A year or two ago, I recorded this webinar with Bipolar UK talking about our family story (mine and my Dads) with bipolar disorder, suicidal ideation, depression and both of us finding recovery.
Suicide is a terrible but common outcome of bipolar and acute mental health episodes. I also know what it is like to lose a loved one to suicide and mental illness and the pain that brings.
I share this webinar today to raise awareness, but also to encourage people to go to their GP/psychiatrist/ family/ spouse and talk, if safe, about what is going on for you.
Watch here, with care, trigger warning : discusses bipolar episodes, suicidal ideation
In this webinar, Bipolar UK CEO Simon Kitchen shares the findings of the Bipolar Commission on the critical link between bipolar and suicide. He is joined by Ashley Brice, an experienced crisis negotiator with the British police specialising in suicide prevention, and Eleanor Mandelstam, author and freelance writer who lives with bipolar. Together, they explore the risk factors, warning signs, and practical strategies to prevent suicide, offering crucial insight for anyone living with bipolar, supporting someone with bipolar, or wanting to better understand how bipolar impacts mental health and suicide risk.
Self-medicating to resolve mental health issues can sometimes leave the door open for substance abuse. A lot of information goes into choosing the right psychiatric medicine, and it is not something you should choose without medical input. To avoid this common problem, here are a few things you should know about self-medication.
The Consequences
Mental and physical health are a top priority for dual diagnosis treatment. Depression, mania, anxiety and irritability are only a few underlying mood changes that someone may experience. On their own, these mental health conditions are already hard to deal with. When those same conditions are combined with possible substance use disorders, it creates a co-occurring disorder. As an example, a person that is suffering from anxiety will try to self-medicate with unprescribed depressant drugs. These downers are sedatives by nature, and can quickly turn into an addiction for someone who becomes dependent on how it makes them feel. These should only be prescribed by doctors and taken with care.
The Truth
When you’reaware of the consequences of self-medication, the treatment steps become much clearer as a goal. Without professional experience, you can’t diagnose the original underlying cause of your condition. Not all symptoms are created equally, and there is no way for a patient to factor in how a specific medication will interact. Psychiatric medications should never be combined with alcohol, which includes things like cough medicines. Self-medication is not good for you and your body or mind should never be the experiment to find out what works.
Risky Behaviour
Mental health stigmas are one of the reasons that people are open to the dangers of self-medication. They feel that society has a judgmental attitude towards mental health prescriptions. With self-medication, these same prescriptions and their variants are purchased after going through multiple illegal hoops.
Besides the legal issues that could arise, there is a good chance that you are not treating the correct condition. Getting medication to treat depression is a terrible idea for someone that is suffering from bipolar disorder. And when you’re suffering from anxiety, the risk of overdose rises. There is no reason to risk themental and physical consequences of self-medicating when there are more appropriate avenues to treat your condition. Please seek help from your psychiatrist or get referred to one.
Reaching A Personal Goal
When your health is in danger, think twice about going the risky route of self-medicating. It’s easy to use clouded judgement as an excuse for not getting better. No matter how you start, a healthy mind will always be positively fuelled by making healthy personal decisions. Sometimes, self medication can turn into addiction, which can wreak havoc on your body and mind. Reach for appropriate medical support to help support your recovery.
Mental health is just as important as physical health and seeking professional help can make a significant difference in one’s life. But choosing the right psychiatrist can be a daunting task. Finding the right person who understands your needs, and creates a treatment approach that suits you, can be overwhelming. In this blog post, we’ll take a look at some helpful tips for finding the right psychiatrist for your mental health needs.
Ask for Referrals (If Private)
Start by asking for referrals from trusted sources such as family, friends, or a primary healthcare provider if you are going privately. You can’t always choose who you get referred to on the NHS, if you live in the UK but have to trust your GP will refer you to someone good. It’s always a good idea to get recommendations from people who have gone through similar experiences and found a psychiatrist that was helpful to them. Additionally, you could check with your GP or local mental health clinic for referrals.
Check Credentials
Psychiatrists are medical doctors with additional education and training in psychiatry. It’s important to ensure that the psychiatrists you’re considering are board-certified in psychiatry, meaning they have undergone a rigorous training and certification process (in the NHS they will be certified). If going privately, check out their education, training, and professional experience to ensure they hold a reputable degree from a top-rated institution and possess the license to operate.
Consider Experience and Specialisations
A well-experienced psychiatrist would be more likely to handle specific issues than a psychiatrist who is new to practice. You’ll want to find a psychiatrist that has experience in treating the specific mental health conditions or concerns you may have. For example, if you’re dealing with anxiety, you’ll want to seek out a psychiatrist who specialises in anxiety disorders.
Insurance Coverage (For USA/ private insurance)
If you have private health insurance, check with your provider to see which psychiatrists are in-network to help out with the cost of treatment. You may also ask your psychiatrist if they offer a payment plan to make their services more affordable. If in the USA, If you don’t have insurance, consider seeking treatment at community health clinics that offer sliding-fee scales. If in UK, this is free via the NHS but can be a long waiting list, if you are not at crisis point.
Trust Your Instincts
Lastly, trust your instincts. You want to feel comfortable with the psychiatrist you choose, so it is important to ensure that their communication style and methods align with what works best for you. During your first appointment with a potential psychiatrist, pay attention to how the psychiatrist speaks, if they listen to you, and how they react to your concerns. It’s important to choose someone you can feel comfortable opening up to.
It’s important to take the time to find a qualified psychiatrist you feel comfortable with, to help manage your mental health. Referrals from trusted sources, verifying credentials, experience, insurance coverage, and your comfort are all important factors in selecting the right psychiatrist to suit your needs. By keeping these tips in mind, you’ll be more confident in your search for the right psychiatrist.
Remember, seeking help is a sign of strength, and a qualified psychiatric professional can help you feel better mentally, emotionally, and physically.
Mental illness can affect anyone, regardless of age, gender, or background. It is important to recognise the signs and symptoms of mental illness in order to get help as soon as possible. Knowing what to look for can be tricky, so here are some common warning signs that you or a loved one may need psychiatric help.
Unexplained Changes in Mood and Behaviour
One of the most common signs of mental illness is a sudden and unexplained change in mood or behaviour. This could include changes in sleep patterns, eating habits, energy levels, attitude towards others, or motivation levels. If you notice any sudden shifts in these areas that last more than two weeks and cannot be attributed to a specific event or life change, it may indicate an underlying mental health issue.
Negative Self-Talk or Rumination
Another sign that someone needs professional help is if they frequently engage in negative self-talk or ruminate on the same thoughts over and over again. For example, if they often say things like “I’m not good enough” or “I can’t do anything right” without any basis for those statements, this could be a sign that something more serious is going on beneath the surface. Additionally, if someone spends hours every day thinking about their mistakes from the past without being able to move forward—this could also be an indication that professional help is necessary.
Isolation from Friends and Family
Finally, if someone begins isolating themselves from friends and family members more often than usual—or does not seem interested in having conversations with them—this could be another indicator that something more serious is happening mentally. It’s normal for people to want some alone time once in a while—but if you notice your loved one consistently avoiding social activities and interactions with others over long periods of time—it may mean they need extra emotional support from a professional psychiatrist before they can get back on track.
Other Behaviours
Other behaviours you should watch out for is frequent tearfulness, self harm thoughts or ideas, suicidal thoughts and ideation- as this indicates someone is reaching a crisis point with their mental health. In some there may be an increase in activity or mania. This can lead to psychosis- where your mind loses touch with reality, common in bipolar disorder and schizophrenia (but can also happen outside these conditions).
Mental health issues are complex and often difficult to recognise at first glance. However, it’s important to understand that early intervention can make all the difference when it comes to managing mental illness effectively. If you notice any of these warning signs in yourself or a loved one—don’t hesitate to reach out for help!
Professional psychiatric services should always be sought out when necessary as this will create better outcomes for everyone involved in the long run. In the UK, that may be via the NHS but due to overwhelmed services, if you can afford private treatment, go down this route as it will be quicker!
This article was. written by Brooke Chaplan, freelance writer.
Disclaimer: All medication must only be prescribed by a psychiatrist or GP dealing with you individually. Advice from medical professionals must be sought before taking any medication., Never take someone elses medication or try to cure yourself!
This week, I had a conversation with someone about being on mental health medication, in this case, anti depressants for clinical depression. We reminisced that as teenagers, we just weren’t taught properly by school or in society about mental illness. It wasn’t talked about here in the UK back in the 2000s and everything was really hushed up, cloak and dagger, as if you had to be ashamed of it. As if anything to do with our mind was shameful- no one really had much education, unless it happened in your family.
I know that for many people, even in 2022, taking medication for their mental health carries this sense of shame.
For me personally, I was so ill that there really was no choice for me as a 15 year old, but to be started on medication. My symptoms of bipolar disorder first appeared at the age of 15 with depression and anxiety episodes, followed by mania and psychosis. So, I was on anti psychotic medications as well as what is known as a mood stabiliser, a medicine for mood disorders that stabilises moods (in this case, the bipolar poles). I also took regular anti depressants and anti anxiety medications and still do daily. My medicine regime is pretty intense but it means that my bipolar is well controlled and in remission- and that I am stable. My family has a hereditary illness that can be severe- so medication was the right choice for me.
However, for those without a severe mental illness like bipolar or schizophrenia, you may be recommended to try anti depressants first. There are varying different types which work on seretonin reuptake in the brain and help to balance brain chemistry.(although scientists cannot pinpoint the cause for depression fully yet). These can be used in combination with therapy and exercise to help treat depression and anxiety.
Some families and cultures hold great shame to be seen taking mental health medication and so hide it from loved ones. Others stop taking it, believing they are stable and well because the medication has balanced them out- and then crash into depression. For some though, anti depressants are a shorter term thing. The point is, its all so individual and there is no one size fits all medicine- you must do what is right for your recovery but definitely do not suddenly stop them.
In my family, my Dad was already on mental health medication- Lithium for bipolar, when I became ill. So, I was lucky that I had a loving supportive and accepting family, including plenty of medical professionals who understood. It was a steep learning curve for everyone though. And yes, as a teenager, I did hold some shame for taking medicines because I just wanted to ‘fit in’ and be a ‘normal’ teen. Coupled with the fact no one openly talked about mental illness at school or in general (this was just before social media!) and I felt this overwhelming sense of shame that my brain chemicals had let me down. I never once skipped taking medication though.
The thing is with mental health is that you can’t see it. But, you can absolutely feel when something is wrong and when you feel chemically depressed or other mental illness. This is usually depression unlinked to a life event- you wake up with it and you know its back, you feel despondent and unable to cope.
Yet, because you can’t see it- shame is even greater because how do you explain it to others? And are you ‘weak’ or ‘crazy’ to need medication to function?
The answer is No. To have to take the correct prescribed medication for you daily is an effort. You have to commit to it and to seeing how some medicines go. To go through episodes of mental illness makes you stronger and more resilient, surviving each day. You are not weak, your brain just needs help (like helping diabetes or a heart problem) and the words ‘crazy’ or ‘unhinged’ just serve to reinforce stigma. There is no need to be afraid or filled with shame or self loathing- but it is valid to feel this way as you are human!
In 2017, it was estimated that 792 million people worldwide lived with a mental health disorder (one in 10 globally). 46 million of those had my disorder, bipolar. However, this is the tip of the iceberg because mental illness is often underreported due to stigma. So- you are not alone. There is treatment out there to help you.
Remember not to be ashamed of needing medication to cope with life’s challenges (alongside therapy etc). The stigma is slowly falling and I will continue to write and share to this end.
You are not weak! You are powerful beyond comprehension . Do you take medication? Does it help you?
It’s always important to seek professional help if you are dealing with a mental health issue. Unfortunately, finding a professional can be harder than you might think. Even if you can find someone for you, you’ll still have to decide upon which type of professional with whom you should work. For most, the answer comes down to knowing the difference between a psychologist and a psychiatrist.
What Is a Psychologist?
Generally speaking, a psychologist is a person with an advanced degree in psychology who works with patients on their mental health. These individuals usually use various types of talk therapy to help individuals work through a diverse number of mental health issues. When many people think of the basic idea of therapy, they’re thinking about what a psychologist does.
When to Choose a Psychologist
It makes sense to choose a psychologist when you’re looking to address your mental health issues without medication. Attempting to change behavior of the long-term is usually best done with the help of a psychologist, especially if you’re looking to get to the root causes of why you feel how you feel. It should be noted, though, that even those who do seek medication can often work with a psychologist as well as a psychiatrist.
What Is a Psychiatrist?
A psychiatrist is specifically an individual who holds a medical degree and specialises in psychiatry. While psychiatrists do conduct many of the same types of therapy as psychologists, they differ from psychologists because psychiatrists can prescribe medication to their patients when needed.
When to Choose a Psychiatrist
The most common reason to choose a psychiatrist is because you are considering the possibility of pursuing some type of medical treatment for your mental health problems. This can range from specific types of medical therapies to medication, but all of these therapies do require a psychiatrist’s oversight. While most do choose psychiatrists because of the medical angle, many psychiatrists do still use talk therapy in a manner similar to psychologists.
It’s important to know what you want from therapy before you make a choice between a psychologist and a psychiatrist. While each type of professional does deal with mental health from a specific angle, whether one is better than the other has everything to do with your personal situation. While you will ultimately need to make the choice between the two, choosing to pursue at least some kind of therapy is a good step on the path to a brighter future.
This article was written by freelance writer Anita Ginsburg
It has been a while since I have written a personal blog as there has been so much going on here that I was just focusing on getting through it all. Robs dad had surgery to remove a second brain tumour and is thankfully recovering well, the surgeon amazingly got all the cancer. Success.
Alongside this, I have been in therapy since November with a wonderful therapist and we are doing EMDR (Eye Movement Desensitisation and Reprocessing therapy). This therapy helps to process trauma that can get ‘stuck’ in the brain if not processed. That trauma can stem from childhood upwards- I was an anxious child from an early age even though I had a good childhood! I have also been through a lot due to my bipolar episodes and hospitalisations. So, I am working with my therapist to process memories and we are doing it slowly.
My therapist will either ‘tap’ on the side of my legs while I recall the memory to help process it or my eyes will follow a light or her finger as we process. Understandably, there has to be a lot of trust in this type of relationship as well as me being protected and not triggered by the therapy. For this, we have developed a ‘safe place’ memory that I go to when we bring up anything too distressing. We have just started to go deeper with this and I will update you with our progress. I am far less anxious than I was and it has been really helpful to build a positive, working relationship with my therapist.
The reason I started therapy was because I was having intense panic attacks and finding it difficult to manage my life due to it. I hope that by working on these triggers that I can react differently and live a healthier and better life. Stay tuned!
A month or so ago, I also went to see my psychiatrist for the first time in 2 years, mainly as I had worries about my weight and physical health. My medications means I have put on a substantial amount of weight and this is worrying me health wise more than anything. I have been advised to diet and exercise and maybe work with a nutritionist. So, this will also be a new journey and I will try my best with this, not easy as the meds may stop me losing weight due to slowing metabolism or encouraging cravings. We considered reducing my Quetaipine, a mood stabiliser and anti psychotic to help but because I have been more mentally stable, I have decided to keep it at the same dose for now.
Rob and I have also started to look at new homes, which has been good. There is a lot happening right now and important that I rest, look after myself and keep calm.
Life with bipolar disorder can be uncertain. I have some fears about the future, which I will talk about in another more detailed post. My medicines thankfully keep me mentally well, but coming off them for future life changes eg pregnancy could be a big risk for me and one I am not sure I should take due to being bipolar 1 (risk of mania and psychosis). This is not currently imminent, but is still a future fear, especially as I love children. A decision for a later date.
Overall though I am hopeful and excited about life and will keep you all updated with my therapy and health journey and news.
Thanks for reading and following Be Ur Own Light as we come up to our 4th anniversary,
Life at the moment is much slower than normal as I am not in full time work. I have the time to write and blog and pitch articles, and to work on social media. I have the time to read and I have started a book blog (bookstagram) on Instagram. I can see friends and catch up with family.
However, for me, I am waiting to see my Doctor next week to discuss ways they can support me better with my morning panic. I desperately want to be working and be doing all I love. Its quite exhausting if I am honest, because I so want to be applying for jobs and doing and feeling 100 percent .
The key is being kind to myself and practising self care. I know I can get better again from the anxiety and be productive again but I need proper and sustained support from my medical team. I hope I can get it soon and that they will really help me. I have so much support from my family, boyfriend and friends but they can only do so much.
Life with this is not easy at all- but I know, like my other mental health challenges, that I will overcome this again. I just must have the support in place from my medical team and the right therapy. So lets hope that my almost 2 year wait for therapy will end soon! I am reading self help books too in addition and trying to do all I can. I just hope that help for my anxiety disorder will finally arrive.
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