Please be patient

Hi all


Its’s been a long time since I have posted please be patient. I only have access to the blog via cell phone. So it is hard to copy paste etc. new news. I will be posting from books and my own experiences and etc. again

Thanks for your understanding. Stay safe out there. Jan/JmaC

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Mental Health article

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Warning signs

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JmaC Here & Now

My mood has been up and down. I must  admit it has been better than before though. I think it has to do with all the worry about the procedure, in my hand, and now that it is over I have nothing to worry  about except healing, hopefully the procedure is a success, there is a 30% chance, odds are low. Getting  the feeling back in my right hand but it will take a long year to heal to see if it was a success.


On a good note the pain is gone so that is something.  But already I am able to move my fourth and fifth finger although they are still numb I have control over them, and that was just after 6 days so I have high hopes to get back to my drilling the wood again my hobbies etc. and most importantly maybe a part time job with the pain under control so far in  that area anyways. The other physical issues that have effects of pain I am basically use to and are tolerable so keeping fingers crossed….

LoL JmaC

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Jan’S BP & Me….

BP & ME # 2

The journey called Bipolar disorder is no typical journey that just anyone takes, yes a lot of people have it a lot worse in their lives, some a lot better. But I speak of the journey we are taking together. This journey is complex and challenging yet a learning experience, it can ruin relationships, marriages, careers, and ones self worth, and zap us of our inner strength. At times it is overwhelming all consuming and we preserve each day. Yes, it will knock us down, beat us up, rob us, and threaten us. And attempt to destroy us after time But we preserve each day, we may fall down but we get up again and again. This is survival at its best!

They say you can not pick your relatives but you can pick your friends. Friends are something you can not buy in a store or wish for. They are special bonds woven through similar experiences, struggles, challenged, heart aches, as well as success and unforgettable memories. We need to treasure our friends they can be our support life Davies when family just don’t understand. Friends listen, never judge you or tell you that they don’t care. We all need friends just as we need air to breathe.

You will have a better tomorrow if only you think about today. You will not have a good day if you just sit around and think of yesterday. Out BP journey is like a domino effect. We get through yesterday, put that day in the past move on through today and work through it. Tomorrow what it can bring to us is fresh and new and the beginning of the day’s possibilities. Always look forward to tomorrow and what it may bring us as you travel through the peaks and valleys and when you reach that peak hang on, because the view at the top is much brighter.

When sadness knocks at your door don’t answer it! It will leave and when happiness knocks answer it and bring it into your life. Do not be frightened when it leaves when you least expect it, it shall return. The journey continues to walk the road of challenge, adversity, and obstacles. Even when the odds are against us we continue to go on with complete effort. Never stop trying and we will never feel there is no chance to win. And if we face the right direction on this road that has been given to us we have to keep going, no matter how difficult this road may be, we may feel despair, loneliness, and be afraid but we will not falter and we may not be there yet but we are much closer as of yesterday and what we get by reaching our destination is not nearly as vital of what we will find and whom we may become when we do.

Moving forward not looking back is key to continue on this journey. Yes, we have made it mistakes burned a lot of bridges but who hasn’t. Learning to live and forgive oneself is the first step towards moving forward. We have difficult times during this BP journey and we may at times feel we are so alone, so different and cannot give anymore but we have and continue to do so. For its not the BP which defined us as who we are, nor will we let it control our lives. Our relationship with BP is not a close one, nor do we want it to be, but the relationship we have with ourselves is an important one. Loving ourselves, understanding ourselves! What we are about and who we are. The BP life is a journey we take every day.

Whether we notice or not all things in life are connected some way. We live with the intention to live and continue to learn. The doors of our lives that we open today will decide the lives we live. As we look back life is different yet it stays the same, everything is relative, and all the struggles, fears, hopes and dreams will return again, for life always changes, just as quickly as it remains the same. But the difference is with each return we always have a hope of a new day for a chance at a better life. The journey of life is connected and everything is relative for the strength and hope will continue to return.


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Antidepressant Use on the Rise

Antidepressants are one of the three most commonly used drug classes in the U.S. and a new report from the Centers for Disease Control and Prevention (CDC) highlights the growing use of antidepressants in the U.S. Almost 13 percent of people age 12 and over in 2011-2014 used antidepressants in the past month, up from just under 8 percent in 1999-2002. One-quarter of people who took antidepressants had done so for 10 years or more.


Depression is common; an estimated 7 percent of U.S. adults (16 million people) had a major depressive episode in the past year and more than one in three did not receive any treatment. Depression is more common in women than men and more common in adults 40 to 59 years than other age groups. Untreated depression can contribute to difficulties at work, with family and with social activities, and is associated with an increased risk for other conditions, such as heart disease. Depression is typically treated with medication, therapy or a combination of the two.

According to the CDC report, women are almost twice as likely as men to take antidepressants, a trend that has been consistent over many years and consistent across age groups and racial/ethnic groups. (See charts.) As people get older, they are more likely to use antidepressants: 3.4 percent of people aged 12 – 19 used antidepressants, while nearly one in five people (19 percent) aged 60 and older used antidepressants. Non-Hispanic whites were three times more likely to have taken antidepressants than Asians, blacks or Hispanics.

While most antidepressants are used to treat depression, they are also taken to treat other conditions, such as anxiety, the CDC report notes. About half of people with depression in the past year took prescription medication, and about 13 percent saw a health professional but did not take medication, according to a report from the Substance Abuse and Mental Health Services Administration.


Oct. 5 is National Depression Screening Day, raising awareness about depression and encouraging people to take action. Screening can be an important first step in helping someone to get help for depression. This year’s theme, Speaking Your Mind, encourages people to talk about their experience. Whether talking to a friend or family member, to a primary care doctor or a mental health professional, sharing your story can help you and help others.

Visit to locate a mental health screening site or take an online screening. After completing a screening, individuals receive referral information to local agencies that offer further evaluation and treatment if needed. You can support the effort with the hashtags #NDSD and #SpeakYourMind.



  • Centers for Disease Control and Prevention. NCHS Data Brief No. 283: Antidepressant Use Among Persons Aged 12 and Over: United States, 2011–2014. August 2017.
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Bipolar Disorder that’s what the Pdoc’S Call it?

Bipolar Disorder that’s what the Pdoc’S called it.

That’s what the Pharmacist called it.

That’s not what I call it.

I call it the voices screaming in my head.

I call it the battle I fight every day.

I call it the reason I cry every night!

How do u think pills could hide it?

Why do u think I have to change?

Why should I have to change?

Why is it wen I don’t change I have to shout?

I slam, I sit, & I cry!

Or just do nothing @ all.

Why is it that I feel nothing @ all?


Why can’t the tears just fall?

Why am I lazy?

Why am I weak?

Losing the battle within!

Why does my heart shatter?

Letting the dreams win!

Bipolar Disorder it’s a monster!

That sleeps within!

Bipolar Disorder don’t let it win!!!!


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Bipolar From A to Z

Angered by the smallest things
Bipolar disorder is my king
Conveying thoughts, hard to do
Distractions overwhelm; I’m subdued
Energy level at an all time low
Frustration beyond reason is my foe
Going places; standing idle fast
Hanging onto, “normal” visions of past
Imminent danger doesn’t seem real
Justifying my reasons; unable to feel
Kidnapped my soul, without a fee
Learning to cope and trust only me
Manic depression, or so they say
Negotiating terms of a mindset betray
Oppressed memories, trailing behind
Paralyzing thoughts, not hard to find
Quaintly waiting for me to confess
Raging temper at its very best
Selective my hearing, taking my soul
Tearful manipulation is my goal
Unconventional ideas; lies I must bare
Venomously I have waited, for my share
Wishfully longing for your return
X-rays show a mental psychosis learned
Yesterday’s genius, today’s broken plea
Zanily waiting for my turn to be FREE
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Former Surgeon General Talks about Stress in America

Former Surgeon General Vivek Murthy, M.D., recently sat down to talk with National Institutes of Health Director, Francis Collins, M.D., Ph.D., to talk about the public health consequences of stress in America—how stress is affecting us and what we can do about it.

Ongoing stress can hurt our mental and physical in a variety of ways. Approaches such as regular exercise, social connections and contemplative practices can help.

It’s important to remember when talking about stress that not all stress is bad, Murthy noted. Limited stress over a short period of time can help us perform better, in a sports competition or on an academic test, for example. Short-term stress is adaptive and can assist with healing and with performance, Murthy noted. He suggested an analogy of lifting weight in a gym. If you lift for brief periods with rest in between, you can build up your muscles. But if you were to hold weight for hours and hours, it may do damage to you. Chronic stress, over the long-term, can increase Inflammation in the body and Increase our risk of cardiovascular disease, cancer, anxiety, depression and other illnesses.

Murthy relayed a story of speaking before hundreds of college students and asking, “How many had experienced an almost unbearable amount of stress in the past month?” About 95 percent of the hands went up. He then asked how many felt they had tools for dealing with that stress in a healthy way, and less than 5 percent of the hands went up. That experience, Murthy noted, helped him to realize the lack of attention being paid to addressing stress and emotional well-being. “We’re missing a major contributor to our health and how our country functions,” he concluded.

One potential contributor to stress for many people is increasingly fast-paced workplaces. “The idea of being overextended has become the norm,” Murthy said. Health concerns for ourselves or for family members can also be a tremendous source of stress. Chronic lack of sleep, which can take a tremendous toll, can be both a contributor to and a consequence of stress. Sleep allows our brains to regenerate and form memories and bodies to heal.

One most powerful antidotes to stress, Murthy noted, is social connection. For example, facing a challenging health condition can be much less stressful when faced with the support and compassion of family, friends and others facing similar challenges.

Many of us are connected to many people on social media. But is our social media connection really helpful? Researchers have found that it can be helpful, but can also contribute to negative feelings. As Murthy explained, when you use social media as a weigh station It can be helpful in improving your connection and diminishing stress, but it can be problematic when used as a destination. For example, if you’re going on a trip and go on Facebook to look up friends to meet up with, it helps reduce loneliness and increase connection. However, if you’re feeling lonely on a Friday night and go on Facebook to see what friends are doing, it may end up feeling like everybody else is having a great time and you’re not.

Help for Patients & Families

Learn about common mental disorders, including symptoms, risk factors and treatment options. Find answers to your questions written by leading psychiatrists, stories from people living with mental illness and links to additional resources.

Learn More

Murthy discussed contemplative practices, such as meditation, as another important tool to help address stress and enhance our emotional well-being. Murthy also stressed the importance of exercise in reducing stress and promoting overall health and well-being.

Murthy called on health care providers to be more sensitive to the illness stress causes. He urged everyone to think about how to incorporate ways to reduce stress into all aspects of our everyday lives—in the workplace, at home, at school, in recreation and leisure activities.


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What Are Bipolar Disorders?

What Are Bipolar Disorders?

Bipolar disorders are brain disorders that cause changes in a person’s mood, energy and ability to function. Bipolar disorder is a category that includes three different conditions — bipolar I, bipolar II and cyclothymic disorder.

People with bipolar disorders have extreme and intense emotional states that occur at distinct times, called mood episodes. These mood episodes are categorized as manic, hypomanic or depressive. People with bipolar disorders generally have periods of normal mood as well. Bipolar disorders can be treated, and people with these illnesses can lead full and productive lives.

Bipolar I Disorder

Symptoms of Bipolar I Disorder
Bipolar I disorder can cause dramatic mood swings. During a manic episode, people with bipolar I disorder may feel high and on top of the world, or uncomfortably irritable and “revved up.“ During a depressive episode they may feel sad and hopeless. There are often periods of normal moods in between these episodes. Bipolar I disorder is diagnosed when a person has a manic episode.

Manic Episode

Hypomanic Episode

Major Depressive Episode

Risk Factors

Treatment and Management

Bipolar II Disorder

Bipolar II disorder involves a person having at least one major depressive episode and at least one hypomanic episode (see above). People return to usual function between episodes. People with bipolar II often first seek treatment because of depressive symptoms, which can be severe.

People with bipolar II often have other co-occurring mental illnesses such as an anxiety disorder or substance use disorder.


Treatments for bipolar II are similar to those for bipolar I — medication and psychotherapy. Medications most commonly used are mood stabilizers and antidepressants, depending on the specific symptoms. If depression symptoms are severe and medication is not working, ECT (see above) may be used. Each person is different and each treatment is individualized.

Cyclothymic Disorder

Cyclothymic disorder is a milder form of bipolar disorder involving many mood swings, with hypomania and depressive symptoms that occur often and fairly constantly. People with cyclothymia experience emotional ups and downs, but with less severe symptoms than bipolar I or II.

Cyclothymic disorder symptoms include the following:

  • For at least two years, many periods of hypomanic and depressive symptoms (see above), but the symptoms do not meet the criteria for hypomanic or depressive episode.
  • During the two-year period, the symptoms (mood swings) have lasted for at least half the time and have never stopped for more than two months.


Treatment for cyclothymic disorder can involve medication and talk therapy. For many people, talk therapy can help with the stresses of ongoing high and low moods. People with cyclothymia may start and stop treatment over time.

Physician Review By:

Ranna Parekh, M.D., M.P.H.
January 2017

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