Recovering Your Mental Health A Self-Help Guide

What To Do If Your Symptoms Are Very Serious

If your symptoms are so severe that you feel hopeless and worthless all the time, or your feelings and experiences feel overwhelming, or if any of the following apply to you, take steps right away to help yourself.

bullet You feel like life is not worth living anymore.
bullet You think a lot about dying, have thoughts of suicide, or have planned how to kill yourself.
bullet You are taking lots of risks that are endangering your life and/or the lives of others.
bullet You feel like hurting yourself, hurting others, destroying property or committing a crime.

Things you need to do
RIGHT AWAY:

bullet Arrange an appointment with your doctor, or other health care provider, or with a mental health agency. If your symptoms make you a danger to yourself or someone else, insist on immediate care and treatment. A family member or friend may need to do this for you if your symptoms are too severe. If you are taking medicines and you think it would be helpful, ask for a medication check.

bullet Ask friends or family members to take turns staying with you until you feel better. Then talk, play cards, watch a funny video together, listen to music— do things that keep you from feeling any worse and may give you some relief.

bullet Do some simple things that you usually enjoy like “getting lost” in a good book, viewing a beautiful picture, playing with your pet or writing in your journal.

 

 

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Self Affirmation

People diagnosed with bipolar disorder are frequently very sensitive and supportive to others.  We are quick with a hug, a pat on the back, a “Hurrah”, an extra Kleenex, or a shoulder to lean upon…for our friends.  We do not provide ourselves or our self esteem with equal treatment, especially when we are depressed.

Depression repeatedly opens the door to our personal “dragon”…this is the part of our psyche that tells us over and over how we “should have done this” or “should have not done that” or “should have done more”.  Nothing is ever enough for the “dragon”, we never win.

Thus, we allow the “dragon” to win by listening to the negative remarks we make to ourselves…and worse yet…by believing in them!  Once the “dragon” has it’s nasty teeth into our self esteem, it continues unremittingly to tear at our very souls, telling us we are horrible little creatures unworthy of companionship, love, and respect.

Self affirmation can help stop the viscous circle of self destruction.  It takes practice and determination.  It does not occur overnight, or even in a week.  Self affirmation does work, however, if you are diligent!

Self affirmation is you telling yourself positive things about yourself, making sure that you impart the same caring for yourself that you would provide for another.

Repeat affirmations to yourself each and every day, and each and every time your “dragon” attacks you with a negative thought.  If you make this a constant habit, you will not only be able to battle the “dragon”…you will begin living the words you are telling yourself and truly believing in yourself!

Here’s a few examples of daily affirmations that you can start with.

bullet

I love unconditionally, as well as myself.  (This one especially   good for those “bad hair” days, or when our dragon is tearing us down for our appearance.)

bullet

I look for the unique gifts in people, as well as myself.  (This one is good for those “should haves” and “should not haves”)

bullet

I am worthy of respect, as well as from myself.  (We would never say the same things to others that we “tell” ourselves,  it’s time to break this cycle!)

bullet

I am kind to people, as well as myself.  (This goes hand in hand with the respect issue)

bullet

I am forgiving, as well as to myself.  (How often do we relentlessly beat ourselves up for a mistake?)

bullet

I appreciate what I  DO  have, so I don’t need to waste time being upset over what I don’t have.  (Practice writing down at least 5 things you are grateful for.  5 too many?  Make it 3)

When you practice affirmations daily, you will be able to add more of your own, ones that fit your personality and situation better.

When the “dragon” rears it’s ugly head upon you, remember to go back to the first affirmation…I love unconditionally, as well as myself.  Repeat this over and over, the “dragon” will not give up so easily…neither “should” you!!!

 

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Recovering Your Mental Health A Self-Help Guide Using Medications

Your physician may suggest one or more medications to help you feel better. Using these medications should be your decision, but first, you need answers to some important questions. To get those answers, you might ask your doctor or pharmacist, check a book about medications at the library, or search a reliable information source on the Internet. Double check with your health care provider before making a final decision.

bullet What are the common name, product name, product category, and suggested dosage level of this medicine?
bullet What does the physician expect the medication to do? How long will it take to do that? How well has this medicine worked for other people?
bullet What are the possible long- and short-term side effects of taking this medicine? Is there any way to reduce the risk of experiencing these side effects?
bullet What, if any, restrictions (like driving or avoiding certain foods) need to be considered when using this medicine?
bullet How are medicine levels in the blood checked? What tests will be needed before taking this medicine and while taking the medicine?
bullet How do I know if the dose should be changed or the medicine stopped?
bullet How much does it cost? Are there any programs that would help me cover some or all of the costs of the medications? Is there a less expensive medication that I could use instead? Can generics or non-brand name medications be substituted for any the doctor suggests?
bullet Are there any medications or supplements that I shouldn’t take at the same time as these? What about over-the-counter medications?

If your symptoms are so bad that you are having trouble understanding this information, ask a family member or friend to learn about the medication and to help you decide whether this is the right course of treatment for you.

In deciding whether to take a medication or have a certain treatment, you might ask yourself whether the benefits of the medication outweigh the risks. You might also decide that you will take it for a trial period and then re-evaluate.

If you decide to use one or more medicines, you must manage them very carefully to get the best possible results and to avoid serious problems. To do this:

bullet use the medicines exactly as the doctor and pharmacist have suggested.
bullet report any side effects to your doctor, and keep notes for yourself about what you experience, when you experience it, and what the doctor’s response is.
bullet tell your doctor about any times that you have not been able to take your medicine for any reason so the doctor can tell you what to do—do not double the next dose unless the doctor tells you to.
bullet avoid the use of alcohol or illegal drugs. (If you are addicted to them, ask your doctor for help.)
bullet pay close attention to lifestyle issues that cannot be corrected by medications, such as stress, chaos, poor diet (including excessive use of sugar, salt, caffeine, smoking), lack of exercise, light and rest. If these are problems for you, you will need to address these issues at some time in order to feel really well. But take it one step at a time
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What is Self Help

What is Self Help?

 

The following points define self-help:

 

  • People with a common bond who voluntarily come together to share, reach out, and learn from each other in a trusting, supportive, and open environment.
  • Self-help is a mutual process of helping oneself and others at the same time.
  • Self-help groups grow from the bottom up or at the grass roots.
  • “Self-help is about sharing common experiences among people with common problems
  • The role of professionals is to give referrals, not to run the groups

One documented study was done on individuals with bipolar disorder to determine the effectiveness of self-help groups on them.  In a 1988 study of manic depressive and depressive association (MDDA) support groups with a nonrandom total of 188 participants reported better coping with illness, more acceptance of illness, and improved medication compliance after attending.  Hospitalization dropped from 82% to 33%.

The findings from research on self-help groups for people with serious mental illness consistently show:

(1) reduced symptoms and substance abuse over time

(2) concomitant reductions in crises, hospitalizations, and use of services

(3) improved social competence and social networks

(4) increased healthy behaviors and perceptions of well-being

Healthy behaviors and perceptions of well-being include: medication compliance; acceptance of illness; better coping and management of illness; improved quality of life and sense of well-being; greater sense of security and self-esteem; acceptance of problems without blame; creation of one’s own meaningful structure; and changes in what mental healthcare consumers wanted from time spent with family.

We know that self-help works, but why and how? The role of social networks is important to the success of self-help. People are able to form a network based on common experience and overcome the isolation exacerbated by stigma and discrimination.

The concept that “helping you helps me” is also a part of self help.  Each memeber of a self help community  wears two hats – one when they are coping and able to help others who are not so fortunate at the time, and another when they are not coping and in need of the support of their peers.

 

adaped from a Medscape article Maech 15, 2006  Self-Help and Serious Mental Illness by Edward L. Knight, PhD, CPRP

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Cognitive Distortions

Many feelings such as sadness, anxiety and anger are caused and kept alive by the conclusions that we make. Sometimes we make wrong conclusions over and over because we get stuck in mind traps that rob us of our ability to be logical. Here are some of the thinking traps we can fall into.

 

All-Or-Nothing Thinking

Trap: You see things only in extremes. You don’t see any middle ground. You conclude something or someone is an extreme such as good or bad, wonderful or horrible.

Example: “If I’m not a total success then I’m a horrible failure.”

Escape: Recognize that things often exist in degrees.  Rate the current situation on a scale of 1 to 10.

 

Catastrophizing

Trap: You think the very worst of a situation even when there are other possibilities. You overreact.

Example: “My heart is beating fast! I’m having a heart attack!”

Escape: Look at the real probabilities. Focus on evidence that the worst did not happen, that things might not be as bad as they seem.

 

Arbitrary Inference & Temporal Causality

Trap: Drawing a conclusion without having evidence to support it. Believing that if two things happen around the same time then one causes the other.

Example: “Nobody has phoned me in the past month. That means nobody cares.”

Escape: Recognize the faulty logic. List other things that could have been the cause.

 

Overgeneralization

Trap: Believing that if something is true in one case, it’s always true. Making a sweeping conclusion about things such as your ability, performance, or worth on the basis of a single incident.

Example: “I made a mistake on that project. I’m such a failure.”

Escape: Look at the evidence or proof. Is there evidence that it is not true?

Mind Reading

Trap: You jump to a conclusion on the basis of what you assume someone else is thinking.

Example: “He’s thinking that I’m an idiot.”

Escape: Realize that the person may rather than must be thinking that way. Consider other interpretations of the situation. Ask the person.

 

Filtering or Selective Abstraction

Trap: Paying too much attention to one or more negative details instead of seeing the whole picture. Only looking for negatives such as failures, mistakes, weaknesses, dangers, etc.

Example: “Nobody has ever been nice to me.”

Escape: Take time to remember your successes and recognize your abilities. Keeping a log or diary of these may help. Ask yourself if you are ignoring some aspects of the situation.


Self-References

Trap: You are convinced you are the centre of

everyone’s attention. They are especially looking at your mistakes.

Example: “That person just smiled. That means she is laughing at me.”

Escape: Look for evidence that it is and is not true.  Remind yourself you are not the centre of the universe.

Emotional Reasoning

Trap: You are sure something is true just because you feel it so strongly, even if there is evidence that it is not true. You feel it, therefore it must be true.

Example: “I felt hurt when he said that. That means he wanted to hurt me.” “Because I feel afraid there must be danger.” “Because I feel sad, everything is hopeless.”

Escape: Acknowledge your feelings but ask yourself what thoughts are causing them. Consider evidence that it is and is not true.

 

Excessive Responsibility

Trap: Feeling guilty and responsible for misfortunes that are beyond your control. Relating outside events to yourself when there is no basis for such a connection.

Example: “If he gets angry it’ll be all my fault.”

Escape: Consider other possible causes. Remind yourself that just because you could have prevented something, this doesn’t always mean it was your fault.

 

Labeling

 Trap: You place yourself or someone else in a negative category by applying a permanent or rigid label. This is not based on looking at all the data.

Example: I’m a loser. He’s a jerk. She’s an idiot.

Escape: Remind yourself that a person’s actions in one moment don’t define that whole person. Open your mind to seeing both the positive and negative sides of yourself or the other person. Tell yourself that even though you believe you have the person (or you) all figured out, there are people who don’t see that person in the same way.

 

Poisoning the Positive

 Trap: Something positive happens and you find a way to dismiss it or turn it into a negative.

Example: You do something well and you convince yourself that it doesn’t count. Your friend givesyou a compliment and you tell yourself that she’s just after something or is trying to manipulate you.

Escape: Give yourself permission to accept the positive this time. Experiment for one day by finding a positive side to every negative thing that happens.

 

Magnification or Minimization

 Trap: You exaggerate or downplay the significance of an event rather than seeing it realistically.

Example: I absolutely have to get this project finished today or my career is over. Even though it went well this time it’s not good enough.

Escape: Put it in perspective. Ask yourself how you’ll look back on this in 1 or 5 years from now.

 

Fortune Telling

 Trap: You expect that a certain future event will be negative and you act as if it’s already true even though there is no evidence to support it.

Example: Before starting a new activity you think that it will be too hard so you don’t even try it.

Escape: Tell yourself that your negative expectation is just one possibility and then think of other possible outcomes. Remind yourself of a time in your life when things turned out better than you expected. Keep a record of your forecasts and see how accurate you are.

 

I Should

 Trap: You motivate and punish yourself by focusing on how you think you should be rather than how you actually are. Then you feel guilty.

Example: I should be able to do this without having problems concentrating and that means I’ll never get well or I’m useless.

Escape: Tell yourself you’d like it if you could live up to all your shoulds but that for now you can survive without it.

 

They Should

Trap: You continually impose your standards or expectations on others by thinking about how they should act. Then you feel angry.

Example: They should know how I feel and help me more.

Escape: Let go. Tell yourself you’d like them to be different but that you can choose to accept reality.

 

Unfair Comparisons

Trap: You keep comparing yourself to exceptional or unusually successful people. You set unfair  standards for yourself.

Example: I have less money than Bill Gates so I’m a failure. I’m not as attractive as (your favorite movie star) so I’m ugly. I’m not as popular as (the most popular person you know) so I’m not likable.

Escape: Start comparing yourself to regular people.  Have somebody help you set realistic standards for yourself. How are you doing compared to other people with the same problems and life circumstances?

 

Thoughts as Things

 Trap: You have a thought about something and start to believe that it must be true just because it came into your mind.

Example: I can’t do anything right. I think my friend doesn’t like me.

Escape: Tell yourself that it is just a thought, not reality. Remind yourself that there are other ways of looking at the same thing or situation and that you don’t want to be so closed minded.

 
Cognitive distortions were originally described by Dr. A. Beck in 1963.

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Spiritual Manifestation. What is it?

“”Spiritual Manifestation is the theory that through regular meditation and positive, constructive thought, you can make your dreams and desires become reality. Spiritual manifestation revolves around the New Age concept of the Law of Attraction. This idea has recently been popularized in American media by such things as the book “The Secret” and the sitcom “My Name Is Earl”. Simplified down to a single statement, the Law of Attraction states that think and act in a positive way, good thing will happen to you, but if your think and act negatively, bad things will happen to you.

This concept has been around a long, long time, from the ancient Hindu concept of “karma” to its many modern forms such as “Positive Thinking”, “Mental Science”, “Pragmatic Christianity”, “Religious and/or Divine Science”, and “Practical Metaphysics”.

There is a significant difference between these practices, however, and spiritual manifestation. While many of these practices aim for vague, random “positive things” to happen to you (as karma often does to comic effect in “My Name Is Earl”), it is aims for much more targeted, specific results to make your dreams and desires come true.

Spiritual manifestation holds that if you really want something and truly believe it’s possible, it will happen. On the other hand, if you dwell on what you don’t want to happen, giving it lots of thought and attention, that will probably happen, too.

HOW DOES SPIRITUAL MANIFESTATION WORK?

Spiritual manifestation operates on three levels: the spiritual, the psychological, and the physical. Each level requires its own explanation.

On the spiritual level, it is believed that thoughts have an energy of their own, which attracts whatever the person is thinking of. This energy itself is neither positive nor negative-it simply is. In order to harness this energy to your benefit, one must practice for things:

1. Know what you want.
2. Ask the universe for it.
3. Feel and behave as if the object of your desire is on its way.
4. Be open to receiving it.

On the psychological level, spiritual manifestation is considered a form of the “self-fulfilling prophecy”. If one is convinced their dreams and desires are unattainable, they will only make a half-hearted attempt, be overly receptive to any obstacles as a signs of impending failure, and eventually become discouraged and give up.

On the other hand, if one is convinced their dreams and desires are attainable, even inevitable, they will react differently. They will throw themselves into the task, working hard to achieve their dream. They will view obstacles only as temporary setbacks, a Stumbling Block rather than a Road Block, and view any sign of success as prove that their dreams are slowly becoming reality.

Finally, on a physical level, advocates of spiritual manifestation point to a potential scientific explanation for how this works. Scientifically, human thought is just a biochemical process of neurons being transferred between different synapses in the brain. However, this transfer of neurons creates an electrical current-tiny, sure, but measurable.

This electrical current also generates a tiny magnetic field. Keep in mind the brain has tens of thousands of synapses firing at any one time.

Proponents of spiritual manifestation argue that these electrical and magnetic waves carry content, not just meaningless static, although we do not yet have to tool to measure and confirm this theory. Advocates of spiritual manifestation argue that through mental training and meditation, people can control their thoughts, and thus the bio-chemical and bio-magnetic energy emitted by their brain waves. Although this has not yet been proven, it is an interesting scientific theory.””

By: Amanda Isbitt

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Descartes Meditation

A masterpiece created in 1641 by philosopher and scholar Rene Descartes, Descartes Meditation is a philosophical piece or treatise which expounds Descartes’ opinions and thoughts on meta-physical system and philosophy.

Owing to its popularity and in-depth philosophical analysis, Descartes Meditation, written in Latin originally, was translated into French in 1647 and consequently, into English. Composed of six parts otherwise called ‘meditations’, Descartes Meditation describes in detail the philosophical thoughts and principles of Rene Descartes.

In the first piece of Descartes Meditation, Descartes attempts to reanalyse the beliefs he has held since his childhood in order to establish truth in science. He forms a sceptical belief or hypotheses about everything in the physical world and decides to suspend his theory or judgement on his previously held beliefs.

In the second part of Descartes Meditation, which expounds Descartes theory on the ‘nature of human mind’, Descartes questions his identity, the eternal ‘I’, and introduces a theory of representationalism, and lays down the thought that ‘one’s consciousness implies one’s existence’.

Descartes, in his third part of Descartes Meditation, discusses that there are three main categories of thoughts such as

  • volitions
  • affections and
  • judgements

and propounds that there are two main cause and effect relationships within classes of thought. He states that the two cause and effect relationship within such classes of thought include:

  • whether our thoughts do not deceive us or
  • whether we are deceived by our thoughts

Furthermore, Descartes, after analysis of such aforementioned classes of thought, also establishes the existence of ‘I’ and God.

In the fourth part of Descartes Meditation, which is also known as the meditation ‘on truth and falsity’, Descartes raises the question that if God who is perfect is the source of all on earth, then why is there falsehood or wrong doings in this world. Analysing his theories, Descartes realises that although God is perfect and has given him a special ability to judge, still his power of judgement, especially of the truth, is not infinite.

Descartes also holds that he errs and is limited in judging the truth because he has limited knowledge which prevents him from understanding why God has created him in a way in which he makes mistakes. He further opines that his inability to understand the way of his creation and understanding of truth stems from a gap between understanding and will.

In the fifth part of Descartes Meditation, Descartes proposes that his knowledge about truth and everything else comes from God.

In the sixth part of Descartes Meditation, Descartes holds that there are other objects and materials which exist outside our ‘self’ and recognises the distinction between mind and body. He concludes by establishing the identity and existence of three things: self, God, and other material objects. According to Descartes, these three things make up what we call ‘reality’.

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Seven Steps Buddhist Breath Meditation

  1. Buddhist breath meditation one. Start out with three or seven long in-and-out breaths, thinking bud- with the in-breath and dho with the out. Keep the meditation syllable as long as the breath.
  2. Buddhist breath meditation two : Be clearly aware of each in-and-out breath during this meditation.
  3. Buddhist breath meditation three : Observe the breath as it goes in and out, noticing whether it’s comfortable or uncomfortable, broad or narrow, obstructed or free-flowing, fast or slow, short or long, warm or cool. If the breath doesn’t feel comfortable, change it until it does. For instance, if
    breathing in long and out long is uncomfortable, try breathing in short and out short. As soon as you find that your breathing feels comfortable, let this comfortable breath sensation spread to the different parts of the body.

    To begin with, inhale the breath sensation at the base of the skull and let it flow all the way down the spine. Then, if you are male, let it spread down your right leg to the sole of your foot, to the ends of your toes, and out into the air. Inhale the breath sensation at the
    base of the skull again and let it spread down your spine, down your left leg to the ends of your toes and out into the air. (If you are female, begin with the left side first, because the male and female nervous systems are different.)

    Then let the breath from the base of the skull spread down over both shoulders, past your elbows and wrists, to the tips of your fingers and out into the air.

    Let the breath at the base of the throat spread down the central nerve at the front of the body, past the lungs and liver, all the way down to the bladder and colon.

    Inhale the breath right at the middle of the chest and let it go all the way down to your intestines.

    Let all these breath sensations spread so that they connect and flow together, and you’ll feel a greatly improved sense of well-being.

  4. Buddhist breath meditation four : Learn four ways of adjusting the breath:
        a. in long and out long
        b. in short and out short,
        c. in short and out long,
      d. in long and out short.

    Breathe whichever way is most comfortable for you. Or, better yet, learn to breathe comfortably all four ways, because your physical condition and your breath are always changing.

  5. Buddhist breath meditation five : Become acquainted with the bases or focal points of the mind–the resting spots of the breath–and center your awareness on whichever one seems most comfortable. A few of these bases are:
    a. the tip of the nose,
    b. the middle of the head,
    c. the palate,
    d. the base of the throat,
    e. the breastbone (the tip of the sternum),
    f. the navel (or a point just above it).

    If you suffer from frequent headaches or nervous problems, don’t focus on any spot above the base of the throat. And don’t try to force the breath or put yourself into a trance. Breathe freely and naturally. Let the mind be at ease with the breath–but not to the point where it slips away.

  6. Buddhist breath meditation six : Spread your awareness–your sense of conscious feeling–throughout the entire body.
  7. Buddhist breath meditation seven : Coordinate the breath sensations throughout the body, letting them flow together comfortably, keeping your awareness as broad as possible.
    May your Meditation bring you inner peace and harmony.
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What Does Bipolar Mania Look and Feel Like?

Whether you have bipolar disorder or you know someone with the condition, you’ll want to be aware of the signs of mania — the extreme highs that can lead to big risks with money, sex, and even safety.

If you see these signs in a loved one who has bipolar disorder, let them know your concerns and encourage them to tell their doctor.

If you’re the one with the condition, and a family member or friend tells you that they’re concerned, listen to them and get help as soon as possible. It can be hard to see mania in yourself, and you may even like how it feels. But you need to get it under control for your own health.

Common signs include:

Fast-Talking

The first outward sign might be super-fast speech, so quick that anyone listening can’t get a word in edgewise.

“Someone who is normally more thoughtful and interactive suddenly becomes hyper-talkative, talking over you and not really giving you a chance to get into the conversation,” says Dean MacKinnon, MD, an associate professor of psychiatry and behavioral sciences at The Johns Hopkins School of Medicine.

Inflated Ego

When someone is manic, they may say things that greatly exaggerate their abilities and sense of self-esteem.
For instance, they may think that “they are better at stuff — a better writer, a better artist — than people who are already accomplished in those things,” MacKinnon says. Or they may claim expertise that they don’t have.

Sleep Falls Apart

Mania can make someone cut way down on sleep or not sleep at all. They feel like they don’t need it.

“People burst out of bed in the middle of the night full of energy ready to take on the day, or they stay up late into the night busy with projects or other sorts of stimulation,” MacKinnon says.

At first, they may seem to get away with it. “They function perfectly fine the next day on little sleep,” MacKinnon says.

But the longer someone is sleep-deprived, the worse their bipolar symptoms become.

It Has a High Cost

During mania, people can take a lot of risks that they normally wouldn’t. And that can take big toll for a long time.

Just ask Tonya Williams, who found out she has bipolar disorder in 2008. When she was manic, she’d stay up night after night writing poetry, singing, or shopping online.

One time, “I opened 12 new credit accounts and went on a spending spree,” says Williams, now a lawyer in Raleigh, NC. “Everything I purchased, I bought in excess: towels and sheets, leather jackets, sneakers, trading cards, perfume. I racked up $77,000 in credit card debt and spent a sizeable retirement account.”

Eventually, her house was foreclosed on, her car was repossessed, and she had to file for bankruptcy.

Five years after going bankrupt, Williams now takes medication to control the mania and her other bipolar disorder symptoms. “I bought another house, got a new car, and my credit score is now over 700,” she says.

The Highs Aren’t Always Off the Charts

Mania has a less severe form, called “hypomania,” that can feel manageable.

“The only real difference with hypomania is the severity: how much it affects the person,” MacKinnon says. “The symptoms are generally the same.”

Hypomania can feel good. “My mania actually helps me get things done,” says Abigail Camarota, a jewelry designer and mother of three in Louisville, KY.

But hypomania can turn into full-blown mania or severe depression.

“When I am manic — and it’s taken me years to recognize the signs — I can’t sit down and rest. I want to work more, I want to finish more pieces,” Camarota says. “But I realize I need to take a step back because it will drive me crazy or make me physically sick if I don’t.”

It Can Feel Thrilling at First

Some people with bipolar disorder skip their medication because they like how the highs feel.

“Research shows it takes people about 10 years from the time of their first manic episode for them to really accept treatment,” MacKinnon says. “It’s not just because they like the way they feel when they’re manic. They’ve also lost the ability to gauge that their mood is abnormal.”

Be Aware of Triggers

Things like extreme stress, sleep deprivation, drugs, and alcohol can prompt a manic episode.  

This is why it’s so important for people with bipolar disorder to avoid alcohol and other drugs, make sure they get enough sleep, and learn ways to manage stress (such as exercise, positive relationships, and meditation).

Also, although mania can happen at any time of year, for some people it’s more common in the summer. Experts don’t know why. You should still look out for mania year-round, but when summer rolls around, keep the seasonal trend in mind.

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12 questions to ask your doctor about bipolar disorder

Click to access bipolar-disorder-mania-guide.pdf

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