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Managing Bipolar 1

Managing Bipolar 1

So managing bipolar has 3 main aspects - medication (psychiatrist), therapy (psychologist) and self management, including the main one being sleep 'hygeine' (google it), monitoring - for me I keep daily charts; self discipline, diversion of energy into things like art, craft, exercise, cooking, gardening - generally things I can do quietly at home but still use my racing brain. Mindfulness activities are good too. I find I get overstimulated really easily if I let myself get out in the world too much when manic. Sounds possibly too restrictive, but it's working at this time. Otherwise I could be shooting off on all sorts of risky and expensive ventures - have done in the past.

The charts include depression/elevation, sleep, anxiety, irritability, and medications. So I can see if I start to swing in one direction or another. You can get these charts from psychiatrist or psychologist, on-line or make your own.

I also use a Wellness Recovery Action Plan (WRAP) that's another thing you can google. It's brilliant and is there as a resource for my support people too if I get too far out of whack.

I'd really welcome contributions to this thread in the hope that we can help each other and also people newly diagnosed.

168 replies

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In response to: Managing Bipolar 1

Re: Managing Bipolar 1

@Dadcaringalone Hoping that you are enjoying your weekend too. I have a brilliant crime novel which I have been glued to 'The Lost Man' by Jane Harper. Are you a reader? If so and you like crime novels based in Australia I can recommend this one.

I hope you enjoy your Sunday. Love greenpea :)xxx

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

Hello to anyone interested in this thread. I just rediscovered it - not sure why the discussion petered out when it did, but keen to get it going again.

I've had to really closely monitor what's going on for me over recent weeks as I've had one major issue on top of another and another and so on. This last 2 weeks have been a major anxiety period with preparing for my NDIS annual review on top of everything else - I was quite accelerated for several days and worried it was becoming hypomania, then crashed down after the meeting to the point where I've spent the last 3 days in and out of bed and hardly able to do anything else. And in the midst of that it's become clear that a person I thought was a good friend has cut off all contact with me.

So what am I doing about it all? Keeping my daily mood/med/sleep charts, reducing coffee intake, using sleep hygeine guidelines, trying to eat well and not comfort eat sweet stuff, saw my psychologist last week and will see her and my psyciatrist this week, getting a little exercise.

I've had 'mixed state' bipolar in the past and this feels a little like that. Elevated for a few hours then down for a few .... for several days now. Putting the brakes on when I'm accelerating vs looking for motivation when feeling flat and down.

Hoping others with bipolar will join here again ..... don't want to tag because it's up to each of you whether or not and how much you disclose.

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

@Teej @outlander @frog @CheerBear @Faith-and-Hope @Shaz51 reaching out here as I've had no response. I don't know who I can tag at the moment. Feeling quite confused as to how an apparent break-down of communication with someone has come about, and fearing the 'ripple effect'. It's the 2nd one thing too many so to speak within a few days. I feel like my start as a CG has been thwarted.

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

Hi there @eth I am sorry to learn that you feel you have lost a forum friend and that your start as a Community Guide has not gone well. As you probably well know Online Communication means that misinterpretation can occur as there are no verbal or other social cues to help us. If you need support with being a CG or otherwise please do not hesittae to contact us at our email address team@saneforums.org take care Whitehawk

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

@eth

Sorry to hear you have not been well @eth, I can certainly empathize with you, the stress around NDIS can be very triggering! My son has stabilized substantially but recently we had a hypomania period resulting from a medication change, which wasn’t a very nice experience for all those involved especially him. Things have stabilized size then and we now have a higher therapeutic dosage of mood stabilizers. Not sure that means anything to you? It can be very difficult to manage mania as you are feeling good, but keep going as things will improve. We find stress is a big trigger and sleep hygiene is also critical. I’m a bit sick of our treating psychiatrist at present as in our local area they are on a 6 month rotation which is like a lucky dip.

Stay well and great idea to get this old, but good chat going again...

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

Thanks @Former-Member I will reach out by email if I need to. Tonight's Topic Tuesday discussion has helped a lot to re-focus and feel I have something to offer.

Hi @Dadcaringalone nice to see you again and great to hear your son has stabilized again. Yes I'm on quite a regime of meds including mood stabilizers and see my psychiatrist tomorrow for a med review. And my psychologist is tomorrow too and she always gives me a lot of positive reinforcement and strategies. I totally agree with you about stress and sleep disturbances being major triggers. I'm sticking to sleep hygeine guidelines and doing some self care activities, but can't really control the external stressors. Taking life half a day at a time for now.

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

@eth Best of luck tomorrow and remember you can change how you respond to the external stressors as you call them! I find this pretty empowering as you are the captain of your fate. I find my son just blocks people who are his triggers as the vast majority of the population have absolutely no idea about MH. I have helped him even block some family members who are extremely destructive to his recovery. I really like your comment taking life half a day at a time, have a great morning tomorrow...

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

Good morning @Dadcaringalone I have also had to put strong boundaries in place with some family members, particularly my mother. She came to visit (lives interstate) and stayed here while I was house and dog sitting - usually my brother and sister-in-law would be here as I have a cabin in their back yard. One night that was very difficult to get through was enough to send me hypomanic for nearly 4 months.

I have complex PTSD too so often I actually can't change my response to things that trigger me, but I'm working on it. I have realized through keeping a mood/anxiety chart that more frequent PTSD reactions such as alarm and hypervigilance and further loss of sleep can trigger a bipolar swing. I am constantly using numerous strategies to prevent that and have more control over it if it happens. And I feel lucky to have a good strong support network around me.

Seems to me you're a wonderful support for your son. Is he starting to have insight into what happens for him?

You have a good day too, hope it's one of the better ones.

In response to: Re: Managing Bipolar 1

Re: Managing Bipolar 1

@eth

I hear where you are coming from re family. Have blocked my parents completely from my son as they were major triggers for one of my son’s major psychotic breakdowns, combined with my brother who they enable as an alcoholic, even though I warned them he was extremely fragile!! My dad seems to believe u can force, from lectures or pressure, someone to instantly get over ( as he puts it) from an acute mh illness. It appears he took a similar attitude to his own sister who has had bipolar almost her whole life. It’s amazing how destructive family can be to mental health deterioration, and boundaries are the only way to go. Take care today. Best of luck with everything

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