Posted in Bipolar disorder, mental health, mental illness, physical health, relationships, wellbeing, wellness

The Good, the Bad and the Ugly of Hypomania in Bipolar Disorder, including my personal experience

Right now, I’m going through a period of hypomania as part of my bipolar disorder. It seems to have been brought on by Covid-19 because, despite feeling awful physically, my mind was racing and I was getting less than 4 hours sleep in total. Desperately craving some calm to help myself recover from my temporary illness, I turned to a packet containing medication I was given when I was getting used to my bipolar meds namely Diazepam. I thought as I recovered from the virus, things would settle down but so far, as I write this post, they haven’t. I’m trying desperately to do mindful activities to help myself get back to a stable state (what I would usually describe as my ‘normal’) but it’s proving difficult and I’m worrying that I’m going to get worse.

As part of my hypomanic episode, I’ve got literally hundreds of ideas for blog posts, creative pursuits, ways to improve my life and things I absolutely need to start doing. In some ways this is good as, before Christmas, I was struggling with tiredness and didn’t want to do as much with my day and worries that I was becoming depressed filled my mind. However, being ‘high’ means I’m constantly adding to my to do list (or my ‘must do’ list as it feels) and I find myself working on ‘projects’ until late evening and not wanting to stop. And then, surprise surprise, my mind is full of stuff and I’m struggling to switch off when my husband and I settle down to watch TV and I’m finding sleep just will not come.

My husband is still feeling tired from Covid and by the end of the working day, he’s exhausted and finding it difficult to listen and pay attention to my constant witterings. You see, when my mind is full of thoughts and ideas, I get verbal diarrhoea which is not good news for me or my husband – I can’t stop talking and I talk so fast that he can’t keep up. Even my text messages become long and waffly! And if my husband asks a question that has already been answered or he’s failed to compute something I’ve said, I’ll become irritated and short with him.

Talking of being irritated. I’m getting annoyed with all kinds of people and things. A slow driver in front of me on the way to the supermarket. Someone who doesn’t say thanks when I let them pull out. Ink on my hand because of being a leftie. The queue at the post office meaning I have to wait to collect my Amazon order. Having a headache because I’ve failed to drink enough water during the day. The list goes on, and on, and on!

I’ve also noticed that I’m buying more ‘stuff’ in a bid to improve my life. Luckily, I don’t struggle with mania (as I have bipolar 2) so I won’t make huge purchases like a brand new car or an expensive holiday, but things become much more attractive when I’m high. I was in TKMaxx a few days ago, and the more I looked around, the more I wanted things and so I made my purchases (a new pen pot, a cute bird mobile phone holder and 2 gorgeous sky blue matching chopping boards) and swiftly left the shop. My husband will never say no to something that I really want and it makes me feel guilty afterwards when I’m back to my ‘normal’ stable self and our expenses for the month are way more than usual.

These are a few of the difficulties I face which could be described as ‘bad’, but what about the ugly? By ugly, I don’t of course, mean that I turn into a grotesque monster who people can’t stand to look at. I’m really referring to the effects that hypomania can have on character, traits or behaviour. For example, I can have a short temper and might raise my voice to my husband in frustration for being too slow to answer a question, forgetting something, not getting ready to go out fast enough or for asking me to repeat something I’ve said (when talking at speed and not stopping). I might also make comments about someone that I would consider to be nasty at any other time. Or my inflated ego might make me believe that I’m superior to others and that I could do a better job than them. Although I may or may not say things out loud, I don’t want to be someone who voices or thinks horrible things.

In the past, when I was on a high dose of antidepressants and no mood stabiliser, I would sometimes believe I was better than every teacher in the school and that they weren’t as dedicated as me because they took a proper lunchbreak or left before the school closed at 6pm. I would also often speak in a way which to others, might sound like I was full of my own self-importance. Then, I would rush around trying to do everything at once in a bid to maintain the illusion that I was the best! Needless to say, after trying to keep going and going like a Duracell Bunny, I would inevitably crash and either become physically unwell, mentally exhausted or depressed.

Before my diagnosis, I would go through lengthy periods of depression where I had no confidence in myself and got anxious and cried on a daily basis. I also sought reassurance from my husband constantly. However, when going through a period of hypomania, I genuinely believed that I didn’t need anyone’s help and support and that I no longer needed a husband / family / friends for encouragement, support or just to be there. Especially as everyone and everything seemed to irritate or anger me.

Over the years, I’ve learn to apply strategies to calm myself down and the medication I take helps immensely. However, I will never be cured so I am learning to live with my relatively recently diagnosed illness (even though I believe I’ve had the condition since my late teens) and my husband is incredibly patient with me and supports me in any way he can. Whether I listen to his advice or not depends on my mood! However, I’m grateful to have found someone so wonderful to share my life with and put up with my changing moods.

Final words…

I’m hoping that today’s post has given you an insight into the effects that hypomania can have on an individual. I believe it’s important for everyone to know a little bit about it as it’s likely that most people will know someone who is bipolar, even if they’re not aware of an individual’s diagnosis. If any of the writing doesn’t make sense, it will be because most of the above was written at 4am on my phone whilst I sat downstairs frustrated that my mind wouldn’t rest!

It’s taken me at least a week to finish and publish the above and I’m pleased to say that things are starting to settle down. I’m no longer taking diazepam for sleep and my mind has started to calm down a little. I still have lots of ideas and projects but I’m trying to make sure I only work on those which add value to my life. I’m also adopting the done is better than perfect way of doing things. Hopefully, I’ll continue to head in the right direction towards ‘stable’ a term I’m trying to use to describe my state rather than ‘normal’.

If you would like to know more about bipolar disorder and how it affects individuals or you suspect a love one may have the condition, the NHS website has pages of really useful information, including more detail about its presentation . Although symptoms different from person to person, there are set list of signs which are likely to be visible.

Thanks for reading!

Posted in wellbeing, wellness

Monday Matters: Creating a W.R.A.P. Part 4

The cover I made for my file using MS Word

In this series, I’m breaking down the aspects involved in creating a Wellness Recovery Action Plan (W.R.A.P.) and sharing my experiences of the course I did at my local recovery college where I worked on my own individual plan. In Part 1, I talked about what a W.R.A.P. is and why they are helpful. I identified the main principles and introduced the idea of making a wellness toolbox to help you think about activities which you find help your mental health. In Part 2, the focus was on identifying what you are like when you are well and making a list of every day activities which you should do to keep yourself feeling well. For Part 3, we looked at the importance of recognising your triggers or stressors and creating a plan of methods for coping with these when they occur. We also considered our own personal warning signs that we are beginning to become unwell and I shared examples of my signs and actions for combatting these. Today, the focus is on signs of further decline when your coping methods and action plans are not helping you and simple steps you can take to remediate.

Sometimes, I find that even though I’m trying really hard to keep myself well, certain sets of circumstances or aspects of life cause my mental health to deteriorate. When I start to become depressed, it seems like nothing I can do will help and thoughts such as ‘I’m never going to get better’ kick in. Even though I’ve got through periods of depression and anxiety countless times before, I always panic that this is going to be the one time when I stay unwell indefinitely.

When I made my list of signs of decline, I was actually living that depressive and anxious side of my life so it was easy to write everything down but also quite upsetting. I also struggled to come up with coping methods and an action plan and this is where the support of the course facilitator at the college became so important. If you are struggling it’s really important to reach out for help. A family member, a close friend or a therapist can all help to provide objectivity and encouragement in finding a way forward.

Now I’m feeling stable, I have added to my list. In fact, I’ve turned it into two lists – one for times of depression and anxiety and the other for when I’m struggling with hypomania. Here are some examples that may help you get started with creating your own list or lists:

Depressive episodes

crying a lot

lack of motivation

avoid doing things

anxiety on waking

isolating myself

feeling hopeless

can’t see a way forward

rocking and pacing

fragile

lots of negative self talk

let things upset me that I wouldn’t ordinarily

feeling tired all of the time

sleeping in

very poor appetite – feeling sick

hopelessness

convinced I will never get better

Hypomania

erratic driving

spending money on unnecessary things

talking non-stop

not sleeping properly

taking on too much

jumping from one activity to another

thinking I’m superior / better than most

My coping methods / action plan

Go back to my wellness toolbox and choose self soothing and mindful activities

Do things ion my ‘Daily Maintenance’ list even though I don’t feel like doing them

Get some exercise – a gentle walk in nature

Do a meditative activity e.g. colouring in

Write a short action plan for each day

Try to celebrate small achievements

Write a done list of all of the things I have achieved each day e.g. had a shower, ate some lunch etc

I hope my posts are helping in terms of managing your mental health conditions and has shown how a Wellness Recovery Action plan can help with anxiety, depression and symptoms of bipolar illness. The fifth part will be about crisis planning which is particularly relevant for those of you who may struggle with manic episodes and severe periods of depression where someone else needs to take over your care. As my mood disorder is not as debilitating as this and I have learnt to manage hypomania and moderate depression, I did not fill in this part of the plan but I will still be sharing ideas for its completion.

Until next time,