What It’s Like To Go Through Severe Depression as a Bipolar Episode: Looking Back by Eleanor

(image of Eleanors book Bring me to Light: Eleanor Segall/ Trigger and Welbeck publishing)

TRIGGER WARNING- DISCUSSES SUICIDAL IDEATION, SELF HARM AND BIPOLAR DISORDER. PLEASE READ WITH CARE

This weekend, I went home to my mums to celebrate the Jewish festival of Pesach (Passover) and have some quiet, family time. It was wonderful and because our religious laws mean we don’t use the internet, our phone on our festivals, it meant I had time for digital detoxing and switching off. But with that silence, came space. To think and reflect.

Something you may not know about me is that as well as being a writer, throughout the years I have been a prolific diary (journal) writer. The act of putting pen to paper and type to keyboard has always been therapeutic for me in my darkest moments. I found a diary I had written in 2013, when I was living with depression, suicidal ideation and self harm thoughts and actions.

The journal was covered in butterflies- always my symbol of hope. I don’t want to trigger anyone so I will say this carefully- essentially, I was so unwell that for me, my symptoms were: sleeping until the afternoon with a slight break for a meal or tablets, not socialising, finding it hard to wash due to increased anxiety and lethargy, feeling like I didn’t want to wake up the next day and wanting to harm myself in various ways- but being so frightened by these thoughts (because i knew they weren’t really Eleanor) that i had to vocalise them to my family and psychiatrist to keep myself safe. Thats what I did and its why I am still here today, in recovery.

I lived with this depression for about 6 months- my psychiatrist was encouraging me to try Lithium to stablise the bipolar but I wasn’t ready and wanted to see if Quetaipine could halt that. As we know, I became hospitalised for mania soon after in 2014 which led me to recovery and writing my book Bring me to Light.

When you live with an illness like bipolar disorder, you can sometimes forget the nuances of all the details of how you were when you were unwell. For me, I always felt that I handled the depressive episodes ‘better’ than the mania- just because I was able to keep myself as safe as possible by telling my family and doctor and changing medication. My psychiatrist had to come out to see me at home with a nurse as I was so unwell and I wrote out how I felt for him to know.

So many people live with terrible episodes of depression so this blog is just looking back and giving you some knowledge of how it manifested for me. Essentially, depression is a slowing down of the mind towards inactivity, darkness, misery, anxiety, agitation and it is often triggered due to changes in hormones and brain chemistry (if you have a family history its more likely to happen). Depression is not just low mood. Its paralysing. Its not wanting to be in the world and being in so much emotional pain. You may think of ways to harm yourself and you may dream of not being in the world. Or you may be ‘high functioning’. I somehow managed to go to friends weddings during this time despite spending the other days in bed til 5pm- I have no idea how- anti depressants and support helped greatly. However, my depression was dark and invasive.


Now, I had forgotten a lot of these finer details. For me, I never truly wanted to die- I wanted the uncontrollable bipolar to go! The suicidal ideation was my bipolar brain chemistry but also an expression of not coping with life and the bipolar moods I had been given- I was 24 and I couldn’t enjoy life- i was wracked with anxiety too. My mental health was fragile and unstable and it is no way to live- but what saved me, was being hospitalised and finding medication and therapy that has helped me to live in remission (thank God) for 7 years now.

I can say now that my brain chemistry is balanced and even if i ever get sad or frustrated, I don’t have those awful thoughts and if they ever come up, I can deal with them. I have such a supportive partner and family- my family and psychiatrist saved me as well as me trying to save myself- I frightened myself with my thoughts and I had some semblance of being able to keep myself going, which is not possible for everyone. It helped that my Dad has bipolar and could really understand what was going on for me too- he understood exactly how I was feeling but he knew it was the illness and not Ellie. I feel so lucky for that because not everyone has this. My mum, step dad and sister and wider family also were so supportive and never blamed me for being unwell. That helped too. My faith also has helped me dearly,

(Me at 25 when I was going through depression. This photo was a selfie taken when I was dressed up to go to a friends wedding and my sister had done my make up. There were no photos with messy hair or red eyes and tears. I never looked this good when I was in bed til 5pm most days in my PJs).

If youve got this far thank you for reading. My mission is to help others with these conditions feel less alone, through sharing my own experiences. I have been careful not to reveal what certain thoughts were here so I don’t trigger anyone.

If you live with depression and a host of other issues, you can recover again. Hold on. You will not feel like this forever and you can find a level of happiness and stability again. Reach for help, someone you trust, a help line, a psychiatrist and don’t give up.

How to Transform Social Anxiety/Phobia by Lewis McDonnell at Phobia Support Forum

(image: Pexels: Brett Jordan)

Social anxiety is quite common but it affects people in different ways, situations and circumstances. Some people may find they have anticipatory anxiety before certain events, like interview days, big events like weddings and public speaking. But for those that suffer with everyday social anxiety this can be equally debilitating.

Living with social anxiety can be tough because it literally affects everything we do. From the choices we make, activities we participate in, opportunities that are presented to us and naturally, the way we live our lives. It can also have a huge impact on the direction of our life and how it unfolds.

For many people living with social anxiety, it can range from mild to very extreme. It’s often triggered due to particular circumstances. Big events such as:

  • Going on a date
  • Meeting new friends
  • New job interview.

It can also be triggered by everyday events. For example:-

  • Going to the supermarkets or the shops
  • Speaking with the cash register assistant
  • Asking for directions
  • Walking around in public places.

In order to address the many challenges of social anxiety, we need to understand the specific causes.

Causes

Social anxiety manifests itself as tension in the body, elevated heart rate, paranoia, awkwardness, inhibition, not being able to express ourselves in certain moments where we want/need to. This is often caused by the beliefs and the ideas that we hold in our mind. When these are triggered, or we are provoked/threatened by the particular circumstance, this is when the anxiety kicks in.

In our everyday existence, we have two types of thinking.

One type of thinking is known as logistical thinking. This is simply our organisational logical thinking such as, today, I need to get the train. Or we may have thought when we go to the shop, I’m going to buy apples today, they are on the list, together with potatoes and rice. It’s very logistical. This kind of thinking holds no real emotion and is more matter of fact.

However, most people living with social anxiety describe themselves as self-conscious and this is an accurate description of the second kind of thinking, known as self-referential thinking.

Self-referential thinking is where we are referring back to ourselves.

For example… we might have the logistical thought, OK, I need to get the train. But then self-referential thinking would come in, making us consider, what happens if I miss the train? What happens if I’m late for work? What happens if the train is delayed? What will people on the train think of me? Should I be getting the train to work rather than driving?

This is where we apply personal meaning to our circumstances and to the logistical tasks of the day. We give it meaning that relates back to our self-image and identity. Within this, self-referential thinking is where a lot of anxiety is created.

Examples of self-referential thinking

Note: everyone is unique and everyone has their own thought patterns, leanings and identity. Here are some examples of self-referential thinking that can provoke anxiety in people:-

  • What will people think of me?
  • What if they don’t like me?
  • I hope I don’t come across as being awkward.
  • What if I embarrass myself?
  • Are they looking at me?
  • What if I make a mistake?

All of these thoughts can be considered seeds. The first domino in the sequence triggers the momentum of catastrophizing self-referential thinking. This can lead to a sense of anxiety, dread, panic or embarrassment.

(image: Cloudlead blog)

Struggle with social anxiety

I actually used to really struggle with social anxiety and this would prevent me from speaking in front of groups. It would make me feel very self-conscious and on edge when I was in supermarkets, when I was around people in public places. I’d often worry about what other people were thinking of me or how I was coming across and I really used to beat myself up over this. It made me feel as though I was somehow inferior or there was something wrong with me.

In my quest to beat social anxiety, I tried a lot of things to try and overcome this. Some of the things I found most impactful were part of my own professional therapy training.

During our practice sessions with my colleagues, we would get to work through many of our fears and anxieties. That provided me with a great deal of relief and clarity.

Another thing that really helped me was the concept of self-acceptance. Because it’s often the things that we reject about ourselves that we then project onto other people. So if we don’t like the shape of our body or the way we look, we will assume that perhaps other people won’t like that either. But that is a projection of our mind onto these people.

It’s none of our business what other people think, it matters more about what we think and self-acceptance is a beautiful concept. A practice where we draw in the things that we feel such great resistance to. Then we seek to embrace it, accept it and claim ownership over it. That way we take back our power and finally give ourselves permission to exist as we are, without judgement or criticism.

After all, this is about reclaiming your sovereignty, your identity, your freedom from these thoughts, insecurities and worries. These are the things holding you back from living your best life, enjoying your life and fulfilling your potential.

Comedians have social confidence

Take comedians for example, they often talk about embarrassing moments and they talk about all the taboo topics such as farting and other awkward encounters whilst everyone in the audience cringes with laughter at the shock factor.

But whilst the audience cringes with laughter, the comedian stands there proudly and boldly, proclaiming to the world. They take ownership of their so-called insecurity or embarrassing moments and they do so with confidence. That’s because a confident person is a self-accepting person. They have claimed ownership over their embarrassing moments and taken their power back from them.

Bringing self-awareness into your thoughts

The first stage of transforming your anxiety is bringing self-awareness to your thought process. The question you need to ask yourself is: What is making me feel anxious?

Some people are afraid of judgement, criticism, embarrassment, drawing attention to themselves, being the odd one out, being rejected.

Whatever it is to you will be unique and if you spend time thinking about this, you will begin to get a clearer understanding of what’s really generating all of this anxiety. It can be helpful to use a notepad and pen for this exercise.

Social anxiety is just a symptom of an unconscious behavioural response. The good news is that it can be changed because all behaviours can be changed. This isn’t something that you’re born with. This isn’t something that you’re destined to live with for the rest of your life. It is something that can be resolved and there are many ways to do this.

Taking the right path for you

Some people feel inspired to take the route of exposure and setting themselves social challenges. This is done in the way of, OK, if I’m afraid of talking to people or more afraid of what people think, I’ll set myself a challenge. Every time I go out in a social situation, I’ll ask someone for the time or ask the shop assistant, how are you doing today?

But whilst that’s all very well for a lot of people living with social anxiety, it can be very intense and confronting, even just getting to that stage can be challenging. So for that reason, professional one to one therapy can be really helpful for this.

Some recommendations would be to first find a therapist that you trust, that you feel a genuine connection with them. Always check to see if they have a proven track record for helping people get results, and that they really are an expert in their field.

Once you find that connection, build that trust and learn to enjoy your unique character, your anxiety levels will fall as you take back control.

Social anxiety is an unconscious behavioural response that’s generated by our beliefs and thought processes, all of which can be challenged and changed..

Conclusion

At some point in our lives, the vast majority of humans on this earth will experience a degree of anxiety in certain social settings. How we react, adapt and behave within these settings is dictated by our attitude and perception of the experience.

This article was written by Lewis McDonnell from the Phobia Support Forum.

4 Types of Alcohol Addiction Services You Can Turn To For Help by Rachelle Wilber

(image: free photo website)

Please note: this article relates to facilities and costs in Canada only.

For anyone struggling with alcohol addiction, many different types of addiction services can help. There are inpatient and outpatient programs and 12-step programs, and support groups.

Here are the four main types of alcohol addiction services and what they offer:

Inpatient alcohol addiction services

Inpatient services are typically offered in a hospital or rehabilitation center. Patients live at the facility and receive 24-hour care. This type of service is ideal for severe addictions or those struggling with other mental health issues.

Inpatient services offer a variety of therapies, including individual and group counseling, educational classes, and 12-step programs. Patients also have access to medical care and support 24 hours a day.

The average stay in an inpatient facility is 28 days, but some programs offer longer stays.

Cost: Ranging from $500 to $1500 per day. Many insurance companies will cover some or all of the cost of treatment.

Outpatient alcohol addiction services

The services are offered in hospitals and rehabilitation centers, but patients do not live at the facility. They visit for treatment day or evening, like a Male Alcohol Addiction Treatment Program. This service is ideal for those with mild to moderate addiction or who do not need 24-hour care.

Outpatient services offer a variety of therapies, including individual and group counseling, educational classes, and 12-step programs.

The average length of treatment is three months, but it can vary depending on the patient’s needs.

Cost: Outpatient alcohol addiction services typically cost between $50 and $200 per week.

12-step programs

12-step programs are self-help groups that offer support and guidance to those struggling with addiction. There are many different 12-step programs, but they all follow the same basic steps.

Admitting you have a problem and you need help is the first step.

The second step is finding a sponsor or someone who has been sober for a long time and can help guide you through the program.

The third step is making amends to those you have hurt due to your addiction.

The fourth step is maintaining your sobriety day by day.

12-step programs are free and open to anyone who wants to join them.

Cost: There is no cost associated with 12-step programs.

Support groups

Support groups are similar to 12-step programs, but they do not follow the same structure or steps. They are simply a place where people can come together to share their experiences and offer support to one another.

Support groups have no charges and are open to anyone who wants to join them.

There are many different alcohol addiction services available to those who need help. Inpatient and outpatient programs offer a variety of therapies, while 12-step programs and support groups provide support and guidance. Choose the service you or your loved one can benefit from and get started on the road to recovery today.

This article was written by freelance writer Rachelle Wilber and contains affiliate links.

Bipolar and Perinatal Mental Health: Part One by Eleanor

(image: pinterest)

I havn’t been sure for many months whether I was ready or wanted to share about the many issues I have been grappling with for a number of years. However, writing for me is therapeutic and so I wanted to share about the reality of mood disorders and thinking about starting a family.

To begin with, this is such a personal and complex issue for anyone with what is termed ‘severe mental illness; ie bipolar disorder, schizophrenia, psychosis. Our illnesses mainly have to be managed on daily medication and for some people with severe mental illness, they may still live with daily symptoms which can cause difficulties for them.

So this article is my personal experience of living with Bipolar 1 disorder and anxiety. To note, I was started on Lithium in 2014 after my last hospitalisation- which has stabilised the bipolar episodes into remission (it does something to the seretonin in the brain). I still live with some anxiety, but the combination of Lithium, Quetaipine (an anti psychotic) and anti depressants has meant that I do not become manic or psychotic and nor do I suffer from severe depression or suicidal depression. I feel more stable and I have engaged in therapy for the trauma I went through, for 2 years. So, thankfully at the moment my illness is very much controlled well and I have support from Rob and my family.

One side effects of my medicines has been weight gain and I aim to lose weight over the next year. This is important to me because it can sometimes impact on fertility and also makes a pregnancy more high risk (physical side effects such as blood clots etc). I will also be 34 in July and so this has become more pressing for me in terms of wanting to try for a baby. However, there are many risks in choosing to do this and going ahead, without speaking to a perinatal psychiatrist or mental health team.

Today, I got my referral letter to the mental health team to discuss planning a pregnancy and am on an NHS waiting list til June. For me, because my type of bipolar can be dangerous with the mania and psychosis- and having had several psychotic episodes in my life to date that have ended me up in hospital- a pregnancy where I carry a baby myself, has to be carefully planned in terms of my medication. For many reasons, I want to stay on my medicines for the entire pregnancy- so that I don’t end up relapsing during or straight after pregnancy (with bipolar there is a greater risk of relapse and post partum depression/psychosis due to the hormonal changes straight after birth).

I have been terrified for a number of years over what to do in order to keep me and a potential baby safe. I have researched surrogacy so I don’t risk making myself unwell, but this comes with a whole host of legal challenges around who is the parent, high financial costs (of treatment and paying expenses for surrogate/agencies) etc and the wait for the right surrogate. Surrogates can also pull out before giving. birth, you have to put your trust in them if you don’t know them- and you are trusting them with something hugely important! We also thought about adoption but with my mental health history and the potential issues that a child in care may be facing, I just didn’t want to put myself through the stress of being scrutinised.

So, please God even if we are blessed with a healthy child- the pregnancy may be as a friend of mine has termed ‘high risk’. This scares me and it scares me about potentially ending up in hospital again, on a mother and baby unit. I want to stay on my mood stabiliser and anti psychotic so the bipolar doesn’t cause this- however, I have decided that as long as I can stay on my medication and have the support of an experienced perinatal psychiatrist and mental health team (as well as my therapist),- plus regular monitoring and scans… and of course a proper plan put in place in case of relapse, this is what I will do (again, no one knows until you start trying for a baby and there can be many hurdles but I am trying to think positively).

I have also been asked whether I am worried about passing bipolar on. This is a worry as it does run in my family- however, I believe the risk of this with one parent is only about 10% (I got unlucky). Sometimes, I sit and question- am I being selfish for wanting to be a mother? And I realise, no I am not selfish. I don’t want my potential child to get bipolar disorder but equally if they do, we will deal with it. We also both want to get tested by Jnetics as we are both Ashkenazi (East European) Jews so may be carriers for certain illnesses.

Some women don’t want to be mothers, but I always have done since I was a little girl and I can’t imagine never having a family with my husband. I want to be the best Mum I can be and reduce my illness risk as much as possible to remain stable and well.

Do I wish things were different and I didn’t have this illness? Yes. but the reality is that I do but that I have been stable for a long time. I know we will make good parents whatever way it happens and I just hope the road ahead won’t be paved with challenges… it is never easy. I write this because its not often talked about… and I know there will be more to come on this subject but I wanted to share- if you yourself are going through something similar, you aren’t alone.

It took a lot to share this because its so personal and I worry about sharing too much- but this blog has been years in the making really! There is never a right time to open up- but maybe now I can allow myself to a bit and release the burden.

People sometimes ask me if I have children (as im mid thirties and married) and my answer is always, I hope to one day soon but leave it in Gods hands.

With love,

Eleanor x

How To Stay Motivated And Keep A Good Mindset Throughout Physical (Physio) Therapy by Sierra Powell

Photo from Pexels

Physical (physio) therapy sticks out as an important part of the recovery process if you find yourself in pain or overcoming an injury. Continuing to do your physical therapy may seem overwhelming, so you could end up losing your motivation. This means you should find some ways to keep yourself motivated, so you can enjoy all the benefits of physical therapy.

Ask Someone to Help You

If you struggle with motivation, you can always talk with people close to you for some help. For example, if you have a family member you trust, you can mention your lack of motivation. From there, you can ask that person to keep you motivated and check in with you, so you can stick with the physical (physio) therapy and overcome your injury.

Sometimes, motivation simply requires another person to help you out. If you let someone work alongside you, then you don’t have to tackle the challenge on your own. Having the additional support can help you remain motivated and stick with the therapy process.

Remember the Potential Benefits

Sometimes, people don’t like to go through physical (physio) therapy since they may feel pain and spend multiple hours tackling the process. For example, if you deal with sciatica pain, you may feel excruciating back pain while you go through therapy. Since you may not want to deal with the pain, you may lose your motivation to continue.

You need to remember the benefits of physical (physio) therapy, so you can stick with it. After all, you can lower your pain in the future if you effectively treat it now, so make sure you remember this point whenever you want to quit.

Make Note of Your Progress

When you go through physical (physio) therapy, you may overlook the progress you make if you focus on the negatives. For example, if you don’t like spending an hour every few days working on your physical (physio) therapy, you won’t realise the progress you made. If you change your mindset to focus on your progress, you may build your motivation up again.

This means you should remember how much time and hours you put into the process to help you stick with it. That way, you can get a better understanding of how much it helped you out since you can see how much you have progressed compared to the beginning.

Enjoy Every Victory

On top of tracking your progress, you should also celebrate each victory you experience. For example, if you go through physical (physio) therapy to help you walk again, you should celebrate once you take your first step. Even though it may not seem like much, reminding yourself of each of these moments can help you feel motivated to continue.

Even the smallest victories can help you with motivation, so make sure you never overlook them. You can enjoy the first step, but you should also celebrate every step you take. You can apply this type of thought process to any therapy you need to participate in.

Create a Timeline for Yourself

Sometimes, people need to know how much they must dedicate to the process if they want to keep themselves motivated. For example, if you need to go through physical therapy twice a week for a month, you can note how many days you have left. This means if you just finished your second session, you only have six more to go through.

Creating a timeline like his can help you visualise what you still need to do. You can mark these days on a calendar to keep track of each important date, so you can make sure you go through the whole process and finish it.

Conclusion

Maintaining your motivation requires you to focus on your mind, since doing so will help you look at the situation positively.

Make sure you keep yourself in a good headspace and boost your mental health, so you can get through the recovery process and get back to your usual life. Self care is so important.

This requires tons of effort on your part, but you can help yourself to get better and recover.

Sierra Powell is a content writer from the USA.