Reminder: Spring Is Coming So Take The Time Now To Update Your Mania Crisis Plan

OP what.is.mental.illness [Instagram]

It would be so funny if autistic people started describing allistic experience the same pathologised way doctors describe autism

somewhere around 60% of bipolarians are unemployed, and bipolar disorder is the sixth leading cause of disability in the world so here is a reminder that youre not alone. your worth is inherent and not linked to how well you can do a job. you have worth because you are alive not because you are able to produce labor for someone else. happy disability pride month to all the bipolarians who don’t or can’t have a job. I’m proud of you. 

and for those who do work, 88% of bipolarians surveyed said that bipolar disorder affected their ability to perform at work, so if you work and struggle, here is a reminder that you’re not alone. I recognize the struggles you face, from those caused directly by your illness, to discrimination, to working hard to appear “normal,” your efforts dont go unnoticed. your worth isnt defined by how well you do your job, either. happy disability pride month to all the bipolarians who struggle through their work but still manage to get it done. I’m proud of you, too. 

talking to your parents in your 20’s moodboard

I find myself explaining to people a lot recently why using "bipolar" "narcissistic" "psychopath" etc is an issue, because it can be hard to articulate in the moment, so here it is all together:

The terminology that is related to certain conditions, disorders, and neurotypes being appropriated by others to be used in commonplace situations necessarily creates problems for those whose conditions these terms are supposed to belong to and help. It stigmatises certain behaviours, makes them the butt of the joke, or underplays how debilitating they can be.

For someone who has to live with bipolar disorder, people using "bipolar" or "mania" loosely suggests that the actual bipolar people are overreacting, or else that their condition is a joke when in fact this condition not only hinders them in an ableist world, but also brings violence and discrimination against them because of the condition.

Such also is the case for personality disorders and complex disorders like schizophrenia. Using "psychotic" as an insult or a modifier erases the fact that it's a condition which most aversely affects the psychotic person, it stigmatises them as dangerous when in fact psychotic people are the ones more likely to receive violence than inflict it statistically and historically.

Saying psychopath when you mean a serial killer and sociopath when you mean someone who is cruel is also wrong in that same vein because these are ((now redundant)) subtypes of anti social personality disorder, which does not make people more likely to cause harm or to be "evil" or abusive, but rather causes issues in their own lives due to a lack of empathy, which must also not be confused with a lack of compassion.

Narcissistic personality disorder similarly is a cluster of self esteem issues, identity crisis, and a fragmented sense of self that shows itself in certain behaviours. Borderline personality disorder also is similarly stigmatised, when in fact people with this disorder are far more likely to be victims of abuse. Terms like "narcissistic abuse" or "borderline abuse" suggest that these people abused you because of their disorder, which is not at all true, and any idea of abuse can already be encompassed simply by calling it "abuse" plain and simple rather than stigmatizing a bunch of people in the process of this.

All of these disorders, though not curable, still are treatable in that people are trying to get help and adjust to life despite their symptoms. This only becomes possible as long as these symptoms and terminologies are not stigmatized any further by an ableist society. The terms used to describe these disorders are meant to HELP the people with those disorders. Not to become an excuse to treat these people worse and make them feel unwelcome.

Therapist Red Flags

Therapy is important and can be really helpful, but not all therapists are good at their job. Here’s a few things to look out for when you’re seeing a therapist:

Not listening to what you tell them

Ignoring confidentiality (except in emergencies)

Making you feel judged or ashamed

Ignoring or trivialising your needs

Consistently being late

Making fun of your needs / accomplishments

Being judgemental or critical of you

Not taking your feedback on sessions into account

Condescending facial expressions or body language

Ignoring what you want to do / accomplish in therapy

Talking too much about themselves

Making you feel like problems are all your fault

Being insensitive to your culture or religion

They’re making you feel bad about yourself

Using the phone or getting distracted during your sessions

Attempting to make romantic / sexual advances on you

Making you feel stupid or invalid for what you say or how you feel

Forgetting important details about you / your life

Pushing you too hard before you’re ready

You wondering if their behaviour is a red flag. If you’re looking it up then chances are you already feel uncomfortable in therapy. You should never be forced into seeing a therapist who makes you feel uneasy. There’s no shame in leaving and finding a different therapist.

Common phrases said to you before you realise you have Adhd

a seemingly homemade shirt

found in a goodwill in Columbia, Kentucky

whats the ice cream bar approach ?

So, @bipolarings has a post talking about this a little already, but I'm always happy to be given an excuse to blather about brains :D

The ice cream bar/sundae bar metaphor was originally created to describe the autism spectrum, but it works really well for other things too, including bipolar disorder. I'mma adapt it a lil bit here, in fact, to make it work even better. Yay me.

The principle is this: instead of trying to divide up bipolar disorder into I/II/NOS/etc, or classify it as 'severe' or 'mild', picture it as a sundae bar.

Now, every day, you make yourself a sundae. You can take as many toppings as you 'want' and as much of each topping as you 'want'.

There are some toppings that go well together, so, for instance, if you take a lot of euphoria there's a good chance you'll also get some hypersexuality, some delusions of grandiosity, some creative drive, some ambition, some psychomotor agitation. And that would be called a 'manic episode'. You could get somewhat less of each, maybe leave off the delusions of grandiosity, and people might call it a 'hypomanic episode'. Even less and people might call it 'euthymia'.

But the thing is, you don't have to get it that way, and you can take any amount of each! So you might get low mood but a lot of psychomotor agitation, irritability, and disregard of consequences. Or you could get a huge amount of emotional numbness but combine it with the stuff other people like to put with euphoria. Or you could get just a bit of low mood but spice it up with hallucinations and delusions (other). Or you could get a lot of delusions of grandiosity but only a tiny amount of euphoria.

And what you get one day doesn't determine what you get the next. You could spend years getting nothing but the 'hypomania combo' and the 'depression family-size' and then one day decide to dump the entire bowl of euphoria in your cup and top it with so many delusions it starts to spill over the sides. Or maybe you've only ever gotten small, carefully curated sundaes with a healthy amount of two or three toppings but today you just tell the server 'fuck me up' and get some of absolutely everything.

Without all the metaphor:

While certain sets of symptoms commonly appear together, and are then labeled 'mania', 'hypomania', 'depression', or 'euthymia', symptoms don't have to appear in those particular combinations. (Also the DSM isn't necessarily even right about what combinations are common.)

You could also have different proportions of symptoms than someone else does. (And that doesn't necessarily make your disorder or theirs automatically more 'severe'.)

Even if you do only get common combinations of symptoms, that says nothing about how 'severe' it is. If you get an enormous amount of emotional numbness, lack of motivation, executive dysfunction, suicidality, paranoid delusions, and disregard of consequences, continuously for 98% of your adult life; and someone else gets one (1) single 3 day long episode with a medium-sized serving of delusions of grandiosity, hallucinations, and disregard of consequences; they'll probably be diagnosed with Bipolar I and you with Bipolar II, but your life is probably being affected a lot more.

What symptoms you get can also change, which can include changing from what a psychiatrist might call 'Bipolar I' to 'Bipolar II', or 'BP-II' to 'BP-NOS', or whatever. You haven't magically gotten a new disorder. You just got a different sundae today. You're still eating at the same sundae bar.