, but I’m sure I’ll be back I’ve got so many other stories, poems, screenplays and articles to write. I’ve got sketches to draw and music to compose. I’ve got a life without bipolar disorder… or at least a life without thinking about it all the time.

The one thing I want you to remember most of all is that NO ONE IS A DISEASE. They are a person with a disease. Their disease is not their life, at least not unless they allow it to be. Don’t do that, folks. It sucks. Be people. People are OK unless they won’t turn their g-damn stereos down.

Keep fighting, folks!

-Bruce Anderson