When you’ve developed an addiction to a specific drug or substance, it takes a lot of work to break that addiction. While there are those out there who can use a “cold turkey” approach to addiction, most people have to put in a significant amount of work in order to even begin experiencing healing.
Thankfully, that work comes with tools that can serve people in other areas of their lives. If you’ve been suffering from a substance abuse problem, consider some of the incredible tools that go into helping a person experience a better life.
Replacement Methods
While the cold turkey method works for some people, it oftendoesn’t work for the rest because they’ll simply hit a point where they either relapse or replace it with something just as harmful. For example, there are people who were able to break a drug habit but the replacement was that they started to overeat instead. Overeating is harmful in its own way as it can lead to different health problems such as obesity and chronic diseases. When you get professional treatments, you’re able to learn how to break a bad addiction and replace it with constructive hobbies and habits.
Professional Therapy
One of the worst things you can do is try to turn a friend or family member into your personal therapist. Their logic is only going to get you so far when you’re trying to beat an addiction. When you’re committed to getting professionalsubstance abuse treatment, you’ll be able to sit and talk with therapists. When a professional has a specialization in treatment for substance abuse, they’re able to recognize signs and symptoms that need to be addressed in order to gain a better approach to your healing journey, along with an insight into methods that are more likely to help you cope with things like detox, cravings, and the specific stressors or triggers that turned you towards drugs in the first place.
Self-Awareness
Self-awareness is so important for each person to have. When you’re aware of yourself, you’ll be able to recognize how much you can handle something. You’ll be able to recognize where you need to course-correct. When you’re working through an addiction treatment program, self-awareness development is an incredible tool because it shows you what needs healing, how you’ve coped with trauma, and more. When you’re aware of yourself, you’ll position yourself to make better choices.
You’ll have to maintain a level of self-discipline that most don’t really want to exert. Think about the millions of people who lose weight. When you’re overweight and stuck on a plateau, weight loss seems impossible. However, if you look at the many testimonials and people who’ve lost weight, you know that it is possible. Use this same logic for your journey through a substance abuse addiction. It is more than possible. Look for examples of people who fought their addiction and won. Use their stories as tools to help you keep going. With this goal, you can dedicate your time to the process, use these tools, and experience a better life. Be kind to yourself and keep going! This article was written by Kara Masterson.
Yesterday was the first NHS meeting with the Perinatal (pre conception/birth) Psychiatrist. I didn’t know what to expect from it, though a few weeks ago I had the non NHS meeting with a very good consultant psychiatrist. They were both lovely women who are very good at their jobs- I had had to initially try for a private referral due to NHS waiting lists, but then managed to get an NHS appointment.
I was a bit nervous to see how the NHS would handle it, as they will be who I have care with going forward, so I was pleasantly surprised to be treated with respect and insight and kindness. I know that sounds weird, but those of you who know what my hospital admission in 2014 was like, will know that it wasn’t all plain sailing. Due to lack of insight, decisions happened about me and not always with me and so to feel empowered for me and my husband is very important.
Essentially these meetings now I have been well for a long time, are to plan ahead and discuss psychiatric history, what medications are needed, how it can be managed and what this would mean for a foetus and baby too. Birth carries a strong risk of relapse with the bipolar disorder, including the risk of psychosis and depression and so medication particularly for me needs to be planned carefully. I will need to be monitored once pregnant.
I am on 3 different types of psychiatric medication and also a contraceptive pill. Before we start trying to have children, I will need to have a time of withdrawal from the pill, which could send my hormones all over the place (i used to have PMDD symptoms where I felt very depressed and suicidal on periods so this is a slight concern). Then I may need to taper down one of my medicines (possibly sertraline) with the assistance of the mental health team, to reduce the effect on a baby. As baby will have a time of withdrawal from medications after birth while in hospital- which scares me too that they will be affected temporarily so want to make sure any baby is safe, as do the team I will work with.
The Dr also mentioned I would need to be in hospital for 5 days after birth so my Lithium level can be monitored (too high it can be toxic to humans) and I will need regular blood tests also- which are a source of anxiety, I hate hospitals due to past trauma. There was also a mention of needing to stop Lithium pre Labour and my Lithium levels as a result being quite high from birth too. So this information is good, knowledge is power but its also a bit terrifying to factor this all in.
I am scared but its also…. exciting in a weird way. Despite not yet trying to fall pregnant for a number of reasons so far- (which include possible bipolar relapse and changing meds/ time frames and starting a new job role), I have wanted to be a mother my whole life and I have more challenges than most due to the psychiatric and hormonal changes and how the baby would be. I question whether I am doing the right thing too by trying for a natural pregnancy in future and thats really hard. But egg harvesting and surrogacy is not easy either.. and its like going between a rock and a hard place at times with the best thing to do.
The doctors also mentioned I should visit a mother and baby hospital unit during my pregnancy to see what its like and what support is given- as my worries about it being like a severe psychiatric ward are high. Apparently, its a much calmer, supportive and therapeutic environment. I don’t want to be in hospital but these are the types of things one has to factor in with the bipolar being biological with mood changes.
Rob is endlessly supportive – we are embarking on a somewhat unknown journey – but are now armed with way more information from both psychiatrists and are very thankful to live in the UK.
So, this will be the last update from me on this for a while but knowledge truly is power and I know that with the help of our healthcare system- mental health teams and perinatal psychiatry/ obstetrics, my family, medication, self care etc I should be safeguarded and cared for well.
When the time is right, we pray our miracle will manifest.
Thanks for reading,
Eleanor x
PS shout out to my parents, Rob and family for their constant support.
Fashion is a powerful force. It has the ability to make people feel confident, empowered, or at its worst horrible about themselves. It can have a positive impact on mental health and self-esteem if you find something pieces that make you feel good about yourselves. On the other hand, fashion can also have a negative impact on self-esteem and mental health if you’re constantly exposed to images and messages that make you feel inferior or unhappy with who you are. Especially with the inward turn of the pandemic, its hard for people to feel happy and confident about themselves.
The Psychology of Fashion
Fashion is a multi-billion-dollar industry and a big part of many people’s daily lives. It’s a subculture that’s easy to invest in. And, like any other trend, fashion comes and goes, so you’re always in control of how much you invest in it. The psychology of fashion reveals the different aspects of how fashion impacts people’s self-esteem. From the way people perceive others based on the way they’re dressed, to how people present themselves to the world by choosing outfits, fashion has a strong psychological effect on everyone.
Body Image
Our bodies are such an important part of life, and it’s normal to have some insecurities about them. Still, as you grow older, many people struggle with body dysmorphia or an unhealthy obsession with one’s appearance. Constant exposure to images of other people’s bodies that are unrealistic and unattainable can be harmful to your self-esteem, especially in young people who are still forming their self-image. This can lead to eating disorders, body dysmorphia, low self esteem and depression and anxiety. Looking at images of gorgeous models wearing clothes you can’t afford or fit in can makes you feel left out or confused. It’s fun to keep up with trends, but try to avoid getting stuck in a rut of hype culture.
(image: Hannah Morgan at Unsplash)
So what should I do?
You can’t ignore fashion and societal trends- but it’s important to not let fashion (or what is popular to wear) become something that defines who you are. It’s a fun accessory, something you should do for enjoyment, creativity, and confidence. For people who have found themselves struggling with their mental health due to the psychological effects on body image, it’s important to seek help. Talk to your friends and family members, or seek professional help if you need it. There are many ways to find happiness in style- whether you’re into vintage clothing, a specific designer, or a particular style like athleisure. You can read blogs with good recommendations, and wear things that you love, like that pair of perfect trainers or Men’s Off-White Hoodies. There’s something for everyone, and it’s important to have fun with it!
Fashion and societal expectations of how one should look can have a big impact on mental health, so it’s important to be mindful of it. It is also hard to be bombarded with negative messages on body image via social media. The body positive movement has sprung up because of this narrative- showing curvier models and embracing your flaws as beautiful.
There are also many ways to wear your favourite clothes in a way that makes you feel good about yourself, without negatively impacting your mental health. Focus on what makes you feel like the best version of yourself!
This article was written by a freelance writer and contains do follow links.
I am absolutely delighted to announce that we have been listed for the 4th year running (!) in the Vuelio Top 10 UK Mental Health Blog list! This means so much to me as Vuelio rank influential blogs by data and this year we are in 6th place amongst some truly amazing blogs, including my friend Cara Lisette’s!
Thank you so much to Vuelio for the support as always. I hope I can continue to blog and produce content that tackles the stigma around mental health and bipolar disorder in particular. My aim is to share others stories and to help others feel less alone.
The UK has an ageing population, with statistics indicating that there are 5.4 million people aged 75 years. A further breakdown also shows that persons aged 85 years and above make up 1.6 million of the population. Indeed, the ageing years are characterised by failing physical and mental health. However, science and society continue to devise ways to make the period less stressful.
Here are some guidelines on how:
The essence of mobility
As people age, one of the first things that deteriorate is mobility. The depletion of muscle tone, coupled with bone issues, may inhibit movement. Usually, it sets in gradually, and when nothing is done, mobility can decrease by as much as 70% to 80%. At that point, an ageing person may need walking aids to support their body weight. However, mobility issues can be thwarted if counter-measures are taken in time.
Geriatricians (primary care doctors for the aged) advise ageing persons to dedicate some minutes of their days to walk. According to these experts, 150 minutes in a week is adequate. When the elder individual has enough energy, an average of 20 minutes daily is perfect. However, another person with mobility issues can engage in a guided basic workout for at least 15 minutes a day. Among the elderly, the risk of falling is incredibly high. This may therefore require a specialised alarm for elderly persons. This is worn like a wristwatch and can be used to monitor the number of daily steps, call for help when needed, etc. So, as you encourage an older person to take mobility issues seriously, it helps to ensure that it’s done safely.
Reinforced social networks
It is essential to belong to a strong and supportive social network during the later years. Retiring from active duty and work can trigger depression. Although statistics indicate that depression in older adults is less prevalent than in the younger generation, it is still a cause for concern. Research in UK care homes revealed that 40% of the ageing generation endure chronic depression. This is likely due to the separation from their immediate family and friends.
Fortunately, this can be resolved when these seniors are encouraged to participate in social engagements. It can be in the form of a support group, a reading club, or other recreational groups purposely for older adults. As simple as these social networks may seem, they play a vital role in their life. It generates a sense of belonging, which subsequently promotes healthy mental well-being.
Attention to regular quality sleep
According to the British Geriatrics Society, insomnia is prevalent amongst elderly people. Whether housed in a care home or not, the difficulty in initiating and maintaining sleep is a hurdle many older adults cannot cross without help. Insomnia is both a physical and mental well-being issue. This explains why experts say it should always be tackled from both angles.
In other words, as doctors prescribe pills to aid sleep, it is advisable to focus on the root cause of insomnia. It is possible to boost sleep quality by speaking to medical professionals and also assessing if there is a mental health cause to the insomnia too.
Elderly adults need both physical and mental health care as they transition into this new phase of life. These are just some ideas to help.
Home cooking offers many benefits. It gives us control over what we’re consuming, we can try out new combinations and recipes, and it can even be a soothing activity.
It’s often one of the first things that falls by the wayside when our lives get hectic, however. Revenue in the ready meals market has increased since 2017 and is expected to continue rising until 2026. It’s clear that in our busy lives, we often resort to convenience foods.
Here, we’ll cover some of the hidden benefits of cooking at home for those times when you feel like ordering a takeaway or throwing another microwave meal in.
Portion and ingredient control
When you order a takeaway or eat a meal at a restaurant, you don’t have much control over the ingredients used or the size of the portion you get, unless you specify you’re allergic to an ingredient. Home cooking is a great way to eliminate unhealthy ingredients.
Portion sizes vary wildly between restaurants – some are much bigger than we’d make at home, while others are not enough to satisfy us. Everyone’s food intake requirements are different, and the healthiest attitude towards food is to eat a satisfying amount – even if it’s more or less than your friend. Generally, restaurants aren’t a good guide for portion sizes, whereas you’ll know your nutrition requirements when cooking at home.
Making healthier choices
A lot of us have been tempted by an impromptu fast food lunch order when we’re at work. And while there’s nothing wrong with indulging in your favourite takeaways occasionally, doing this too often can leave us feeling lethargic and unhealthy.
Preparing your meals for work in advance gives you the freedom to cook whatever you love the most while incorporating energy-boosting fresh ingredients. Meal prepping has exploded in popularity in the past few years, and for good reason. Whether you batch-prep your meals for work every week or you cook an extra portion of your evening meal for the next day, preparing food for work is great for our health.
You’ll need to make sure your trusty work bag can fit your lunch in – backpacks for women are hugely popular for work now, and they can also fit in plenty of other healthy essentials like a reusable water bottle, plus your work laptop!
(image: Max Komthongvjit: Unsplash)
Saving money
It won’t come as a surprise that regular home cooking will keep some more pennies in your purse, especially considering we’re experiencing an increase in the cost of living right now. Dining out at our favourite restaurants is unsurprisingly the most expensive way to eat, but even those visits to the shop for a seemingly cheap meal deal can add up.
Cooking from scratch allows us to cost up our meals and ensure we’re eating within our budget. If you’re finding that you’re priced out of some fresh ingredients, don’t worry – studies have shown that frozen fruit and vegetables are just as healthy. In some cases, frozen produce may even contain higher levels of some nutrients – and come with the added bonus of being easier to prepare!
Mental health benefits
Many of us will already know how relaxing cooking can be. The act of methodically preparing, seasoning, and stirring our food can be therapeutic. Taking the time to cook a meal from scratch tells us that we are worthy of spending time on, which can boost our self-esteem. The act of cooking sometimes requires precision, but it takes us away from the hustle and bustle of our busy lives and – usually – drags us away from our screens.
Having a regular routine is powerful for people who experience anxiety and feel like their life is out of control. Cooking at home regularly is an important part of a healthy everyday routine, which can help us feel in control of our lives. What’s more, it can be a creative activity, and that’s proven to lift our mood and reduce stress.
While we love dining out and ordering in the occasional fast-food feast, there’s no doubt that home cooking reigns supreme. Not only does it allow us to be aware of what we’re putting into our bodies, but it also allows us to take some time away for ourselves, away from our devices and the busyness of our everyday lives.
This article was written by a freelance writer and contains ad links
As I started opening this page to write this blog post, on youtube, the Jessie J live concert I was listening to flicked on to one of my favourites of hers, ‘Who You Are’.
The lyrics:
‘Don’t lose who you are
In the blur of the stars
Seeing is deceiving
Dreaming is believing
its Ok not to be OK
Sometimes its hard to follow your heart
Tears don’t mean you’re losing
Everybody’s bruising
Just stay true to who you are.’ (Jessie J)
I wanted to write a post on what to do when you feel alone. This sums it up- self care and staying true to yourself.
Its ok to cry. Let the emotion out, feel the grief/fear/sadness/anger. Allow it to be present and wash over you. Crying can be healing.
2. Seek support from a loved one, someone you trust or a helpline like Samaritans. You are never truly alone even if you don’t have a supportive family or friends- though it is harder.
3. Write out your feelings on paper in a journal or talk about them with a therapist if you can access one.
4. Do a little activity to make you feel a bit happier– talk to a friend, sing, paint, write, do sport- whatever your thing is- do it.
5. Find a support group- Mind run good ones or a local charity to you.
6. Remember – these emotions, these feelings will pass like clouds eventually. This too shall pass. make sure you keep speaking, sharing and healing yourself.
7. If you are feeling very depressed or at crisis point, call a helpline or go to your GP.
8. Make sure you eat, drink and look after yourself. If this isnt possible- see point 7.
Sometimes we can all feel alone or lonely in the world. Its a part of being human. But taking small steps towards looking after ourselves and our mental health can be really helpful.
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.
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.
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.
