Bipolar Disorder and Gambling Addiction

The risk-taking behaviors common with bipolar disorder can include an addiction to gambling.

People with bipolar disorder often engage in addictive behaviors. Theycompulsively shop for things they don’t need, engage in frequent and risky sex, or spend long hours at the workplace.

They also are apt to engage in compulsive gambling. People who are bipolar tend toward behaviors that include spending too much money on lottery tickets, spending hours in front of video poker machines, and taking frequent trips to casinos.

Connecting Bipolar Disorder to Gambling

Bipolar disorder causes extreme swings in a person’s mood, energy levels, and ability to get things done. It’s also known as manic-depressive illness, a name which reflects these swings in mood. Patients can be overexcited and filled with joy and purpose in a manic episode, and then suddenly swing into a depressive episode, becoming sad, joyless, and drained of energy.

Researchers have found that bipolar disorder and gambling addiction often occur together. Half of all gambling addicts in the United States also have a mood disorder, according to one national survey. A Canadian study found that people with bipolar disorder were more than twice as likely to have a gambling addiction as someone in the general population. Another study found that, among those surveyed, a mood disorder preceded gambling addiction in 80 percent of the women and 58 percent of the men.

 

Bipolar Disorder and Gambling: What Research Suggests

The exact nature of the link between gambling addiction and bipolar disorder has not been fully explained by researchers. Doctors and mental health professionals tend to believe that gambling addiction may be linked to the highs or lows associated with bipolar disorder:

  • People with depression use gambling to self-medicate. This theory holds that patients use gambling to help themselves feel better during a depressive phase. The rush associated with the risk of gambling may help them rise out of their depressive funk.
  • Gambling reflects the impulsive nature of a manic phase. People in the grips of a manic phase often have impulse control issues. They may engage in kleptomania or go on an eating binge. Some researchers believe gambling might serve as another outlet for impulsive behavior.

Another possible theory is that compulsive gambling may be an early-onset form ofobsessive-compulsive disorder, which people with bipolar disorder experience at an increased rate compared with the general population.

Treating Bipolar Disorder and Gambling

If people with bipolar disorder are self-medicating with gambling, that may mean there is a biochemical process they are subconsciously tapping into to ease their mania or depression. They are using a specific behavior to make themselves feel better because that behavior prompts the body to release hormones or neurotransmitters that naturally treat their mood disorder.

Several studies have shown the potential for bipolar disorder medications to also help people deal with a gambling addiction:

  • Selective serotonin reuptake inhibitors, or SSRIs, are powerful antidepressants. Studies have found that SSRIs can reduce the need to compulsively gamble in some people.
  • Lithium, an often-used mood-stabilizing medication, also has shown promise as a bipolar disorder drug that treats compulsive gambling.Lithium reduces the impulsiveness associated with manic phases and could stop the addictive gambling that takes place when a patient is in the grip of mania.
  • Opioid antagonists like naltrexone (Revia) also may help by blocking the release of certain chemicals. Opioid antagonists work on nervous system receptors that respond to opiate drugs. It is thought that gambling and impulsive behavior causes the release of biochemicals that interact with these receptors, causing a feeling of pleasure and reducing the person’s sense of impulse or urge. By replacing those biochemicals, opioid antagonists reduce the person’s need to gamble to make himself feel better.

Psychotherapy directed at treating bipolar disorder also might help treat a gambling addiction, some research suggests. If the person becomes better able to deal with his mania and depression, he will be less likely to pursue gambling as a means of relieving his symptoms. A combination approach may bring the best results for this difficult combination of disorders.

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Obsessive compulsive disorder (OCD)

Obsessive compulsive disorder (OCD) is a common form of anxiety disorder involving distressing, repetitive thoughts. That makes OCD particularly difficult to make sense of or to explain to other people.

Obsessions are distressing or frightening repetitive thoughts which come into your mind automatically, however irrational they may seem and however much you try to resist or ignore them.  Some people describe these thoughts as being like a ‘stuck record’, but trying to stop them can make them worse.

Compulsions are actions which people feel they must repeat to feel less anxious or stop their obsessive thoughts. For example, some people cannot stop thinking about germs and the diseases they could catch. To cope with this anxiety, they may start washing their hands over and over again. Other compulsive rituals may have no connection to the nature of the obsessive thoughts.

Common obsessions include:

  • fear of contamination
  • fear of causing harm to someone else
  • fear of behaving unacceptably
  • need for symmetry or exactness.

Compulsions commonly involve checking, cleaning, counting or dressing rituals.  Carrying out a ritual usually gives people temporary relief from their anxiety. At other times, they can be full of doubt that they have carried out the ritual properly and so repeat the ritual to ‘get it right’ – a process that can go on for hours.

It can take people many years to seek professional help. People may be aware that their rituals are irrational and be ashamed of that and try to hide them. Some people feel that they lack will power because they cannot stop their thoughts and rituals.

What are the symptoms of OCD?

Most of us have worries, doubts and superstitious beliefs. It is only when your thoughts and behaviour make no sense to other people, cause distress or become excessive that you may want to ask for help.  OCD can occur at any stage of your life. If you experience OCD you may also feel anxious and depressed and you may believe you are the only one with obsessive thoughts.

 

What causes OCD?

OCD has been linked to increased activity in certain parts of the brain and some experts think low levels of a brain chemical called serotonin may be involved,although others disagree with this theory. Stress does not cause OCD, but a stressful event such as giving birth, the death of someone close to you or divorce may act as a trigger.

What are the treatments for OCD?

There are a number of treatments and strategies to help you deal with OCD. The first step in getting treatment is to explain your symptoms to your GP who can then refer you for specialist help. The most effective treatments for OCD usually involve talking treatments – such as counselling, psychotherapy and cognitive behaviour therapy – and medication.

How family and friends can help

As family or a friend, you may feel frustrated and confused by the symptoms of OCD, but you can help a lot by accepting your partner’s, friend’s or relative’s feelings and understanding that this is their way of coping. Negative comments or criticism tend to make OCD worse; a calm, supportive family can help improve the outcome of treatment.

Self-help groups can provide help, support and encouragement. When children or young people have OCD, it’s important for parents to work with teachers to be sure that they understand the problem.

 

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Emotional Intelligence tool kit

Jeanne Segal, Ph.D. – Helpguide Co-Founder

This program is rooted in social and emotional brain science that engages the emotional brain and heart, as well as the reasoning mind. Its purpose is to teach you how to control troublesome thoughts, manage difficult emotions, have better relationships, and follow through on positive intentions.

The Emotional Intelligence Toolkit helps you:

  • Change self-defeating moods and attitudes
  • Master the skill of quick stress relief
  • Boost EQ by learning to stay connected to what you feel as well as think
  • Follow through on your hopes and dreams

Step 1: How Emotional Awareness Shapes Health and Happiness

The ability to recognize, direct, and positively express emotions that we call Emotional Intelligence is a powerful skill. Emotion can override thoughts, transform relationships, and profoundly influence behavior. Emotional intelligence (EQ) allows us to harness that power to understand ourselves, overcome challenges, and build strong relationships. Best of all, emotional intelligence is a skill set that can be learned at any time.

The ability to remain emotionally aware and to keep your nervous system in its comfort zone also ensures that your immune system, and other parts of your body that preserve and repair it, remain online doing their job.

Watch the video: Emotions matter!

Emotional awareness also boosts your ability to connect to others in ways that override stress and permit you to feel safe, happy, and preserve your health.

What is the Emotional Intelligence Toolkit—and why it works

It’s a skill set that you can learn for keeping your nervous system in its comfort zone and on track so that your mind and body can function optimally, even when you feel threatened.

Feeling unsafe, for reasons that have more to do with our perceptions than life-threatening events, is a common experience we face as humans. But your nervous system has a remedy for the fears and insecurities that create stress, depression, and anxiety. If you know how to engage your nervous system and connect to others in ways that are rapidly calming and energizing, you can remain secure, focused, creative, compassionate, and socially engaging. The Emotional Intelligence Toolkit is a progressive five-step, skill-building process that enables you to do this.

How does the toolkit help your nervous system stay on track?

Your nervous system is command central for keeping you safe. It’s like a built-in antenna that is always asking the question, ”Am I safe, or do I feel threatened internally or externally?” When your nervous system is in doubt about your safety, the rest of your body shuts down as you prepare to fight, flee, or freeze. In this defensive state, your body’s ability to preserve and protect you is compromised.

There are two things that you can do to quickly reassure your nervous system and bring it into its comfort zone. The quickest and most efficient thing you can do is to turn to another person for reassurance. If that person’s face conveys safety and reassurance, your nervous system will immediately relax and go back into balance. In order to do this, you must be able to send and receive nonverbal emotional cues.

The other thing that you can do is to connect with positive sensory experiences. The toolkit teaches you both of these core skills.

Watch the video: Roadblocks to awareness

Before we begin learning the skills that enable us to override stress and stay healthy and happy, we would be wise to first take a look at things we do that can block our ability to acquire new habits.

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Emotional and Psychological Trauma

If you’ve experienced trauma, you may be struggling with upsetting emotions, frightening memories, or a sense of constant danger. Or you may feel numb, disconnected, and unable to trust other people. When bad things happen, it can take a while to get over the pain and feel safe again. But with the right self-help strategies and support, you can speed your recovery. Whether the trauma happened years ago or yesterday, you can heal and move on.

What is emotional and psychological trauma?

Emotional and psychological trauma is the result of extraordinarily stressful events that shatter your sense of security, making you feel helpless in a dangerous world.

  • Traumatic experiences often involve a threat to life but any situation that leaves you feeling overwhelmed can be traumatic, even if it doesn’t involve physical harm.
  • It’s not the objective facts that determine whether an event is traumatic, but your subjective emotional experience.
  • The more frightened and helpless you feel, the more likely you are to be traumatized.

Causes of emotional or psychological trauma

Emotional and psychological trauma can be caused by:

  • One-time events, such as an accident, injury, natural disaster, or violent attack
  • Ongoing, relentless stress, such as living in a crime-ridden neighborhood or battling a life-threatening illness
  • Commonly overlooked causes, such as surgery (especially in the first 3 years of life), the sudden death of someone close, the breakup of a significant relationship, or a humiliating or deeply disappointing experience

An event will most likely lead to emotional or psychological trauma if:

  • It happened unexpectedly.
  • You were unprepared for it.
  • You felt powerless to prevent it.
  • It happened repeatedly.
  • Someone was intentionally cruel.
  • It happened in childhood.

Risk factors that increase your vulnerability to trauma

A number of risk factors make people more susceptible to emotional and psychological trauma. You’re more likely to be traumatized by a stressful experience if:

  • You’re already under a heavy stress load or have recently suffered a series of losses
  • You’ve been traumatized before—especially if the earlier trauma occurred in childhood

Childhood trauma increases the risk of future trauma

Experiencing trauma in childhood can have a severe and long-lasting effect. When childhood trauma is not resolved, a sense of fear and helplessness carries over into adulthood, setting the stage for further trauma.

Childhood trauma results from anything that disrupts a child’s sense of safety, including:

  • An unstable or unsafe environment
  • Separation from a parent
  • Serious illness
  • Intrusive medical procedures

Symptoms of emotional and psychological trauma

People react in different ways to trauma, experiencing a wide range of physical and emotional reactions. There is no “right” or “wrong” way to think, feel, or respond, so don’t judge your own reactions or those of other people. Your responses are NORMAL reactions to ABNORMAL events.

Emotional and psychological symptoms of trauma:

  • Shock, denial, or disbelief
  • Anger, irritability, mood swings
  • Guilt, shame, self-blame
  • Feeling sad or hopeless
  • Confusion, difficulty concentrating
  • Anxiety and fear
  • Withdrawing from others
  • Feeling disconnected or numb

Physical symptoms of trauma:

  • Insomnia or nightmares
  • Being startled easily
  • Racing heartbeat
  • Aches and pains
  • Fatigue
  • Difficulty concentrating
  • Edginess and agitation
  • Muscle tension

Symptoms typically last from a few days to a few months, gradually fading as you process the trauma. But even when you’re feeling better, you may be troubled from time to time by painful memories or emotions—especially in response to triggers such as an anniversary of the event or something that reminds you of the trauma.

Grieving is normal following trauma

Whether or not a traumatic event involves death, survivors must cope with the loss, at least temporarily, of their sense of safety. The natural reaction to this loss is grief. Like people who have lost a loved one, trauma survivors go through a grieving process, which is easier if you turn to others for support and take care of yourself.

Trauma recovery tip 1: Get moving

Trauma disrupts the body’s natural equilibrium, freezing you in a state of hyperarousal and fear. In essence, your nervous system gets “stuck.” As well as burning off adrenaline and releasing endorphins, exercise and movement can actually help your nervous system become unstuck.

  • Instead of focusing on your thoughts or distracting yourself while you exercise, really focus on your body and how it feels as you move.
  • Exercise that is rhythmic and engages both your arms and legs—such as walking, running, swimming, basketball, or even dancing—works best.
  • Notice the sensation of your feet hitting the ground, for example, or the rhythm of your breathing, or the feeling of wind on your skin.
  • Rock climbing, boxing, weight training, or martial arts can make it easier to focus on your body movements—after all, if you don’t, you could get hurt.
  • Try to exercise for 30 minutes or more—or if it’s easier, three 10-minute spurts of exercise per day are just as good. Move as often as you can throughout the day.

Trauma recovery tip 2: Don’t isolate

Following a trauma, you may want to withdraw from others, but isolation makes things worse. Connecting to others face to face will help you heal, so make an effort to maintain your relationships and avoid spending too much time alone.

  • You don’t have to talk about the trauma. Connecting with others doesn’t have to mean talking about the trauma. In fact, for some people, that can just make things worse. Comfort comes from feeling engaged and accepted by others.
  • Ask for support. While you don’t have to talk about the trauma itself, it is important you have someone to share your feelings with face to face, someone who will listen attentively without judging you. Turn to a trusted family member, friend, counselor, or clergyman.
  • Participate in social activities, even if you don’t feel like it. Do “normal” things with other people, things that have nothing to do with the traumatic experience.
  • Reconnect with old friends. If you’ve retreated from relationships that were once important to you, make the effort to reconnect.
  • Join a support group for trauma survivors. Being with others who are facing the same problems can help reduce your sense of isolation and hearing how others cope can help inspire you.
  • Volunteer. As well as helping others, volunteering can be a great way to challenge the sense of helplessness that often accompanies trauma. Remind yourself of your strengths and reclaim your sense of power by comforting or helping others.
  • Make new friends. If you live alone or far from family and friends, it’s important to reach out and make new friends. Take a class or join a club to meet people with similar interests, connect to an alumni association, or reach out to neighbors or work colleagues.

If connecting to others is difficult

Many people who have experienced trauma feel disconnected, withdrawn and find it difficult to connect with other people. If that describes you, there are some things you can do before you next sit down with a friend:

  • Exercise or move. Jump up and down, swing your arms and legs, or just flail around. Your head will feel clearer and you’ll find it easier to connect.
  • Vocal toning. As strange as it sounds, vocal toning is a great way to open up to social engagement. Sit straight and simply make “mmmm” sounds. Change the pitch and volume until you experience a pleasant vibration in your face.

Trauma recovery tip 3: Self-regulate your nervous system

No matter how agitated, anxious, or out of control you feel, it’s important to know that you can change your arousal system and calm yourself.

  • Mindful breathing.  If you are feeling disoriented, confused, or upset, a quick way to calm yourself is through mindful breathing. Simply take 60 breaths, focusing your attention on each out breath.
  • Sensory input. Does a specific sight, smell or taste quickly make you feel calm? Or maybe petting an animal or listening to music works to quickly soothe you? Everyone responds to sensory input a little differently, so experiment to find what works best for you. See Stress Relief in the Moment.
  • Staying grounded. To feel in the present and more grounded sit on a chair, feel your feet on the ground and your back against the chair. Look around you and pick six objects that have red or blue in them. Notice how your breathing gets deeper and calmer.
  • Allow yourself to feel what you feel when you feel it. Acknowledge your feelings about the trauma as they arise and accept them. Our emotional intelligence toolkit can help.

Trauma recovery tip 4: Take care of your health

A healthy body increases your ability to cope with stress from a trauma.

  • Get plenty of sleep. After a traumatic experience, worry or fear may disturb your sleep patterns. A lack of sleep can make your trauma symptoms worse and make it harder to maintain your emotional balance. Go to sleep and get up at the same time each day and aim for 7 to 9 hours of sleep each night.
  • Avoid alcohol and drugs as their use can worsen your trauma symptoms and exacerbate feelings of depression, anxiety, and isolation.
  • Eat a well-balanced diet. Eating small, well-balanced meals throughout the day will help you keep your energy up and minimize mood swings. Avoid sugary and fried  and eat plenty of omega-3 fats—such as salmon, walnuts, soybeans, and flaxseeds—to give your mood a boost.
  • Reduce stress. Try relaxation techniques such as meditation, yoga, or deep breathing exercises. Schedule time for activities that bring you joy such as favorite hobbies.

When to seek professional help for emotional or psychological trauma

Recovering from a traumatic event takes time, and everyone heals at his or her own pace. But if months have passed and your symptoms aren’t letting up, you may need professional help from a trauma expert.

Seek help for emotional or psychological trauma if you’re:

  • Having trouble functioning at home or work
  • Suffering from severe fear, anxiety, or depression
  • Unable to form close, satisfying relationships
  • Experiencing terrifying memories, nightmares, or flashbacks
  • Avoiding more and more things that remind you of the trauma
  • Emotionally numb and disconnected from others
  • Using alcohol or drugs to feel better

Finding a trauma specialist

Working through trauma can be scary, painful, and potentially retraumatizing. Therefore, this healing work is best done with the help of an experienced trauma specialist.

  • Finding the right therapist may take some time. It’s very important that the therapist you choose has experience treating trauma.
  • Choose a trauma specialist you feel comfortable with. If you don’t feel safe, respected, or understood, find another therapist. There should be a sense of trust and warmth between you.

After meeting a potential trauma therapist, ask yourself these questions:

  • Did you feel comfortable discussing your problems with the therapist?
  • Did you feel like the therapist understood what you were talking about?
  • Were your concerns taken seriously or were they minimized or dismissed?
  • Were you treated with compassion and respect?
  • Do you believe that you could grow to trust the therapist?

Treatment for psychological and emotional trauma

In order to heal from psychological and emotional trauma, you must face and resolve the unbearable feelings and memories you’ve long avoided. Trauma treatment and healing involves:

  • Processing trauma-related memories and feelings
  • Discharging pent-up “fight-or-flight” energy
  • Learning how to regulate strong emotions
  • Building or rebuilding the ability to trust other people

Trauma therapy treatment approaches

The following therapies are commonly used in the treatment of emotional and psychological trauma:

  • Somatic experiencing  focuses on bodily sensations, rather than thoughts and memories about the traumatic event. By concentrating on what’s happening in your body, you can release pent-up trauma-related energy through shaking, crying, and other forms of physical release.
  • EMDR (Eye Movement Desensitization and Reprocessing) incorporates elements of cognitive-behavioral therapy with eye movements or other forms of rhythmic, left-right stimulation that can “unfreeze” traumatic memories.
  • Cognitive-behavioral therapy helps you process and evaluate your thoughts and feelings about a trauma.

Helping a loved one deal with emotional and psychological trauma

It can be difficult to know how to help a loved one who’s suffered trauma, but your support can be a crucial factor in their recovery.

  • Be patient and understanding. Healing from trauma takes time. Be patient with the pace of recovery and remember that everyone’s response to trauma is different.  Don’t judge your loved one’s reaction against your own response or anyone else’s.
  • Offer practical support to help your loved one get back into a normal routine. That may mean help with collecting groceries or housework, for example, or simply being available to talk or listen.
  • Don’t pressure your loved one into talking but be available if they want to talk. Some trauma survivors find it difficult to talk about what happened. Don’t force your loved one to open up but let them know you are there to listen if they want to talk, or available to just hang out if they don’t.
  • Help your loved one to socialize and relax. Encourage them to participate in physical exercise, seek out friends, and pursue hobbies and other activities that bring them pleasure. Take a fitness class together or set a regular lunch date with friends.
  • Don’t take the trauma symptoms personally. Your loved one may become angry, irritable, withdrawn, or emotionally distant. Remember that this is a result of the trauma and may not have anything to do with you or your relationship.

Helping a child recover from trauma

It’s important to communicate openly with children following trauma. Let them know that it’s normal to feel scared or upset. Your children may also look to you for cues on how they should respond to trauma so let them see you dealing with symptoms in a positive way.

How children react to emotional and psychological trauma

Some common reactions to trauma and ways to help your child deal with them:

  • Regression. Many children need to return to an earlier stage when they felt safer. Younger children may wet the bed or want a bottle; older children may fear being alone. It’s important to be understanding, patient and comforting if your child responds this way.
  • Thinking the event is their fault. Children younger than 8 tend to think that if something goes wrong, it must be their fault. Be sure your child understands that he or she did not cause the event.
  • Sleep disorders. Some children have difficulty falling to sleep; others wake frequently or have troubling dreams. Give your child a stuffed animal, soft blanket, or flashlight to take to bed. Try spending extra time together in the evening, doing quiet activities or reading. Be patient. It may take a while before your child can sleep through the night again.
  • Feeling helpless. Being active in a campaign to prevent an event from happening again, writing thank you letters to people who have helped, and caring for others can bring a sense of hope and control to everyone in the family.
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Awakening the inner self

AWAKENING THE INNER SELF By Edward Abdill We human beings have always made assumptions about our origin and destiny. Over the centuries, widely accepted views have been codified into tenets of religious faith or presented as scientific theories, and most of us have accepted what we have been told by those who claim to know. To borrow an idea from The King and I, we are convinced that what we really do not know is so. Contrary to the belief systems offered by many religions, the Theosophical view is that we must discover Truth within ourselves. It must result from our experience rather than from our belief.

To experience Truth is to understand a principle. That understanding comes to us in a sudden, timeless flash. One minute we do not understand, and the next we do. There is no measurable time between knowing and not knowing. When such insight illumines the mind, belief is replaced by understanding. The result of that intuitive flash is an experience of integration, wholeness, peace, and in some cases even bliss. For a timeless moment, we may say that our mind has become one with the universal mind, with Truth itself. The knower and the known have become one and there is no longer self and the truth, but only Truth. To say that Truth must be experienced is not to say that intellectual knowledge is unimportant. There are many critically important facts that we must learn, such as our home address, the number of miles between our city and another that we wish to visit, or where we keep our coat. There are, however, other kinds of knowledge that we get only from experience. For example, we may read books on how to ride a bicycle, but we’ll never be able actually to ride until we get on a bicycle and learn to manage it by trial and error. What ancient sages have said or what our contemporaries teach may fascinate us.

The words of others may even stimulate us to search further. Yet, believing something simply because someone has told it to us is much like reading books on bicycle riding, remembering what was said, and thinking that we now know how to ride a bicycle. Even though the Theosophical Society has no creed or required beliefs, we who are members of the Society are not exempt from the centuries during which humanity has been conditioned to rely on authority rather than to discover for ourselves. We, too, tend to believe what we are told by those whom we admire or by those who appear to know what is true.

We, too, often rely on some authority figure such as Helena Blavatsky, Annie Besant, or a contemporary member of the Theosophical Society. In less than twenty-five years after the founding of the Theosophical Society, one of The Theosophical Society in America 2 HPB’s adept teachers noticed that the members of the Society were falling into the same old rut of belief. While saying that they had no dogma, they were taking his words and those of others as a creed, even though they insisted that no member had to believe those words. They, like many of us now, felt that they knew the truth because someone they respected had told them. Blavatsky, like other wise teachers, insisted that Truth could not be taught in words. “The teacher can but point the way,” says The Voice of the Silence (fragment 3). Words can do no more. We can express our beliefs and theories in words, but we cannot cause others to experience a truth simply by telling them. Moreover, belief and theory alone are not only insufficient; when they crystallize into a belief system they can actually block our understanding and spiritual development. That can be illustrated by a simple example: Some friends describe their home to us. They tell us about the various rooms, about their garden and front lawn, and even about the surrounding neighborhood.

All they say is completely accurate. We form a picture of their house and its environs as they talk, and we are invited to visit. However, when we actually see the house and the neighborhood, they are different from what we had imagined. A description can only prompt us to discover the reality of the thing described. To know our friends’ home, we must experience it for ourselves. When we do, it is different from what we believed, based on the description. Likewise, if friends describe a delicious but rare tropical fruit that we have never seen or tasted, their description may be completely accurate. It is sweet, they tell us. It tastes something like a blend of mango, peach, and pineapple. Having heard their accurate description, do we now know its taste? Of course not, we must taste it ourselves in order to know, and when we do, it will inevitably taste different from what we imagined. In the same way, when we hear or read a teaching or doctrine, we form an idea out of our own experience of what it refers to. But if we have not ourselves had the experience that the teaching refers to, the ideas we form about it are inevitably false. To say that Truth cannot be conveyed in words does not mean that we should abandon Theosophical theories or reasonable assumptions about reality.

The theories may be quite accurate, the teachings sound. Yet unless we verify them both outside and inside ourselves, we will be caught in error. What we are asked to do is to realize that all theories are maps; they are not the places the maps represent. For millennia we have been taught that each of us either has or is a soul, a spirit, an inner self.

Without proof, many choose to believe that. Without proof, others choose not to believe it. Surrounded by a multitude of conflicting theories and beliefs, can we ever really come to know truth from falsehood? Theosophical and other spiritual literature offers clues that may lead us to awakening The Theosophical Society in America 3 our inner self and to discover that we not only have a soul but are it. Those clues are not a series of facts to be learned. They are not instructions for setting up a scientific laboratory in which we can prove to ourselves and others the truth or falsehood about the inner self. Rather the clues are guidelines for living in such a way that we actually become the scientific laboratory ourselves. At the very heart of this way of life leading to certain knowledge are two essential principles: • A relentless pursuit of Truth • Compassion The first of these, a relentless pursuit of Truth, is implied by the Theosophical Society’s motto: “There is no religion higher than Truth.” But what is Truth? When Pilate asked that question, Jesus did not answer. He was silent perhaps because, although ideas, theories, and opinions can be put into words, Truth cannot. In Helena Blavatsky’s affirmation, “The Golden Stairs,” two of the requirements for reaching the temple of divine wisdom are an open mind and an eager intellect.

The temple of divine wisdom is synonymous with the inner self. To reach that temple is to awaken the inner self. Most of us would like to think that we have an open mind and an eager intellect. But when it comes to Theosophical or other spiritual literature, do we acknowledge inconsistencies, contradictions, errors in fact, and even blatant prejudice if we find it? Or do we explain it away or ignore it like those who believe blindly in the doctrine of their choice? Moreover, do we clearly see our own failings, inconsistencies, and inadequacies? Are we searching for understanding or are we defending our beliefs? If we persist in holding on to our beliefs in spite of evidence to the contrary, we may fall into a subtle form of selfishness that Blavatsky’s adept teacher, Kuthumi, called a dangerous selfishness “in the higher principles.” As an example, he states that there are persons “so intensely absorbed in the contemplation of their own supposed ‘righteousness’ that nothing can ever appear right to them outside the focus of their own vision… and their judgment of the right and wrong” (Mahatma Letters, chronological no. 134, 3rd ed. no. 64).

The adepts claim that they teach only what they know for themselves. If one of their brotherhood claims to have discovered a principle, no adept will accept it until it can be verified and reverified by the other adepts. Since the adepts will not accept any doctrine without verification, why should we? They reject blind belief, and they encourage us to do the same. Kuthumi writes: [A student] is at perfect liberty, and often quite justified from the standpoint of appearances—to suspect his Guru of being “a fraud”… the greater, the sincerer his The Theosophical Society in America 4 indignation—whether expressed in words or boiling in his heart—the more fit he is, the better qualified to become an adept. He is free to [use] … the most abusive words and expressions regarding his guru’s actions and orders, provided … he resists all and every temptation; rejects every allurement, and proves that nothing, not even the promise of … his future adeptship … is able to make him deviate from the path of truth and honesty. (Mahatma Letters, chronological no. 74, 3d ed. no. 30) It should be self-evident that pursuing “the path of truth and honesty” is ultimately best for everyone. Yet few are willing to make the personal sacrifices necessary to do it.

Many are so attached to their beliefs that they identify with them. They think of themselves as Christians, Jews, or atheists. The search for Truth is not an effort to prove what we believe. The search begins with an open mind and an acceptance of our ignorance. But pride, vanity, and status stand in the way. We do not want to take a courageous stand that may alienate us from the community. We tend not to want evidence that might contradict our beliefs because a challenge to our worldview threatens our security. We prefer the comfort of an acceptable worldview held by many. To step outside of that requires not only courage, but genuine humility.

Lacking those qualities, we accept conclusions that feel comforting rather than Truth, which may require radical self-transformation. We see the emperor fully clothed when he is indeed naked. In The Voice of the Silence (fragment 2) we read: The “Doctrine of the Eye” is for the crowd, the “Doctrine of the Heart,” for the elect. The first repeat in pride: “Behold, I know,” the last, they who in humbleness have garnered, low confess, “thus have I heard”… Be humble, if thou wouldst attain to Wisdom. Be humbler still, when Wisdom thou hast mastered. Be like the Ocean which receives all streams and rivers. The Ocean’s mighty calm remains unmoved; it feels them not. Wisdom (or Truth) and the inner self have a very curious relationship. More than a relationship, it is an identity. The Voice of the Silence (fragment 2) also says: Have perseverance as one who doth for evermore endure. Thy shadows live and vanish; that which in thee shall live for ever, that which in thee knows, for it is knowledge, is not of fleeting life: it is the man that was, that is, and will be, for whom the hour shall never strike. The search for knowledge, Truth, and wisdom are intricately woven together with compassion. Annie Besant once said, “Love is the response that comes from a realization of oneness.” Compassion is impersonal love, and it is a response that comes from a realization of our deepest unity. While the search for knowledge alone may lead to selfishness, the search for ultimate Truth leads toward realization of unity, and the response to that realization is universal compassion. Perhaps the most powerful statement on compassion ever written is in The Voice of the The Theosophical Society in America 5 Silence (fragment 1):

Let thy soul lend its ear to every cry of pain like as the lotus bares its heart to drink the morning sun. Let not the fierce sun dry one tear of pain before thyself hast wiped it from the sufferer’s eye. But let each burning human tear drop on thy heart and there remain, nor ever brush it off, until the pain that caused it is removed. These two principles—the relentless pursuit of Truth and compassion—are the hallmarks of the true Theosophist, and they lead to the awakening of the inner self, an altruistic life, and the “regenerating practical Brotherhood” that the adepts say they want. They lead to those results, that is, if our motive is impersonal and without thought of self. If in our search we are motivated by hope of personal gain, then we are “laying up treasures on earth, where moth and rust doth corrupt.” But if we are motivated by what Helena Blavatsky calls “an inexpressible longing for the infinite,” then we cannot go wrong.

The great search requires study, meditation, and service. It requires above all that we forget self. If we will do that, we can awaken the inner self. When that happens, for a fleeting eternity, we are one with the infinite. Out of that timeless flash there comes bliss, joy, and the peace that passes understanding. Yet even though we experience that awesome reality, we have not yet won the victory. It is only after the first awakening that the arduous work begins—the work of gaining complete mastery over our whole nature.

Like Plato’s wild horses, our bodies, emotions, and mind drag us in all directions, and we feel helpless to master them. Have we not all noticed that at times our body demands that we overeat, oversleep, or under-exercise? Is it not also true that when we allow our emotions to rage or to drag us down in depression we cannot think and work effectively?

As to the mind, the most difficult of all to master, it leads us where it wants to go with its apparently unending stream of thoughts and memories. We become distracted and unable to focus the mind, to make it one-pointed, to direct it to the area of search rather than the repeated thoughts stored up as memory. Once the inner self has been experienced, the great work begins: the work of gaining mastery over our whole nature. We begin to learn how to direct our bodies, emotions, and mind from that unspeakable center while yet functioning in the everyday world. Selftransformation such as that requires effort and perseverance. It is not accomplished in a moment or even in years. It takes lifetimes. To follow the spiritual path is not easy. It is steep and thorny. Yet, if we persevere to the end, we will reach the temple of divine wisdom, which is at the very heart of our universe.

When victory is won, the reward past all telling is there. We will have awakened the inner self and we will be it.

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Can Bipolar Disorder Lead to Diabetes?

Bipolar disorder patients often develop diabetes, and the medications used to treat bipolar symptoms may be to blame.

People with bipolar disorder struggle with many side effects related to both their mental illness and their treatment therapies. In recent years, diabetes has emerged as one of the more serious health risks for people with bipolar disorder.

Diabetes is found in people with bipolar disorder nearly three times more often than in the general population. This has prompted much research into the link between diabetes and bipolar disorder. Studies have found that people with bipolar disorder tend to be overweight or obese, a key risk factor in developing diabetes. Research into potential causes of this weight gain has identified the medications used to treat bipolar disorder as the likely culprits.

Bipolar Disorder: The Obesity and Diabetes Chain Reaction

Being overweight or obese is a primary risk factor for developing type 2 diabetes. People who carry extra body weight and body fat, particularly around the abdomen, are less able to properly control their blood sugar. That’s because extra body fat interferes with the function of insulin, the naturally occurring hormone produced in the pancreas that helps cells convert sugar into energy or store it away as fat. The body is forced to produce more insulin to handle the conversion. If this situation continues without treatment, permanent damage to the pancreas can occur.

The percentage of patients with bipolar disorder who are overweight is remarkable: Studies have found that between 54 and 68 percent of bipolar patients are either overweight or obese, with obesity affecting about one-fourth of patients and more women than men.

Obesity is one of the criteria for metabolic syndrome, the health condition that includes these serious health risks:

  • High levels of LDL, the “bad” cholesterol
  • High blood pressure
  • Elevated blood glucose levels
  • Abdominal fat

Metabolic syndrome places people at risk for diabetes, cardiovascular disease, and a host of other systemic illnesses. A Spanish study of patients with bipolar disorder found that they were 58 percent more likely to have metabolic syndrome than the rest of the population.

Causes of Obesity and Diabetes in Bipolar Patients

Researchers have paid close attention to the causes of obesity in bipolar patients in recent years. The use of bipolar medications has been singled out as a likely factor in weight gain, although some doctors suspect there may be a genetic component involved as well.

Research has linked the use of lithium and antiepileptic medications in particular with weight gain. One review of 24 medication trials found that these drugs caused significant weight gain in pediatric bipolar patients 75 percent of the time.

Antipsychotic medications also are used to treat bipolar patients, and they too have been linked with weight gain, particularly second-generation drugs like clozapine and olanzapine. The same review of medication trials found that bipolar patients gained more weight when taking second-generation antipsychotics and gained an extreme amount of weight when taking antipsychotics along with mood-stabilizing medications.

A genetic link between bipolar disorder and diabetes is suspected because common genetic factors between the two can cause a rare disorder called Wolfram syndrome. People with Wolfram syndrome develop diabetes and exhibit bipolar symptoms. However, researchers have not extensively explored this potential genetic connection.

Due to the clear link between bipolar medications and weight gain, researchers are urging doctors to closely monitor the health of any patient placed on these drugs. If you are taking a drug to manage bipolar disorder, talk to your doctor if you notice changes in your weight or an increase in abdominal fat. Your doctor may also closely monitor your blood pressure, cholesterol levels, and blood sugar.

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Driven to Distraction by Bipolar Disorder

If you find it hard to concentrate, controlling mood swings can help. There are also some tips you can use to reduce stress, get more sleep, and stay organized.

Lack of concentration is a common symptom of bipolar disorder. People with bipolar disorder find they are easily distracted or feel lost and confused whether they are at home, at work, or in school.

Being unable to concentrate can be a problem because it makes it hard for people with bipolar disorder to perform tasks such as grocery shopping or preparing meals, or to enjoy activities such as playing a game or watching television. Young people with bipolar disorder may have trouble in school or when studying or reading. The symptom also can put the person with bipolar disorder at risk for injury — accidents happen when people aren’t paying attention.

Distracted by Mood Swings

People with bipolar disorder experience mood swings — they go from episodes of very high energy to extreme lows of depression. When depressed, people often do not concentrate as well. They may have trouble thinking and making decisions. Almost anything can become a distraction when they are down.

The key to improving concentration and avoiding distraction is controlling mood swings. Bipolar disorder is commonly treated with mood-stabilizing medications. It is important that people with bipolar disorder who are on medications take them as prescribed.

At the same time, it is possible that medications can contribute to attention problems. Certain medications have been shown to make it more difficult to concentrate and to learn. People with bipolar disorder should talk to their doctor if they find their medications are making their ability to concentrate worse. Their doctor may be able to adjust the medications to resolve the problem.

Lack of Sleep and Stress Can Affect Concentration

People also can lose their ability to concentrate when they are extremely tired, and people with bipolar disorder can have trouble sleeping, especially if they are in a depressed state. If you want to improve your concentration, try to get enoughsleep. To get a good night’s sleep, you should go to bed and wake up the same time every night — weekdays and weekends. Make sure the bedroom is dark, quiet, and a comfortable temperature for sleeping.

Stress also can cause a lack of concentration, and people with bipolar disorder may feel as though they are under a lot of stress.

Here are some tips to help those with bipolar disorder control stress and get organized:

  • Manage your time. Don’t try to do too much. Say no if you can’t do it.
  • Lead a healthy lifestyle. Eat a balanced diet rich in fruits and vegetables and whole grains. Eat only low-fat meats and poultry. Get regular exercise, which can have both mental and physical health benefits. Avoid caffeine.
  • Learn relaxation techniques. These include breathing exercises, yoga, and massage. Remember to balance periods of activity with periods of relaxation.
  • Keep a daily planner. It will help you to remember appointments and commitments.
  • Seek support from family and friends. Spend time talking and listening to each other. Don’t be afraid to ask for help if you need it. Choose a support group you can trust to tell you the truth even if it’s not what you want to hear.
  • Avoid drugs and alcohol. Taking drugs and alcohol may lessen the effectiveness of your bipolar medications and lead to potentially dangerous side effects.
  • Get in a routine. A daily schedule can add structure to your life, and structure can help you cope with stress.

Lack of concentration is a common symptom of bipolar disorder. To control it, seek proper treatment for your mood swings. Also, be sure to get enough sleep and learn to limit stress.

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What to Medicate and When: the Role of Medication Across the Ages – Kenneth R. Silk, MD

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Dialectical Behavior Therapy: More and More Data

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Clang Associations in Bipolar Disorder

Clang associations, verbal linking of words with similar sounds, is a hallmark of psychotic phases of bipolar disorder.

Linking words together based on similar sounds rather than coherent meaning is a symptom of psychosis in people with bipolar disorder. Such bipolar symptomsoccur during psychotic episodes in the manic phase, but can also occur with depressive psychosis.

“This speech pattern is characteristic of disorganized thinking in psychotic disorders,” explains psychiatrist Michael Peterson, MD, PhD, an assistant professor in the department of psychiatry at the University of Wisconsin School of Medicine and Public Health in Madison. Dr. Peterson offers these examples of clang associations: “that boat hope floats” or “the train brain rained on me.” The words involved often have a rhyming, near-rhyming, or punning (choosing words based on double meanings) quality to them.

There are other types of language changes that may be present with bipolar symptoms in addition to clang associations, including:

  • Word salad. A jumble of words that are not apparently linked and may be hard to understand.
  • Disorganization. Jumping from one idea to another without transition.
  • Neologism. Making up words that have no meaning to anyone but the speaker.
  • Echolalia. Repeating others’ words or phrases.

Typically, if you spend time with a person who is becoming psychotic, you will notice that his language gets less sensible and understandable as his psychosisgets worse. He may not be aware that he is not making sense as he strings together clang associations or other unusual language associations. Eventually he may become totally incoherent or appear to be “speaking in tongues.” Rationalizing with him or trying to talk to him about what he is saying is not going to get you any clear answers. Instead, start seeking treatment for his bipolar symptoms as soon as you notice that his language is starting to fall apart.

Other Signs of Bipolar Psychosis

Clang associations and other language changes may be accompanied by other symptoms of psychosis, which include:

  • Hallucinations
  • Paranoia
  • Delusions
  • Disordered thinking or speaking
  • Being excessively responsive to stimulation in the environment
  • Difficulty determining what is real and what is not
  • Problems completing ordinary tasks (problems may be related to memory, concentration, clear thinking, etc)

Bipolar psychosis looks a lot like symptoms of schizophrenia, which can result in a misdiagnosis for some patients with manic depression or other psychiatric illnesses. About half of people with bipolar disorder will have a psychotic episode at some point in their lives. Psychosis is usually temporary, but it is important to get treatment immediately.

Management of Clang Associations

Because clang associations are a symptom of psychosis, managing them requires treatment of the psychosis.

“They are managed primarily using antipsychotic medications. The goal in treating bipolar episodes with psychosis is to resolve the acute symptoms and to stabilize mood. Antipsychotic medication for bipolar disorder may be used either during the psychotic episode only, or as longer-term mood-stabilizing medications,” says Peterson.

As worrying as clang associations and other language problems may be, effective treatments exist that can get your loved one back on track.

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