How to Manage Bipolar Disorder in the Workplace: Guest blog by Ralph Macey

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(image: bphope.com)

People with bipolar disorder face a major problem in maintaining a good job performance at work due to frequent mood shifts (from high moods to extremely low moods). High moods are characterised by mania and hypomania. On the other hand, low moods are characterised by depression. These mood shifts create several types of challenges in the social, professional, and personal life of the people.

Bipolar disorder can make it very difficult for a person to get or keep a job especially if the symptoms are hampering day-to-day functioning, and if they also have anxiety.

In a recent survey, it has been found that 88% of the individuals with bipolar disorder face problems in maintaining a decent work performance. Around 58% of the people have stopped working altogether.

It’s a fact that bipolar disorder brings many challenges that can hamper work productivity. However, qualified psychiatrists specialising in bipolar disorder say that it’s possible to get and maintain a job while having a bipolar disorder by following a few tips. Let’s talk about them today.

 

How to get and maintain a job with bipolar disorder

1. Don’t volunteer to disclose your medical information to the employer during the interview. Employers have full right to decide if you can do the job properly. But they can’t ask confidential questions to you.

2. As per the Americans with Disabilities Act, (and other disability legislation around the world like her in the UK), employers can’t force you to give a medical exam or check your medical records. They also can’t ask you questions regarding your medical history. Moreover, this Act forbids any kind of discrimination on the basis of perceived or actual disability. So it’s better you read the rules and regulations of this Act before going for a job interview.

3. Try to avoid talking about your past. Instead, talk about your current capability of doing a job properly.

4. Ask about health insurance after getting a job. Just review the benefits information before accepting the job officially.

5. If your mental illness becomes an issue for the employer once in the job, then bring a letter from your psychiatrist that gives a general outline of the treatment you’re undergoing. Request that the psychiatrist issues a letter where it’s clearly written how much you can cope with at work. You can read the letter before giving it to the employer. 

How to keep a job with bipolar disorder

It’s a myth that you can’t be successful at work with a bipolar disorder. There are several things you can do to control your mood swings and manage your work. Let’s talk about them in detail now.

1. Take medicines as instructed: Even if you’re extremely productive during a manic high, don’t skip your medicines. That is not advisable as you can become unwell too with your mania.  Don’t stop taking medicines even when you feel well for several months. Remember, medicines keep all your symptoms under control. When you stop taking medicines, your symptoms can reappear and aggravate your mental illness.

Bipolar disorder medications have some side effects. Some medications cause drowsiness. This makes it quite difficult to focus on work. Speak to a psychiatrist specialising in bipolar disorder about this issue if you feel too sleepy at work. Ask if you can change the time you take the medication. Learn about the various strategies to combat drowsiness so that you can give your 100% at work.

2. Relax a little bit: Take short breaks between work regularly. Take a short walk during the lunch break. Listen to music that uplifts your mood. Take deep breathing. All these things help you to relax, especially if you are low or have anxiety .

3. Lead a healthy lifestyle: Exercise regularly to keep your mind and body fit. Eat healthy and nutritious food. Have adequate sleep at night. If possible, try to sleep for 8-12 hours at home. Try to avoid eating unhealthy food. A healthy lifestyle can help you manage bipolar disorder both at home and work, by making you feel at your best.

4. Organise your tasks:   Bipolar can at times interfere with work functioning.This means your mind may not cooperate with you on a regular basis. Try to organise your tasks. I

Create a ‘to-do’ list on the Google calendar and check if each task has been completed. Whenever you fail to finish a particular task on a specific date, move it to the next date on the calendar. This way you’ll remember about the unfinished task. Divide big projects into small tasks. It will be easier for you to manage them.

If you are struggling, you can speak to your work HR if they are understanding.

 

Should you inform your employer? The eternal dilemma

Let’s accept it. There is a social stigma attached to mental health, however many employers are becoming more understanding and the stigma is lessening. Your medical information is something confidential and private. Obviously, you may not want to share it with everyone. You don’t need to talk about your mental health openly at work if you don’t want.

However, if your boss or line manager is cooperative and a good human being, then you can have a conversation with him or her. When you need to take leave for doctor appointments, your boss will understand and give you a day off without issue.

 

Conclusion

Don’t panic. Don’t feel that you’re less than anyone because of your bipolar. Your mental disorder doesn’t define you. Your work is not the only thing you have in your life. Spend quality time with your friends and family and volunteer to help others.

If you have a good conversation with your employers and/or your doctor/ occupational health, you may be able to manage at work.

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Suicide Prevention on Social media: Guest post by Dan Brown at MyTherapy for World Mental Health Day

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I recall reading a story last year about two teenage students from a town in Denver, both of whom lost their lives to suicide within two days of one-another.

In both cases, the students had made their intentions known on social media.

Countless similar stories can be found online. In many cases, such as the one above, people did attempt to reach out to those in need. In other cases, online cries for help were ignored or not taken seriously.

Teen Suicide Rates are Rising

Between 2010 and 2017, the number of teenage suicides in England and Wales increased by 67%.

In London, the figure is rising at an even greater rate, while a similar trend is occurring on the other side of the Atlantic, with the suicide rate of children and teenagers between 10 and 17 years old increasing by 70% in a decade since 2006.

The Role of Social Media in Suicide Prevention

While many believe social media is at least partially responsible for the rising rates of teenage suicides – due to matter such as cyber-bullying – it can be used as an effective tool for suicide prevention. This goes for any user of social media, not just teenagers.

The major platforms themselves are actively engaged in suicide prevention, but much of the onus is on individuals to respond should they encounter a post pertaining to suicide from a friend, family member, or anybody else.

Contacting the Emergency Services

First-and-foremost, you should not hesitate in contacting the emergency services if you believe someone’s life is in imminent danger. Any indications that someone is preparing to take their own life should be treated as a medical emergency. If need-be, contact closer friends or relatives of the person in question as well, to ensure help can arrive as quickly as possible.

In such situations, particularly if the person has made their intentions clear, the danger is obvious.

However, it is not always so easy to spot when a person needs help, or to differentiate between someone simply ‘venting’ after having a bad day and a more serious mental health issue.

The Warning Signs

Spotting the signs that a person may be contemplated suicide based on their social media activity can be difficult, given the absence of body language or tone of voice in many posts, especially those that are purely text rather than photos or videos.

However, there are some warning signs you can look out for.

  • Tone
    While tone of voice by not be present in a lot of social media posts, you will probably be familiar with the tone your friends and family members take on social media. A negative change in tone may be subtle or happen gradually over time, but it should not be overlooked. If you start to notice more posts that strike you as odd or out-of-character, it could be that person’s way of expressing negative emotions.
  • Signs of Anger or Lashing Out
    “Anger turned inward” is how Sigmund Freud described depression, a characterisation that is debated to this day. What seems beyond debate is that anger often coexists with depression, and that it can be outward as well as inward. Therefore, if you see someone reacting angrily or lashing out online, it could suggest they are struggling mentally. Again, this should be particularly alarming if it is out-of-character for that person.
  • Sad Posts
    Of course, sadness is the most obvious emotion to link with depression. When it comes to social media, this could be shown in sharing sad memes and pictures, or posts discrediting their own self-worth. Frequent posts of this nature could be a cry for help and should not be ignored.

 

It is also worth paying attention to the time of day the person is posting, as insomnia is a common symptom of depression. As such, regular posts late at night or in the early hours may be another warning sign.

Reaching Out to Someone You Are Concerned About

If you are concerned about someone’s wellbeing, raising your concerns with them is usually far from easy and must be done sensitively. However, many people struggle to talk about their mental wellbeing, be it through embarrassment, fear of ridicule, or any other reason perpetuated by the stigma surrounding the topic.

If you are the one to raise the issue, it can help break that barrier immediately.

There is also the myth that talking about suicide is a bad idea and could encourage a person to take their own life, which has contributed in making suicide taboo subject. Again, being the one to raise the topic, if appropriate, can help make a person feel more comfortable in discussing their concerns.

This article from Helpguide.org does a superb job of explaining the steps you can take in opening the dialogue.

Contacting Someone Closer to the Person

You do not have to be a close friend or family member to raise your concerns with a person. Given that we are discussing social media, you can even be the other side of the world.

However, you may ultimately decide that you are not the best person to speak directly to the individual you are concerned about.

That, however, does not mean you are unable to help.

Contacting someone closer to them – either physically or emotionally – clearly and considerately explaining why you are concerned, may encourage that person to bring the issue up. Perhaps they too have noticed the signs but were unsure whether to address them. Your message could be the push they need to do so.

You Can Help a Person in Need

It is quite likely that nothing in this article is new or surprising to you. However, many cries for help on social media go ignored. In the most tragic of cases, lives are needlessly lost. So, if you do find yourself in a situation where a friend or loved one is using social media in such a way, just remember: you can be the one to help. You may even save a life.

 

This article was contributed by Dan Brown from MyTherapy (free for iOS and Android).

On Complex PTSD and my recovery: Guest post by Lydia for World Mental Health Day

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Hi there, I’m Lydia a 20-year-old youtuber and film maker, I’ve been battling my mental health conditions for a little over five years. This article is about C-PTSD (Complex Post Traumatic Stress Disorder) and how I’ve found recovery, but first, what is C-PTSD?

C-PTSD, is a type of post-traumatic stress disorder that stems from repetitive exposure to a traumatic experience, it is also commonly diagnosed alongside BPD (borderline personality disorder), I was diagnosed with C-PTSD around 3 years ago after witnessing a suicide and multiple suicide attempts, without going into too much detail it was really hard, and has taken me until this year (2018) to even begin to process what happened.

So, let’s talk about recovery, there a massive misconception that it isn’t possible to recover from any type of PTSD, however it totally is possible to  find recovery. My recovery really got started this year when I made the decision to privately access EMDR (Eye Movement Desensitization and Reprocessing) which was without question the most beneficial type of therapy I’ve tried.

Following this there was a major incident in which my mental stability declined rapidly I was subsequently detained in a psychiatric hospital for a little under a month, following my release, I decided to take control of my mental health and help myself.

The first thing I did to help myself was cut off from everybody negative, which I realised I had to do, because I really was at a point where I could have reached crisis point if things didn’t change. I moved from one end of the country to the other, I blocked everybody’s number, Facebook and Twitter, it was a drastic move but so important and to anybody who struggling with their mental health I’d wholeheartedly recommend doing this, just cut yourself off from everybody negative, you don’t have to justify it, your health and welfare should be the most important thing in your life.

The next thing I did was go to my GP and re-start my medication. Sometimes you just need an extra push, psychiatric medication can’t change your life circumstances, but it can help you heal. This was a pretty big decision but it was one I needed to make.

The final thing I did was to take a break and find a hobby.  I went on holiday with my family, I started creating more positive content on YouTube while also documenting my recovery which has been one of the most helpful things I’ve done/ This is because I’m a part of a really supportive community on YouTube, and just reading comments like “you gave me hope” means so much.

The big move I made this year was to write and release my own book on the journey I’ve been on, and I wouldn’t change it because it’s made me who I am today.

After a few years of complete hell, I’ve turned my life around and I’m certainly in a much more positive place, things change and life changes for the better. My overall message for you all would be to never lose hope, just hold on because if you put in the time and work things will change, however don’t expect people to change things for you. Hold on and find recovery.

 

Lydia is a youtuber and film maker, talking about her mental health. You can see her channels here:

www.youtube.com/lydiisadinosaur

www.twitter.com/Lifewithlydia

 

The secret is out: I’m writing a book and am going to be an Author!

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I can’t fully believe that I am typing this as its a dream I have had for my entire life. I had been asking God for this to happen when I was ready and for me to be able to write to share and help others.

At my lowest ebb, I dreamt that if I survived the depression and mania that I would like to help others in similar places. Writing has become my therapy and I hope it helps others too.

So… the secret is out…

I am going to be an author and my life story with bipolar disorder and anxiety and how I have overcome adversity will be told in a book written by me for Trigger Publishing.

Trigger ‘the voice of mental health’ are an independent publisher whose work I have followed for some time now,. They are the publishing arm of mental health charity The Shaw Mind Foundation.

In 2016, The Shaw Mind Foundation set up Trigger, a global trade publishing house devoted to opening conversations about mental health. They say ‘We tell the stories of people who have suffered from mental illnesses and recovered, so that others may learn from them.’

In order to get my book published, I had to write three chapters and work with an editorial team. I had admired many of their books, especially those by Hope Virgo, Karen Manton and Terri Cox about their lives with mental illnesses and how they overcame them. I knew Trigger was the right place to share my story of recovery.

My book may not be out til late 2019/ early 2020 but I will keep you all updated. The title will also be revealed at a later stage.

With thanks to the incredible people at Trigger: Stephanie, Katie and James for believing in me and for Hannah for all your help!

Now I just have to get writing! I will write further blogs (or share vlogs) to update on how writing is going.

Love,
Eleanor x

Guest Post: Learn How to cope with Postpartum Depression by Kayla Clough at ourstart.com

After having a baby, there are many women who find themselves suffering from postpartum depression. Postpartum depression can cause feelings of sadness, lethargy, anxiety, and hopelessness. It’s important to do everything that you can to treat the symptoms of postpartum depression as much as you can so that you can build an amazing bond with your baby and rest assured that you are being the best mother that you can possibly be. The following guide walks you through a few ways you can handle postpartum depression effectively.

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(image: Kayla Clough)

Talk About the Way That You Are Feeling

There are many women who feel ashamed of the way that they are feeling and try to hide it from their friends and family. This is not a good idea because it can lead to isolation and cause the sadness and feelings of hopelessness to become exasperated. It’s best to be upfront and honest with your friends and family about the way that you are feeling so that they can help you battle the feelings as much as possible.

 

Take a Break from Time to Time

Being a new mother can be overwhelming. There is so much to do, and it often feels as though everything you do is not good enough. Take a break from time to time to unwind and allow your emotions to reset. Taking a long bath or simply enjoying a cup of tea alone on the porch while reading a great book can help you to be able to feel less anxious and allow your body and mind time to relax so that you can go back to caring for your baby with less stress.

 

Get Plenty of Sleep

When you are not getting enough sleep, it can be hard to regulate your emotions. It’s best to get as much sleep as you can when you have a little one. Take naps when they take naps and realize that the house, laundry, and the dishes can all be taken care of during the day. You can lay your baby down next to while you fold clothes or carry them against your chest in a carrier while you wash dishes or clean the house.

 

Get Up and Move

After having a baby many women feel lethargic and do not realize that they need to get up and move around to make themselves feel better. Getting regular exercise has been shown to lift moods and can help you to lose some of the weight that you may have put on during your pregnancy. It’s important to realize that the better you feel about yourself, the better mother you can be with your little one.

 

Don’t Be Afraid to Get Professional Help

There are times when overcoming postpartum depression on your own is too difficult to do. You can seek professional help from a psychiatrist to get advice and medication to help treat the symptoms that you are experiencing. Being able to be less stressed, anxious, and sad can help you to be able to live a more fulfilling life.

Postpartum depression does usually go away over time. If you have suffered from postpartum depression before, there is a good chance that you will suffer from it with future pregnancies. Be sure to properly prepare for the situation so that you can treat it from the start so that you do not have to suffer from the feelings associated with postpartum depression for any longer than you have to.

 

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Kayla Clough is the email specialist at OurStart. Kayla is a recent graduate of Eastern University in PA, USA where she majored in Marketing and Human Resources. Kayla loves all things fashion, her golden retriever Max, and coffee. When she is not working, you can find her binge watching Sex in the City and baking her latest find on Pinterest.

Facebook: https://www.facebook.com/OurStart

Blog: https://ourstart.com/

We are 2 Years Old! Blog Anniversary of Be Ur Own Light!

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(image: Michelle Leigh writes)

Wow! I can’t believe that Be Ur Own Light has turned 2 years old! We celebrated our second blogiversary on 1st March so I am a few days late but it doesn’t matter.

This blog has provided me with so many amazing opportunities so far. I have met more and more people who are like minded and want to speak about their own mental health to battle stigma. I have met some incredible people online too and such wonderful contributors. I love also finding and telling untold stories.

The blog  has really grown this year into a good mental health resource. We have had lots of contributors which has been fab. I (Eleanor, founder of blog) have also started a new career as a mental health writer and journalist. That is largely down to the success of the blog and I have truly found a niche. Be Ur Own Light is also a shortlisted finalist in the Health and Social care individual category of the UK Blog Awards 2018! Thank you for all your support of the blog and what we do.

I have written this year for Metro.co.uk, Glamour Magazine (online), No Panic, Happiful Magazine and Happiful.com, Counselling Directory, Mind, SANE, Time to Change, STOP Suicide,  Jewish News, Equilibrium Magazine, World Union of Jewish Students,
and been featured in Cosmopolitan UK, Elle UK and Prima.

Thank you to all these amazing people who have provided guest blogs this year. I have been humbled to work with experts and people with lived experience, to provide information and tell others stories to help end the stigma and provide a resource on mental health.

So thank you to these guest bloggers who gave me such wonderful content. There is more to come. This year March 2017-18 thanks to:

Hannah Brown- Recovery from Anorexia
Time With-  Therapy queries
Charlotte Underwood- Recovery from depression/ suicide
Trysh Sutton- Pure Path Essential Oils

Ariel Taylor- Trichotillomania guide
Jon Manning- Mental health in schools
Channel 4 and Lloyds Bank- Get the Inside Out campaign
Stephen Galloway- Inspirational lyrics
Eugene Farell AXA PPP- Loneliness tips
Peter Lang- PTSD and recovery
Kaitlyn W- Light beyond self harm
Jess Harris- Organ donation
Sam- Recovery from bipolar disorder
Ryan Jackson- Reasons for drug and alcohol addiction stigma
Redfin.com- Seasonal Affective disorder
United Mind Laughter Yoga- Job and wellbeing
Christina Hendricks- on PTSD
Reviews Bee- Child Mental Health
Consumer Money Worries- Mental Health and money
Stephen Smith- OCD and nOCD app
Arslan Butt- University students and mental illness
Tony Weekes- Unity MHS
Ellie Miles- Fighting Health Anxiety
Hope Virgo- Anorexia and recovery
Ann Heathcote- Government and mental health
Jasmine Burns- Strategies to help Binge eating
Bill Weiss- Surviving Opiate withdrawal
Jessica Flores- Bipolar 2 – depression
Jay Pigmintiello- Mindfulness and Meditation
David Baum- 365 Challenge for PTSD awareness
Karen- Mental health professional with anxiety
Dr Stacey Leibowitz Levy- CBT
Lucy Boyle- Burnout Syndrome
Diamond G Health Informer- Technology and mental health
Juno Medical- Anxiety Disorders

Thank you to everyone! This year we aim to cover even more mental health issues and disorders in our quest to provide information and be a home for all.

This year I have also written personal posts about my fight with my anxiety disorder, bipolar disorder, mental health and dating, mental health and weight gain, NHS waiting lists and therapy,  book reviews for Trigger Press for Hope Virgo and Karen Mantons books, Workplace and mental health stigma, Reading as therapy and more! Time to Talk Day and Eating Disorder Awareness Week marked and many conversations had eg stigma about psychiatric medication.

We have won various awards from other bloggers- Liebster, Sunshine, Mystery and Top 30 social anxiety blog and Top 100 bipolar blog from Feedspot.com.

I am so excited that we have over 4,000 followers on Twitter, almost 600 on WordPress, over 2000 on Instagram and of course my loyal Facebook followers too.

Thank you friends and supporters! Heres to a great year talking about all things mental health and normalising it to all.

Eleanor x

Extract from Cosmopolitan UK Article by Olivia Blair on Anti Depressants- featuring our founder Eleanor

I was so excited to be featured in Olivia Blair’s article for Cosmopolitan UK on anti depressants- 6 women share what its really like to be on Anti depressants.

I am so thrilled to be in this article with 4 other brave women. My first time in Cosmo! Thank you Olivia.

Below is my part of the article but please click here to read the others experiences too:  https://www.cosmopolitan.com/uk/body/health/a18720313/women-on-antidepressants-working/

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(image: Getty Images/ Cosmopolitan)

I become suicidal when depressed, it’s vital I take medication for my health”

Eleanor Segall, 29, mental health blogger

“I started taking antidepressants when I was 15 after an acute depressive episode where I had to take time off school. A year later I was diagnosed with bipolar disorder and was hospitalised so I was prescribed a mood stabiliser as well to keep me on an even keel.

I was concerned about some of the side effects but the positives for my mind and brain chemistry outweighed the negatives. Over the years, I have been on different antidepressants including fluoxetine, duloxetine and now sertraline. I also continue to have psychodynamic therapy and have tried CBT, art therapy and meditation.

There is a big stigma around anti depressants, particularly against bipolar and other chronic conditions. But I think this new study offers proof that, for some of us, they are vital.”

Dispelling the Online stigma: Twitter, Antidepressants and #MedsWorkedforMe

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(image: amyransom.com)

I wasnt going to write a blog on this because it might feed the Twitter trolls. But I have decided that its really important that I speak out about whats been going on this week on there, in realm of mental health on social media. Theres been a lot of stigma against medication as well as much support for it.

This week, a study by Oxford University and published in the psychology medical journal the Lancet, found that anti depressants work and are effective in a large number of cases. It was hailed as the first major study to prove this. Some medications were found to be more effective than others, but it provided a fantastic proof- that anti depressant medications do help relieve depression in many cases. They are not just a placebo pill.

However, of course, there are a large number of people who have had bad experiences with anti depressants and want to make their voices heard- yet often at the expense of those of us who it works for.

On Twitter, using the trending hasthtag #antidepressants and #medsworkedforme, I shared that anti depressants coupled with my mood stabilisers, have very much helped my bipolar disorder. My brain chemistry and illness is such that unmedicated I can have episodes of suicidal depression, psychosis and mania. My medication keeps my moods balanced and well, so I can function and live a normal life. I have been on anti depressants for almost 15 years now. I have been on fluoxetine, duloxetine and now sertraline.

The only bad experience I ever had with them is when my previous mood stabiliser stopped working and due to an increased dose of duloxetine to relieve my depression (which it did), I tipped over into a fast and unpredictable manic episode. This is the risk that those of us with bipolar run.

Yet, by and large my experiences with meds have been hugely positive. They keep me stable and well.

Unfortunately, on Twitter, I got trolled for the first time by people sharing the following ‘helpful’ opinions (they were not helpful and highly stigmatised):

1) You should reduce your sugar intake as sugar causes highs and lows and is addictive as cocaine. If you reduce your sugar, your bipolar will improve.

(To this I had to reiterate that no medication and less sugar will make my illness worse… and that excess sugar does not cause bipolar 1 disorder.. i.e. it does not have that impact on my mood swings.. bipolar is a real illness in the brain. Reducing sugar may help with overall health but seriously you are going to tell me this?)

2) Others asked what alternative therapies I had tried- eg exercise instead of medication. I reiterated the above re psychosis and suicidal ideation. Which unfortunately cant be treated with exercise alone.

3) People shared their own stories eg the man who had multiple severe illnesses and takes no medication because ‘it shortens life span’ and its a medical fact apparently that these medications cause psychosis. (Some psychiatric meds cause side effects but psychosis- really? Also why would you tell me it will shorten my life?)

There was a lot of what I would call militant stigma against medication, either by people who fear it or have experienced negative effects.

While medication is not for everyone, we shouldn’t be shaming people for taking it. I shouldn’t be shamed for keeping my brain healthy and well through taking meds. And neither should any of you.

Make sure you fight this stigma (and the block button is always useful).

Love,

Eleanor