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bipolardisorder·Bipolar Disorderbyickplant

Finding therapy for bipolar

Therapy Directories

There are many kinds of therapy out there. The four mentioned below have been shown to be effective for bipolar, although it’s not an exhaustive list – it’s just to get you started on your exploration.

When you are looking for a therapist, make sure you seek a bipolar specialist. You can filter by “bipolar” in the directories above. Make sure to interview a potential therapist to confirm their competence and make sure they are a good fit for you.

Therapy for Bipolar

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) for bipolar is all about identifying negative thinking patterns and challenging them. For example, instead of thinking “Everyone is judging me all the time,” start looking for evidence that disputes this thought. Ask yourself, why are you thinking this? Has anyone said anything to you? Is there an alternative explanation here? How can you reframe this thought?

Your CBT therapist will guide you as you learn different techniques for combating unhelpful thinking. They will also teach you practical skills for climbing out of depression. Cognitive behavioral therapy is considered highly effective for depressive phases of bipolar, and it can keep you from acting out on impulse during manic phases.

Interpersonal and Social Rhythm Therapy

Interpersonal and Social Rhythm Therapy (IPSRT) is a mouthful, but this therapy is considered quite effective for bipolar disorder. IPSRT works by improving the person’s biological and social rhythms. Research shows that disruptions in routine can cause mood episodes in people with bipolar, thus IPSRT encourages keeping a schedule to maintain a stable circadian rhythm.

IPSRT usually starts with therapist and client choosing an area where the client could improve in terms of social functioning and biological routine. Therapist then uses tracking, teaches skills, and instills confidence about client’s ability to handle disruptions in routine. IPSRT is usually used as a complementary treatment for another kind of therapy and is designed to be short-term.

Dialectical Behavioral Therapy

Dialectical Behavioral Therapy (DBT) is all about mindfulness, tolerating distress, emotional regulation, and improving relationship skills. Mindfulness skills will help you be more aware of your emotions, thoughts, and behaviors. Distress tolerance skills will teach you about healthier ways to cope with your emotions such as distraction, exercising, journaling, etc.

Emotional regulation will help you manage your emotions when you are going through a depressive or manic episode. Finally, you will learn how to repair relationships damaged as a result of bipolar symptoms and how to prevent those mistakes from happening again. DBT is often done in groups, but it can also be taught in individual therapy where it is often combined with other approaches.

Family-Focused Therapy

While you may be thinking you are the only one struggling with manic or depressive episodes, your family is struggling with you. Family-focused therapy for bipolar disorder has been around since the 80s. Early sessions are all about education on your symptoms, recognizing the warning signs, and how to manage them as a team. Later sessions are about communication and problem-solving skills, especially about family issues.

Did you have a particularly good or bad experience with therapy? Please share in the comments!

View original on lemmy.world
bipolardisorder·Bipolar Disorderbyickplant
bipolardisorder·Bipolar Disorderbyickplant

A brief guide for the newly diagnosed

Information in this guide is NOT medical advice; it’s provided for educational purposes only. Please consult with a doctor and/or a mental health professional before implementing anything you read here.

This guide is meant to be communal – please message me if you think something should be added or removed. Thank you for making this community great!

General Info

Now that you have your diagnosis, try your best to learn as much as you can about bipolar. This free online book by the International Bipolar Foundation is a great start. Another fantastic resource is The Bipolar Disorder Survival Guide by David Miklowitz

Bipolar is a psychiatric disorder in which people experience extreme swings in mood, energy, and activity levels. The “highs” are referred to as mania or hypomania, and the “lows,” depression. It is a lifelong diagnosis, and there is no cure.

Symptoms described below are from the American diagnostic criteria (DSM-5). To discourage self-diagnosis, we are not mentioning the specifics, just a general outline of symptoms.

Mania

Mania is a temporary state where the person has an extremely elevated (grandiose) or irritable mood and drastically increased levels of energy and activity. Other symptoms include:

  • Distractibility
  • Insomnia
  • Flight of ideas (a lot of different ideas going through the - mind at a lightning speed)
  • Starting a lot of activities and projects
  • Talking a lot and very fast (Pressured speech)
  • Impulsivity

All of these symptoms are so severe that they cause a significantly negative impact on the person’s life. It is also possible to have psychotic symptoms during mania.

If you or your loved ones experience mania, here is a free mania contract you can fill out together.

Hypomania

Hypomania symptoms are the same as for mania – the difference is in severity. A person in hypomania may actually be quite productive and successful in accomplishing tasks and projects, unlike a manic person, who may be too energetic and scattered to follow through.

Please note that if you have psychotic symptoms (described below) or if you are hospitalized during hypomania, it automatically gets upgraded to mania.

Depression

A person must have depressed mood and/or a loss of interest in almost all activities to have depression.

Other symptoms include:

  • Significant weight loss or gain without dieting or significant decreases or increases in appetite.
  • Sleeping too much or too little nearly every day.
  • Moving too much or too little nearly every day in a way that’s noticeable to other people.
  • Feeling fatigued and devoid of energy nearly every day.
  • Feeling worthless or inappropriately guilty nearly every day.
  • Having brain fog and indecisiveness.
  • And, finally, having thoughts of suicide.

It’s possible to have psychosis during depression in bipolar type 2.

Psychosis

Psychosis includes symptoms like delusions and hallucinations. It can also include disorganized speech and behavior, like talking loudly to yourself in public. Delusions of grandeur or paranoia are common with bipolar.

Psychotic episodes can be devastating to one’s life because you lose touch with reality. It’s easy to lose jobs, friends, housing, etc. when psychosis occurs frequently.

Types of Bipolar

Type 1

All you need to be diagnosed with type 1 is one episode of mania. While depression is not necessary for type 1, it is still common for people with this type to have depressive episodes.

Type 2

For type 2, you need to have periods of hypomania – but never mania – and depression. Type 2 is characterized by longer and more chronic periods of depression than type 1.

Cyclothymia

Cyclothymia involves periods of mild hypomania and depression that last at least 2 years and happen at least half of the time with a break of no more than two months between episodes.

Grief

It’s important to grieve after receiving your diagnosis. You are grieving the loss of the healthy self, and it’s perfectly normal. You can expect crying spells and feelings of sadness and resentment different from depression. You may also feel guilt because you see your diagnosis as “letting others down.”

Remember that your life will be different now that you have your diagnosis. And you can still make it amazing. Both are true.

Professional Help

Ideally, you want your medical team to contain these three people: a psychiatrist (or psychiatric nurse, which is usually cheaper), a general practitioner, and a psychotherapist.

A psychiatrist is a medical doctor who specializes in psychiatric conditions. Compared to general practitioners, psychiatrists have vastly more knowledge and experience in the field of psychiatry. They can provide the best care and should be consulted on diagnosis and prescriptions.

A general practitioner is your regular doctor, and you should get routine checkups including checking your thyroid levels (low levels can be tied to depression). If you cannot afford or find a psychiatrist, your doctor will be the one diagnosing you and prescribing medication.

A psychotherapist is someone who provides therapy. Therapy for bipolar can look very different depending on the provider. It can be direct and goal-oriented (like coaching) or it can be more about listening and expressing empathy. A fully licensed therapist should be able to provide a diagnosis but cannot prescribe medication. Check out this post if you are looking for therapy.

Safety

If you ever get suicidal, you may want to complete a safety plan and confide in a close friend if you have not already. Suicide may seem like the right solution in the depths of despair, but it only creates more pain and suffering. Please stay.

Check out a free safety plan here.

Tracking

It’s important to start tracking your mood. You can start seeing trends, which will help with identifying your triggers and warning signs. You want to start catching episodes before they become full-blown, so you can get ready and implement some coping strategies.

There are many apps out there, like Daylio, Bearable, Emoods, Moodfit, etc. Play around to see what fits you best. You can also track with pen and paper. Get creative – draw emojis on a calendar or get colorful with your bullet journal. Check out this printable tracker from the DBSA.

Triggers

You should be aware of things, people, and situations that can trigger episodes for you. You may know some of these off the top of you head, and you will identify the rest with time.

Some common triggers include stress from both negative and positive events, substance use, lack of sleep, and change of seasons.

If you know your triggers, you can prepare yourself when you know you will come into contact with one of them.

Warning Signs

Warning signs are big and little things that tell you an episode is underway or coming soon. For example, not everyone gets hypersexual during hypomania, but if you do, then an increase in sex drive could you one of your warning signs.

When identifying warning signs, try to be as specific as possible. For example, instead of saying “I shop online more”, you might say “I start spending more time browsing Amazon and opening emails with discount offers.”

Medication

Many people with bipolar have to take medications for the rest of their lives, and there are also many who choose not to take medication. Either approach can yield great results as long as you work with a competent medical professional and develop additional coping skills.

You will likely be prescribed medication, and it is likely to be in one of these three groups: mood stabilizers, antidepressants, or antipsychotics. If you have anxiety or any other conditions, like ADHD, you may be prescribed other medications as well. People with bipolar on average take at least 3 psychotropic medications.

It is worth mentioning that prescribing antidepressants for bipolar is somewhat controversial. Please note that you should never go off medication suddenly or without consulting your medical professionals.

You can find a list of commonly prescribed medications here.

Diet

We are starting to learn that a ketogenic diet might be good for mood stabilization; however, research is in its infancy. Read more:

Can a ketogenic diet successfully treat bipolar disorder?

New Study: Serious Mental Illness Improves on Ketogenic Diet

A comprehensive website about bipolar and keto

Next Step

Check out this free 1-hour video course, Living Successfully with a Mood Disorder, from the Depression and Bipolar Support Alliance.

View original on lemmy.world
bipolardisorder·Bipolar Disorderbyickplant

Hello and welcome to our community!

Your contribution is what makes it thrive, so please share your thoughts.

This is a safe place to discuss, vent, and share information about bipolar disorder. It is also a place for peer support and comfort.

Please use empathy and common sense when posting and commenting. We are all in this together, let’s stay kind and civil.

The rules for posting and commenting, besides the rules defined here for lemmy.world, are as follows:

Rules

  • If you are having thoughts of suicide, please call a friend, family member, 988 in the US, or find transportation to your closest emergency room (call 911 in the US).

  • Please be sensitive when discussing suicide and self-harm. Posts threatening suicide are subject to immediate removal.

  • Posts containing medical advice or diagnosing others are not allowed. If you are posting about traditional or alternative treatment methods, please keep the post focused on your personal experience.

  • We do not allow promotion, solicitation, or affiliate links. For interviews, surveys, and studies, please contact the moderators.

  • Harassment of any kind is not tolerated. Do not harass any user for any reason including treatment plan/medication adherence, race, religion, gender, sexuality, disability, etc.

  • You may post bipolar memes and jokes as well as serious content. This rule may change later at the community’s discretion.

Community Moderation

For inquiry on becoming a moderator of this community, please send a message to the current moderators.

View original on lemmy.world
bipolardisorder·Bipolar Disorderbys38b35M5

1 week after BD2 DX

Today marks a week into my Lamotrigine titration following my BD2 dx. I'm writing this post because I don't really have anyone* to talk to about my experience, both with the medications and my being dx'd in general. As far as I am aware, the amount I am taking (25mg for another week before 50mg for two weeks) is too low to have any therapeutic effect on me, and even if it wasn't, it hasn't been in my system long enough to do what it is meant to do yet. Some of the below info might be caused by other things, but I have never felt some of it before, and wanted to include everything for completeness sake.

Side effects: Headache On days 2 and 3, I had a persistent headache that nothing touched.
On day 3 it went completely away by 7pm.
On days 4 and 5, I had no pain.
Starting on day 6, I have a different kind of headache. It's dull and I can ignore it inside, but outside in the 90+ degree heat, it throbs. It's sort of in the back of my head where my neck and skull meet.
Brain fog
Starting on day 2, focus diminished significantly. It began as simple loss of words. The feeling that you can't remember the right word, but it's on the tip of your tongue.
By day 4, I was functionally useless around home, but driving unaffected (thank spaghetti-god). For example, I received an alert from my TrueNAS box that the battery backup communication was lost (shakes fist at silly APC junk), which never resolves until I disconnect/reconnect the USB cable. I went into the basement, and by the time I was at the bottom of the stairs, I forgot why. I stood there a minute. My wife came down and chuckled at me. "Are you lost?" I was. I told her I forgot why I was down there. She chuckled again and told me, "Your server UPS thing was being dumb, remember?" I did. I turned and opened the door to the "server room" and shut it behind me. As soon as the door was shut, I forgot why I was there again. I messaged her on Signal. "I'm dumb and forgot again. Why am I here?" She lol'd and reminded me. Then she called me a minute later, only to find that I was seated in front of the TrueNAS box, consoled in and trying to remember what I was going to upgrade. "OMG! Are you for real? You already forgot again?" Yes. Yes I did. I stayed on the phone, unplugged the cable and plugged it back in. Problem solved.

Mood: I don't attribute this to Lamotrigine, but my dx. I am happy. I have been re-evaluating my life up to this point through the lens of bipolar disorder. Before my diagnosis, it was strange to think even a few months back and think, "Maybe that was my bipolar." Now that I accept my diagnosis, there are things from my early teen years that stand out to me now. Heavy drug use, getting expelled from high school to trigger my mother's "If you get expelled, you can't live here." rule. Sleeping with my friend's GF in his bed. Poor life choices in general. I now realize that half of my relationships began during a period of hypomania. Every job I have ever held, I would suddenly start calling out around spring time (when my seasonal hypo arrives). So, while many of these things make me ashamed, I am happy knowing that it all fits my diagnosis.

The other thing that I noticed just last night is that I have relaxed a lot. I stopped trying to filter everything I say, do, want, wear, etc. I have accepted my dx, and this is who I am. I am not done trying to be a better person. I need to always strive to be my best. But I am no longer ashamed of being hypo or depressed, or needing to sleep for 18 hours. I feel slightly liberated by this. I am not suddenly unfiltered and yelling, "Deal with it! I have bipolar, fuckers!!!" I just feel like it's okay now, when I stand in a room shifting my weight from foot to foot with a blank mind. It's okay if my mind is racing and I can't explain myself. It's okay if I said you can have my orange juice, but I forgot and asked you later why you drank it. I will still apologize, but I no longer feel like I am a bad person. My unfinished projects? I sure wish they were finished, but I'll come back to them. I always do. But I have a lot more humor about my past experiences with the new, added context of my BD.

Friends and Family: The response from my family and a few friends has left me somewhat jaded. I don't think I will be volunteering to share my dx anymore. If I'm not explaining that BD isn't schizophrenia, then I'm explaining that being hypo doesn't mean I am suddenly delusional or psychotic. And even for my mother and older sister (the latter of which I believe has BD1), I ...don't know what I expected, but I was disappointed. That could be all me. In fact, it likely is. But "Wow. That's big. I am glad you are getting treatment." didn't really feel how I hoped it would feel to tell them. Well, maybe from my N mom, but not my sister. She is usually so empathetic. Usually, when I share things with her, I get responses like, "That must feel ____. How are you holding up? I think if I were in your shoes, I would..." so this was out of character to me. My best friend told me he loved me and that we'd get together when he's back in town. No worries there, but I still feel disinclined to share it with anyone.

Why? I didn't realize how people really don't know what BD is. It seems that the media or just common misconception leads to most people assuming it is multiple personality disorder or they think it's ultra-rapid cycling, going from full major depressive episode into full mania or hypomania in minutes, and back again. Even when they don't have those mistaken assumptions, there's still a persistent tone of, "You will be erratic and unpredictable." I feel like they don't trust me anymore. They act like my disorder began at dx last Wednesday. I've been this way for at least 29 years. The same guy who raised three kids who all have awesome attitudes and care for everybody in their lives. I've owned three homes with mortgages. I have a solid retirement saved up. No debt. No brushes with the law since 2006 (speeding ticket).

I'll have to do some work to correct these assumptions, and I will get to that. It's just that for the next few months, I plan to focus on me as much as I can. I don't have the resources to try to explain BD right now.

I hope this doesn't sound all doom and gloom. I am happy, but I know I tend to focus on the negative (that's a family trait on my mother's side). I am committed to staying on this treatment for the next several months in hopes of smoothing out my moods. This isn't a post rationalizing why I won't continue treatment. I'm happy to be treating my disorder.

*Full disclosure, my wife has BD1 (diagnosed around 2001 -- I forget which year), and she loves talking about my experience, but she also tends to discount things and give "advice" where I just want to discuss and get my thoughts out there. For that reason, I feel like she isn't the ideal person for me to talk openly with. Some of the things I need to learn, I will have to learn on my own; I can't just follow advice for every part of this experience.

View original on lemmy.world
bipolardisorder·Bipolar Disorderbys38b35M5

Journaling is a spaghetti-god-send

I've been keeping a journal in multiple ways since 10/2024. Tracking moods and meds with graded scales, but also writing daily.

Until last night, I had NEVER gone back and read any of them. I went back to the beginning and saw a distinct pattern. I wonder now whether I would have suspected that I have BD2 before if I had read the journal sooner. My pattern is seasonal, at least primarily. October, things get dark for me, which lasts until about February, when I am SUUUPER happy and productive. I also have episodes other times, but I can count on at least two each year in spring and fall.

Entries like, "I forgot to journal yesterday because I didn't go to sleep last night. I just spent $650 on a new CPU and motherboard. I think I'm going to buy a brand new GPU for $750 too. I don't need it, but I'm already on a spending spree, so why not?"

Or, "I just went outside and everything is so beautiful, I can't even begin to describe it. I asked (my wife) to join me, but she refused. It's too cold for her. She says I'm being like her when she's hypo. I don't know why she insists on projecting her illness on me." Yeah, that one was kind of a doozy.

Or, "I had a really bad night last night. Suicidal. (Wife) wants me to go to our pDoc.. Well, she thinks I would benefit from a mood stabilizer ...the kind that only people with bipolar take. Take from that what you will. Could I have bipolar? Am I sure that I don't have it?"

And lastly, "[Wife] says I am talking too much and too fast. But I just want to show her how much fun I am having playing the PIANO!!!! I can't believe how far I've come in the past few weeks. I never dreamed that I could be this good at it. My hands know what to do even when my eyes are telling me the hands are wrong. I feel like there's nothing I couldn't play."

It's been really fun (and a little embarrassing) going back through the journal entries. I had no idea I would. It's actually funny that I never even considered going back and reading it. Ha! That's kind of the whole point, isn't it? Well, leave it to me to miss that.

View original on lemmy.world
bipolardisorder·Bipolar Disorderbys38b35M5

(Update) Get my eval for BDII Wednesday

Update: Doctor confirmed diagnosis. Said he had in his notes from previous visits that he suspected seasonal bipolarity. My history, childhood and recent events -- not to mention I'm still hypo -- prompted him to say that he is confident in his diagnosis. So. Yup. BD2.

This community is pretty quiet, but I wanted to drop a short check-in post anyway.

On Wednesday, I will see my pDoc to be evaluated for bipolar II. I just came off what I (and my wife with bipolar I) think was a hypo episode that peaked for about 9 days (after checking my computer history and sleep/mood journal). According to my wife, I get hypo every spring, but this one was the first one where sleep was completely optional for me. Some days I would sleep for 2.5hrs. Some days I wouldn't sleep at all. During that time, I was doing three things: playing my digital piano, playing games on my PC, and editing a mediawiki fandom site, creating 275+ updates with more than 1k characters in five days, over 170 of them on May 5.

I thought I was just being really creative and multi-tasking. I know that I really did level-up with the piano. I have third-party confirmation of that, but, yeah, I think that maybe I wasn't as awesome as I thought I was. Like, I know I got better at piano from playing basically all day for almost two weeks, but I also know I am only self-taught, and I didn't become a wizard or something.

After reading the bipolar sections of the DSM-V, I am fairly confident the diagnosis would be Bipolar II rapid cycling with mixed features and seasonal pattern.

So, I don't know if our suspicions will be confirmed or not, but I would be lying if I said I wasn't looking forward to belonging to this community, and feeling like a label actually helps me when it comes to this.

Anyway, I don't know if anyone will see this post, as this community seems sort of fizzled out, but oh well. I just feel better sharing this. It helps me come to terms with it, I think.

View original on lemmy.world
bipolardisorder·Bipolar Disorderbymeep_launcher

Staying stable while my parents are getting redpilled

TL;DR- I'm swinging up and down because I don't feel like I belong to the family I once knew, and my parents are sending me weird facebook reels.

I'm so exhausted. It's hard to not be depressed or find myself thrown into a hypomanic state when I'm getting absolutely wild messages from my parents.

I love my family, and I will never disown them, but it can be rough when I know I can't talk about my identity, my friends, my work, or what I'm doing with my life now that I moved halfway across the US. Sometimes I'm financially struggling, but I'm also kinda dumb in that I keep gigging and creating events and shows that give me spikes in pay. I'm a musician and I think I'm taking off, but it's always hard to see that in the moment. I just remind myself that it will all make sense one day. I'm very different from my family- I really don't belong anywhere. Frankly it's a miracle I can pay rent doing what I do.

For a while in 2020, things were really rough. My mom and sister are very much TERFS, and my dad has been sliding more and more into the manosphere. What's strange is how my dad, who has always been the conservative wing of the family, was also the only one who told me he loved me when I came out at 16. My mom, who would always talk about her hippy days and how she doesn't like the GOP, was the one who wouldn't talk to me for 3 weeks after I came out, and when she finally did, she asked if I still was bi and I had to say no so I could have a mom. My sister was the one I thought I could talk to about it- but she was the one who told my parents. So I guess I didn't come out, I was forced out by the person I trusted the most. That said there were other times I could see them trying to be more accepting of my differences, but it just never felt authentic.

Recently my dad sent me an obviously Ai generated video showing a rabbi talking to the camera giving financial advice saying "jewish dads are better at raising their kids because they don't let them hang with poor friends" or "jewish dads tell their kids not to follow their passions" etc. He has become more and more "your wealth is your worth" and "greed is good".

As a bipolar kid who is living the full time artists struggle, it's hard not to sit with a feeling that my parents think I'm worthless. When my bipolar diagnosis happened, they treated me like a freak, and it was hard not to just cut them off. But I just can't do that- they are still the people who raised me. My dad is still the dad who can make me laugh harder than anyone. Before all of this, my dad was my best friend, I was moms little guy, and my sister was my partner in crime... but then it got weird.

It really showed in 2020 when the BLM protests happened. I went to 2 protests and didn't tell my family because that's when they were saying how BLM is a terrorist organization. When I moved home that year, I remember feeling I had a duty to talk to them about their views, but all it did was make them see me as "the woke left" and not their son. I know it's false, they love me and see me as their son, but I just felt so alien.

I ask myself all the time "Who are these people? Have they changed, or were they always this way and I'm seeing it more and more? Do they still think of me as family?"

I've been told that I need to practice self acceptance, but when the people who I consider closest to me won't accept who I am, I just don't know how I can do the same. Everytime I call crying because of something I did or my shame they always seem to speak with hesitation, trying to be kind but I can hear the judgement in the silence.

I've been creating more and more projects, sleeping less and less, and a lot of it has to do with the anxiety of being seen as a loser. I know I'm not a loser, but my body still feels like it is. I've been taking meds, but also medicating myself more.

I feel lost and alone.

View original on sh.itjust.works
bipolardisorder·Bipolar DisorderbyMangiantZ32

Your life w/o bipolar

I know this instance is mostly dead,but I figured I'd post regardless. What do you think would have changed in your life if you didn't have bipolar? Negatively, positively, or both. I have a lot, as I am unsure what's caused by me, or bipolar. (Could be both!) For me, my attendance during education would have been way better, but I'm still a fairly educated individual. Probably less friendship break ups, too.

View original on lemmy.nz