Monitoring Your Mood.

IMG_3686.JPG

If you have a mood disorder then you surely know all about this! Thoughts that pass regularly through my head are: Am I getting too angry? Am I getting angry too often? Am I being too emotional? Am I too sad and weepy? Am I too irritable? Are my thoughts flitting from subject to subject? Even the thought “Am I too happy” crosses my mind, although this is a rare occurrence. Depending on the answer to those questions which I ask myself regularly, sort of reflexively after 28 years, one or more of my meds has to be increased. But eventually these meds’ fuses will come down if the side effects are too intolerable… Lithium and Seriquel. These two stalwart pillars in my treatment regime. Zoloft used to be one of my meds, but as I have said in the past, is no longer in my repertoire of meds as it causes cycling and mixed mood phases in people with bipolar 1 d/o like me. Now if I go into a depression, I am hoping that Vit. D, and Omega 3 fatty acids along with Zumba and other vigorous physical activity will help me come out of it, or better yet, prevent me from going into a depression altogether. One can always hope! 😉
I said I am always monitoring my mood. This is actually not an easy feat. It’s hard to judge my moods as I am judging my moods with the same organ that produces these moods, namely the brain. So it is hard to be objective. But I do s fairly decent job of it. At least that’s what I think. Haha. So anyway, anger, irritability, flight of ideas, insomnia (not a mood but easier to gauge) are all signs of mania. So is weight loss. Irritability, somnolence weight loss or weight gain are signs of depression. So we people with mood d/o’s have to be hyper vigilant in monitoring our moods so that these phases don’t get carried away from us and end up in a hospitalization. For me hospitalization is definitely defeat. I will go into the hospital like I did in 2009. But it is the mood disorder winning and me losing when that happens. Probably s strange thought to some, but that’s what I think. Perhaps it’s really is an unreasonable way to think, but my objective is to stay well enough, by being treated with meds and being hyper vigilant about my mood changes, to stay out of the hospital and live a normal, happy life with no mood upheavals. In reaching this objective, my doctor is my ally and I trust and depend on him. But I am also my own best advocate as I know my illness really well and I know what’s going on inside my head… really wish I didn’t live there but I do,,, oh well c’est la vie, n’est pas?
Well that’s all for now.

Vitamin D and Fish Oils alleviate depression, bipolar depression and SAD!

omega 3 vit d

Below is an analysis of 10 studies that show that taking Vitamin D and Omega 3 Fatty Acids alleviates the symptoms of seasonal depression (SAD), major depressive d/o and bipolar d/o. In fact, in countries where diets were high in Vitamin D and Omega 3’s, there were lower rates of depression and suicidal thinking. Time for me to start taking my Vitamin D and Omega 3’s regularly! Please consult your doctor before going on any medicines, natural or otherwise.

The review is below.

Clinical Studies Show Fish Oil & Vitamin D May Alleviate Symptoms of Seasonal Depression and Bi-Polar Disorder

Read more: http://m.digitaljournal.com/pr/2369723#ixzz3Ksk65i8X

There have been some recent Meta-Reviews of Scientific Research into the role of Fish Oils and Vitamin D in combating the symptoms of Depression and Bi-Polar Disorder. Researchers pooling the results of 10 randomized trials involving 329 patients found that omega-3 fatty acids (found in fish oil) improved depressive symptoms in patientswith either bipolar disorder or major depression compared to placebo. It is of interest that countries whose populations consume the most amount of fish oil in their diets have lower rates of major depression and suicidal thinking.

In a study performed by Brigham and Women’s Hospital, Dept. of Psychiatry, Harvard Medical School, Researchers found that the Omega-3 fatty acid patient group had a significantly longer period of remission than the placebo group. In addition, for nearly every other outcome measure, the Omega-3 fatty acid group performed better than the placebo group. Omega3 fatty acids were well tolerated and improved the short-term course of illness in this study of patients with bipolar disorder.

In another well noted study, researchers at the New York State Psychiatric Institute, found that Supplements containing EPA = 60% of total EPA + DHA, in a dose range of 200 to 2,200 mg/d of EPA in excess of DHA, were effective against primary depression. Omega-3 Fatty Acids are not alone in being an all natural aid to alleviating these symptoms, as Vitamin D has also shown great promise in these treatments for depression. At the 2014 meeting of the International Society for Bipolar Disorders, researcher Baseok Cha discussed the importance of vitamin D supplementation in bipolar patients, who often have deficient or insufficient levels. People receive 50 to 90% of their vitamin D from sunlight, and the rest from diet and supplements. Too much sunscreen can be a problem if it prevents a person from receiving enough vitamin D from sunlight.

Nutrusta has created an Omega-3 Fatty Acids Formula that contains therapeutic doses of both Omega-3’s and Vitamin D3. When taken together, the effect is significantly enhanced.

Read more: http://m.digitaljournal.com/pr/2369723#ixzz3KsjvQGVr

Exceptional year!

IMG_0953IMG_0953

This year has been exceptional in that the spike of mania that comes in the Fall/Winter for me has not come! I’ve been having minor ups and downs, mostly downs, but the major spike that I have experienced every Fall/Winter since 1986 did not happen. This involved severe mood upheaval, including anger, depression, off the charts anxiety, major weight loss (that one I miss haha) sleeplessness, total dysfunction, not being able to go to work, school, outside the house for at least a month. This year it didn’t happen! My 900 mg of Lithium Carbonate, and (now) 100 mg of Seroquel saved me this year. Yes I have side effects, tremor in my right hand, weight gain due to water retention because of Lithium, muscle weakness and tendonitis due to Seroquel. But I can live with these. The most bothersome to me is the 4 lb weight gain. I do live in our weight obsessed culture don’t I? But I am so lucky that these side effects are nothing compared to some other drugs called antipsychotics, used for schizophrenia. In fact over Thanksgiving weekend, in NYC, my sister and I went to visit a friend I’d made in 2009, in Columbia Presbyterian, when we were both hospitalized there. He has schizophrenia, he is in his twenties and smart as a whip. Last week, we visited him in his home, it was difficult for me to sit with him because of the uncontrolled movements due to tardive dyskinesia (a side effect of antipsychotics) he had. God I am so incredibly thankful I am not on Risperdal! I could not tolerate it! My friend is having his doctor wean him off the Risperdal and put him on Clozaril, which apparently, at least in his case, doesn’t cause tardive dyskinesia.that is so severe.

Anyway, I digress.. I wish my friend the best in his life and with his treatment of course. But this post is about how amazing it is that I stayed pretty much normal throughout the Fall and Winter this year. How the evil beasts called mania and psychosis (being out of touch with reality) did not visit me. And believe me, I didn’t miss them, not one iota! I am thrilled beyond belief, and if 900 mg of Lithium is what it takes to stay pretty much in the normal mood range, then 900 mg it is.

Hello NORMAL, productive, happy life!

Mental Illness.

light trees

You think mental illness happens to “other people”,

Look around, talk to people.

It happens to everyone, everywhere.

You may be surprised to know that:

His sister.

Her brother.

Their cousin.

Your mother.

No other than me myself and I.

Are blessed/cursed with mental illness.

Gratefulness, thankfulness can do miracles.

star 1star 1star 1

Excepting severe manic phases and severe depressed phases, gratefulness and thankfulness can work wonders in a person’s life. If one is feeling in the normal mood range, then feeling grateful for what one has, rather than wanting more and more, can really do wonders for one’s mood and outlook on life. Imagine sitting on your couch at home, being sad and feeling horrible because your house isn’t big enough, your car isn’t fancy enough, you don’t have enough friends, etc. etc..

Now imagine sitting on your couch at home, and being really thankful for your beautiful home, and being thankful you’re not homeless, being grateful you have a car that works, being so happy about all the wonderful, loving friends you have. Gratefulness, an instant mood lifter, an instant heart opener, nothing better!

So in this (American, European) Holiday season, whether we have mental illnesses, physical illnesses, whether we are lucky enough to have no illnesses, if we practice gratitude and thankfulness, it may well be a very good Holiday season.

Rare form of dwarfism confers protection against bipolar affective disorder.

IMG_0685

In doing studies with Amish people for over 40 years in Pennsylvania, and then analyzing the data, the authors of this paper noticed that a rare form of dwarfism caused by a homozygous recessive mutation in a gene called Sonic Hedgehog (named by nerds who work on drosophila genetics, as they discovered this gene) is NEVER comorbid with bipolar disorder. Sonic Hedgehog is a gene involved in embryogenesis! So a mutation in it can affect many pathways downstream. But since people who have this form of dwarfism NEVER have bipolar d/o, it is thought that Sonic Hedgehog may be protective against bipolar d/o. Now to find out what does the Sonic Hedgehog gene do that is protective. Might take a while… But a very interesting article. And hopefully helpful to us sooner than later.

http://www.nature.com/mp/journal/vaop/ncurrent/abs/mp2014118a.html

Insight.

IMG_0683
1) Insight: the ability to understand people and situations in a very clear way,  an understanding of the true nature of something, the power or act of seeing into a situation; the act or result of apprehending the inner nature of things or of seeing intuitively.
2) Insight: understanding or awareness of one’s mental or emotional condition; especially : recognition that one is mentally ill.
While the first definition is the definition that is generally meant when one says the word “insight”, in mental health circles, it is the second one: “understanding or awareness of one’s mental or emotional condition; especially : recognition that one is mentally ill”  that is very valuable and looked for in patients with any mental illness. If a mentally ill person has insight, it is considered good, and of course it is good. If you can tell that the thoughts and voices are not yours but in your brain/head as a result of a mental illness, then you are miles ahead in getting better than someone who doesn’t realize the voices are due to illness.
If you can call the doctor and say you are having thoughts of killing yourself, you have exhibited an enormous amount of insight. You have also probably saved your life. For people with schizophrenia, who hear voices, auditory hallucinations, insight or the recognition that these voices are the result of their illness is obviously very important.
In my case, I have thankfully, thankfully, never had auditory hallucinations. I have however thought that a black witch was trying to damage my heart from afar. I have thought that I was in an Alice in Wonderland kind of a play where everyone was playing roles for my benefit. I have thought that my house is bugged and that evil people are plotting to make it seem like I was schizophrenic. The less severe the manic phase, the easier to have insight. In the case of the black witch, I would be completely involved in the story and then all of a sudden I would come to my senses and think “Oh my god, I was just out of touch with reality”, or “Oh my god, it happened again.” So I would come to my senses and have insight that I was sick, very sick. I even thought, and this is totally bizarre, that Nejat wanted to kill me because I had a theory about mental illness that would bring me a lot of acclaim, and he was jealous of me. Of course when I came out of unreality, I knew this was nonsense, I would realize that I was progressively getting sicker and thinking more and more bizarre things. And this would happen many times in one day. Luckily, at least this part is lucky, I do have insight. Not when I am in the dreamlike state, but when I come out of it. The black witch happened in December 2009. In my paranoid state, I didn’t want to be hospitalized in Buffalo, so I went to NYC and got admitted into the Psych ward at Columbia Presbyterian. My sister came to Buffalo and flew with me to NYC, because I obviously was in no state to fly alone. That wasn’t really the best idea because they had to hold me in CPEP (Comprehensive Psychiatric Emergency Program.) Which basically meant that it was the psych emergency admission. They took my clothes, made me put on scrubs, they took all my jewelry, all my makeup, my purse, my shoes, and put me in this unit that was the size of two rooms in my house. This unit had been converted into a front desk, and four or five rooms. It was claustrophobic to say the least. There were large orderlies standing everywhere. There was no privacy, nothing in my room but a cot. I wasn’t allowed to close my door. I didn’t even have anything to write on so I wrote on my lunch and dinner placemats about the awfulness of the place. Nejat threw all that out, I wish I had the placemats, I could have scanned them and used them for the picture here. It was very frightening, large men staring at me all the time, I was still not in touch with reality all the time, so it felt like I was being observed by hogs or some strange, frightening animals. Some idiotic resident had decided I was a danger to myself and had me put in there. I was not a danger to myself, I had VOLUNTARILY gone to be admitted to the psych inpatient ward. They didn’t have beds in the psych inpatient ward so they “jailed” me in this abysmal, dungeon-like place called CPEP. I was there for two horrible, frightening, depersonalizing, did I say AWFUL? days, until a bed became available in the inpatient ward and they transferred me there. That place was like heaven after the dark, horrible dungeon. I had my clothes, it was a bright, airy, cheerful place. The staff were wonderful. They had Art therapy, television, board games. And my sister and brother came to visit everyday, and even Nejat and Aral came to visit me. I was there for ten days and then released. Totally in touch with reality but very anxious. The anxiety lasted for a while and gradually went away. i went back to Buffalo. My psychiatrist asked me why I had gone to NYC to be hospitalized. I couldn’t tell him it was because I didn’t trust him to do what was best for me… so I told him the ill phase had made me paranoid and I didn’t trust anyone in Buffalo… actually true… so I went to NY. Really not the best thing to have done but I did it thinking with a mind that wasn’t working very well. I did need to be hospitalized, but hospitalization in Buffalo would have been a much better idea. My aim now is not to ever get as sick as I did in 2009 and before that in 1986 (my two hospitalizations), not ever to get so sick that I will need hospitalization. So far so good! And I hope my insight will serve me well forever. Thank goodness for that!

Maybe, maybe not…

IMG_3703

Don’t really have anything to say. Tired. Very low energy. Low mood. Beginning of a depressed phase? Don’t know. It’ll become apparent soon enough. If It’s hard to wake up in the morning, if it’s hard to get anything done, if I don’t even want to get anything done, if I have lost interest in activities that were pleasurable, such as taking pictures, or singing, then yes it looks like the beginning of a depressed phase. These things have been happening to me in the past few days, but only the past few days so it’s still too early to tell. It may just be a blah period and not the beginning of a real depression. At least Zumba is still FUN! If that stops being fun, then I am in serious trouble…

Also if I do go into a depression, there is one big problem this time: No Zoloft. My psychiatrist will not let me take Zoloft or any SSRIs (Selective Serotonin Reuptake Inhibitors), because he says that they make people with bipolar disorder cycle more, and apparently research supports his claim. But this is pretty scary for me, because until now, whenever I felt a depression coming on, I would start taking Zoloft and it abated. This time I don’t have that option, that safety net. If I truly do go into a depression, I don’t know what I am going to do. And just this fact is causing me a lot of anxiety and stress.

The drugs he has recommended I go on all have given me very bad side effects in the past. For example Abilify literally gave me Parkinson’s like symptoms, with very stiff muscles, a shuffling gait and muscle tremors. When I took Welbutryn in the past, I thought i was going to burst because of an insane level of anxiety. Latuda gave me blinding headaches and Saphris also gave me a lot of anxiety and severe headaches. Provigil, which is a stimulant is also one that he has suggested, but I will not take it as it can push people with bipolar d/o into full blown mania. I don’t understand how he even suggested that, given the fact that this is a side effect! So there we have it. The one medication I can take without side effects is now forbidden to me and all the ones I am allowed to take are ones I cannot take because of awful side effects. The fear, anxiety and stress of what’s going to happen if I do go into a depression are quite enough to send me into a depression 😦

Going to NYC for Thanksgiving. A lot of close and extended family will be there. Hoping I will be fine. I was so looking forward to this trip to NYC with my husband, my son, my stepdad, my brother, my sister, my cousin, her children and many, many others. And now I don’t know. Oh well, all I can do is hope for the best.

Also wondering if it is time to find another psychiatrist. But what if what this one says is true… then it would be unwise to find someone new… going around in circles and have no idea what to do. Even deleted a whole post I’d written because I thought it was garbage… simply going around in circles. Not so bad that it is definitely a depression, but definitely some symptoms, and maybe on my way to a depression.

Oh yes, bipolar strikes again, as usual with its impeccable timing, and all it does is make my life a living hell. Tired, so tired of this. Of fighting depression, of fighting mania, wtf bipolar d/o, leave me the hell alone.

Snow.

Wintry Weather New YorkSixty inches of snow fell in my old hometown in Western New York today. Sixty inches! There was a magnificent, terrifying wall of snow (above) coming off Lake Erie, coming down on the towns south of Buffalo and the city itself didn’t get even one flake today! Amazing! The sublime grandeur of nature! Yes snow is sublime, especially a blizzard that drops sixty inches of it!

Normally, in less extreme weather, when it has snowed up to a foot, I think of snow as clean, pure, virginal, and quiet. The whole world seems quiet and peaceful. Hushed and magical. After every first snowstorm of the year, I would go for a long walk. Listening to the silence, looking at the pristine, white, untouched beauty of the landscape. Of course I would take pictures. I absolutely love snow. I love it when the snow flakes are silently falling, as if they are in no hurry, as if they know exactly where they have to be, and they know they will get there. There is such peace in falling snow. Just quiet, falling snowflakes, just floating, almost weightlessly to the ground. No noise, no tumult, they bring peace of mind with them. It may be the optical version of listening to ocean waves. Those too impart peace of mind.

If I was there now, I would still go for my walk, even in the sixty inches, and be amazed at the beautiful, white stillness. Perhaps I would glimpse some deer, with their graceful gait and their doe eyes, out in the snow, looking for food. The trees would also be covered in snow, making everything look like a magical fairyland!

I hope all my family and friends are warm and safe in this crazy, extreme, unseasonal blizzard. Buffalo and its suburbs are so extremely good at snow removal, that I have implicit faith that the roads will be plowed soon, the driveways cleaned and everyone will be safe. The State University of New York at Buffalo hardly ever closes. The same is the case with the Buffalo Niagara Airport. They are prepared for snow and lots of it, although sixty inches is pushing it a bit!

My heart is restless here in Kentucky. I wish I was home.

NO to suicide!

IMG_0683 IMG_0683

Strange, I was going to write about suicide and all day I have been seeing references to it, either written, or on TV, or on a billboard. Must be very attuned to it, I suppose, like when you are pregnant, you see pregnant women everywhere. Sorry guys, let me find an example that you with the Y chromosome can also relate to: like when you are thinking about the next football game, and you see cheer leaders everywhere, is that good?

Anyway, this is an appeal to anyone out there who is thinking of suicide. Please don’t. You are embroiled in emotions, or have taken this decision based on emotions. Emotions change. You don’t have to do this. Your frame of mind will change and you will not think about this anymore. Reach out to someone, anyone, a hotline, a friend, a stranger. Anyone at all. Please don’t do it. When people who attempted suicide, but either were unsuccessful, or were saved, they ALL said that they were happy they were still here. Not one of them said any different. So please, write to me, call someone, check yourself into a hospital (stigma be damned), but don’t do it. Don’t even attempt it.

You have this thing called life to live. Right now, it may see, may even be intolerably sad, horrible, whatever, but things change. Moods change, especially in people who have mood disorders. What is unbearable now may become something from which you springboard into being ok or happy, or normal and strong, or who knows, jubilant. Feelings change, emotions change. Dead doesn’t change. So don’t do it. Sit tight, call for help and begin another day.

If you think of your loved ones, if you still have that capacity, you know they will never get over losing you. It will be an unbearably sad event for them, for your children. For goodness’ sake, don’t take that step. Respect life, I know that’s not what people mean when they say that, but I mean it. Respect your own life and live it. It will get better.

Love and hugs and may you have peace of mind and peace in your soul.