In this informative podcast interview, Dr. Andre Pickersgill talks about the high prevalence of mental health issues he sees in his family practice as well as the connection of mental health to chronic pain. Please click on any of the buttons below to listen to my podcast.
Month: November 2021
Having bipolar disorder can result in many losses that may destroy one’s belief in the possibility of returning to a positive life. Acute manic or depressive episodes can result in a lose of employment, relationships with a spouse, friends, and colleagues. Plus, it is common for people to lose all their money and assets.
For example, one could have a severe manic episode that results in an extreme amount of spending which can burn through people’s savings and assets. During this episode, one can become irritable which can lead to a loss of a job or relationships. If you experience psychosis such as hallucinations, paranoia or delusions of grandeur, people do not understand you are simply not well and may become fearful of you which can also lead to a loss of relationships. Perhaps, your spouse decides they cannot deal with the drama of your illness, and they leave. In just a couple of months, you can lose all your money, assets friendships, job, and spouse.
At the end of a manic episode a depressive episode will follow which includes symptoms like extreme exhaustion, body aches, poor concentration, suicidal ideation, and an inability to enjoy anything. It feels like you are a shell of a human being and it’s easy to become hopeless. However, it is possible to rebuild your life after this happens even though it seems impossible. I, and many other people who have bipolar disorder, have been able to claw their way back to a life they enjoy after these types of incidents.
My first depressive episode was the greatest amount of suffering I have ever experienced. I had lost everything. My career, marriage, all of my money and most of my friendships. My appetite was so poor I hardly ate anything, and I had to use two hands to brush my teeth. I spent several months lying in bed. This is common during depressive episodes because the fatigue is extreme, and the warmth of the bed helps ease the pain of the body aches.
To recover from this episode I made incremental improvements in my life on a daily basis. My first goal was to spend more time sitting up in bed rather than lying down the whole day. Eventually, I was able to spend more time out of bed. Then, I built on the tiny successes everyday. I would simply do my best to make the day a little bit better than the previous day. Eventually, this created a kind of moment that helped me start down the path of wellness.
This November I have been participating in Move for Movember, an initiative where I have to walk 60 km in one month for the 60 men who die by suicide every hour around the world. You can donate by clicking here. I was hesitant to participate in this campaign because last month I walked 0 km. But I used the same approach to completing the challenge that I have used to rebuild my life when bipolar takes so much from me. At first, I just did 2 km/day. Everyday, I managed to do a tiny bit and recently my walks have been longer. I have completed 56 km and there are still a few days left in November.
When bipolar disorder destroys your life the thought of ever having a life you enjoy again seems unfathomable, but it is possible. Methodically rebuilding your life one small piece at a time is the only way to get your life. Many people who have bipolar have done it so there is always hope that life will get better.
The rate of suicide among people who have bipolar disorder is approximately 10 -30 times higher than the general population. Researchers estimate that between 25% and 60% of individuals with bipolar disorder will attempt suicide at least once in their lives and between 20% (of mostly untreated) people who have bipolar disorder will die by suicide. The reasons why this occurs can be complex but I will try to explain it from the perspective of someone who has the illness.
Most of these deaths occur during depressive episodes. When you understand the symptoms of depressive episodes it is easier to understand why these deaths occur. The first problematic symptom is that depressive episodes give you suicidal ideation. Our illness impacts our thoughts and behaviour when we are acutely ill. This is a physical response caused by the illness. In my experience, pep talks and trying to have a positive attitude will have little impact in improving these thoughts when our symptoms are severe. In fact, people may conclude that they are to blame for their symptoms because they are not trying hard enough to have a positive attitude which reaffirms any negative thoughts they are having about themselves.
There are other symptoms of depressive episodes that can contribute to suicidal ideation. You have thoughts that you are worthless, no one likes you, and every aspect of life appears dark. Depressive episodes create concentration problems which make conversations impossible. During acute depressive episodes it is very difficult to enjoy anything. This means eating, entertainment, family gatherings, music, Netflix do nothing for you. It feels like you are a shell of a human being, and it is easy to conclude that there is no purpose to staying alive.
Often people who have depressive episodes think their episode will continue for the rest of their lives which is rarely the case. We generally go back to baseline, and we may even head into hypomania or mania. It’s a journey to get the right mix of medication, therapy and a positive routine to create a positive life long term. There are many people who have bipolar disorder who are able to do this, one need only attend a peer support group to meet some of them.
This year, I will be participating in Move for Movember. For this campaign, I will be walking 60 km this month for the 60 men we lose every hour around the world to suicide. There is simply not enough support for men to receive the treatment they need to prevent these deaths so I am going to participate in the walk so that in my small way I can contribute to a solution to this problem. If you would like to make a donation in my name please click here.
If you are suffering from suicidal ideation, please know you are not alone. There are many people who have suffered just like you are. It is possible to have a better life. You may not be able to think of a solution to your problems but that does not mean that a solution does not exist.
Below are a few links to resources for support for people who are struggling with suicidal ideation.
Peer Support
OBAD (Organization for Bipolar Affective Disorder)
DBSA (Depression and Bipolar Support Alliance DBSA)
Distress Centre Lines
Crisis Services Canada 1-833-456-4566
Lifeline (US) 1-800-273-TALK (8255)
Befriends Worldwide (International)
Lifeline (Australia) 13-11-14
Recent Comments