Seasonal Mood Changes Spring is coming, a season that some call “mania season”. Even those without mood disorders often feel a rush of energy and hopefulness as the days finally start to get longer, and the temperatures go up. Many of our bipolar patients find that their mood swings follow a predictable pattern: for the majority, “up” in the spring …
Mood Swings and the Holidays
Holiday stress is a reality of life for many people, but for those struggling to manage chronic illnesses like bipolar, the holidays can be a real trial. Each year, MoodSurfing encourages readers to spend some time before the holidays reflecting on how they want to face up to, and hopefully get some fun out of, the winter holidays. Here are …
International Bipolar Federation Virtual Event
The International Bipolar Federation, a frequent mention in this blog (See our sidebar “Outside Blogs”), is again hosting its annual Starry, Starry Night event online. You can view the one-hour video of the event on Oct. 24, any time between 2:00 pm and 7:00 pm Pacific time. The event promises to be a packed hour of motivational speakers and real-life …
Hypomania Management
Hypomania also needs management Of all the different mood states that people working through bipolar I or II have to deal with, hypomania may be the most difficult to understand. Often misdiagnosed, or left untreated for a variety of reasons, hypomania can also have its own stigma attached, as a post in BPHope reminds us. Friends, family members and other …
Bipolar Disorder in Teens
Bipolar disorder usually begins during adolescence or early adulthood, but it takes on average 10 years between the onset of symptoms and correct diagnosis and treatment. A recent article in the New York Times looks more deeply into the issues and controversies surrounding early diagnosis and treatment of bipolar disorder. Dr. Boris Birmaher, professor of psychiatry at the University of …
World Bipolar Day Special Event
March 30 is the day! There will be some great events, including an Ask Me Anything panel on Reddit resourced by CrestBD. The Collaborative RESearch Team to study psychosocial issues in Bipolar Disorder (CREST.BD) is a multidisciplinary collaborative network of researchers, people living with bipolar disorder, healthcare providers, and family members and supporters. They are offering a great lineup of …
World Bipolar Day 2021
Seeking Local Events for World Bipolar Day Sadly, many of us are still isolated from big events this year, but there are still lots of ways we can connect and participate. The World Bipolar Day website now has a sign-up form available for those planning events to coordinate with WBD in your local area. World Bipolar Day is celebrated each …
Cognitive Issues and Bipolar Disorder
Does bipolar disorder cause problems with memory, attention focus, speed of thinking and cognition? Does depression cause dementia, or does it just feel like it? Are memory problems and cognition issues caused by the medications that control mood episodes? Is there anything one can do about troubles in thinking and memory related to mood issues? “Suddenly becoming demented” is a …
Shame, Guilt and Bipolar
A manic or hypomanic episode (mild or severe) can lead a person to taking actions that may be unhealthy, unwise, or even harmful to self or others. This can lead, afterwards, to feelings of guilt and shame. We feel bad about what we have done, but we don’t always know how to move on and make amends. These feelings can …
Tripolar Disorder
Mixed mania is a type of depression, but it’s very hard to explain it to people I work with. In the view of mental health professionals, it makes a lot of sense to talk about a “mixed” state, which is a state of depression that generates lots of energy and agitation. The lethargy and slow speech of “typical” depression looks …
What is Acceptance and Commitment Therapy?
Acceptance and Commitment Therapy (ACT) is a way of learning to live with chronic illness that teaches the patient to be present in the moment and get in touch with reality, instead of the scripts that may be running in their brain. Learning to live in the present moment can take a lifetime, but it also allows one to step …
Social Rhythms Therapy
Circadian rhythms are an important component of mental health. Humans have naturally evolved to live in the 24-hour light-dark cycle that our planet creates for us, and we run into difficulties when this pattern is disrupted. Depression and bipolar are conditions that may create circadian disruptions, or they may stem from an ongoing breakage in the circadian pattern. In either …
Mood Homeostasis and Depression
MoodSurfing advocates identifying strategies for managing moods without medications, not because we think medications are bad, but because they do have potential adverse effects. We think that some of these strategies are very helpful, but the psychiatric establishment has not always agreed. A recent study1 provides evidence that choosing activities to stabilize mood can have a big impact on mental …
A Lonely Disease: Stigma and Bipolar
Stigma about mental illness is found everywhere, so why not in the intensely macho world of college football? Brent Guy, a college football coach for 30 years can tell you all about stigma. He hid his bipolar diagnosis and regular medication from everyone but his wife and doctors. I’ve written quite a few of these “famous people with bipolar” profiles …
World Bipolar Day 2020
World Bipolar Day, celebrated every March 30, is a day to reach out, connect and come together in solidarity around the concerns of people living with bipolar. Sponsored by the International Society for Bipolar Disorders (ISBD) in conjunction with the Asian Network of Bipolar Disorder (ANBD) and the International Bipolar Foundation (IBPF), it is a time for us all to …
Mobile Apps for Tracking Moods Improve Care
Passive tracking of vocal and behavioral indicators of symptoms via a smartphone app can be an effective way to improve depression in a time-sensitive and accurate fashion. A recent randomized clinical trial compared the use of an app to track indicators with “usual” care for depression, and, although the sample size is small, the results are very promising. For the …
Insurance Coverage of TMS for Bipolar Depression
A patient represented by an attorney obtained AETNA health insurance coverage for rTMS treatment of bipolar depression. The patient satisfied the insurer’s policy guidelines for rTMS treatment of major depression by demonstrating failed trials of 4 different medications. Reimbursement was based on the plan’s allowed percentage of the “covered amount”. The AETNA Appeals Decision stated: “TMS treatment is being authorized for …
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? …
Mindfulness and Irritable Mania or Hypomania
Ginger showed up in my office today feeling “incredibly irritated” by “people who don’t do their jobs.” She is a small business owner who relies on the work of many contractors for her business and she has been running into the usual excuses for work done late, or not at all, and finding the excuses to be almost intolerable. She …
What Does Hypomania Feel Like?
What does hypomania feel like? A Moodsurfing reader recommends this You Tube presentation because, he said: “I found this video refreshing due to her very detailed description of what it feels like going through the various episodes.” Imogene Walters, working in London, has made several videos about bipolar, including one about suicidal feelings, and she speaks directly and meaningfully to …