BIpolar

5 Positive Steps to Take After a Bipolar Disorder Diagnosis

Receiving a bipolar diagnosis is never easy. While it might be a relief to finally have answers to your symptoms, behaviors, and mood episodes, the diagnosis can cause even more questions. Will you be stigmatized by society? Will you lose your identity when you go through treatment? Is there a way to heal? Here are the first steps you can take.

1. Read up on Bipolar Disorder

Understanding your disorder will help you control it. Learn about how and why the brain cycles between depression and mania (or hypomania) and the symptoms that go along with these shifts. Look for psychiatric and psychological resources online and in print. And while books written by mental health professionals are always good to have, consider also reading memoirs by people who actually have bipolar disorder. You might get started with An Unquiet Mind by Kay Redfield Jamison, Another Kind of Madness by Stephen P. Hinshaw, or even the graphic memoir Marbles written and illustrated by Ellen Forney. These personal stories can hold up a mirror to your own life—getting inside the minds of other people who have gone through what you’re experiencing will help you make more sense of your disorder.

2. Enlist Your Loved Ones

You might not be ready to tell the entire world you’re bipolar just yet. But look around at your friends and family: are there a few close people you can trust? It’s important right now to not feel isolated. Confide in your loved ones and don’t be afraid to ask for help. You might even have people in your inner circle who have gone through the same thing. Maybe somebody close to you also has bipolar disorder, anxiety, depression, post-traumatic stress disorder, or an eating disorder, meaning they can give advice and share their stories too. Being honest about your struggles can make your bonds even stronger.

3. Be Kind to Yourself

The road to healing after a diagnosis is a long one. It’s okay to feel confused, frustrated, angry, ashamed, or hopeless sometimes. You’ll have good days and bad days. What’s most important is that you make a conscious effort to understand your disorder and how it affects you presently and has in the past. Make sure to keep looking forward and practice self-compassion along the way. You don’t need an inner voice criticizing yourself for not getting treatment earlier, or having setbacks along your healing journey. Celebrate your successes—get excited when you consistently take your medication, go to therapy, or eat healthier.

4. Start New Healthy Routines

A diagnosis can be destabilizing. Chaos is terrible for mood disorders—when you feel unmotivated to keep to a routine and take care of your mental health, you might slip into depression or mania. Focus on getting regular sleep, eating balanced meals, and cleaning up your living space. Be sure to get exercise regularly, especially if that means being outside. When you’re stressed, get into a practice of mindfulness and deep breathing to calm your nerves. You might also find space in your routine to attend support groups, either in-person or online. Having a consistent obligation that connects you with other people is good for your mental health.

5. Create a Treatment Plan

To manage bipolar disorder, you need a long-term treatment plan developed by you and a mental health professional. Together you can decide on the appropriate mood stabilizers, antidepressants, or anti-psychotics to treat your disorder. It’s also important to include therapy in your treatment plan. Connect with a therapist who specializes in bipolar disorder. You may benefit from cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), interpersonal therapy (IT), or another approach. With a long-term view, you’ll set yourself up for success even in the face of a bipolar diagnosis.

To find out more about how therapy can help those with a recent bipolar diagnosis, please reach out to me. Book a consultation today and we’ll get started on a management plan that works for you.

Can Ketamine Assisted Psychotherapy Help Manage Depression?

Ketamine was originally developed as an anesthetic and has been used in medicine since the ’60s. But over the past two decades, researchers have discovered that ketamine is also able to relieve depressive symptoms when given in controlled, therapeutic doses. Unlike traditional antidepressants, which often take weeks to show results, ketamine can alleviate depressive symptoms within hours. This has led to growing interest in its potential as a treatment for depression, especially for those who have not responded well to more conventional therapies and medications.

How does ketamine affect the brain?

Depression is often associated with a reduction in the availability of neurotransmitters like serotonin and dopamine. Ketamine acts on a different neural pathway—the glutamate system. Glutamate is a neurotransmitter involved in many brain functions, including mood regulation and cognitive flexibility.

Ketamine is believed to stimulate the production of glutamate, which in turn promotes the growth of new neural connections in the brain. This process can help “reset” the brain’s neural circuitry, which reduces depressive symptoms quickly.

Ketamine also appears to reduce the activity of the brain’s default mode network (DMN), a system associated with self-referential thinking. Overactivity in the DMN has been linked to rumination, a common symptom of depression where someone gets trapped in negative thought patterns. By quieting this network, ketamine may help break this cyclical thinking.

What is ketamine-assisted psychotherapy?

In this approach to therapy, ketamine is used not as a standalone drug, the way we might use traditional antidepressants. The idea is that the altered state of consciousness induced by ketamine can open up new avenues for therapeutic exploration. This allows patients to access and process emotions and memories that might otherwise be difficult to confront.

Ketamine-assisted psychotherapy typically involves a series of sessions in which the patient receives a controlled dose of ketamine. The patient then has a therapy session with a licensed psychotherapist who’s trained in working with altered states of consciousness.

These sessions can be deeply introspective and emotionally intense, but they also offer an opportunity to heal deep wounds. Patients report feeling more open, less guarded, and more able to explore painful emotions without the overwhelming sense of fear or despair that might accompany them in a sober state. For many, this allows for breakthroughs in therapy that can lead to long-lasting changes in their mental health.

Who can benefit from ketamine-assisted psychotherapy?

Ketamine-assisted psychotherapy is not for everyone. It’s generally recommended for people with treatment-resistant depression, meaning they have tried at least two other antidepressants without significant improvement. Those with conditions like post-traumatic stress disorder (PTSD), anxiety, and even chronic pain can also benefit from this treatment.

However, it’s important to note that ketamine is a powerful drug and is not without risks. While it’s generally well-tolerated in a controlled clinical setting, some patients may experience side effects such as dissociation (feeling disconnected from reality), nausea, or an increase in blood pressure. Ketamine also has a history of being used recreationally, and there’s potential for abuse if not administered responsibly.

What does the research say?

The research on ketamine for depression is still in its early stages, but the results so far are promising. Several studies have shown that ketamine can rapidly reduce depressive symptoms, even in patients who have not responded to other treatments. In some cases, the effects of a single ketamine session can last for several weeks, though most patients require a series of treatments to maintain the benefits.

Finding a Therapist

Ketamine-assisted psychotherapy should only be conducted under the supervision of trained medical professionals in a clinical setting. If you have treatment-resistant depression and you’re looking for another method, consult a therapist licensed in ketamine-assisted psychotherapy today.

To learn more about how ketamine can help those with treatment-resistant depression, please reach out to us.

Understanding the Thought Process of a Bipolar Person

Bipolar disorder is a mood disorder characterized by shifts from periods of highs (mania or hypomania) to lows (depression). Media and popular culture is full of misconceptions about people with bipolar disorder. Understanding the thought process of someone with bipolar disorder is important not only for those living with the condition but also for their loved ones, friends, and colleagues.

What is Bipolar Disorder?

Bipolar disorder has several classifications including bipolar I, bipolar II, and cyclothymic disorder. While the symptoms between the three can vary widely, the main features of bipolar disorder are manic or hypomanic episodes and depressive episodes, which can last for days, weeks, or even months.

  • Mania involves a period of abnormally elevated mood, energy levels, and activity. During mania, a person may experience grandiose thoughts, a decreased need for sleep, rapid speech, racing thoughts, impulsivity, and risky behavior.

  • Hypomania is a less severe form of mania. The symptoms are milder and might not significantly impair daily functioning, but are still noticeable.

  • Depression in bipolar disorder is similar to major depressive episodes, characterized by feelings of sadness, hopelessness, fatigue, and a loss of interest in activities and social interactions.

The Thought Process in Manic Episodes

During manic episodes, a person’s thoughts can race at an incredible speed. Their mind will jump from one idea to another without much logical connection. This rapid thought process is known as the “flight of ideas.” It can make a conversation with someone experiencing mania feel chaotic and difficult to follow.

A common feature of mania is grandiosity. People with mania may believe they are invincible, capable of extraordinary feats, or destined for greatness. These thoughts can drive them to take on big projects or make impulsive decisions that seem brilliant at the moment but are likely unrealistic. For example, someone in a manic state might decide to start a new business, quit their job, or engage in risky financial investments without considering the consequences.

The Thought Process in Depressive Episodes

On the other end of the spectrum, depressive episodes are a stark contrast to mania’s energy. During depression, thoughts can become slow, dark, self-critical, and pessimistic. The mind might be consumed with feelings of worthlessness, guilt, and hopelessness. Unlike the creative, expansive thoughts of mania, depressive thoughts get stuck on past failures and perceived flaws.

A person with bipolar disorder often experiences cognitive distortions during a depressive episode. These are irrational thoughts that reinforce negative thinking. For example, they might see situations in black-and-white terms, believing that if they are not perfect, they are a complete failure. Another common distortion is catastrophizing, where they may imagine the worst possible outcomes of a situation, no matter how unlikely they are.

The Role of Mixed Episodes

Some people with bipolar disorder may have mixed episodes, meaning they have symptoms of both mania and depression at the same time. This can lead to a distressing, confusing thought process where the person feels both agitated and hopeless simultaneously. The co-occurrence of high energy with depressive thoughts can increase the risk of dangerous impulsive behaviors, including self-harm or suicide.

Supporting Someone with Bipolar Disorder

Understanding the complicated emotional and mental processes is the first step to helping your loved one. You can also:

  • Continue educating yourself about bipolar disorder, including its signs, causes and treatments.

  • Allow the person to express their thoughts and feelings without interrupting or dismissing their experiences.

  • Be patient and compassionate as they move through their mood swings.

  • Encourage them to seek professional help.

Bipolar disorder requires treatment from mental health professionals. Typically, after diagnosis, a person will need to take mood stabilizers or other medications and seek psychotherapy.
To learn more about how to support those with bipolar disorder, please reach out to us.

 

10 Tips to Reduce and Manage Anxiety

Anxiety affects millions of people worldwide. In our fast-paced society, we often promote behaviors that actually increase anxiety. However, there are small steps you can take to help combat this condition. Here are ten concrete steps you can take toward managing your anxiety responses.

1. Practice Mindfulness

Study after study has shown how effective mindfulness can be against anxious thoughts. It helps you focus on the present moment instead of worrying about the future or past. Start with just a few minutes each day, using guided meditation apps or focusing on your breath. Allow your thoughts to pass through you and simply notice them. Focus on your bodily sensations. Over time, regular mindfulness practice can rewire your brain to respond more calmly to stress.

2. Stay Active

Exercise is one of the most effective natural remedies for anxiety. Physical activity releases endorphins, which are our natural mood elevators. Aim for at least 30 minutes of moderate exercise, such as yoga or jogging, most days of the week. An even better practice is to get outside into nature by hiking, walking in the park, or visiting nature preserves. Breathing fresh air and being part of the natural world will ease your mind.

3. Eat Healthy

A balanced diet rich in fruits, vegetables, lean proteins, and whole grains can help stabilize your mood and energy levels. Avoid too much caffeine and sugar, which can make anxiety worse. Instead, choose foods rich in omega-3 fatty acids, such as salmon and walnuts, which have been shown to reduce anxiety.

4. Get Enough Sleep

Sleep is crucial for mental health. Establish a regular sleep schedule by going to bed and waking up at the same time every day. Create a calming bedtime routine, such as reading a book or taking a warm bath, to signal to your body that it’s time to wind down.

5. Limit Alcohol Intake

While it may be tempting to use alcohol to calm your nerves, it can actually increase anxiety over time. Alcohol can disrupt sleep and affect your mood. Reducing or eliminating alcohol from your life can significantly reduce your anxiety.

6. Practice Deep Breathing

Deep breathing exercises can quickly reduce anxiety by helping you focus on your breath and relax your body. One effective technique is the 4-7-8 method: inhale deeply for four seconds, hold for seven seconds, and exhale slowly for eight seconds.

7. Keep an Active Social Life

Spending time with friends and family can provide emotional support, reduce feelings of isolation, and improve your mood. Make an effort to maintain regular contact with loved ones, whether through in-person visits, phone calls, or video chats.

8. Break Up Your Goals

Anxiety can make even simple tasks seem overwhelming. To combat this, set realistic goals for yourself and break larger tasks into smaller, more manageable steps. This way you’ll feel more in control of your goals. Celebrate every accomplishment to build up your confidence.

9. Learn to Say No

Taking on too many responsibilities can increase anxiety and lead to burnout. Recognize your limits and learn to say no when you can. Prioritize your own tasks and focus on what truly matters by setting healthy boundaries.

10. Seek Professional Help

Some people are unable to manage their anxiety on their own. Whether your anxiety is more general or is linked to specific situations (for example, phobias, intrusive thoughts, or obsessions), you may need a consultation with a mental health professional. Your best treatment may include therapy, anti-anxiety medications, or a combination of the two. It’s also important to determine (or rule out) other co-occurring issues, such as trauma. In therapy, you’ll learn the root cause of your anxiety, how to cope with stressful situations, and how to build your resilience.
To find out more about how therapy can help you reduce your anxiety, please reach out to us.

10 Ways to Deal with Bipolar Depression

Bipolar depression can be tricky to manage. For many people, it’s not as simple as taking an antidepressant, since those medications can sometimes trigger a manic episode. Those with bipolar disorder will also likely experience more than one depressive episode. Here are a few ways to cope with your bipolar depression when it occurs.

1. Actively Participate in Your Treatment Plan

Understanding bipolar disorder, its symptoms, and how it affects your life can be the first step toward managing it. Familiarize yourself with the early warning signs of both manic and depressive episodes so you can anticipate them. This knowledge will also help you be consistent with your treatment plan. Work closely with your doctor to monitor your medications. Aim for regular check-ins to observe your moods and adjust your prescriptions if you’re having unpleasant side effects.

2. Stick to a Routine

Give yourself the stability of a daily routine to keep you from slipping away from your treatment plan. If necessary, write down all your tasks for each day (including mealtimes, bedtimes, and medications). Setting a routine will help you be accountable and motivate you to take care of yourself.

3. Get Enough Sleep

Not getting enough sleep can trigger a manic episode (or be a sign you’re entering one). Sleeping too much can be a sign of depression. Practice good sleep hygiene: create a comfortable sleep environment, avoid caffeine and electronics before bed, and try relaxation techniques like reading or meditation.

4. Eat Well

Nutrition plays an important role in your mental health. Try to eat a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Avoid excessive sugar and processed foods, which can lead to mood swings and energy crashes.

5. Get Regular Exercise

Physical activity naturally boosts your mood by releasing endorphins. Aim for at least 30 minutes of moderate exercise, such as walking, swimming, or yoga, most days of the week. You’ll see benefits with even short bursts of activity.

6. Build a Support Network

Avoid isolation. Even if you feel like withdrawing, make an effort to see and communicate with the people you love. Talk to people about what you’re going through. You might even look for bipolar support groups in your area or online.

7. Avoid Using Alcohol and Drugs

Substances may provide immediate relief from depressive symptoms. However, they’re much worse for you in the long run. They can negatively interact with medications and actively destabilize your mood. It’s important to stick to healthy coping mechanisms instead.

8. Practice Mindfulness

Getting in touch with your feelings and bodily sensations will help you manage your emotions. Try a daily mindfulness practice. Breathe deeply and allow your thoughts to pass through you without judging yourself. Pay attention to your five senses and focus on relaxing your body. These techniques keep you grounded in the present moment.

9. Have an Emergency Plan

With bipolar disorder, it’s important to have a plan in place for when you do start to feel depressive symptoms. Make sure you have your doctor’s contact information on hand and that your prescriptions are all still valid. Have a list of people you trust who can be called in an emergency. You should also have a plan for what to do if you start to experience suicidal ideation or begin self-harming.

10. Seek Therapy

Bipolar disorder can be managed with medication. That said, those with bipolar disorder have a much better prognosis when their treatment plan combines medication and therapy. Psychotherapies including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), interpersonal therapy, and other approaches are excellent treatments for bipolar disorder. They’ll help you challenge negative thought loops, manage your emotions, and find healthy outlets for stress and anxiety.
To find out more about how therapy can help treat your bipolar depression, please reach out to us.

Thought Processes Associated With Bipolar Disorder

Bipolar disorder is a mood disorder, formerly known as manic depression. It’s characterized by extreme mood swings from high to low that take place over weeks or months. Contrary to popular belief, a bipolar person doesn’t just “switch” from happy to sad in an instant. These mood swings can affect sleep, energy, behavior, judgment, and the ability to think clearly. Each mood episode has several hallmark thought processes, and understanding them can help those seeking treatment through therapy.

Defining Bipolar Disorder

There are four main types of bipolar disorder: bipolar I, bipolar II, cyclothymia, and unspecified types. Bipolar I is defined by periods of mania followed by depressive episodes. Those with bipolar II experience hypomania, which is a milder type of mania, followed by major depressive episodes. Cyclothymia is defined by hypomanic episodes followed by depressive episodes that don’t meet the criteria for major depressive disorder.

When discussing the thought processes associated with bipolar disorder, it’s important to consider whether they occur during mania/hypomania or depression. Each mood episode has its effects on the brain.

Manic and Hypomanic Processes

During manic or hypomanic episodes, a person with bipolar disorder experiences many symptoms, including:

  • An upbeat mood

  • Increased energy

  • Irritability and agitation

  • Euphoria

  • Increased self-confidence

  • Excessive talkativeness

  • Poor decision-making (i.e. spending sprees, gambling, risky sexual behavior, increased drug use)

  • Heightened creativity

The thought processes during a manic episode are characterized by moving quickly from idea to impulse. A person may experience:

  • Racing thoughts

They may feel an overwhelming flood of ideas and thoughts, often so fast that they have difficulty focusing on one thing. This can make it hard to pay attention and finish daily tasks.

  • Grandiosity

During mania, one tends to overestimate abilities or importance. During a manic episode, one may believe they’re invincible, hatch unrealistic plans, or think they’re famous. These delusions of grandeur can fuel impulsive, risky behavior.

  • Distractibility or Flights of Ideas

A person experiencing mania has increased sensitivity to external stimuli—for example, traffic lights, passing sirens, or ringing phones. These minor distractions can derail their thoughts. They may also believe that these distractions mean something significant.

Depressive Thought Processes

Depressive episodes are the polar opposite of mania. Typical symptoms include:

  • Feeling sad or hopeless

  • Feeling worthless, guilty, or ashamed

  • Tearfulness

  • Fatigue

  • Slowed speech

  • Changes in weight

  • Sleep disturbances

  • Indecisiveness

  • Self-harm

  • Suicidal ideation

Thought patterns during a depressive episode tend to make symptoms worse. These include:

  • Cognitive distortions

Depression fuels irrational thought loops and errors in judgment. Cognitive distortions include black-and-white thinking, overgeneralization, mind reading, personalization, and catastrophizing. These all involve relying on feelings rather than facts to reach conclusions about one’s self-worth and relationships with others.

  • Rumination

A person in a depressive episode may tend to dwell on negative thoughts or past events. Repetitively focusing on mistakes, traumas, lost relationships, and other difficult moments in life only fuels feelings of despair.

Bipolar Disorder and Memory

Studies have recently shown that bipolar disorder can affect working memory. That is the temporary information the brain holds onto to make connections and decisions in daily life. Those with bipolar disorder report changes in their memory during mood episodes, particularly during depression.

Getting Help

If you’ve been diagnosed with bipolar disorder, or you think you may have it, talk to a mental health professional about your treatment options. Bipolar disorder is typically managed through a combination of prescribed mood stabilizers (and sometimes antidepressants) and psychotherapy. With the help of a therapist, you can learn to recognize these thought processes and challenge them. With the right treatment plan, a person with bipolar disorder can live a fulfilling life.

To find out more about how therapy can ease the symptoms of bipolar disorder, please reach out to us.

Quick support for bipolar and depression stuff: quotes!

I intended to have this ready in time for World Bipolar Day, which was March 30. And it’s months late. This is because my brain is often on fire, and when it is, writing words is hard. When you have 5-50 ideas streaming through your head, you struggle to follow one of them. All the ideas feel equally important and then begin to feel utterly unattainable. Eventually, I cycle into more focused productivity. So here I am—getting the brain fire all over again, so I will save exploring this introductory statement for another post, perhaps about the similarities between ADHD, anxiety, and bipolar spectrum or perhaps about racing thoughts, creative ideas, or energy fluctuations. The complexity and subtle nuances of mood disorders simultaneously fascinate me and make me want to punch a wall. How do you reckon with the nuance, cycles, and mood surprises? Quotes can be a start.

Bipolar disorder affects an estimated 5 million adults every year in America and around 40 million globally. Because of the deep stigma and misunderstanding of the illness as well as the illness’s symptoms, many people living with a bipolar spectrum or mood disorder cycle through feeling very alone, confused, hopeless, and overwhelmed. Our thoughts can be our enemies; our decisions can lead to cleaning up lots of messes, and sometimes when in the throes of an ‘episode,’ we do have the insight to look for support. But during Hard Times, support is often difficult to ask for, and we need something now. Getting a moment of reprieve when reading a quote can make the cycle more bearable.

Quotes can be a refuge, giving someone a sense that they are not alone and that others are having similar challenges. Also, it’s hard for some to read complex sentences and passages when in the throes of a mood event. Quotes lean towards simplicity and efficiency.

Not all of the people quoted have/had a mood disorder; although some did/do. Take what you want from the ideas. Notice what resonates. Notice what doesn’t.

Melancholia is the beginning and a part of mania . . . . The development of a mania is really a worsening of the disease (melancholia) rather than a change into another disease. —Aretaeus of Cappadocia (possibly one of the earliest quotes about mood disorders, 30-90 AD)

Diseases have no eyes. They pick with a dizzy finger anyone, just anyone. –Sandra Cisneros, The House on Mango Street

At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you’re living with this illness and functioning at all, it’s something to be proud of, not ashamed of. —Carrie Fisher

Sometimes I sound like gravel, and sometimes I sound like coffee and cream.—Nina Simone

That's the thing about depression: A human being can survive almost anything, as long as she sees the end in sight. But depression is so insidious, and it compounds daily, that it's impossible to ever see the end. —Elizabeth Wurtzel

Those who love you are not fooled by mistakes you have made or dark images you hold about yourself. They remember your beauty when you feel ugly; your wholeness when you are broken; your innocence when you feel guilty; and your purpose when you are confused. –Alan Cohen

I have just now come from a party where I was its life and soul; witticisms streamed from my lips, everyone laughed and admired me, but I went away — yes, the dash should be as long as the radius of the earth's orbit ——————————— and wanted to shoot myself. ― Søren Kierkegaard

My own brain is to me the most unaccountable of machinery - always buzzing, humming, soaring roaring diving, and then buried in mud. And why? What's this passion for? ― Virginia Woolf

Anybody remotely interesting is mad in some way or another. ― Steven Moffat

Being bipolar is like not knowing how to swim. It might be embarrassing to tell people, and it might be hard to take you certain places. But they have arm floaties. And if you just take your arm floaties, you can go wherever the hell you want. —Taylor Tomlison

All that I want is to wake up fine. —Paramore

Do not judge me by my successes, judge me by how many times I fell down and got back up again. —Nelson Mandela

Until recently, I lived in denial and isolation and in constant fear someone would expose me. It was too heavy a burden to carry, and I simply couldn’t do that anymore. I sought and received treatment, I put positive people around me, and I got back to doing what I love. –Mariah Carey

If you’re going through hell, keep going. —Winston Churchill

If you know someone who’s depressed, please resolve never to ask them why. Depression isn’t a straightforward response to a bad situation; depression just is, like the weather. —Stephen Fry

In my episodes, I tend to oscillate quickly between hyper anxiety, paranoia, suicidal thoughts and shame … I have been on medication for 5 years, and that initiated a drastic diminish in the intensity and duration of episodes. —Mary Lambert

Madness is to think of too many things in succession too fast, or of one thing too exclusively. —Voltaire

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. —Kay Redfield Jamison

It can be a long and difficult road, but mental illness is treatable. There is hope, even when your brain tells you there isn’t. —John Green

You be so high you can shake hands with somebody in the sky. —Champion Jack Dupree

The cruelest curse of the disease is also its most sacred promise: You will not feel this way forever.
― Terri Cheney

But I can hardly sit still. I keep fidgeting, crossing one leg and then the other. I feel like I could throw off sparks, or break a window--maybe rearrange all the furniture. —Raymond Carver

The difference between hope and despair is a different way of telling stories from the same facts.
― Alain de Botton

Nobody would believe what an effort it is to do what little I am able, - to dress and entertain, and order things. ― Charlotte Perkins Gilman

In the lives of the saddest of us, there are bright days like this, when we feel as if we could take the great world in our arms and kiss it. Then come the gloomy hours, when the fire will neither burn on our hearths nor in our hearts; and all without and within is dismal, cold and dark. Believe me, every heart has its secret sorrows, which the world knows not, and oftentimes we call a man cold, when he is only sad. --Henry Wadsworth Longfellow

First, silence makes us pilgrims. Secondly, silence guards the fire within. Thirdly, silence teaches us to speak.—Henri J.M. Nouwen

One of the oldest human needs is having someone to wonder where you are when you don't come home at night. —Margaret Mead

It’s not the load that breaks you down, it’s the way you carry it. – Lena Horne

Isn’t it nice to think that tomorrow is a new day with no mistakes in it yet? – L. M. Montgomery

I'm not bipolar, I've just had a bipolar life foisted upon me.—Unknown

Meanwhile in my head, I’m undergoing open-heart surgery.—Anne Sexton

Anxiety was born in the very same moment as mankind. And since we will never be able to master it, we will have to learn to live with it—just as we have learned to live with storms. —Paulo Coelho

What's been important in my understanding of myself and others is the fact that each one of us is so much more than any one thing. A sick child is much more than his or her sickness. A person with a disability is much, much more than a handicap. A pediatrician is more than a medical doctor. You're MUCH more than your job description or your age or your income or your output. —Fred Rogers

One of the things so bad about bipolar disorder is that if you don’t have prior awareness, you don’t have any idea what hit you. – Unknown

The mania is like wasps under the skin, like my head’s going to explode with ideas. – Alice Weaver Flaherty

Do I fear the sleepless nights? You have no idea how long the dark lasts when you cannot close your eyes to it. – Tyler Knott Gregson

Sometimes, even to live is an act of courage. – Seneca

Suicide too often results from the impulsive nature and physical speed of mania coupled with depression’s paranoid self-loathing. – Unknown

I’m fine, but I’m bipolar. I’m on seven medications, and I take medication three times a day. This constantly puts me in touch with the illness I have. I’m never quite allowed to be free of that for a day. It’s like being a diabetic. – Carrie Fisher

You may encounter many defeats, but you must not be defeated. In fact, it may be necessary to encounter the defeats, so you can know who you are, what you can rise from, how you can still come out of it. —Maya Angelou

Bipolar disorder thinking is always unreasonable and unrealistic. Always. There are no exceptions. So if your normally reasonable partner is being unreasonable, you know that you are dealing with bipolar disorder and not with a personality flaw.
― Julie A. Fast

That’s my messy, disorganized quote bonanza. Someday, I’ll categorize, and for now, it is what it is. Remember, you are not alone! And reach out if you’d like to talk.