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

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.

The Mental Health Benefits of Yoga: Guest post by Manmohan Singh

Mental illness is like any other illness in the body. With Yoga, it can be treated and helped to heal. Yoga encourages mental fitness and healing of the mind.

Living in a modernised world, many of us still have conformist ideologies. Mental illness  is misinterpreted. It is often a deep-rooted issue, which, if not helped, can become life-threatening. Day-to-day stresses and heartbreak can lead to depression and other mental illness. If the condition becomes severe, it can lead to self-destructive tendencies, including self harm.

There are many ways (meditation, therapies, etc.) to prevent and help mental illness, with yoga being one of the most natural and safe options. According to many studies, it is confirmed that Yoga has the ability to relieve stress and anxiety and reduce mild depression and other mental illnesses.

So, let’s see the amazing mental health benefits of Yoga:

 

Calms The Nervous System

Yoga has the power to calm the nervous system and reduce anxiety levels. It makes you enter into a more relaxed state, and gradually, you move from flight or fight-to rest and digest mode (or move from the sympathetic nervous system to parasympathetic nervous system). Yoga reduces stress, anxiety, depression, treats insomnia, and other kinds of health issues.

Makes You Self-Aware

Yoga practice helps to ignite the sense of Self. Through yoga, you know yourself better and form a deeper connection from within. Yoga helps build self-trust, increases self-awareness that helps in making healthier choices- like eating healthier, living the right lifestyle. You learn to accept yourself, develop stronger willpower, bring your consciousness back to the present, feel more confident, and gradually realise your self-worth.

Helps Mend  Relationships

Emotions and feelings contribute a lot towards ones mental health. A traumatising incident, heartbreak, death of loved ones, and many other day-to-day relationship struggles, can affect our mind and lead to mental illness.

Yoga ignites awareness and not only helps us improve our relationship with the Self but with others as well. When you form a positive relationship with the Self, you tend to deal with others in the same manner. A healthy relationship helps to maintain the overall mental well-being as well.

Reduces Inflammation Related To Genes

According to a study, it is proven that 15 minutes of yoga practice or relaxation techniques switches off the genes that are responsive to stress and inflammation. With the modern world, stress is something that is often found. This stress leads to various mental health conditions. Our body is designed in a manner that it has the ability to reduce stress and this mechanism is called the ‘relaxation response’. With yoga relaxation techniques, you can easily trigger the stress reduction ability.

Yoga practice is the best way to fire your body’s built-in mechanism that helps mental relaxation. 15-20 minutes of yoga practice triggers the biochemical changes in the brain cells and protects from stress and anxiety.

Yoga Boosts GABA Level

Our brain is filled with receptors and GABA or GABA receptors or gamma-aminobutyric acid is linked with anxiety and mood disorders. When the brain drops the GABA activity, the mood of a person becomes lower and they start feeling more anxious.  

With the help of yoga practice, you can boost the GABA level. Practice yoga for an hour daily to get positive results.

Reduces The Effect Of Traumatic Incidents

Post Traumatic Stress Disorder or PTSD is a serious issue that people face after going through a traumatising or negative situation, shocking or terrifying experiences. People in this condition frequently experience flashbacks and nightmares of the situation they have had come across. With yoga, a person can help himself come out from the situation and help the mind.

Improves Concentration And Boosts Memory

Sometimes, our brain finds it difficult to do or concentrate on the day-to-day tasks. Yoga practice has proven effective in boosting memory and improving concentration and also clears the mind and calms the senses.

Prevents Mental Health Disorders At Every Age

A mental health condition can occur at any age depending on the situation you are in or what you’re going through. According to a study, people of age group 18-35 are at high risk of mental illness and have periods of severe stress.

These issues can also occur during adolescence, due to various reasons, including genetics but also envrionmental- family disputes, fights, peer pressure, body shaming, academics etc. Teenagers also go through many physical, mental and emotional changes.

Yoga practice helps elevate the mood, reduce stress and anxiety, prevent depression, control anger, and ignites mindfulness.

People as they get older can also face these mental health issues due to loneliness, change of the environment, alcohol abuse, dementia, loss of loved one, long-term illness, physical disability, poor diet, etc., Yoga can be beneficial to health.

Yoga Asanas To Practice For Mental Health- Balasana, Viparita Karani Asana, Uttanasana, Adho Mukha Svanasana, Setu Bandha Sarvangasana, Bhujangasana, and Shavasana. Also practice Pranayama like: Kapalbhati, Anulom Vilom and Bhramari.

It is rightly said that a healthy mind breeds a healthy body, and vice-versa. It is important to have good, positive mental health for complete fitness and healthy, happy living.

Practising yoga promotes better health, try it today!

 

 

Author Bio: Manmohan Singh is a passionate Yogi, Yoga Teacher and a Traveller in India. He provides Yoga Teacher Training in Rishikesh, India. He loves writing and reading the books related to yoga, health, nature and the Himalayas.

Website: https://www.rishikulyogshala.org/

#MyDepressionMeans: How my hashtag inspired others fighting depression : Jewish News Article extract by our founder Eleanor Segall

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On 17 December, I was sitting at home thinking about my depression. I have bipolar disorder, which is well controlled on medication; however, often in the winter I am prone to depression, partly owing to the lack of light. This means things start to feel hopeless and I have less energy. Symptoms of depression affect everyone differently. I had started feeling low and my job is not the most social, so I felt a little isolated.

I’ve been active on Twitter for a while, posting about mental health, bipolar, anxiety and sharing my story with the world via Metro and other newspapers, to battle the stigma. I had a brainwave – why not start a hashtag that can help others share their own experiences of depression? There had to be lots of us out there, feeling the same way and feeling like they needed to talk.

Seeing as waiting list times for therapy are growing longer and longer, I decided to see if others wanted to share what their depression means to them. So, the hashtag #MyDepressionMeans was born.

I shared this message:

‘I’ve been struggling with depression lately but I know how supportive the twitter community is. Thought we could use the hashtag #MyDepressionMeans and share experiences to help everyone feel less alone. #MyDepressionMeans I get up later than normal and feel hopeless. Please Retweet’

To drum up support for the hashtag, I messaged my fellow mental health campaigners and charities to see if they would get behind it.

Amazingly, charities Rethink Mental Illness, the Mental Health Foundation, the Shaw Mind Foundation and mental health publisher Trigger Publishing all got behind it and retweeted to their thousands of followers asking people to share their own experiences.

People from all over the world began sharing their symptoms of depression and what it meant for them. I am amazed that my tweet has been liked nearly 400 times and retweeted over 150 times, with around 450 responses of people sharing about their mental health.

It was important to me that when sharing this, it was done in a safe space. You can never predict if Twitter trolls will hijack the thread, but amazingly there was so much love, support and understanding.

There was an outpouring of hundreds of people, most whom I had never met, sharing about their illness, some of whom had never done so before.

What touched me the most was a video recorded by a woman who was sharing about her depression for the first time – and who was empowered to keep on sharing, owing to the phenomenal response.

By creating the hashtag, I had something people could share. This is down to the incredible mental health community and unique online support network.

 

Read the rest at: https://blogs.timesofisrael.com/mydepressionmeans-how-my-hashtag-inspired-others-fighting-depression/

Mental Health Awareness Shabbat: Jami Panel Event at JW3

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(images: Jami)

Tackling Mental Illness HEAD ON: A Panel Discussion

Join JW3 together with Jami, The mental health service for our community for a panel discussion to mark Head On, The Mental Health Awareness Shabbat. This year, the panel will discuss key life transitions and the impact these can have on mental health, before opening up the discussion to a Q&A from the audience to our panel of experts:

  • Laurie Rackind, Chief Executive of Jami, The Mental Health Service for the Jewish Community
  • Nathan Servi from Streetwise, delivering wellbeing activities in 40 Jewish primary schools
  • Abbie Mitchell – Mental Health Campaigner and Peer Mentoring Manager at Fitzrovia Youth in Action
  • Rebecca Corney – Counselling Psychologist and member of Jami Clinical Governance group
  • Rabbi Rebecca Birk, Finchley Progressive Synagogue

 

Panel to be chaired by Paul Stein, Director of Fundraising at research charity MQ: Transforming Mental Health

 

Date: Tuesday 8th January 2019

Time: 7.30pm-9.30pm

Location: JW3, 341-351 Finchley Road, NW3 6ET

Book your ticket here.

Top Tips for avoiding a Christmas Relationships Crisis: Guest blog by Brookman

 

Christmas is meant to be a joyous time of the year and an opportunity to spend quality time with friends and family, but unfortunately, it can also be one of the most stressful. For some, the biggest worry they will encounter is whether they’ve overcooked the turkey, but for others, far deeper problems are magnified around this time in terms of finances, family tensions and even relationship breakdowns or divorce.

Avoiding the Subject?

For many, the easiest solution at the time is just to put the problem to the back of their mind and focus on the present. In fact, in a survey of 1016 married individuals conducted by Brookman International Divorce Solicitors, 64% of respondents revealed they have put off a major decision because they felt it was ‘not the right time’ to deal with it. One third felt that the New Year was a good time to make a fresh start or major life decision, with ending a relationship or asking for divorce being the most popular major decisions to withhold. Whilst this may seem a temporary solution, avoiding the problem only prolongs the suffering and could lead to a frosty atmosphere over the festive period.

Worrying thoughts at any time of year can cause stress, but they can be particularly troublesome at Christmas, when you’re having to juggle shopping for presents, go to events and balance the interests of lots of different people. The people closest to you will notice the changes in your behaviour, even if they don’t actually know what the underlying cause is.

Left for too long, this build up of stress and tension could reach breaking point and lead to heated arguments and upset. It could even put your mental health at risk. No one wants an explosive argument over the Christmas dinner, so, here’s a few tips to help avoid a Christmas Crisis.

 

  1. Talk to someone – Speaking to someone close to you about your worries is a great place to start, even if you don’t feel ready to address the person causing the stress directly. Be sure it’s someone you can trust and who will be honest with you. When it comes to a big decision, you don’t want someone beating around the bush, or telling the world about it either!
  2. Nip it in the bud – Whatever the problem is, talk to your partner about it as soon as you feel able to. Whilst the discussion might be difficult, you will feel an immense sense of relief once you have got the issue off your chest. It may be that your partner feels the same way, or has a solution which could result in a better outcome for both of you. Until you speak about it, you simply won’t know.
  3. Focus on yourself – it may seem selfish, but ultimately, you have to make decisions based on your own happiness. If you are constantly making compromises to make others happy, then you’ll always be in conflict. A Christmas full of atmosphere, tension and cold shoulders is no fun for anyone, and actually tackling the problem outright, even if it means a major change is on the horizon, can make the transition far easier for everyone to manage.
  4. Forgive yourself – Decisions which are one-sided can often leave the perpetrator feeling an immense sense of guilt, but it is important to be kind and forgiving to yourself. Sometimes people don’t agree, have different perspectives, or reach a different stage of their lives where priorities change. Understanding that life is a journey and that we all have our own paths to take can help to put the current situation into perspective.

 

Following these key steps will help you to deal with difficult decisions quickly, effectively and with the best intentions.

In the Brookman survey, 74% of people said they felt instant relief once they had made a decision, be that dealing with the core issue, or simply booking an appointment to get some advice. The important part is taking steps to address the situation so that you don’t feel like it is spiralling out of control.

Whether you decide to end a relationship or not, make sure you make informed decisions that are right for you.

This guest post was written by Brookman International Divorce Solicitors.

 

Winter blues, Depression and Social anxiety by Eleanor

In the past few weeks, I have found that all I want to do is stay inside, under a cosy blanket in my little nook on the couch, reading lots of good books or watching something good on TV (by good I mean my favourite reality shows at this time of year!). I have been practising a lot of self care activities as I havn’t been feeling at my strongest or happiest this week. I think I may have seasonal depression but I am not sure if its the winter blues – probably the winter lack of light combined with my bipolar brain chemistry.

Sometimes I  will phone or whatsapp my friends, I will take long bubble baths and sing in the tub (feeling like some kind of surreal movie like Amelie) , I have discovered a new love for the Body Shop seaweed clay facial mask (it leaves my skin so soft and moisturised and helps my spots). I have wrapped myself in my pink, Beauty and the Beast blanket (without make up on) and just enjoyed the freedom of being. Of resting and being in the moment. Of being more mindful.

There have been times when this has become a bad thing. I’ve spent several nights this week on my own and there have been days where my anxiety has increased and I havn’t wanted to go outside. This is because its cold and dark (winter here in England), I don’t want to interact with random people or I just don’t want to be out in this weather when I could be warm and cosy at home.  I am an introvert (who also loves people). My introvert side craves time on my own but this is also part of my social anxiety.

However, every anxiety win.. like going to a gig in Holborn with my Dad and using the Tube (I forgot about the lack of personal space) or hanging out with my fiance or friends without cancelling on them, has been good. In truth though, I have had to cancel a lot of plans this week and luckily have very understanding people in my life. I hate letting people down but sometimes I can’t cope- the adrenaline pumps and things feel too much for me, too overwhelming.

I have felt overwhelmed and mildly depressed this week. However, I am coming to the slow realisation that this is OK. Its alright to struggle and to want human contact but also to find it overwhelming too.

I do need to get more fresh air though, exercise more and be healthier. Part of the lure of being inside is that its relaxing and ‘safer’ but the outside world is not as scary as my head decides it is when its cold and dark in winter.

I think I have mild seasonal depression- so its really important I do all I can to work with that and go outside my comfort zone- when all I really want is to be a doormouse surrounded by those I love and sometimes curled up on my own!

I am going to start talking therapy again soon as theres been a lot of stressful things going on, so hopefully that will help too.

How do you help your seasonal depression?

  Eleanor x

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

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. 

Coping with the lows and Celebrating the highs by Eleanor

I have been wanting to write about everything for the past week but felt like I have been swept up into a hurricane. There has been a lot going on- some good, but a lot of bad in my life and I have been trying to process it all.

As most of you know, my article on bipolar was published in the Telegraph with thanks to an amazing editor who believed in my story. The Telegraph is a high profile newspaper here in the UK and this was a big platform for my story to be given. So I am grateful. I will put the link to it in the articles tab soon.

I received many positive messages from people with bipolar and psychosis- who could see themselves in my experience and were pleased and appreciative that I shared it. Also those who are carers for people with it got in touch too. I had a lot of support from friends and family, which was important because I started to feel quite vulnerable in revealing so much of what had happened back in 2014 when I was hospitalised. It isn’t easy- even though I want to share it to help people.

As well as the positives, I did receive a few unwanted and negative messages- mainly from ignorant people who don’t know me. I don’t want to give the Trolls any air time here, except to say that the Telegraph were fantastic and stepped in. The comments that were sent weren’t nice but it is a risk when  revealing such a complex mental illness to the world- its an emotive topic and some people can be cruel too. However, the positives outweighed the negatives.

My article was published when I was in Portugal visiting my grandparents with my Dad, Aunt and Uncle so having them  around to process it all was really helpful. Portugal was lovely to have the family time but hard to see my Grandpa unwell, though I was so pleased I got to see him. We also went to a very beautiful beach at Sesimbra, near Lisbon which was good to get some sun in November!

I have two close family members who are unwell at the moment with serious illnesses. As such with all the pressure of it all, I am finding that my mood is dipping and I have to practise a lot of self care- sleeping, reading, pacing myself. It could be that its approaching winter and less light, but I am feeling mildly depressed at times and sleeping more in the mornings, so I am watching my mood and trying to cope as best I can.

If it continues for a long period, I may see the doctor or my counsellor but I think its a reaction to everything happening.

Yesterday I received some really good news– which I will share in a few weeks time. I am so grateful for all the good happening and still planning for my wedding which is something positive to focus on too. Thank you to everyone who has been and continues to be there.

If you are feeling like me right now, a bit low/ depressed, tell people you trust. Don’t keep it in. Remember it can pass. And get support and help if you need it. My fiance, friends and family are helpful to me- confide in someone you can talk too.

I am trying to focus on the positives and celebrate the highs, while dealing with the lows. Thats life I think. Its not always easy but I will get there and so will you if you feel the same.

Eleanor x 

 

My story of recovery from Alcoholism and Mental illness: Guest blog by Allen

My name is Allen and this is my recovery journey from alcoholism and mental illness.

On 12th October 2005 I had my last drink of alcohol and the following morning I was admitted to a psychiatric unit.  On reflection I didn’t know what was happening and had no clue what was happening emotionally, physically or mentally just that I was going into hospital for a short stay to get better.

Better from what? Whats happening to me? When can I go home? It was like a constant conversation in my head and I couldn’t turn it off.  Little did I know that I had been admitted because I was a risk to myself and others and I was going to be detoxed from alcohol and drugs.

I was never the world’s greatest drinker but I loved everything about alcohol and now know that since my teenage years,  alcohol was a constant in my life at home, in pubs, on the train to work, in the park, in the toilet, in secret or in the open and it had been that way since teenage life.

So I stayed in that psychiatric unit for 6 ½ months and I was diagnosed with Bipolar 2 (a mood disorder) and prescribed medication to deal with that.  Since that time, I have experienced two courses of electro convulsive therapy, Cognitive behavioural therapy, one to one counselling, 12 step programmes for drugs and alcohol,  taken anti-depressants and anti-psychotics and  read numerous self help books.

This week I will reach 13 years of sobriety- a great achievement considering I couldn’t go a day without alcohol. However,  2018 has seen me admitted into another psychiatric unit, following numerous suicide attempts and thoughts.

I received an additional diagnosis of Emotionally Unstable Personality Disorder and a dawning realisation that I need to go way back to my early years to start to really understand me. Childhood / teenage trauma, bullying, substance and alcohol misuse, relationship problems, low self-esteem and lack of confidence, financial woes and debts mounted up.

The past 13 years have enabled me with the help of a twelve step programme to manage life, be as good a father as possible, to be a son, brother and uncle, and a friend.

I have been able to hold down a job and  study a degree in Psychology and Counselling,. I became a Mental health first aider and I suppose now I need to look at me and listen to others as to how I can manage my mental health and addiction. I can learn to be the best father I can be to my son and daughter, and focus on what I need to do to alter the cycle of mental illness that has plagued me for so long.  

Long term therapy seems to be the best option and I hopefully begin this process with an assessment very soon. I am so proud to be miles away from where I was in early 2018. Then, I asked a member of the Home Treatment Team (for crisis care) if I could go into hospital. I also shared for the first time that I have heard a voice for most of my life and the voice has made me harm myself.

I am now doing so much better and hope that therapy helps me to heal even more.

Allen is a writer, mental health first aider and mental health worker.

Lifestyle Changes: How to Combat your Eating Disorder: Guest Post by Lizzie Weakley

Recognising you have an eating disorder is one of the biggest (and hardest) steps you can take to combat your disorder. It’s important to make sure you know how to combat the disorder so you don’t find yourself fighting a losing battle.

Don’t Expect Huge Changes

Just the idea of helping yourself get better from an eating disorder is important, but it won’t bring about the change you really need. You won’t get to see the results of the change until you start making changes. Be prepared for things to stay the same for a long time after you start trying to fight this battle.

Seek Professional Help

It’s almost always necessary to get professional help with eating disorders. There are many eating disorder center options you can choose from that have intensive processes. These centers can make things easier for you and can give you the specific tools you need to start getting better.

Try Something New

Not all eating disorders are the same. There may be differences from person to person so it’s important to keep that in mind when you start this battle. Your eating disorder probably won’t be like anyone else’s battle. Just like you are a unique person, the way you handle your eating disorder will be unique. You can try different things and new techniques to try and help yourself through the eating disorder. Things may change, but it’s important to keep trying new things that might help you.

Recognize Your Struggle

The struggle to combat an eating disorder can be one of the hardest things you do. You should recognize that struggle and work with it to help yourself. If you know it will be difficult to overcome the eating disorder, you’ll be better prepared to fight it when you’re dealing with issues that come from eating disorders.

Continue Fighting

Fighting an eating disorder is a battle you’ll have to deal with for the rest of your life. Even when things do get easier for you, you might still struggle with the issues that come from the eating disorder. Keep that in mind before you start the process. It’s a good idea to know that you’ll be in this fight for the rest of your life, but it does get easier.

Eating disorders are hard. Trying to figure out how to combat one on your own can be even harder. It’s important to know what to expect and take the steps necessary to help yourself get better.

Lizzie Weakley is a freelance writer from Columbus, Ohio. She went to college at The Ohio State University where she studied communications. In her free time, she enjoys playing with her Husky, Snowball, camping, and binging on Netflix.

Twitter: @LizzieWeakley

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