When a friend abandons you: in retrospect

Don’t feel like reading? Listen to the audio version here:

 

is-facing-depression-gets-abandoned-by-best-friend

 

First of all, I apologize for accidentally posting a post without any content. I’ve been so busy that I absolutely forgot that it’s Tuesday. Sorry ’bout that… anyway, let’s get on with it. 

I’ve felt abandoned by quite a few friends in my lifetime. Friends I thought I could count on. It’s heartbreaking every time. But, as years have passed, and I look back on what happened, I feel like I can understand – or at least respect or acknowledge – their side of the story. Of course, their side of the story is what imagine it to be, in order to make sense of it all. 

I was bullied for most of folkeskolen (primary/elementary school), so from I was around the age of 8 to 16. I was the nerd, the redhead, the weak link. I was the girl the teachers liked (most of them anyway), the one who did her homework and did well in school. I was a very easy target. On top of that, I had quite the temper (even worse than now), so teasing and bullying would always provoke a reaction from me. 

I mainly had one friend for most of my primary/elementary school life. Let’s call her Marlie, out of respect for her. We’re still in touch to this day, and we’ve put the past behind us. Now we can just laugh about it. And, of course, this is my version of what happened, and I’ve also forgotten so much. Anyway, so Marlie was pretty much my only friend in my class for many years. I had a few other friends that were older than me, who I’ve known since kindergarten (and are still friends with to this day), but not anyone else in my class. However, as there were periods of more serious bullying, or if we’d had a fight, she would go to “the dark side,” meaning leave me behind and make friends with the bullies. When it was safer to be friends with me, she’d come back. And I’d always welcome her with open arms. 

Until I finally had had enough. Here in Denmark, we’re confirmed around the age of 13-14, usually on a Saturday or Sunday. On the following Monday, we all get a day off from school. That day is called Blue Monday. It’s basically a day where we can all go spend the money we got as presents at our confirmation parties. A common thing to do is to spend the day in Tivoli (amusement park in Copenhagen) with your whole class. Now, the only reason I decided to go was because Marlie had promised me that we would seperate ourselves from the group and just run around and have fun on our own. But when the day came, she told me that her cousin (who was a year younger than us and with whom I would fight over Marlie’s attention) was coming, too. She was just gonna skip school and join us. And it didn’t take long for those two to run off by themselves. That left me alone with the rest of the class who didn’t like me. And I certaintly didn’t like them. It got very, very awkward – because everyone wanted to have a nice day, but they didn’t know how to act around me if they weren’t being mean. 

When I got home, I ate my face (the only piece of the cake that hadn’t been eaten at the party – apparently no one wanted to eat my face except me), cried my eyes out, and swore never to talk to her again. 

So, the next day, when Marlie came over to me in class and said hi, I didn’t even look at her. We didn’t speak to each other for a whole year. Then we entered our final year of school before we were all to be scattered to either high schools or tech schools or whatever, and we decided to bury the axe and be friendly and civil. 

We pretty much lost touch right after we finished school, but years and years later, we reconnected on LinkedIn. We talk once in a while, but we don’t live close, and we each have our own seperate lives. 

In retrospect, I understand how hard it must have been to basically be the only friend of this girl who was bullied by everyone else. Because, of course, they often took it out on her, too. It couldn’t have been easy, and I don’t blame her for it anymore. 

The worst case in relatively recent years was with a girl I used to study Japanese with. We bonded almost immediately (she’s older than me, is married, and now has one or two kids – so I’ve gathered from online stalking). She became like a big sister to me. We were in the same study group, would hang out outside of classes, and we just got very close. At least, that’s what I thought. And I had no idea that I’d made friends with her when I was in fact having a hypomanic episode. 

We both decided to go to Japan during our third semester, to kind of get re-inspired to continue with Japanese studies. We went to Fukuoka’s Women’s University, as I think I’ve mentioned in a previous post. I’ll definitely want to write a whole post about that experience later on. But, for now, let’s try to stay on topic. 

Long story short: I went into a deep depression, and she abandoned me. From one day to the next, she simply stopped hanging out with me and stopped talking to me altogether. She’d barely even greet me when we walked past each other. She’d found some other people to hang out with, people who were much more fun to be around. And I felt utterly miserable and alone. And betrayed. 

Somehow I’d magically made some other friends there (two swedish girls, a belgian girl, and a few others) who were there for me during that awful time. But the fact that the one person I thought I could count on just left me like that… it was so hard. 

Later on, I was told that the girl had told someone that she’d basically just found me too depressing to be around. At the time, I was pissed. Disappointed. Really? You’re only my friend when I’m happy, but not when I’m sad? What kind of shitty person are you? I guess I never meant as much to you as you did to me. I guess we weren’t that close after all. 

Years later, I realize that it’s not that simple. She was in Japan, struggling with her studies as well, and just wanted to get the best out of her stay there. I was bringing her down, big time. It’s hard for someone to handle, especially considering the fact that she met me when I was hypomanic! She probably felt hopeless and scared that I might take her down with me. So, she did the only thing she could think of: leave me behind. And we never spoke again. 

People are not always as resilient and strong as we think they are. Sometimes we expect way to much of people – I’m definitely guilty of that. Even some of my closest friends have had to distance themselves from me during depressions, which caused us to lose touch for long periods of time. Yes, I blamed them, to a certain extent. But I mainly blamed myself. After all, I was the reason they abandoned me. was the problem. Of course they wouldn’t want to be friends with me. I don’t deserve friends. 

And so on. 

What I’m trying to work on these days is lowering my expectations, both of others, but also of myself. I try my best to be a good friend to everyone, but I also have my limits, as do everyone. It’s so important to recognize when it becomes too much, then take a step back, but in the most respectful way possible. I strongly believe that a one-sided friendship isn’t healthy; there has to be room for both. And if, for a time, that’s not possible, then perhaps it’s time to find someone else to lean on for a little while. It can be another friend, a partner, a doctor, a family member. Giving your friend a breather can sometimes be a way of preserving a healthy relationship. It’s not easy, and, as my motto goes, communication is key! Talk to them about. Ask them how they’re feeling, and ask them if everything is becoming a bit too overwhelming for them. 

I’ve cried a lot of tears when people have just stood up and walked away from me. I’ve  ben sad and confused and been through a lot of hurting. It still happens, but rarely; and when it does, I’m much better at handling it than I was 6 years ago. Better late than never, right?

Strategies to help prevent a (hypo)manic episode

Don’t feel like reading? Listen to the audio version here:

 

This is a long one, folks. Hang in there!

‘Cause I’m on top of the world, ‘ey
I’m on top of the world, ‘ey
Waiting on this for a while now
Paying my dues to the dirt
I’ve been waiting to smile, ‘ey
Been holding it in for a while, ‘ey
Take it with me if I can
Been dreaming of this since a child
I’m on top of the world

– Imagine Dragons, On Top of The World

Happy woman jumping near rainbow

As promised a while ago, I’ll be writing about my experiences with hypomanic episodes, including what I’ve heard from others, and what strategies I have learned and attempted to integrate in my life. Again, these strategies are helpful to me, and some may not resonate with or work for you. But I really hope that they will!

First, an introduction to what hypomania is like for me. It’s kinda long, so you can scroll down to the headline that says “My strategies to prevent a (hypo)manic episode” further down if this is a bit much for you.

It’s  important for me for you to know that I’ve had very few hypomanic episodes, especially compared to the frequency of depressions. This is why it’s a lot harder for me to recall what a hypomanic state feels like, and it’s been more difficult for me to recognize symptoms, triggers, etc.

After being diagnosed, talking to friends and family that have been close to me during those periods has really helped me, because they have a much stronger sense of the shift in my behavior. It’s been more extreme for them to experience how I changed almost from one day to the other. However, no one really talked to me about it as it was happening, as they were just happy to see me happy after long periods of depressive behavior. It was only later that friends told me how they had been surprised back then at how I suddenly started drinking and partying more, starting all sorts of projects, acting more flirtatious, and so on. They thought it was weird, but not necessarily a bad thing.

But for every hypomanic episode, they get worse. I started really losing control, and did things that I would normally never, ever do. Something that I should definitely stay away from is any kind of dating app or dating site. That can very easily get out of control, and you often end up hurting people, because you cannot see the consequences of your actions. Seeing beyond the current moment is not possible. And you don’t realize what you’re doing until it’s too late.

Spending more money is another thing; it’s like the ability to think rationally about purchases goes away. Looking back on my summer holiday 2011, when my brother and I went on a 4-week trip to Japan, I ended up spending around 15000dkk (around 2300 USD). In four weeks. And I had no idea where all that money had gone. It took me a very long time to truly realize that that was incredibly abnormal and worrying behavior for me, as I’ve always been careful with money, bordering frugal. I was always the sensible one concerning money compared to my siblings (sorry Christina and Kenneth, but you know it to be true). Spending 15000dkk on a summer holiday was just… crazy. I’d just graduated from high school, and was about to start university! What the hell was I thinking?

The answer is simple: I wasn’t.

During the same holiday, I went to this place called Mickey House almost every night, a regular café somewhere in Tokyo that was used as a language café after 6pm. I was super out-going, talking to everyone, loudly, in my strong American accent (the only accent I can do in English). Everyone was drawn to me. A 19-year-old girl who’s never had that many friends and was bullied for most of her school life, who had a hard time talking to guys and initiating conversations, was suddenly the center of attention – basking in the limelight, while at the same time not fully realizing it was happening.

I went out to dinner with a Japanese man that was almost old enough to be my dad. I was 19 (still not allowed to drink alcohol under Japanese law), and he must have been at least 35-40. In a hypomanic state, I’m super charming, and, as mentioned, a lot more flirtatious without noticing at all. So I probably sent a lot of wrong signals; I let him buy me strong drinks, and thus I got drunk with a complete stranger, not even knowing exactly where I was in the city anymore.

He brought me back to my hotel around 1am (mind you, I was leaving for Ōsaka with my brother early the next day), and he tried to kiss me. Luckily, I managed to force him off of me, ran into my hotel, and just kinda laughed it off.

I have more stories like these. Thinking back on it, it absolutely terrifies me. I’ve put myself in so many dangerous situations.

So, what have I learned from all of this? First of all, I do not miss hypomanic episodes at all. I truly wish that I’ll never be in that state ever again. Plus, it’s always, always, always followed by a depression, almost immediately. Many people with bipolar miss their highs. They feel numbed by medication, and some decide to stop taking their meds just to experience mania again, not caring about the inevitable depressions. That’s not me at all.

Long introduction. Phew. Hope you got through it alright! Now to the main part of this post:

My strategies to prevent a (hypo)manic episode

The reason why I’ve put ‘hypo’ in parenthesis is because many, if not all, of the strategies I’ll mention can help when dealing with both hypomania and full mania. Of course, I’ve never had a full mania before, but I’ve learned about most of these strategies when in treatment at the hospital, and they were all recommended for both.

I’m going to build upon my previous post, Strategies to help prevent a depressive episode, as a point of reference here, so please go read that, if you haven’t already!

The headlines in that post are:

1: Keep track 

2: Get to know your symptoms

3. Make a plan

In order to make this less repetitive, I’ll first talk about something called The Cognitive Diamond, and then go on to list symptoms, triggers, and my plan of action for hypomania.

The Cognitive Diamond-page-001

I wouldn’t be surprised if some of you have already been introduced to this little fella. This is great for creating a sort of visual understanding of how your thoughts, behavior, feelings, and physical experiences all affect and influence each other. Negative thoughts affects behavior, which affects your feelings, which affects your physical experience, or the other way around. Here’s an example:

The Cognitive Diamond example-1

If you have more energy, increased libido, and feeling as if you’re high, your thoughts will start reflecting that. So will your behavior, and so will your feelings. As shown by the arrows, the cycle can start anywhere, and only spirals until you get control over it again. This is what happens when someone is manic. It spirals out of control.

 

STRATEGY NUMBER ONE: Recognize and write down your symptoms and triggers.

Classic symptoms of hypomania and mania
(Symptoms of hypomania are basically just milder versions of those for mania.)

Both a manic and a hypomanic episode include three or more of these symptoms:

  • Abnormally upbeat, jumpy or wired
  • Increased activity, energy or agitation
  • Exaggerated sense of well-being and self-confidence (euphoria)
  • Decreased need for sleep
  • Unusual talkativeness
  • Racing thoughts
  • Distractibility
  • Poor decision-making — for example, going on buying sprees, taking sexual risks or making foolish investments

(Source: “Bipolar disorder: symptoms and causes”)

The list above actually pretty much sums up my own symptoms of hypomania. Added to those are 1) increased libido, 2) several new interests or hobbies that I start pursuing at the same time, 3) impatience (a tendency to interrupt other people in conversations, because obviously my thoughts are more important than everyone else’s), etc.

Other more severe symptoms of mania and signs of manic psychosis that I’ve heard cases of:

  • Believing that you can see and talk to angels
  • Hallucinations
  • Believing that your child is the next messias
  • Convinced that you can fly (and maybe attempt to do so)
  • Believing that you can taste colors
  • Seeing colors very intensely

Etc.

Triggers for hypomania and mania

  • Falling in love
  • Using psychodelic drugs (speed, cocain, extacy, etc.) and substance abuse in general (weed, alcohol, etc.), as well as cigarettes
  • Starting a big, creative project
  • Periods with high personal growth
  • Partying all night
  • Going on holiday
  • Listening to loud music
  • Spring
  • Energy drinks
  • Antidepressants
  • Sugar
  • Caffeine
  • Changes in routines
  • Chaotic situations
  • Jetlag

Etc.

Of course, everyone has their own personal triggers. Mine include:

  • Drinking alcohol and partying
  • Slightly increased energy
  • Starting more than one passion project at the same time
  • Falling in love
  • Dating
  • Changes in medication

And probably others. As previously mentioned, I’ve had very few hypomanic episodes, and it’s difficult for me to recall what triggers an episode for me. But I’m pretty sure that the few I’ve just mentioned have assisted in triggering episodes for me. Of course, they also fall under the category of symptoms.

 

STRATEGY NUMBER 2: Make a plan of action.

2019-03-17 12.42.50

More Danish! Fun, right?!

Anyway. So, my plan of action goes something like this:

  1. Contact psychiatrist, GP, dad, close friends
  2. Cut down on social activities
  3. Regain control over finances
  4. Take long walks/bike rides
  5. Write down the racing thoughts
  6. Drop all the to-do lists
  7. Go away for a bit
  8. Stay away from places where I can spend money, e.g. shopping malls, Strøget (shopping street in Copenhagen), etc. STAY AWAY FROM SHOPPING.
  9. Stay away from alcohol
  10. Spend days alone by myself
  11. Do meditation and yoga
  12. And a very important one: Get. Enough. SLEEP. At least 7-8 hours of sleep every night.

As well as 13: consider changes in medication.

The one strategy that all of my physicians always emphasize is SLEEP. SLEEP IS KEY. As well as staying far, far away from any kinds of drugs and stimulants. And taking the right medication, of course.

Just a small tip: when doing yoga, try to mainly do exercises where you bend downwards and inwards, and not so many where you bend upwards or backwards. The yoga instructor in the exercise group I took part in at the hospital told us that. It’s supposed to be more calming and introverting, I guess? Don’t take my word for it, though!

 

Phew… this turned out a lot longer than I anticipated. Probably because of all the lists, haha. But I really hope that this might help some of you out there, and maybe even give people who don’t know much about bipolar a better understanding of what happens when someone is manic, and what may trigger it.
I hope you made it through to the end. Otherwise, I hope you’ll just read it bit by bit, over a few days, perhaps. And I really, really hope that what I’ve written makes sense to you all. I tried my best!

 

Next Tuesday: “When a friend abandons you – in retrospect.”

Why group therapy is amazing

Don’t feel like reading? Listen to the audio version here:

 

It’s not too late
Cause you are not alone
I’m always there with you
And we’ll get lost together
Till the light comes pouring through
‘Cause when you feel like you’re done
And the darkness has won

Babe, you’re not lost

– Michael Bublé, Lost

people-holding-hands-in-a-circle-150372-4266928

In my experience, group therapy is amazing. Let me tell you why.

When I was first diagnosed, I felt so alone. I felt like I was crazy and that no one could relate to what I was going through.
Then I started group therapy, and found out that that was not true at all.

The first group I joined was a circular group, where people would join as they were diagnosed. So it wasn’t necessarily the same people every time, as some were just beginning, and some were just finishing. There were three instructors: a psychologist, a nurse, and a doctor (I think. Or maybe it was a therapist. I don’t remember). Sometimes they were three, sometimes two.

The way it worked was you’d join the group, and after 3-4 months, you’d have gone through all the themes, and they would start over. So for instance, when I started, the theme was “causes for bipolar disorder.” Then we moved on to “indentity,” then “daily rhythms and structure,” and so on. The theme of my last session in this group was,”children and bipolar.” That last one was how to deal with life with kids when you have bipolar. It wasn’t super relevant for me, but it was still good to learn about. Other themes were “cognitive difficulties,” “medication and side-effects,” “The Diagnosis,” “depression,” “mania/hypomania,” “mixed state,” and “who do you tell, and what do you say?”
Then, when they were about to start discussing the theme “causes for bipolar disorder” again, it was time for me to leave the group.
This was all an introduction to bipolar – what it is, how it’s treated, triggers, strategies, etc.

Meeting with and listening to people of all ages, from different backgrounds, who suffer from the same disorder as me, was absolutely amazing. Although we were all different, we had this thing that we were dealing with. All newly diagnosed, all basically equally scared, insecure, and confused.
These weekly meetings became the highlight in my life at the time – a time when my boyfriend and I had broken up after more than four years, a time when I was heartbroken, had to move out of his apartment, uprooting myself completely, all the while starting medication and treatment for bipolar. Aaaand studying at university full-time.

Yeah… 2016 was probably the hardest year in my life.

This introduction group – along with my psychiatrist – really saved my ass. Actually, before that, the psychiatric emergency room at a local hospital close to where I lived also played a massive part in keeping me from totally giving up on life. There was about a month (I think) between turning to hospital psychiatry and actually getting an official diagnosis, where I was in a very deep depression. I was also moving in with a stranger, renting a room in his apartment (he turned out to be a dick – but that’s a story for another time!), while trying to deal with my break-up and keeping up with my classes at university. I desperately wanted to give up. So, to the psychiatric emergency room I went.

They recognized that I might soon become a danger to myself, and decided that I needed help until I could start treatment at Rigshospitalet. I was assigned a doctor, a nurse, and a psychologist. The nurse would pay me a weekly home-visit (we went for walks because I didn’t want my flatmate to find out), and I would have weekly meetings with the psychologist at the hospital. These people kept me afloat and got me through a really tough time until I was finally diagnosed. I am so grateful for the people who helped me – I got so lucky. I’ve heard too many horror stories to count about mistreatments and people experiencing so much resistance from the system. I’ve just been really damn lucky.

Okay, so back to group therapy. After I finished with the circular group, I had to wait for about 3 months before I could get into what they called the “psych-educational group,” which consisted of a steady group of people meeting once a week for 18 sessions. I was the youngest in the group, but there were a few others who were only a couple of years older than me. I think the oldest in the group was in his late fifties. But the age really didn’t matter much; I almost hurt my neck from all the nodding, because their stories and experiences were just so relatable. There were times when someone would describe something I’d experienced, word for word. And it wasn’t just me – everyone in the group felt this way.

It was incredible.

We went through new themes, expanded on some from the circular groups, and focused a lot more on each individual and their personal progress. The end-goal was for all of us to work out a plan of action for both depressive and (hypo-)manic episodes. (For more on plans of action, click here). After learning about ourselves and our individual triggers, symptoms, and warning signals, we wrote out a plan so that we might in the future be able to prevent an episode from escalating, or prevent it from developing all together!

On that Tuesday once a week, I didn’t feel alone. I felt understood, safe, and accepted. That I still have value.

We were all pretty sad during the last session. None of us wanted it to end. It was really hard going from group sessions once a week, to just monthly- or bi-monthly visits with my psychiatrist. We all tried to stay in touch afterwards, you know, creating a Facebook-group and everything. But it only took a couple of months before that went down the drain.

Last fall, I got lucky. There’s a place close to where I live now, called “Socialpsykiatrist Center Nord-Vest,” which loosely translates to “social-psychiatric center North-West (Copenhagen). They offer different courses and activities to support people with mental illnesses or people who are socially/mentally vulnerable. I’d never heard of it until a volunteer-based organization I follow, “En af Os,” posted on Facebook about this place called RecoveryLab that was offering a free course. And they just happened to have a few spots left for a course that was starting in two days. I sent an e-mail, and voilà – I got in! A session a week, 12 sessions, great people, each with their own challenges, absolutely wonderful. I’ve gained more friends, young and old. I’ve gotten especially close to one girl named Anna, and we hang out almost every week now. And again, the whole group – including our two instructors – were really sad when the course came to an end. We were hoping to get a second course in the beginning of this year, but the center didn’t get enough funding for it. Maybe this Spring – here’s hoping!

My conclusion: group therapy has worked wonders for me. Each group has taught me something new, or built upon what I had already learned. Although it’s hard and nerve-wrecking starting over in a new group, it’s been rewarding for me every time. Yes, my psychiatrist can understand to a certain extent, but she will never understand the way others with bipolar do, or people with depression or personality disorders in general.

Obviously, feeling all alone in the world is not good, whether you have a disorder or not. But with depression, for instance, feeling all alone in the world can be down-right dangerous. Finding someone who can relate to what you’re going through is great. Being with a group of people who can relate is amazing.

It doesn’t have to be a physical group, of course. In fact, it can be extremely difficult – and often impossible – to join a physical group if, for instance, you are in an anxious and/or depressive state. But there are tons of Facebook-groups and online forums where you can connect with others. Support and understanding is out there; you just have to google for it.

 

Return next Tuesday for a post on my attempt at starting my own business, and why I had to stop.

Let’s talk about bipolar

Disclaimer: this was originally posted on my friend Christine’s blog,
C.A.L.T
Post was written by me as a guest blogger. 

Don’t feel like reading? Listen to the audio version here:

 

bipolar

First, I would like to thank Christine for allowing me to use her platform to share this “story,” I guess you could call it, with you all.

Now. A lot of you – referring to friends and family members – already know this about me. Be you a close friend or an attentive, curious acquaintance, there is a high possibility that you already know. I’ve been very honest and vocal about this ever since I was diagnosed. It’s obviously not a conversation starter – unless it’s in a relevant forum – but it’s important for me to talk about. Mainly because so many people either don’t know what it is, are misinformed, or, as it turns out, actually know someone with a mental disorder, or have suffered/are suffering from a disorder themselves.

In Spring, 2016, I was diagnosed with Bipolar Affective Disorder (previously known as manic-depressive disorder, now referred to as bipolar) – type II.

Most of you are probably thinking: ‘what the heck does that mean? And why is it important for you to share?’ Well, that’s what I’m here to tell you!

Now, we all know that obtaining knowledge on something is only a Google-search away. Typing in “bipolar” in the Google search-bar will bring you plenty of hits. Here’s just a few examples:

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

https://www.clinical-partners.co.uk/for-adults/bipolar

https://www.rcpsych.ac.uk/healthadvice/problemsanddisorders/bipolardisorder.aspx

And then some in Danish, for good measure:

http://depressionsforeningen.dk/hvad-er-bipolar-lidelse/

http://www.psykiatrifonden.dk/viden/diagnoser/depression/bipolar-lidelse/bipolar-lidelse.aspx

https://pro.medicin.dk/Sygdomme/Sygdom/318434

 

You’ll see that much of what I have written below will reflect the descriptions in abovementioned articles. However, it will also include my own thoughts, experiences, and feelings.

Here we go.

bipolar2

Bipolar? Like Bradley Cooper in “Silver Linings Playbook?”

I was shocked. Or, as the kids call it these days, shook. I started tearing up as I stared back at the supervising doctor (/psychiatrist), dumbfounded. I remember that one of my first thoughts was, “but… I’m not violent. I don’t think people are conspiring against me or anything like that. How can I possibly have bipolar disorder?”

At that time, all I could remember knowing about bipolar disorder was from Bradley Cooper’s performance in the award-winning movie, “Silver Linings Playbook.” Cooper plays a character who suffers from bipolar. He shows classic symptoms of mania, such as believing that people are conspiring against him, paranoia, extreme energy, extreme anger, delusions of grandeur, etc. I couldn’t possibly see myself in that at all. This is where the “type” part becomes exceedingly important!

 

Bipolar type II – ¿qué?

The doctor slowly and clearly explained to me that bipolar is generally divided into type I and type II. The main difference between the two lies in the extremity of the “highs.” Put simply, if you’ve had just one full manic episode in your life, you’re automatically categorized as type I – and always will be. One manic episode = type I.

Type II, then, is when you’ve yet to have a full manic episode and have “only” experienced a so-called hypomanic episode. When I first heard that term “hypomanic,” I thought it meant “hyper-manic,” like, SUPER manic. He then explained to me that ‘hypo’ means “under” or “lesser” in ancient Greek. After that, me being bipolar type II didn’t seem that far off.

People who know me sometimes have the same initial reaction when I tell them about me having bipolar. Especially those who’ve never heard of this whole type-division before. One example was when I told a close friend of mine, and he initially didn’t believe me, because his ex-girlfriend had bipolar, and she’d run away from home because she was convinced her family was conspiring to kill her. She was hospitalized shortly after. That did not fit his image or experience of me at all. He’d never heard of the whole type-dealio.

Like the doctor did with me, I explained that there is a difference – and that there are, in fact, many kinds of bipolar, and that it overlaps with a lot of other personality disorders, symptom-wise. In fact, every individual case of bipolar is different from the next. Which is quite obvious, when you think about it.

We do, of course, have lots in common, us bipolar-havers. Which is one of the absolute best parts of the treatment program I was eventually signed up for. Talking to people of all ages, living completely different lives, who are suffering from the same thing as you, is incredible. It makes you feel less crazy, to say the least.

Which leads me on to the next part…

 

So I’ve been diagnosed – what now?

The process of being diagnosed was much more complicated than what I’ve written above. But before this becomes a memoir, let’s just say that I talked to three different specialists before the final diagnosis was made, and I was offered a 2-year treatment program at “Kompetencecenter for Affektive Lidelser” at Rigshospitalet. I agreed to join the program immediately, feeling a twinge of hope at last. Finally there was something I could do about it, and specialists were going to help me.

The program consisted of regular sessions with my designated psychiatrist, a rotary introduction-group once a week over three-four months (mainly learning about the disorder), and the actual psych-educational group with the same people every session (not rotary). These sessions were held once a week over 18 weeks in total. Oh, and medication, of course. Let’s not forget the meds.

Those two years changed my life almost completely. I’ve learned and experienced so much, and my view on life has changed over and over and continues to do so.

My psychiatrist was amazing. Brilliant woman. She was one of the founders of the department! I could not have wished for a better doctor to treat me.

The groups helped me through a lot. I believe that talking to someone who can directly relate to what you’re going through on so many levels is just as important as individual therapy sessions. Empathy suddenly gets a whole new meaning.

Now, about the meds…

 

Why we shouldn’t (necessarily) fear medication

I started taking stabilizers the day after I was diagnosed. Lamotrigine, 25mg. That dosage would be doubled every two weeks, until we’d reach 200mg, and then we’d evaluate whether to adjust it or not. It was super weird, starting on those meds. I’d never been on medication before, not like this, anyway. Birth control or regular pain killers don’t really compare.

Needless to say, the meds fucked with my system. Hard to avoid, considering you’re suddenly messing with the chemistry in the brain.

2016 was a rough year for me. 1) boyfriend broke up with me after more than 4 years; 2) was diagnosed with bipolar and started treatment immediately; 3) had to move out of ex’s apartment; 4) had to deal with university studies etc. etc. etc. The meds triggered several episodes, amongst them what you could call a “mixed episode.” This means suffering from symptoms of both depression and mania at the same time. Once I had an anxiety attack and started hyperventilating because I was feeling extremely excited (butterflies in my stomach) and deeply depressed (in my head) at the same exact time. It can also mean waking up deeply depressed, not being able to get up or eat or shower, to then in the late afternoon feeling crazy energetic and suddenly able to do everything.

It’s very hard to explain to someone who’s never experienced it. It was like my body was split in two, and the two parts were not communicating with each other.

Then came a hypomanic episode, which then led (as it always does) to depression.

In February, 2017, due to severe depression, my dosage was upped from 300mg to 400mg, and I started taking a very small dosage of antidepressants as well. It’s important to point out that antidepressants are very, very rarely used when treating bipolar, as it’s likely to trigger manic episodes. But, because I suffer mainly from depressions – long ones at that – my doctor and I decided we should try it.

And it worked.

For a whole year – from around March 2017 to March 2018 – I was in a so-called “stable state,” or “neutral.” I cannot remember the last time I’ve been stable for that long. Last winter was the first winter I haven’t been depressed in years. And this would not have been possible without medication.

Then it started going down hill again. But that’s a story for another time – and it’s actually a success story of me using the strategies and tools I learned in treatment!! (PS. Still on the same dosages.)

 

Why we need to talk openly about mental health

Or, should I say, why I feel the need to talk openly about my mental health.

Let’s talk about stigma.

Stigma is a result of ignorance. It creates fear and distances people from each other. It creates and supports existing destructive stereotypes and keep people from reaching out and seeking the help that they need. At its worst, it kills.

When I open myself up, others follow suit. It’s incredible to listen to their stories, stories that they may never have told anyone, or never really had a deeper conversation about it with someone who’s not a therapist of some sort. It’s the relatability, the honesty, and the inclusiveness of those conversations that creates a safe space to open up. It is a huge relief to finally find a safe space to talk about things that are stigmatized or looked down upon. No one wants to look weak, no one wants the world to see you as crazy or mad or even dangerous to society. No one wants to be discriminated against. Yet these are all things people with mental illnesses all face in one way or another. And that will not change if we do not talk about it.

When I tell people about my condition, they’re often nervous and scared of what questions they can ask and what they can’t ask. No one wants to upset me or make me feel uncomfortable. My approach is this: when it comes to a sensitive subject such as this, a subject relatively few know much about, there are no stupid questions. There are no wrong questions. I want to help you understand, or at least try to eradicate stigma, stereotypes, and just plain ol’ misinformation. So if you’re curious and willing to listen, then ask away. I really encourage you to do so. Actually, please do. It’s important.

 

Why I say “have” and not “am”

My name is Maria. I’m female. I’m 26 years old. I’m 165,5cm tall. I’m pretty smart and pretty funny. I’m not religious.

I enjoy watching TV, and I love dogs. Some of my favorite cuisines are Japanese and Italian.

I would love to travel to as many places as I possibly can. “At rejse er at leve,” as H.C. Andersen once said.

And I have bipolar.

Why not “am?” Well, would you say, “I am Asperger’s” or “I am cancer?” Or “I am broken leg?” Would you say, “I am bipolar disorder?” I wouldn’t. Because I am not my disorder. It’s a part of me, yes; it has shaped my personality, most definitely; but bipolar ≠ me. It’s an illness, something I will have to deal with for the rest of my life, just as I have been dealing with it until now – except hopefully I’ll get better at it with time.

I am not my disorder. My disorder is my condition in life. It does not define me as a human being – my actions do, as well as how I choose to live and be in this world.

Bipolar giveth, and bipolar taketh away. I’m trying to make the best of it, although it’s difficult AF. Thankfully, I have a wonderful support system, and I don’t know what I would do without them.

Sometimes it feels like all I do is fight for my life. But hey, I’m still here. And if you’re reading this, so are you. Thank you for that. I hope you learned something, and that both you with mental disorders as well as relatives and friends will work hard to talk about it. To be open. To share.

That’s where progress begins.