Showing posts with label psychiatric treatment. Show all posts
Showing posts with label psychiatric treatment. Show all posts

Saturday, December 21, 2024

A Bipolar Woman's Self Reflection On Fear - Part 4: Arbitrary Restraints


I lie in bed reading a novel about the 1893 World’s Fair in Chicago. I read the same paragraph repeatedly, unable to concentrate. My mind will not settle long enough for me to get some sleep. I look around me to the four whitewashed walls that are as empty as I feel. We are not allowed to decorate in this place, which is my temporary home. It must remain as empty as the people that pass through on the road to sanity.


It is well past midnight and right outside the bolted window all I can see is darkness. The lights from buildings and the flicker of headlights visible only through the rod iron mesh meant to keep me in, keep me safe from myself. The mesh makes the outside world look as if it is caught in a fisherman’s net, trapped, unable to escape. The truth is that I am the one trapped and unable to move. Still, I think of escaping into the darkness beyond my barricaded window.

Even in the darkness I can sense new life forming. Trees pushing through the black earth, rising above the green grass until their branches bloom and breathe. Even the branches know there is nowhere to go but up toward the sky, toward freedom. At this moment I envy those trees. I envy their path to the heaven of the sky. I envy the seeds they sow, that bloom into beautiful buds that grow fearlessly. I envy their right to exist when all my rights have been taken away, when my feet are strapped to a metal bed frame making freedom impossible.

I look to my left to see soundproof, bullet proof, unbreakable glass. Still, I hear the cries for help and the violent rattle of chains, and I am reminded— Although the sun is starting to rise over my right shoulder, insanity waits for me over my left. As night turns to day and the sky goes from black to morning’s indigo I remember I am not outside these four walls where freedom lives and my right to exist is unquestioned. Instead, I am in a dimly lit, locked room, strapped to a bed, on a 72-hour hold in the Psychiatric Intensive Care Unit of the hospital’s tenth floor.


Final Thought


The loss of my freedom is my biggest fear. While hospitalized I spend a majority of my stay strapped to hospital beds, shackled by my arms, chest and legs, unable to move, panicking and unable to catch my breath. There is no pretty picture I can paint of this barbaric experience. Whether it occurs because my sharp tongue has offended the staff or as an arbitrary solution to a non-existent problem it's wrong and inhuman and I have the right to feel fear. This is a fear that is born of past trauma that has gone unexamined by the individuals that wield the power to restrain me. I can’t find neutral words, or hope in a system that uses these tactics to subdue patients. There is no kindness in this process, there is no empathy, just cruelty and It is one of my greatest objectives to abolish this practice in Ontario hospitals. I feel fear recalling and reflecting on my experiences with restraints but I also feel a sense of determination and obligation to my fellow men and women who still have to endure this savage practice. 


A Bipolar Woman’s Self-Reflection on Fear is a series of entries that will allow you a window into my past and insight on my present and the lessons I’ve learned over the years that have put fear in my rearview mirror. 

Coming Soon

I have also decided to share with you the lessons that inspired me to be fearless and relentless in my pursuit of happiness and success. I will be posting the life lessons that have shaped and influenced my personal growth and development. A Bipolar Woman’s Self-Reflection: 42 Years of Lessons series begins on December 30, 2024, my 42nd Birthday. It is my hope that these lessons will touch your lives and inspire positive change on your journey to wellness.  

Saturday, December 14, 2024

Understanding Depression and Anxiety in Women with Bipolar Disorder: Insights and Support

Understanding Depression and Anxiety in Women with Bipolar Disorder: Insights and Support

Living with Bipolar disorder is hard enough, but when you add Depression and Anxiety to the mix, it can feel downright overwhelming. Women with Bipolar disorder often experience these conditions at a higher rate than men, and understanding how they connect is crucial to managing them. I was diagnosed with Depression and Generalized Anxiety disorder (GAD) seven years before I even knew I had Bipolar disorder. Looking back, it makes sense how these pieces fit together.

In this blog, we’ll explore how Depression and Anxiety manifest in women with Bipolar disorder, discuss treatment options, and share some strategies that have helped me along the way. If you’re just starting your journey, check out my previous article on How to Start Managing Bipolar Disorder: A Comprehensive Guide.


Understanding Bipolar Disorder

Bipolar disorder is a mood disorder marked by extreme highs (Mania) and lows (Depression). There are different types: Bipolar I, where Mania is more severe, and Bipolar II, where depressive episodes tend to dominate. For women, these mood swings can be even more intense due to hormonal changes like menstruation or pregnancy.

I’ve found that recognizing my mood patterns helps me prepare for what's coming. It doesn’t solve the problem, but it gives me a little more control over the chaos. It’s about understanding how my brain works and finding ways to work with it, rather than against it.


The Impact of Depression in Women with Bipolar Disorder

Depression with Bipolar disorder is more than just feeling sad. It’s an all-encompassing weight that drains your energy, your motivation, and sometimes even your will to live. I’ve gone through periods of uncontrollable crying, days spent in bed, and times where I couldn’t even muster the strength to shower.

For me, depressive episodes are often triggered by major life events, like losing a loved one, or even something as simple as seasonal changes. The worst part is the isolation—feeling like no one understands. But once I started reaching out for help, things slowly began to change.


Anxiety Disorders Coexisting with Bipolar Disorder

Anxiety can show up in a variety of ways. I was diagnosed with Generalized Anxiety disorder (GAD) when I was 16 years-old, but my Anxiety started long before that. As a kid, I worried about everything—school, family, money. The racing thoughts were so loud that I would physically shake my head to try to quiet them down. It wasn’t until much later that I realized this was my Anxiety taking control.

My Anxiety often fuels my Depression, and sometimes it’s hard to tell where one ends and the other begins. Self-medicating with substances like marijuana was a mistake I made in my 20s, thinking it would help. Instead, it propelled me into my first manic-psychotic episode, leading to my diagnosis of Bipolar I disorder. Learning to manage my Anxiety has been a crucial step in managing my overall mental health.


Treatment Options for Depression and Anxiety in Bipolar Disorder

Medication can be helpful, but it’s not always straightforward. I take anti-anxiety medication as needed, but antidepressants have never worked for me. In fact, they’ve made me feel worse—suicidal even. My psychiatrist says I’m “treatment-resistant” to antidepressants, which happens with some people who have Major Depressive disorder. Finding the right medication cocktail is essential, but it can take time.

Therapy is another critical piece. Cognitive Behavioral Therapy (CBT) has helped me change negative thought patterns, while Dialectical Behavioral Therapy (DBT) incorporates mindfulness practices to help manage emotions. Peer support groups have also been a safe space for me to share my struggles and connect with others who understand.


Lifestyle Changes and Coping Strategies

Managing Bipolar disorder isn’t just about medication and therapy—it’s about how you live your life. For me, self-care means prioritizing my physical and mental health. Eating well, getting enough sleep, and exercising regularly have become non-negotiable parts of my routine.

Mindfulness has also played a huge role in reducing my anxiety. Breathing exercises, yoga, and meditation help me stay grounded when my mind starts to race. It’s taken time, but I’ve learned that building a strong support network and finding community resources has been life-changing.


Advocacy and Resources

Advocating for myself didn’t come naturally. In the beginning, I was shuffled around in the mental health system, too scared to speak up. I didn’t feel like anyone would listen to the “Bipolar girl.” But once I started educating myself about my condition, I gained the confidence to speak up and demand the care I deserved.

As women, we often struggle to voice our needs. But finding your voice is key to navigating the healthcare system and getting the support you need. Don’t be afraid to ask for help, and when you can’t, rely on your support team to advocate for you. There are more resources available today than ever before—spaces where we can move beyond the stigma and have real conversations about mental health.


Final Thoughts

Depression and Anxiety are tough enough on their own, but when combined with Bipolar disorder, they can feel impossible to manage. Understanding the connection between these conditions is the first step in regaining control. With the right treatment plan, lifestyle changes, and support system, you can find balance in your life.

If you or someone you know is struggling with Depression, Anxiety, or Bipolar disorder, don’t hesitate to reach out for help. Together, we can foster resilience and create a path toward mental wellness. Let’s keep having conversations that take us beyond the stigma of mental illness. For more insights on managing bipolar disorder, check out my pillar post How to Start Managing Bipolar Disorder: A Comprehensive Guide.


Starting Next Week

A Bipolar Woman’s Self-Reflection on Fear is a series of entries that will allow you a window into my past and insight on my present and the lessons I’ve learned over the years on how to manage my depression and anxiety. The 4-part series begins on December 16-21, 2024 and is a reflection of my experiences with fear and the steps I took to overcome it. Lets continue to have conversations that take us beyond the stigma to a place where fear no longer exists.