Several readers of this blog have been intrigued by Tom Wootton’s “Bipolar in Order” site and the training program that he has developed to help people live well with bipolar. A few years ago I added a chapter to one of Tom’s books, and Tom and I have had a professional relationship for more than a decade. I don’t agree …
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 …
Joshua Walters Performance
I am happy to let you know about an upcoming performance from Joshua Walters. Several years ago, Josh was a facilitator for the Depressive and Bipolar Support Association of San Francisco (DBSASF) Young Adults Group. Josh was one of a handful of finalists in a TED Talks search for new talent with his talk “On Being Just Crazy Enough” which has …
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 Suicide Film – Here One Day
I just attended the screening of a remarkable documentary at the Institute for Psychiatric Services meeting in San Francisco. The film is called Here One Day. It is an incredibly personal story by documentary film maker Kathy Leichter, about her mother, and her mother’s struggle with bipolar. The film is a tribute to a remarkable woman, who’s bipolar disorder both …
Through the door: a bipolar therapy test?
By Dr Suzanne A Black and Stuart Jessiman ‘I’m off on one.’ I’m now explaining how I use poor metaphors to describe one of those days where I my mood goes up and down so rapidly I could generate electricity. I’ve described myself flying through a fantastic blue sky with the warmth of the sun on my back. I just feel good!!!! Energy abounds. …
Through the door: initial therapy consultation
By Dr Suzanne A Black and Stuart Jessiman Having passed through the door of the therapist’s lair there I am now seated facing the psychologist. She smiles. I smile. A simple success I suppose. She sat there dressed in a black dress and pearls, amid an array of beautiful old furniture with one bookshelf towering towards the tall ceiling, and an …
Digital noise – don’t you just love it?
Digital noise: phone chatter, loud music cross-talk, the incessant tip-tapping of keyboards, the beeps, bongs and rings of text messages and horrible mobiles ring tones that expose you to things like Wagner played on what sounds like a xylophone – I’m stuck on a bus in the middle of nowhere. It’s hell. Coping with noisy, busy places for many bipolars is often stressful. …
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 …
Lithium Health Benefits – Link to GPS
Several members of this forum sent me an e-mail with a link to an article that appeared in the New York Times on lithium that was provocatively titled “Should We All Take a Bit of Lithium.” We ended up publishing a blog post on this topic on our Gateway Psychiatric website. This might be a good opportunity to introduce readers …
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 …
The Power of Daily Rituals: A Morning Walk
What is the power of a morning walk? Even such a simple daily ritual can have profound effects on mood. After two years working with a young woman who is now heading off to graduate school and bright future, we were reflecting on lessons learned. “I can be a bit dense about cause and effect. I am surprised when something …
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 …
Fatigue and Depression or Bipolar
Fatigue is a common symptom in people with recurrent depression or bipolar. And in fact a common symptom in the general population. It is estimated that up to 10% of otherwise healthy people suffer from fatigue. And it is a more common symptom in women than in men. Sometimes fatigue may persist well beyond other symptoms of depression. First, it …