Living with bipolar 1 from the age of 16 meant living with deep depressions, of which suicidal thoughts were a part. Being able to safely share these with family and psychiatrists in the past saved my life and helped me hold on in the dark moments of bipolar episodes. I am not alone in feeling this way- millions are struggling now, today. Medication, therapy and support keep me well.
So today I read from my essay in this very special book to tell you- ‘You will feel the sun and smell the rain again, even after suicidal depressions when you lay in bed wanting to disappear. ‘
Please reach for help when you start getting these thoughts and hold on- a better day is coming. Helpline numbers includingSamaritans at 116 123 are available if you need to talk and feel in crisis.
I also know the devastation of losing a loved one to suicide and conversely, to help people through these thoughts. Their stories are not my own so I am not sharing them today but I hope that today and every day we focus on suicide prevention and support for all who are struggling.
Many people die every day and every hour from suicide in the UK and globally. 7000 lives lost a year on average in the UK to suicide and 75% of these are men according to research by CALM charity.
Taking their own lives is often the only way they can see to end their own deep pain and suffering- whether as a result of trauma, mental health issues and life circumstances (abuse, addiction, divorce, parenting struggles being just a few).
If you feel suicidal or very low, please tell a trusted person or if in the UK call Samaritans on 116 123.
If you’ve ever tried to get mental health support, you’ll know that it can feel like watching a game of ping-pong. You call one service, and they refer you to another. They point you to a helpline, which suggests a group. And at the end of it all is the bottom of a waiting list.
There’s a big shortage of mental health support out there. Whether you’re one of the millions struggling with a severe mental health illness, or simply going through a difficult time in your life, it’s never been harder to find care.
It’s not good enough, and everyone deserves access to the support they need – whether that’s a therapist, a diagnosis, a helpline, a support group.
But the truth is that no service, however good, can give us everything we need, all of the time. The toughest moments in life don’t wait for a therapy appointment. There will always be moments where you’re on your own with it.
That gap is what I built Tough Minds for.
Tough Minds is a completely free, online toolkit to help you go from a difficult moment into a lighter one. There are breathing exercises, guided meditations, an urge-surfing timer, and calming soundscapes to help you relax or decompress.
These are exactly the sort of exercises that a therapist or counsellor might recommend you try – but the ones that are so hard to remember at 2am when you’re in a crisis, or when you’re trying to fight off a difficult urge, or when you just need five minutes to breathe before a job interview.
That’s why Tough Minds has no sign-up, no app to download, nothing to pay for, no ads. Whenever you need it, you can just go to Tough Minds.
(image: Mediensturmer: Unsplash)
Building emotional resilience
Those in-the-moment tools are only half of the reason I created Tough Minds. The other half is about building the underlying skills that can make those difficult moments less frequent and less severe.
We are less likely to be taught how to look after our mental health in school – and that’s a problem. We only ever learn how to look after our minds once we hit a crisis point – which is a bit like taking your first driving lesson when you’re already halfway round the M25 (UK motorway).
It doesn’t have to work that way.
Building Emotional Resilience
Tough Minds also has tools, games and exercises to help you build emotional resilience – the sort of skills you might learn in therapy. There are skills that help people manage emotionally difficult moments and even help with some mental illnesses. Skills like having a wide vocabulary for your own emotions, or knowing how to catch and reframe a spiralling thought before it takes hold.
These are skills like any other – they can be built so they’re there when you need them. That’s the part of Tough Minds I’m most excited to keep building: to improve and steady mental health.
None of this is about pretending that a website or an app can do the job of real support services, or the human-to-human support that so many of us benefit from.
However, what Tough Minds can do is help all of us take care of ourselves. Not instead of support, but around it: when you’re on a waiting list, the days between sessions, the stretch of life after a course of treatment ends, and for the times life is just a little hard.
If that sounds useful to you, you can find Tough Minds at toughminds.org. It’s free, and it’s there whenever you need it.
Thanks so much to Anuj at the team at FeedSpot for listing this blog number 12 out of 30 Best Bipolar Disorder Blogs to follow on the internet here ! Delighted to be nominated amongst many wonderful blogs.
Feedspot is an RSS Reader that lets you subscribe to blogs, news sites, and any website you want to keep up with.
One year and a half after my bipolar 1 diagnosis and after a hospitalisation.
On holiday with friends in Spain and already on medication to stabilise my mental health. So many children now are on waiting lists for NHS CAMHS to even get to see a psychiatrist.
It is my hope and prayer that the government fund mental health services and improve access to healthcare. Or people will die from suicide or become hugely unwell.
I support the work of Mind and Rethink Mental Illness in highlighting and campaigning for this.
I was in the Priory North London adolescent unit in 2004 which was funded by the NHS and I had so much help after a mixed bipolar episode became psychosis. The psychiatrists were so caring.
We need more support for the next generation. Please to the UK government- fund CAMHS NHS services!
Bipolar disorder is often misunderstood as simply experiencing occasional mood swings. In reality, it is a complex mental health condition that exists on a spectrum, with several distinct types that affect individuals in different ways. Formerly known as manic depression, bipolar disorder involves extreme shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. These are not ordinary ups and downs—they are episodes that can last for days, weeks, or longer, and they can significantly disrupt a person’s life, relationships, and sense of self.
Understanding the different types of bipolar disorder is the first step toward recognition, appropriate treatment, and long-term stability. Whether you are seeking answers for yourself or a loved one, clarity about these diagnoses can open the door to compassionate care and effective support. This article explores the three primary types of bipolar disorder—Bipolar I, Bipolar II, and Cyclothymic Disorder—and highlights the importance of comprehensive recovery pathways.
Bipolar I Disorder
Bipolar I disorder is defined by the presence of at least one manic episode that lasts for at least seven days, or by manic symptoms so severe that immediate hospital care is required. Mania is more than just feeling unusually happy or energetic. During a manic episode, individuals may experience a distorted sense of well-being, racing thoughts, rapid speech, a decreased need for sleep, and impulsive or risky behaviors such as excessive spending or unwise decisions. In some cases, mania can cause a break from reality, known as psychosis.
Depressive episodes often accompany Bipolar I, typically lasting at least two weeks. These episodes can be profound and debilitating, involving deep sadness, loss of interest in activities, changes in sleep and appetite, and difficulty concentrating. The manic episodes of Bipolar I can be severe and even dangerous, making this form of the disorder particularly challenging for both the individual and their support network.
Bipolar II Disorder
Bipolar II disorder is sometimes mistakenly viewed as a milder version of Bipolar I, but it is a distinct diagnosis with its own set of challenges. It is characterised by at least one
major depressive episode and at least one hypomanic episode, but never a full manic episode. Hypomania is a less extreme form of mania that does not cause the same level of impairment in social or occupational functioning and does not involve psychosis.
While hypomanic episodes may feel productive or even pleasant, they are still part of a pattern that can be destabilizing. The depressive episodes in Bipolar II, however, can be lengthy and severe. In fact, individuals with Bipolar II often seek help during depressive phases and may be misdiagnosed with major depressive disorder if hypomanic episodes go unrecognized. This makes accurate diagnosis essential for effective treatment.
Cyclothymic Disorder
Cyclothymic disorder, or cyclothymia, is often described as a milder but more chronic form of bipolar disorder. It involves numerous periods of hypomanic symptoms and depressive symptoms that last for at least two years in adults (or one year in children and adolescents), but these symptoms do not meet the full criteria for a hypomanic or major depressive episode.
For someone with cyclothymia, mood instability is a constant presence. The mood swings occur for at least half of the time during the two-year period, with no more than two consecutive months of stable mood. As one psychiatrist describes it, “It may seem like you’re just going through a string of good days and a string of bad days. But the mood shifts keep going, and there’s little neutral time in between”. While the symptoms are less severe than in Bipolar I or II, the persistent nature of cyclothymia can still significantly impact relationships, work, and overall quality of life.
The Importance of Bipolar Disorder Rehabilitation
Receiving a diagnosis is an important milestone, but it is only the beginning of the journey. Bipolar disorder is a lifelong condition that requires ongoing management. This is where bipolar disorder rehabilitation becomes essential. Rehabilitation goes beyond simply taking medication—it encompasses a holistic approach to rebuilding functioning, enhancing quality of life, and preventing relapse.
Evidence-based psychological interventions play a critical role in recovery. Approaches such as Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), and Acceptance and Commitment Therapy (ACT) have shown promise in helping individuals develop emotional regulation skills, improve social functioning, and manage symptoms. Group-based programs and community re-entry initiatives can also support individuals in transitioning from inpatient settings to more independent living, enhancing medication adherence and global functioning.
Rehabilitation is not about “fixing” someone—it is about empowering individuals to live meaningful lives alongside their condition. With the right combination of medication, therapy, lifestyle adjustments, and social support, many people with bipolar disorder achieve stability and pursue their goals. The path may look different for everyone, but recovery is not only possible—it is the expectation.
Key Takeaways
Understanding the different types of bipolar disorder is vital for recognising the unique experiences of those affected. Bipolar I involves full manic episodes that can be severe and require hospitalisation. Bipolar II features hypomanic episodes alongside often-prolonged depression. Cyclothymic disorder is a chronic pattern of milder mood swings that persist over years. Each type requires a tailored approach to treatment and support.
If you or someone you love is navigating a bipolar disorder diagnosis, remember that you are not alone. Accurate diagnosis, compassionate care, and comprehensive rehabilitation can transform lives. Reach out to mental health professionals, build a support network, and take each step at your own pace. Understanding is the foundation—and from there, healing can begin.
Today a wonderful email from Christina at Vuelio here in the UK dropped in my inbox, to say that Be Ur Own Light is a Top 10 UK Mental Health Blog for 2026 (and has been every year since 2018!). I am really not good at blowing my own trumpet but am so proud of this achievement and know that it is a true blessing. Click here to see the full list: https://www.vuelio.com/uk/social-media-index/mental-health-blogs-uk-top-10/
As well as working with some incredible people, brands and collaborators, I am proud of myself for showing up consistently for 10 years to talk about mental health online here and on our social media. The blog has published over 800 posts and has reached so many and I am forever grateful to our readers.
Thank you Vuelio for listing us at No 7 among really fantastic bloggers and blogs (shout out to you all!)
I often get imposter syndrome so will just say thank you to Vuelio and I hope this blog will continue to share about mental health, wellness, bipolar, life and everything in between- and reach even wider audiences online.
The latest book from authors Matthew Johnstone and Lauren Kennedy West has hit the shelves today and it has such an important message to share. Described as an ‘illustrated journey through understanding, acceptance and living well.’ the book tells Halyn’s story of understanding and accepting her schizophrenia diagnosis.
The publisher says, ‘ Schizophrenia is complex disorder that affects how a person thinks, feels and behaves, with symptoms such as delusions and hallucinations. It affects 1 in 300 people, and more than 24 million globally. It is a serious condition but can be managed effectively with early intervention, ongoing treatment and compassionate support.
This book is for anyone seeking to understand their diagnosis, or for friends and family hoping to support their loved one with schizophrenia. Through humorous and moving illustrations, it shows that it is possible to live a happy and fulfilling life with this condition, and promotes clarity, honesty and caring for those living with mental illness.‘
The book is beautifully illustrated with special added extras like the change in colour on Halyn’s T shirt when she is having symptoms (red) and when she feels well, her shirt is blue and there is little bird of hope present. This encourages the reader to see Halyn as a full person with hope and remission and not just a person with a mental illness. Halyn is 26 and she lives with her partner Johann and Chalky Boy, the world’s laziest cat.
The book describes how schizophrenia impacts Halyn on a day to day basis but also says, ‘I have to be a little more vigilant and work a little bit harder at my state of wellbeing than most…but I manage quite well.’. Halyn says, ‘I accept that I may have to live my life a little differently but thats OK’.
(Image: Matthew Johnstone/ Robinson)
This book will go a long way to helping people living with schizophrenia and their loved ones be seen and heard. As someone living with bipolar disorder, I also found the book very inspiring and uplifting, with a hopeful take on what can often be so difficult. It doesn’t shy away from the realities of schizophrenia but explains them through the illustrations and language, in an accessible, clear and powerful way.
‘Halyn Has Schizophrenia And That’s OK‘ is out now, published by Robinson (Hachette) in good bookshops. With thanks to Little Brown and Robinson for the gifted book.
(Image: Matthew Johnstone/ Robinson)
About the authors
Matthew Johnstone has written and illustrated several bestselling mental health and wellbeing titles such as I Had a Black Dog. Matthew’s company Drawn from Experience develops creative/educational programmes, illustrations and videos on understanding mental health and resilience for schools, communities, eHealth and the workplace.
Lauren Kennedy West lives with a diagnosis of schizoaffective disorder, bipolar type, and brings a unique perspective to mental health advocacy. With experience both as a social worker within the mental health care system and as a patient navigating its challenges, Lauren reaches millions through her YouTube channel, Living Well After Schizophrenia.
Thank you to Anuj and team at FeedSpot for selecting as us a Top 20 Social Anxiety Blog on the web for 2026! We are thrilled to be on the list at number 10.
Data from NHS England Digital’s latest Adult Psychiatric Morbidity Survey (APMS) has been analysed by national mental health charity Bipolar UK, revealing that the current system is failing to meet the needs of people living with bipolar.
The findings show that people who tested positive for probable bipolar have experienced a disproportionate rise in unemployment over the past decade, increasing from 3.9% in 2014 to 9% in 2024.
The APMS is a national survey that measures the prevalence of mental health conditions, tracks trends over time and assesses access to treatment. As part of the survey, the Mood Disorder Questionnaire (MDQ) was used to screen for probable cases of bipolar.
It is estimated that over a million people in the UK live with bipolar, and many manage the condition well. However, employment rates among people with bipolar remain significantly lower than the average employment rate of 75%* in the general population.
(Image: Annie Spratt: Unsplash)
Bipolar UK believes that widespread underdiagnosis and inadequate access to specialist treatment may be contributing to rising unemployment and widening inequalities for those who tested positive for probable bipolar.
The data shows that only 17.8% of people who tested positive have received a professional diagnosis. This points to significant underdiagnosis. Among those who do have a diagnosis, the use of bipolar specific medication has also fallen, decreasing from 14.5% to 5.1%.
Speaking about the APMS findings, CEO of Bipolar UK, Simon Kitchen, said: “This is the first time this survey has been conducted since 2014, and while the rise in unemployment among people living with bipolar is deeply concerning, it points to a much bigger failure in the system.
“Fewer than one in five people who tested positive for probable bipolar have received a professional diagnosis. Without this, people are far less likely to access the specialist treatment and support that helps them stay well. This can have serious consequences for every part of their lives, including their ability to work.
“We regularly hear from people who are struggling at work or falling out of employment altogether, not because they can’t or don’t want to work, but because the right care isn’t in place. Delays to diagnosis leave people managing severe symptoms alone, often for years.
“For those who do have a diagnosis, a lack of understanding about bipolar in the workplace can add further barriers. Despite protections under the Equality Act, many people tell us they fear stigma or negative consequences if they talk about their condition, and that reasonable adjustments are not always offered or understood.
“This data challenges the misconception that people with bipolar are unable to work. The real issue is a system that diagnoses too late and fails to provide consistent, specialist support. That failure is potentially pushing people out of work who could otherwise live well and fulfil their potential.”
There are several reasonable adjustments that can help people with bipolar better able to manage in the workplace. Many of these are neither expensive nor difficult to implement, such as flexible working arrangements, time off for medical appointments, and support plans following episodes of illness.
Simon Kitchen added: “The benefits of empowering people with bipolar are enormous, for individuals, their families, employers, the NHS and the wider economy. The charity has worked with, and continues to support, thousands of people with bipolar who are working successfully across a wide range of sectors.
“Improving diagnosis rates and building bipolar friendly workplaces benefits everyone.”
Bipolar UK’s current campaign, Maybe it’s bipolar?, aims to raise awareness of some of the common symptoms of bipolar and encourage people who recognise them to explore this further. The campaign directs individuals to take the MDQ and, where they receive a positive result, provides clear, trusted information to help them seek appropriate support.
Ultimately, the campaign aims to reduce the average 9.5 year delay to diagnosis and ensure people affected by bipolar are identified earlier and can access the specialist care and support they need to live and work well.
Bipolar UK also runs workplace training courses for organisations looking to improve their understanding of bipolar and how to support colleagues living with the condition.
Key stats about bipolar:
Over 1 million people in the UK live with bipolar, making it the most common severe mental illness
People wait 9.5 years on average for a diagnosis
Life expectancy is up to 20 years shorter
50% of people with bipolar will attempt suicide at least once, 1 in 5 die by suicide
Despite global suicide rates falling, those related to bipolar have not declined
About Bipolar UK – the only national charity dedicated to supporting people affected by bipolar.
Bipolar UK provides a range of services, including information and advice, a network of support groups, an online Community, workplace training and telephone and email peer support. Bipolar UK also works in partnership with research organisations, and campaigns for change to build a better world for everyone affected by bipolar. For more information, visit bipolaruk.org.
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