“I was losing hope that I would ever feel like myself again… but I finally got my full self back.” In an open-hearted and moving op-ed piece in the Los Angeles Times on Thursday, Dr. Devika Bhushan, who has been serving as Acting Surgeon General of the State of California, told her personal story of bipolar disorder, which was diagnosed …
Disclosure or “Coming Out” about a Mental Illness
Privacy is a big issue nowadays, with everything we post online being available to the whole world forever, and stigma about mental illness is a painful reality for everyone. Even so, many people think carefully about disclosing some information about their diagnosis to others, both on- and off-line. Should you “come out” about a mental illness diagnosis? What will happen? …
Too Busy to Enjoy Life? – Nancy
Are you busy? Why? Are you rushing? Why? Being busy and accomplishing a lot of things is supposed to get us somewhere we want to be, or something we want to have. But is it working? We usually believe that we have to rush to get everything done and we have to get everything done in order to get what …
Five-Year Plan – Nancy
Do you have a five-year plan? Are you a goal-setter or do you prefer to “muddle through”? For some the idea of making a written life plan is a no-brainer, while for others it sounds like an idea from an alien planet. Making a plan for the future is a strategy that can help when life feels chaotic and directionless. …
Impossible Job – Nancy
Do you have an impossible job? An impossible job is a job where the scope of the work is so great that it is not possible to do all of the reasonable things related to that job. As an extreme example, if you are a busy emergency room doctor, there is no way you can do everything that you possibly …
Micro-Progress Overcomes Inertia
A reader of this blog forwarded to me an article on “micro-progress” that promises a solution the the common problem of procrastination. Editor of Smarter Living, Tim Herrera, writes… “Of the countless articles, books and so-called lifehacks about productivity I’ve read (or written!), the only “trick” that has ever truly and consistently worked is both the simplest and the most difficult …
Returning to Work
Returning to work after a period of increased symptoms of depression or bipolar can seem daunting. And, indeed, there are major challenges to be dealt with. If you are returning to work, you are in a happy minority of people with bipolar or recurrent depression. Congratulate yourself! Or at least that is what the, admittedly incomplete, evidence suggests. Trying to …
Bipolar at Work – Nancy
Bipolar At Work: Disclosure and Accommodation Federal law provides important protections for workers who are coping with disabling mental or physical illnesses in the workplace. Know your rights, and plan carefully for whether, when and how to request accommodations and disclose special needs at work. The Americans with Disabilities Act (ADA) prohibits discrimination against anyone with a health-realted disablitiy in …
Return to Work
Successful Return to Work Return to work is an important step in the recovery process for many people with bipolar or depression. Work is not just important financially. It is an key source of self-esteem and purpose, and a place where many people experience a strong sense of community. For these reasons, return to work is often an extremely important …
Coming Out Proud – Disclosure
Coming Out Proud is the name of a program that was developed Patrick Corrigan to help people with a “mental illness” think through the risks and benefits of disclosure, and come up with a strategy that not only fits their values but avoids some of the many pitfalls of greater honesty about bipolar or depression. The full program takes you …
States of Mind and Task Planning
How can we think about the relationship between states of mind (moods, energy levels, focus, etcetera) and task planning? All of us are aware that there are times when we are able to be very effective with certain tasks, and other times when it is practically impossible to complete a certain kind of project. This is not entirely a random …
Employment Rights and Bipolar
What are your employment rights if you have bipolar? Do you need to tell your employer? Should you tell your employer? What if you’re looking for a job, when can your potential employer ask you about bipolar? We ran across a nice summary with some very useful links on the Bipolar Network News website. Attorney Katharine Gordon writes – It …
Getting Things Done
One of the perennial challenges for anyone with problems with depression or mood swings, and perhaps for anyone in our increasingly busy and frantic world, is how to not get overwhelmed by work and personal tasks.It is a challenge and we have historically relied on two sources of wisdom when we counsel people who are struggling with this:1. David Allen’s …
Office Work and Moods – How to Stay Effective
I recently spent an interesting half an hour talking with a very successful businessman who has bipolar about how to get his office work done even though he has periods when he is depressed, and his thought processes are slowed down. One of his big issues is that when he is depressed he finds himself staring off into space rather than working his …
Managing Tasks without Pain
A young woman who is attending architecture school mentioned a sudden dip in mood that happened the previous evening. She told me that this had to do with a day of working very hard to try to get tasks accomplished, and the anger and frustration at the end of the day when she hadn’t done as much as she wanted to, …
The Trap of Stress Disability
The other day I was asked to evaluate a fellow physician by his disability insurance company. When I do disability assessments I take particular care, because what I say has big implications for the person I am evaluating, and I try very hard to do an extremely careful and thorough job of assessing the person’s situation. Three quarters of the …
Should I Tell My Boss?
One of the hottest topics on our forum is when, and how, to tell people about your depression or bipolar. The question of telling an employer is a particularly tricky one since, on the one hand, sharing information about a “chronic medical condition” allows you to claim certain benefits that are guaranteed by the Americans with Disabilities Act, and on …
Cluelessness: Getting Stupid
Late on a Friday afternoon, I found myself with two patients (back to back) who were yawning and seemingly drifting off during the course of our conversation. Now, that could have meant that I was being particularly boring. But, in this case, it was the manifestation in the office of something that had been going on at home and causing …
Later Retirement and Alzheimer’s Prevention
A study conducted by Carole Dufouil, a scientist at the French governmental agency INSERM reveals that if individuals stay in the workforce longer, the risk of developing Alzheimer’s is greatly reduced. In the study, 500,000 people in France were used as participants. The information gathered from these individuals included age of retirement and whether or not they had dementia. The results …
Odd Couple’s Therapy
I met today with two interesting people: they’re both attorneys. They have a remarkably different style and presentation. One of them is usually animated, energetic, and optimistic. However, he also has bipolar mood cycles. Sometimes his energized vibe may get a bit intense, while at other times he will be in a depressed state that makes it hard for him …
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