Travel and Mood

Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be due to many factors. Getting out of a rut, experiencing new locations and meeting new people can bring you out of the depression. However there is also the possibility that travel may disrupt circadian rhythms in a way that leads …

The Purple Thread – by Lyndsey

Greek philosopher Epictetus compared the masses to the white threads of a toga.  He declared himself to be a purple thread among the common white threads, saying “I desire to be the purple thread–that small and shining part which makes the rest seem fair and beautiful.” He went on to ask, when contemplating changing his personhood, “why should I attempt …

Positive Change or Mania?

Charlie is concerned that by being too positive he will trigger mania. He has been hospitalized once a year and the pattern always seems to be the same. He will have settled into a seemingly fixed state of depression, and then will begin to feel frustrated with that state and tried to make changes to escape from the swampy morass. He …

Welcome to the Jungle

Since Welcome to the Jungle is a book about bipolar written for young adults. And since most people are diagnosed with bipolar as young adults, often thrown into a world of confusingly contradictory information, needing to suddenly understand a complicated condition, and make important self care decisions, when they have only recently started living independently, we thought this book could …

Bipolar Depression – Energized States are Rare

I ran across this slide in the Psychiatric Times Bipolar Disorder Information Center. I think it neatly illustrates why so many of the people I talk with, particularly people with bipolar 2, find it hard to understand the diagnosis. On average, patients with bipolar disorder spent  roughly 70% of their time in a depression when they were having mood symptoms. Patients …

Welcome to the Jungle

Welcome to the Jungle is a nice addition to the large list of bipolar self help books. Hillary Smith has written a book for the young person dealing with a new diagnosis. The information is up to date, but the tone is informal, and respectful of the mix of feelings that many people have facing a new diagnosis of bipolar …

Bipolar Education Program

Doctors often do a poor job of educating their patients about their health problems. That is particularly troubling when you are talking about a condition as complicated as bipolar. We have been working on an educational program for this site based on the Barcelona psycho-education program for bipolar, to be called Bipolar 101. The Barcelona program has clearly been shown, …

Bipolar Books – Marbles

Bipolar books are coming out with greater frequency. I’m hoping to focus on some of the more creative examples in this site. I’m happy, once again, to post a sample of a wonderful book by Ellen Forney called Marbles: Mania, Depression, Michelangelo and Me. This is a delightful cartoon book that was a New York Times bestseller. I’m hoping that …

Bipolar or Unipolar Depression?

Bipolar or unipolar depression: How to distinguish between these two conditions, which can have very different treatment response remains a difficult question without really satisfying answers. As noted in the picture to the right, misdiagnosis is common and can have serious consequences. An article in European Psychiatry adds to the literature pointing to certain features that increase the odds that someone …

My Bipolar 2 Diagnosis

My name is Elisabeth Berger. I am 41 years old and I am from the Tyrolean mountains in Austria. I am going to write occasionally for this blog. I received a bipolar II diagnosis relatively late, just a little more than two years ago and I was treated for depression before. I am planning to apply for admission to graduate …

Diagnosed Bipolar in a Crazy World – Lyndsey

I saw a production of Hamlet last month, performed by the Shakespeare-by-the-Sea ensemble. Having not seen it since my diagnosis, I felt as if I was watching the play for the first time. Do you remember the story? “To be or not to be?” – And all that. Hamlet, the young intense Danish Prince, is distraught over the sudden death …

Robin Williams: Preparing for Depression – Lyndsey

Much has been made of Robin Williams’ ongoing struggle with darkness culminating with his suicide after being diagnosed with Parkinson’s disease. People have commented mostly on how confusing it seems that someone who gave so much laughter could be visited by such exquisite pain. But we bipolars know all about this. It’s almost like living with two distinct personalities in …

A Bipolar Couple

This morning one of the clients we have worked with for several years came in with his wife. It was a surprise that she joined the weekly session. They had just returned from a vacation in Mexico. And neither of them had had any fun on the trip. When he left for Mexico, he was very mildly hypomanic and, I suspect, stayed that …