World Bipolar Day is Tomorrow!

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Tomorrow, join in and learn what you can about bipolar disorder.

As many of you know, I have bipolar 1 disorder and when not on medication, have episodes of high mood- mania/ psychosis and low mood- severe depression. Thankfully I am in recovery but it affects so many people and is thought to run in families.

Remember you are not alone.

Bipolar UK-  https://www.bipolaruk.org/

Bipolar in USA: http://www.mentalhealthamerica.net/conditions/bipolar-disorder

Loving Yourself: 4 Tips for Living a Body Positive Life: Guest blog by Emma Sturgis

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(image: Emma Sturgis)

Starting to live a body-positive life all begins with you, the individual. It can be challenging with so much pressure from society trying to dictate our lives. It becomes easier when you block out all negative forces and decide to start loving yourself and your body no matter what others have to say.

Loving yourself no matter what will increase your happiness and your overall peace in life. Here are four tips to help you down the body-positive life and feel total peace of mind about your body and physical appearance.

Work on Self-love

A significant number of girls have been through the trauma associated with body shaming, especially in high school. Some have taken the weight of the shame to our adult life where we lose our confidence and tend not to love ourselves as we should.

Many women and girls suffer from poor body image for years, or even through their entire life. The first step into living a body-positive life is by loving yourself first. We all come in different shapes and sizes, and no one is perfect. You just have to own your flaws and flaunt your strengths.

This can often be easier said than done, especially with years of social conditioning. You can achieve self-love through daily practices that make you feel your best physically and emotionally. Tell yourself every day that you appreciate your body and all it does for you.

Eat Instinctively and Respectfully

You don’t have to starve yourself to fit into that wedding dress within an unrealistic time-frame. Diets don’t work and neither does overfeeding any time you are stressed, sad or angry. Stop for a moment and ask yourself what your body desires to look great.

If you feel that you are struggling to keep an eating routine and your mental health is worsening, accept the problem and seek inpatient eating disorder treatment. under a psychiatry team or your local doctor.  

 

Change Your Perspective on Exercising

Most of us quit taking exercise and going to the gym because we hate working out. Exercise can be fun when we redirect the focus from it being a weight loss challenge to treating your body correctly and healthily.

You don’t have to attach any pressure or targets to your daily workout routines. Do exercises that are fun to you and even make it a social event with your friends. Once you start viewing exercise as healthy for your body , you will begin to love it. You will enjoy exercising because of how it makes you feel, endorphins from it will make us feel happy. You may even feel proud after a work out!

 

Pamper Your Body

After all the stress and pressure that your body endures, it deserves to be pampered and treated right. Get some good fitting outfits, wear the best lotions, go for therapeutic massages and take frequent hot tub baths. Fall in love with every curve while you look straight into the mirror.

This will allow you to connect with your body instead of feeling detached and negative toward it. You can make these things part of each day. Carve out some time from your busy schedule to pamper yourself, even if it includes simply putting on your favorite perfume. It will give you a simple confidence boost to carry through your day. Always take time for yourself and don’t let your daily tasks take priority over caring for your physical and mental health.

Once you change your mindset, the journey to living a body-positive life will be so much easier. You don’t have to lose 20 pounds to start loving yourself and your body. You are much more than your physical body.

Knowing your worth is a gift to yourself and your body. Eventually, it helps you rediscover your true self. You will be able to go forward in the world with confidence and give your amazing gifts and what you have to offer, to the universe.

This blog was written by freelance writer Emma Sturgis from the USA 

Understanding PTSD by Gender: Guest blog by Dale Vernor

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(image: Kennington Osteopaths)

Post traumatic Stress Disorder, better known as PTSD can occur in a person who has experienced or been a witness to an event that is traumatic enough to affect their lives in a negative way. Witnessing a death, a serious accident, war, abuse, being a victim of a crime, natural disasters and childhood trauma can all be causes of PTSD. Many people only associate PTSD with war and veterans, but the truth is an estimated 3.5 percent of the US population suffers from PTSD.

Research has shown that there are differences in the brain when it comes to how men and women process and deal with PTSD. Science is admittedly behind on truly understanding the gender differences when it comes to PTSD and how it is expressed, but there have been some findings.

Men and women respond to stress differently. Men are more likely to respond with a fight-or-flight response in a stressful situation and women are more likely to use a more calming response known as tend-and-befriend.

This is an emotion-focused coping mechanism. It should be noted that there is so little data that stereotypes should not be formed, however, there is enough data to support differences in the genders.

PTSD in Men

Men are more likely to have PTSD due to combat trauma, trauma from natural disasters and disasters caused by human force, some sort of violence and accidents. Based on studies and research men actually suffer more traumatic life events than women on average, however, only 5-6% of men will experience lifetime PTSD. Lifetime PTSD is less prevalent in men than in women. Double the rate of women will experience lifetime PTSD at 10-12%.

PTSD in Women

Women are at a substantially higher risk for PTSD than men. Biology and psychology play a part in why those differences exist. Women are more likely to experience what is considered “high-impact trauma” at a younger age than men.

Women are more likely to experience sexual abuse, domestic violence and sexual assault that leads to their PTSD. It is sexual trauma that puts women at a higher risk for PTSD than men.

Women who suffer from PTSD will also tend to do so longer in comparison to men; on average 4 years to 1. When it comes to seeking help for PTSD women are more likely to seek support for their illness amongst a group. They tend to look for social support.

Symptoms of PTSD Same in Men and Women

The women and men who have this condition often express similar symptoms. Men may display their symptoms in a more aggressive expression where women have shown to retreat internally and avoid the outside world.

Some of the symptoms of someone suffering from PTSD are:

Re-experiencing nightmares, having flashbacks and frightening thoughts that appear real, avoiding people, places and things that may remind a person of the trauma and avoiding feelings and thoughts to cope with the trauma, signs of heighten anger and anxiety expressed physiologically, being hyper-vigilant against threats, difficulty sleeping, experiencing an onslaught of negative feelings, thoughts and judgments, unreasonable blaming of yourself, excessive guilt and a negative perception of yourself in the world, and disinterest in regular every-day activities.

PTSD and Substance Abuse

According to the U.S. National Library of medicine 50-66 % of people who have PTSD simultaneously suffer from addiction. What begins as a means to cope with the symptoms of PTSD, which are distressing, usually turns into a full-blown addiction.

Substances like drugs and alcohol can decrease anxiety in the moment, escape the pain , distract from negative emotions and increase pleasure in the short term. The coping mechanism of substance abuse affects both women and men. There are dual diagnosis treatment centers for people who are suffering from PTSD and substance abuse.

Post traumatic stress disorder, wherever you live in the world and whatever gender you are, can be hard to cope with. Please seek support if you need it and know you are not alone.

This post was written by Dale, a freelance writer specialising in mental health, based in the USA.  He can be found on Twitter https://twitter.com/DaleVernor

The Anxiety Rollercoaster : Going beyond my Comfort Zone. by Eleanor

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(image: Pinterest)

I don’t really know where to start with this blog except I have needed to write this one  for several weeks. As many of you know, I struggle with an anxiety disorder (alongside/ part of the bipolar) which when triggered can make life quite difficult. This includes things that anyone would find anxiety provoking, such as job interviews.

I have had to dig deep, leave the house and use every ounce of strength to attend face to face job interviews in the past few weeks. This is not an exaggeration. My body floods with adrenaline and cortisol (stress hormones) and I feel overwhelmed. All my energy becomes consumed around preparing for the interview, attending the interview or NOT attending the interview because I wake up in a panic not wanting to go out- and having to try and reschedule it. Which just adds more stress as I fear I will lose the chance to interview.

This is really hard for me. There is still such a stigma to mental health issues that disclosing it early on without someone knowing you fully, means you are still less likely to be hired. Having to reschedule an interview also floods me with fear that the employers will think I am just flaky, even if I say I am unwell.

I am very proud of my achievements in the past month. Last week, I went to an interview and did well- travelled alone, was fine throughout. I even got a second interview. However, I woke this morning at 7am in anxiety and am seeing if I can reschedule it.

Essentially, this is one big test of exposure therapy. Reaching outside my comfort zone and going out into the world to use my skills. Its scary and exhausting. But it can also be validating and exhilarating too.

Today I feel a bit of an exhausted, worried mess. However, I refuse to let my panic disorder beat me. Next week, I have some positive things happening too re work.

For anyone else going through this- you aren’t alone. I take medication on time, I have had years of therapy and I still have panic attacks at times and struggle with the debilitating anxiety. I am searching for a new form of therapy (maybe EMDR- rapid eye movement) as I am concerned that my disorder mimics some PTSD symptoms, although that will need to be determined by a psychiatrist . I went through a lot in 2014 when in hospital and just before in a manic state and when I came home after and got back to work.  I wonder if this is what is behind the panic.

This is an honest assessment of whats going on. Despite the anxiety attacks, I have been able to see some friends. I am also still writing my book – deadline fast approaching.

Thank you to all my online twitter ‘cheerleader’ friends who sent me so many messages of love and support, of cute animals and inspiring quotes. You helped give me the strength to go to my interview and be ok. And to my friends and family in ‘real life’ too.  

If you are also struggling, keep fighting. I am always here for you to talk too.

Love,

Eleanor x

 

5 Tips for a Mental Health Emergency Plan: Guest blog by Emily Bartels

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(image: http://crmhfoundation.org/self-care/)

 

When it comes to emergency plans, usually we think in a more physical sense, but did you know that mental health emergency plans are important?

Mental health emergencies can be quite stressful, and if you’re in a mental health industry or have any personal concerns about your own health, providing the right help is important.  Here, we will outline important tips to help you create a mental health emergency plan that will suffice.

 

Have a Support system

If you tend to get overwhelmed when an emergency happens, a big way to help reduce the trauma from it is to have a support system. Whoever you are and whereever you work, your own personal triggers and issues are still there. If you’re having issues coping, find a support system- a friend, family member or therapist that can help.

You may want to come up with a plan to help your  responses to situations, especially when disaster strikes. If you do have anxiety and depression, do make sure that you have people that can help around you or reach out for help from a doctor or therapist.

 

Prepare For Emotional Reactions

Another big thing that emergency evacuation plan Melbourne  (in Australia) does point out, is you need to make sure that you have the right idea of what might happen.  You should know when you have chaotic reactions, and what you struggle with when disaster strikes.

Focus on what will help, what might happen when you do suffer from an incident, and make sure to communicate it to others.

Processing information is quite hard in a stressful situation, such as fear, anxiety, depression, or even a panic attack, and you should make sure that, with the group of people you trust or the medical profession, you do speak about what happens. It’s also important to make sure that you properly communicate to others.  While panic attacks and sad emotions do happen, you should know that you probably will be upset about whatever will transpire. But that its OK to feel this way.

 

Be Prepared to communicate

A large part of a mental health plan is to make sure that you communicate your needs. If you need to, make sure that you explain any mental health needs, such as medication you might need, in an emergency, with loved ones.  Its vital to your wellbeing  even when stressful to communicate. Letting others know can help them and you prepare for the worst and take action if needed. You aren’t alone.

 

Keep Contact information on hand

Pharmacies can help you get emergency medication, but making sure that you have the contact information for your provider, any diagnoses, and dosages of medication are important.  Make sure to let some people in your support system know, and also keep those phone numbers on hand in case if the emergency lines are overloaded.

 

Create a Recovery Bag

If you have extra medications, a comfort item, and anything that you can use to help in the case of an emergency or crisis, put it in a small emergency kit, which you can use if you need to attend hospital or appointments.  Remember, emergency kits aren’t just for physical health aspects, but also for mental health.  You need to make sure you’re prepared both physically and mentally for any issues that might transpire so that you’re not suffering.

Mental health during an emergency often isn’t focused on as much as say other aspects of your health. Depression, anxiety, and even suicidal thoughts don’t always go away, and you need to be prepared for that, and reach out for help so you can recover well.

Creating a plan to try and prevent or reduce this from happening with your medical team will help if a mental health emergency comes about. From there, you can get the help that you need in order to stabilise yourself, look after yourself and recover again.

 

This blog was written by Emily Bartels, freelance writer with an interest in mental health and wellbeing.

What is Stigma? Guest post by Brandon Christensen

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What is Stigma?

Stigma is a mark of disgrace that sets a person apart from others. When a person is labelled by their mental illness they are often no longer seen as an individual, but as part of a stereotyped group. Negative attitudes and beliefs toward this group create prejudice, which can lead to negative actions and discrimination.

The sad truth is that mental illness is widely misunderstood. Those who suffer have been called names, been blamed for their condition, and isolated. Stigma, and the feeling of shame that it brings, often prevents people from seeking help and treatment for their disorder, even when it is desperately needed. It is crucial that all of us in the mental health community raise our voices and fight to eliminate stigma. If you are not sure where to get started, here are some of the best ways you can work towards reducing stigma in your community.

Ways to Reduce Stigma

1. Become educated and teach others about mental health

Educate yourself about mental health needs so that you are best equipped to discuss them openly! By learning the facts instead of the myths, you will be able to educate others. As you learn more, keep an eye out for opportunities to pass on the facts with friends, family members, or coworkers. If you see someone struggling, encourage them to seek the help of a professional therapist.

2. Encourage equality between physical and mental illness

Unfortunately, not everyone sees mental illness as important as it is, which is why it is so widely misunderstood. People would never shame someone who has the flu, so why does this happen with mental illness? Reminding people of the equality between physical and mental illness is a great way to reduce the stigma and find parity of esteem!

3. Show compassion and get involved

Always remember to treat people who have mental health problems with dignity and respect. Think about how you’d like others to act towards you if you were in the same situation. A simple act of asking a friend or family member how they are doing can make their day and remind them that you care. One of the best ways to show compassion within your community is to get involved with a local non-profit organization that’s working on Stigma Free initiatives!

4. Fight stigma when you see it

You probably see and hear stigma in the public more than you realize. Start paying attention to situations that might be perpetuating this. For example, if you see something online or out in your community that sheds negative light on mental illness, take action and say something rather than turning the other way. Make sure your words and language come from a place or caring and concern, rather than confrontation.

It is so important to the mental health community that progress is made in eliminating the stigma that still surrounds something everyone deals with in one way or another – mental health.

By coming together to fight this common cause, we can make a global impact on how disorders are perceived in society. No matter how you contribute to the movement, you can make a difference by following just one of the tips above and committing to live stigma free!

Author Bio

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(image: Brandon Christensen)

Brandon Christensen is a passionate business leader and mental health advocate who is on a mission to leave the world a better place than he found it. Brandon is the co-founder of Modern Therapy, a tele-mental health company. Brandon has been featured as a keynote speaker onmental health topics at colleges like NYU, Skidmore College, and Columbia University. He holds a bachelor’s degree in Business Administration from Ramapo College of New Jersey.

Website: www.moderntherapy.online

Instagram: @moderntherapyonline Facebook: moderntherapyonline Twitter: @_moderntherapy

5 Years, Anxiety and Keeping Well (by Eleanor)

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(image https://mandibelle16.wordpress.com/2016/08/10/poem-free-verse-hope-scarred-amwriting-poetry/:)

Thanks to all who voted for this article on Facebook and who have supported me these past 5 years and beyond. I love you all.

I cannot believe that this year (in March) is 5 years since I was hospitalised as a 25 year old for my bipolar disorder. For those of you who know my story, I became unwell with an episode of severe mania within a number of days, which featured psychosis-losing touch with reality and agitation. Its likely that my old medicines stopped working and I started believing delusions that werent real.

When I was hospitalised, I eventually went to the QE2 hospital in Welwyn, Hertfordshire (which has now been knocked down and now based in Radlett!). The support I had from the psychiatrist, nursing team, OTs, ward manager and all the staff was incredible and they   really believed that I would get well again. I cannot have been easy to deal with, due to the mania and the fact I was pacing around all the time, singing and in my own little world. Their kindness and help really helped me recover properly- as did the visits and love from family and friends.

I spent 4 months as an inpatient at Welwyn and then a further 4 months in outpatient treatment at a Day Hospital unit in Watford. The day hospital was very beneficial to me and helped me to start on my new medication and process all that had happened. I had help from a very special care coordinator and support worker once I had been discharged from day hospital. My care coordinator helped me so much and was so kind and caring.

Recovery is never linear and its something I have to work at every single day. There will always be life stresses that can trigger my anxiety and depression (and potentially a lesser manic episode, although the mania hasn’t happened yet thank g-d). I still struggle with my anxiety disorder and panic attacks in the mornings sometimes. I believe this is as a result of all the trauma that is involved with being sectioned, being an inpatient and having to rebuild my life after. I had social anxiety anyway, as part of the depressive part of the bipolar, but I still believe that even though I have had talking therapy, that my brain is still processing the trauma. Mental health wards are not fun places to live, as you can imagine and despite the staff trying to make it as calm as possible.

I will get triggered with my panic by certain things- like social events or job interviews and I may not always know fully why- it could be subconscious, or I realise it after. I am still rebuilding my self esteem and the love for myself. Anyone who goes through a severe episode of mental illness will tell you that its hard to separate the illness from yourself. Bipolar from Eleanor.

I have incredible friends, my fiance and family who can separate it. Yet, there are times where we all don’t feel good enough. Where  we want to hide even though we are capable of more than we know.

So in these 5 years I have been learning to love me, to think and act on hope, recovery and the future. I have learnt to build self care tools and relaxation into my days if I feel overwhelmed or to stop me from getting too stressed. I have been blessed to have found my life partner and developed my career- although my illness has put my career on hold many times and I have had to reinvent myself. However, I am starting slowly to find the light in the dark.

This is where the phrase ‘Be Ur Own Light’ comes from- to find the inner strength to carry on.

There have been many times when I have wanted to give up. Where I have been hurting and have felt inadequate. When I felt no one would want to date me  or that I wasn’t good enough for a career. Because how could I tell people what had happened to me without them thinking I was a ‘fruitloop’? That was my logic.

Thats why I started to write. I write to heal. I write to explain, educate and battle stigma. I write to make sense of my own mind. I write as a job but also to make a difference in the world and I hope I will do that through my book and blogs/ articles.

In the past 5 years, aside from work and my mental health advocacy, I have been travelling again which always brings me joy. I have been to Rome (Italy) , Prague (Czech Republic), Madeira (with Charlotte), Israel (with Rob), Portugal and Romania. I have stayed at my Dads and explored the Cotswolds and gone on holiday to the beach at Broadstairs with Anna and family. I have seen theatre shows, amazing movies and read some fantastic books. I have found a life partner. I have secured a book deal, volunteered for Jami to launch their mental health shabbat, worked with the Judith Trust and my blog is growing. Being published in Glamour, Metro, Happiful, the Telegraph and the Jewish News were major highlights and finding an incredibly supportive community on Twitter too.

Life is not all hard and sad. Yes, there are times when I have found it a nightmare with my anxiety disorder. I am 100% still a work in progress- recovery isnt easy.

I have had to work on my self esteem in therapy. I have had 6 months of psychodynamic therapy. I read self help books. I should exercise and go out more (working on this).

But:

I am not severely depressed or manic. I can hold down part time work, often from home. These 5 years have taught me that I may always have some degree of anxiety- particularly about past events which effect how I react currently. I need to learn how to heal from this and I hope in time I will.

If you had told me 5 years ago I would be writing a book of my life story and been published in national newspapers I would have laughed at you. I am getting married in July and I can’t wait (and also would have probably laughed at you too).

Anxiety is horrible by the way. Your heart races, you get flooded with adrenaline, you fixate on the fear and want it to go away. You feel sweaty and clammy and you may shake. You need to rush to the toilet. It stops you from sleeping. It stops you from living your best life. So I don’t want to trivialise it here. Its a struggle at times and its disruptive to life.

The pain of anxiety, depression and bipolar is matched by my hope and my belief that I will still achieve despite it. Yes there will be difficulties and bumps along the way, but today I am choosing to look towards the sun. 

          

Do I need Outpatient or Inpatient Treatment for Addiction? Guest post by Alek Sabin

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If you are struggling with addiction, or have a loved who deals with substance abuse, making the decision to seek treatment can be the most empowering decision you make in your life or theirs. Failing to do so can lead to lives and families being torn apart, and even runs the risk of an overdose. Of course, there are a variety of treatment options available, and many who are considering seeking treatment wonder whether outpatient or inpatient treatment is better suited for them. Here is a look at the key differences between outpatient and inpatient treatment.

Outpatient Treatment

This article here does a very good job at describing how well outpatient addiction recovery treatment works. Basically, outpatient treatment is an option that allows individuals to receive treatment that is less intensive than inpatient treatment. It is well suited for individuals who are seeking comprehensive treatment for alcohol or drug addiction, who need more support than weekly counseling but less support than inpatient treatment, and/or who have completed an inpatient programme and need continued support in recovery.

 

How Outpatient Works

Outpatient treatment typically draws on a variety of approaches in order to offer recovering addicts the healing they need. A comprehensive outpatient treatment might involve individual therapy, group therapy, education, and relapse prevention training. Recovering addicts will also explore a variety of therapy approaches, including cognitive behavioral therapy, motivational interviewing, and recreational therapy.

 

Benefits of Outpatient Treatment

Outpatient treatment can offer several benefits. For starters, individuals can receive treatment while protecting certain aspects of their current lifestyle, such as a job, education, or family responsibilities. Outpatient treatment also tends to be more affordable than inpatient treatment since you are not paying for room and board. It can also grant you more access to your family and friends, who might serve as a valuable source of support as you navigate recovery.

 

Different Levels of Treatment

Every outpatient program is different, and there are various types of outpatient programs, each offering a specific level of support. Three of the most common types of outpatient treatment are partial hospitalisation (day treatment), intensive outpatient treatment, and general outpatient treatment.

Partial hospitalisation, or day treatment, is a more intensive form of outpatient treatment that allows individuals to meet for to five days a week for several hours each day in order to receive intensive treatment. Intensive outpatient treatment is somewhat less intensive, and it is primarily for individuals who need an organized treatment program but who can navigate recovery in the course of their everyday activities. General outpatient treatment, meanwhile, is for individuals who require moderate support in order to achieve sobriety.

 

Inpatient treatment

Inpatient treatment, also known as residential treatment, involves the same treatment techniques as outpatient treatment, but it is more intensive because you typically check into a facility and live there throughout the duration of your program.

 

How Inpatient Works

Inpatient treatment draws on the same individual therapy, group therapy, and educational approaches as outpatient treatment, but it can include some more intensive techniques as well. Many recovering addicts seeking inpatient treatment, for example, will first undergo a medically assisted detoxification process in order to manage withdrawal symptoms. Inpatient treatment also involves around-the-clock care, which may be necessary for individuals who are recovering from abuse, trauma, or a co-existing mental disorder.

 

Benefits of Inpatient Treatment

Inpatient treatment can also offer several unique benefits. First, it gives recovering addicts the opportunity to focus on their recovery, without the distractions of everyday life. In addition, since individuals live within the care facility, there is no access to drugs or alcohol, reducing the chances of relapse significantly. Because it is a live-in facility, there may also be more specialized services available, such as a gym facility, yoga classes, acupuncture, or nutritional education.

 

One potential drawback to inpatient care is that it can limit your access to support from family and friends. For this reason, many inpatient programs include a specialized family program where family members can participate in the recovery of their loved ones—all while receiving the healing they need as well.

 

So What Is Right for You?

If you are seeking treatment for an alcohol or drug addiction, it’s important to consider not only the level of care that you need, but also those factors that might try to draw you away from your recovery. If you are living in an environment that is not conducive to a successful recovery, for example, then inpatient treatment may be the option for you, even if you think you may not require that level of care. When in doubt, you should always consult an addiction recovery facility. Many offer free assessments to help match you with the precise level of care that you need.

Please note: each country will have its own differing treatments and care.