Is Stress A Trigger For Mental Illness?

20180514_093027

For me, the answer is yes. However, it’s not the cause of my mental illness but a trigger for an episode of bipolar mania or depression. It’s usually coupled with other triggers such as; a lack of sleep, drinking alcohol, or not taking medication.

I’ve been through many occasions where stress has had an impact on my mental illness. When the pressures of work have become too much, I find myself spiralling. The most likely repercussion is an episode of mania. The stress will disappear and I will become a whirlwind of energy and activity. Misdirected this energy can lead to reckless behaviour and I’ll find myself in dangerous situations. Mania also leads to obsession. Either with my work, with colleagues I dislike, or on projects in my personal life. I talk about one example in detail in the post Unhealthy Obsession

Often I don’t realise I’m stressed until I start showing signs of mania and then at that point I don’t care that stress has caused me to feel so euphoric. Of course with bipolar, being so hyperactive and full of relentless energy, I have to come down sooner or later. I talk about this feeling in the post The Mania Hangover . Then the stress I’m under really hits me, as I fall into a depressive state. There have been many times when for whatever reason I am already manic or depressed when a stressful situation pops into my life. Depending on the type of episode I’m experiencing, my reactions and ways of coping will differ dramatically.

Although stress can make us feel ill, a mental health condition has to already be there, whether it’s known to you or not, to trigger a mental illness. We all go through times of stress where we feel run down, lacking energy and generally feel overwhelmed by life. If you’re susceptible to depression or anxiety, the stresses of life can definitely trigger these. I find with bipolar disorder, which I continually live with, stress exacerbates the condition. I’ve learnt that I have to manage the stressors in my life and face up to the causes. Whether that be my job, a relationship, or money worries I need to assess the impact they are having to my stress levels, and ultimately my mental health.

Workplaces in particular need to work with individuals to create an environment that eases daily pressures. Society needs to be more compassionate and provide aid to those struggling for money and living in poverty. I grew up in a household where both my parents worked, yet we struggled financially. I know firsthand as a child and then as an adult how much stress is caused every month when bills are overdue and you have no way of paying them.

If you go through stressful situations but don’t have a mental illness that’s great! But don’t judge those that do. It doesn’t make the person weak or less resilient because stress triggers their mental illness. In times of extreme stress those with mental illnesses suffer; it’s unavoidable.

 

I Gave Up Alcohol For My Mental Health

wp-1522770217504..jpg

My last psychiatry appointment was a tough one – I was told with certainty that I should, no, needed to give up alcohol. My response was a hopeful one, surely half a bottle of wine on a Saturday night was alright? The answer was a definitive no, even that amount of alcohol was far too much. We agreed that I should go sober, and I agreed reticently. I left feeling dejected, grumpy and silently cursing my psychiatrist. Although I felt fed up, I had known before my appointment that this change needed to happen.

Why go sober? 

My psychiatrist explained that alcohol reduces the effectiveness of many medications. Alcohol is a depressant, and pretty much cancels out the work my mental health medication does. In other words, I might as well not bother taking my medication every time I drink. If I have three days in a row of drinking, then that’s three days without medication. For me that can cause the beginning of withdrawal symptoms, that feel like having the flu. Or, more seriously, it can cause a bipolar episode of severe depression or mania.

The mental and physical effects

After a heavy weekend, or a number of days in a row of a ‘few’ drinks in the evening to help me unwind and relax I start feeling the negative effects of alcohol. I’ve noticed a correlation between heavy drinking and heart palpitations, that often leads to a full blown panic attack. Panic attacks are a debilitating and exhausting experience, and I’ll feel drained for days afterwards. Another experience I’ve had after drinking is psychosis. Earlier this year I drank heavily over my birthday weekend and at the end of it began to hear voices. I wrote about the experience in this post, My Hearing Voices Journal Alcohol free, I wouldn’t have gone through these experiences, and would have stayed mentally well and stable.

How I did it

I literally just stopped! Seriously though, it’s been tough, especially on nights out and at family celebrations. I’ve been drinking since I was fourteen, so to just suddenly go completely sober was a massive challenge. I was open about it with everyone, and my partner, family and friends have all been extremely supportive. I reached out to the twitter community and was given heaps of advice and tips on non alcoholic drinks so I wouldn’t feel like I was missing out on nights out. Soda and lime cordial has been my saviour when I’m out at a bar, along with flavoured sparkling water when I’m having a night in. It’s taken a terrific amount of self determination and will power, but I knew it was something I had to do for my mental health.

How I’m feeling now

Two months later and I feel fantastic! I’m clear headed, have more energy and haven’t had any palpitations or panic attacks. I’ve been stable and haven’t experienced psychosis or any depressive or manic episodes. I feel physically healthier and I’ve lost weight. I know my medications are working as they should be now, and that’s given me the impetus to stay sober.

I may have left my psychiatric appointment with a feeling of dread and wondering how the hell I was going to go sober, but I’m so glad I stuck with my decision.

The Mania Hangover

wp-1518454474315..jpg

The Best Feeling Ever!

When I’m in the grips of mania, I love Bipolar. The euphoria I feel is like no other drug. The feeling is addictive and I never want it to end. The mania is unbelievably epic, like I’m living in a blockbuster movie and I’m the star. The whole universe revolves around me. Continually going through my head are thoughts that instil an enormous, gratifying confidence: ‘I’m the best at everything!’ ‘I can do anything, be anyone!’ ‘Nothing can touch me. I’m invincible!’ It’s a feeling like no other and yes, when it ends I do miss it. Because of course, like any good thing, it has to end. I talk more about mania in this post Mania is…

Here Comes The Hangover

What I hate about Bipolar, above anything else, is what I call my mania hangover. First of all, I realise I’ve spent far too much. Imagine having a big weekend when you’re suddenly buying everyone shots, but that weekend stretches on for months. Or that clothes and shoes binge you’re on when you spend an evening sat in your pyjamas on the internet, but imagine it lasting weeks. I’ve found myself in crippling debt more than once, the first time meaning I had to move back home with my parents. I felt terribly embarrassed and an absolute failure for having to go back to live with mum and dad. Luckily I had that option.

Next, the realisation of my actions set in. I start to see with clarity and I realise I’ve done things that I’ll regret for years to come. I cheated on my ex, whilst I was away traveling in Japan. When I was feeling stable again the memory rushed toward me and I felt dizzy and sick over what I had done. It was completely out of character, and I was remembering it through a haze, as if I had been drunk. I see how much stress I put family and friends through with my unpredictable, sometimes rageful emotions. I’ve made family and friends cry with vicious words that cut them to pieces. I’ve done so many embarrassing, ugly things I regret over the years I can’t fit them into one blog post.

From constantly being full of energy and unable to sleep, now I’ve become emotionally and physically exhausted. I’ve been running on empty for weeks and not even noticed. All I want to do is to become a hermit, hide from the world in bed and eat junk food.

Hello Depression

Then, inevitably depression sets in. I hate the depression, and it’s usually part of the whole mania hangover. The juxtaposition between the mania and depression is ridiculous. I’ve heard the description of ‘it’s like living on a rollercoaster’ but it’s too simplistic a description. Rollercoasters for me are fun, and the lows of acute depression are far from fairground ride fun and games. Depression, just like mania, takes complete hold of you, and won’t let go. I can no longer function like the average person. I stop going outside, I have to force myself to shower and brush my teeth. Everything is an unbelievable effort.

My Hangover Cures

Ultimately, I would not want to be manic in the first place! To do this I check The Warning Signs of a Manic Episode that I have identified over the years. Even though at times it can be a tempting prospect to go back to that feeling of constant elation, it’s not worth the adverse effects. Taking my medication is the surest way to stop this from happening. If I do find myself with a mania hangover, I take the time to look after myself. I’ll take some time away from work and socialising. I’ll keep an eye on my mood and check for the warning signs of depression.

So, What Is Bipolar Disorder?

 

20171003_090605

Bipolar disorder is characterised by extreme lows, and extreme highs. What I mean by this is extreme mood swings. Lows can lead to suicidal depression, and highs resulting in mania. Bipolar is extremely difficult to diagnose, as it affects people differently. Not everyone has extreme mania, which can result in reckless behaviour and delusions and hallucinations.

Depressive Symptoms 

If you’re depressed, it often manifests as being tired all the time, crying over little things or for no reason at all. You’ll find yourself losing interest in hobbies and activities you used to enjoy and not wanting to socialise or leave your home. Depression can leave you feeling worthless, hopeless and fill you with dread. The most serious aspect of depression is having suicidal thoughts, planning and possibly acting on them.

Manic/Hypomanic Symptoms

Hypomania begins with accelerated speech, where you talk very fast and people find it difficult to keep up with what you’re saying. You’ll not need to sleep or eat as much as you used to. Thoughts are uncontrollable and constant. With mania, your judgement may become impaired and you start to act impulsively. The most serious aspects of mania are characterised by a complete lack of control and putting yourself in dangerous situations, as well as delusional thinking (believing wild ideas about yourself or others) or hallucinations (seeing, hearing, feeling things that are not really there).

According to the charity Bipolar UK;

  • More than one million people in the UK have bipolar.
  • It can take on average 10.5 years to receive a correct diagnosis.
  • Individuals with Bipolar are misdiagnosed, on average, 3.5 times.

Below is a mood scale that explains the extremes of Bipolar. Most people will usually find themselves between 4 and 6 on this scale. With Bipolar, mood swings could leave you falling anywhere on the scale.

75777305c991cd4094899a520bf85547--bipolar-uk-uk-websites

My Experience

As  I’ve already mentioned, Bipolar unfortunately can take a long time to diagnose. I first became very ill when I was 14 and was misdiagnosed with depression. It took until i was 27 to finally have a definitive diagnosis of Bipolar. The problem I have found is many people misunderstand it and only ask for help or are given support when they are depressed. Bipolar in young people can sometimes be misdiagnosed as ADHD, because of the manic symptoms they are showing.

I was on antidepressants on and off for years. Initially I was given counselling as a teenager, and took antidepressants in my twenties. They didn’t help me, but made my mood what I would call hyper. I couldn’t stop talking, I did reckless things, drank too much, took drugs. I would feel amazing and full of confidence on anti depressants. I would often become very angry and upset people and get into arguments and fights.

Now I’m doing really well, I’m stable and I’ve found the right combination of medication that helps me manage Bipolar. It’s taken four years to find the right combination of drugs that help me stay relatively stable. I need to be very strict with myself and take them everyday and limit how much I drink, or they won’t work how they are supposed to. I’ve been told by my psychiatrist that it is a life long condition, and I need to learn how to manage it.

So where did your bipolar come from? 

To be honest i have no idea what the cause of it was. I came from a happy family, although we struggled with money and had arguments, nothing traumatic happened to me during my childhood. My Dad believes that my Grandmother had it, but she was never diagnosed that we know of, and we think I may of inherited it from her. As a child I was quite quiet and would bottle up my emotions, and then I became very depressed as a teenager. It wasn’t until I was about 16/17 when my behaviour changed and now I realise it was probably mania. It was like my whole personality changed overnight and I became very loud, talkative and hyperactive.

Advice on what to do next

I think it’s important to be careful before diagnosing someone with Bipolar. It is a severe and life long condition and the medication is serious stuff. Doctors I understand want to be careful before referring patients. To be diagnosed, you have to have a psychiatric assessment with a psychiatrist, but you first have to be referred by a GP or counsellor. Often it helps to take someone with you to an appointment. Sometimes a doctor needs to see supporting evidence from family or a partner before you are taken seriously.

My advice if you are worried that you or someone you know may have Bipolar is to keep a mood diary. Track how you are feeling everyday over a period of a few months and take it with you to see a doctor. I know that seems like a long time but it’s better than waiting years to be heard. It might also help to sit down and write a chronology of your problems from when they started up until the present day. Both of these can then be evidence to show a doctor, and will show if there is a pattern of depression and mania.

 

Physical illness when I’m mentally well – it’s not fair!

20170929_123356

It’s a regular occurrence, whenever I find myself mentally stable, I become physically ill. It seems so unfair. I have lived with this phenomenon for years. As my mind starts to heal, my body relaxes and I find I’m much more susceptible to becoming physically ill.

I have been stable for about four months. The first flare up was my back and I found myself in excruciating pain. I’ve been referred to a physiotherapist but I still wake up every morning in agony. It seems I’ve had this problem for a number of years, but my body has never fully relaxed. When I’m manic I’m full of energy and on the go. During depression I’m often extremely anxious. In both situations my body is tense, so my back pain hasn’t been so obvious. This week I’ve had a terrible cold. I haven’t had a full on cold like this for years, and it just so happens to coincide with me being stable. I don’t think this is a coincidence.

As a Bipolar sufferer, I have always suffered from what I call the comedown, or hangover from mania. Mania can be euphoric, but it is always exhausting. After an episode, I almost always become physically ill. I haven’t looked after myself properly for what can be months at a time; exercising till I nearly faint and hardly eating or sleeping. No wonder my body rebels when I finally relax.

I’m not sure what the answer is to this. My body is obviously reacting to how I have pushed it to extremes and how stress and anxiety has weakened my immune system. I’m hoping with longer bouts of stability, I find better physical health. I’m already finding that I’m eating more healthily and looking at finding a suitable exercise regimen.

What not to say to someone with Bipolar Part 2

Continuing on from the first part, which you can read here I’ve explored conversations I’ve had regarding bipolar. As I mentioned in part 1, many of the questions or statements are meant to help, but are things I have heard many, many times before. Sometimes they can be insulting, which is difficult to deal with. I have been taken aback by how little people understand the condition and what they feel is acceptable to ask. It’s like when a woman is visibly pregnant, and people will touch her tummy without asking. It’s invasive and so are some of the questions I’m asked. Statements are made without thinking. If people stopped and thought to themselves “would I be alright if someone asked me that?” they may change their mind before speaking.

You can’t have bipolar, you seem so nice!

I’m always confused by this one. Having Bipolar is not a character flaw. Just because I suffer with intense mood swings it does not make me a bad person. I’m not going to suddenly attack you or go on some rampage. Mental illness for the vast majority of us doesn’t work like that. I find people that suffer with mental illness have a huge amount of empathy for others, and are willing to support friends and family even when they themselves are struggling.

A healthy diet and exercise will make you feel so much better.

I know this suggestion is supposed to be helpful, but honestly I have heard it a ridiculous number of times. As someone that wasn’t diagnosed for over a decade of suffering, I have tried everything I can possibly think of and that includes a healthy diet and regular exercise. Although I agree it helps with general well being, it cannot alone alleviate symptoms.

But you don’t look Bipolar.

I’m not sure exactly what people imagine a Bipolar sufferer to look like? I suppose they feel I should be wearing all black when I’m depressed, with my head in my hands, rocking back and forth. When I’m manic, maybe they believe I should have a crazed look in my eyes and act like a clown all the time? People don’t always present as being manic or depressed. I don’t look much different during these times, I just look like me. I might look more tired than usual when i’m depressed, but on good days I can still dress up and wear makeup.

Do you really need to take all of that medication?

Yes, yes I do. Medication has saved my life and giving me stability that would never have been possible without it. I talk at length about this in the post Psychiatric Drugs Saved My Life

I’ve watched Homeland/Silver Linings Playbook and you don’t act anything like that. 

Bipolar disorder is not the same for everyone. There are different forms of Bipolar such as Bipolar I (characterised by extreme manic symptoms and severe depression), Bipolar II (with a milder form of mania called hypomania and severe depression). Rapid cycling (where you switch from mania and depression in quick succession). A mixed episode (where you could be dealing with both extremes at the same time) and cyclothymic (a chronic but milder form of Bipolar disorder). Film and television will always show the extremes of mental illness. I have become astute at hiding how I’m feeling, after years of trying to fit in. So I may not always appear to be ill, but in fact inside I’m struggling.

It’s a shame that I’ve had to post this, but the reality is that many people still do not understand bipolar disorder, and mental illnesses in general. I’m sure there will be a part 3 of this somewhere in the future, but I hope not for a long time.

 

 

 

 

Stability

20170918_112403

I’ve found myself in a a strange situation. It’s one I haven’t experienced for years. It’s called stability. My life has been full of desperate lows and extreme highs and not much in between. It’s been like this for over a decade. It’s true I have had periods of stability, but usually they only last up to a month. This time it’s different. This time I’ve experienced stability for nearly four months.

It feels strange and alien to me. I’m used to living an intense life, full of drama, fear, anger and emotional heights and depths. The euphoria I feel during a manic episode is unparalleled to any other I have experienced. I’ve experimented with drugs but nothing comes close to a full on bout of mania. I always say I don’t need to take hallucinagens because psychosis has that covered.

Back to life being surreal right now. I’m not used to this. I’m not used to feeling calm and organised, feeling happiness without worrying it will morph into something toxic. Or days when I wake up and I feel slightly on the down side, but being able to carry on without depression creeping up on me. I feel like I can accomplish things, without obsessing over a task and becoming completely absorbed by it. I’m wondering if this is normality, or if there is such a thing. Is this how healthy people live?

I’m lucky that I have finally found a combination of medication that works for me, and hasn’t given me extreme side effects. I’ve put on some weight, but now I feel stable, I’m less likely to drink and crave junk food. It’s something I could change if I wanted to.

I’m not always sure I like this feeling. Life feels quite bland and monotonous. It’s like my world is slightly overcast and grey, instead of full of darkness or bright sunlight. I don’t know how to act or to live like this. Sometimes I daydream about the fun side of mania and how if I stopped taking my medication I could get back to that. However, I then remember all the negatives that come along with it. The delusional thinking, the intense anger, obsessive and dangerous behaviour. There’s also that air of foreboding surrounding me that at any time I could become seriously ill again. If I push myself too much I’ll trigger an episode of mania or depression.

It’s a bit cliched to say but I’m taking each day as it comes. Life I know shouldn’t be full of extremes constantly and should be quieter. Sometimes yes, even boring. I’m grateful that I’m in this position and I’m trying not to take it for granted.

Time to Change Story Camp 2017

19961462_10154515326451300_3793316184943800300_n

Filled with excitement and trepidation on Friday morning I woke early – about two hours earlier than I needed to, ready for Time for Changes’ Story Camp. Fighting off the nerves I made all the important decisions; are those glittery shoes too much? Did I really need to coordinate my stationery with my bag and phone? How the hell was I going to navigate London with my complete lack of directional sense? I made it out the house and found my way to the venue only managing to lose my way twice, a massive achievement!

So what is Story Camp? 

Story camp is a day dedicated to all things mental health, and how to get your story out there. Whether it’s through blogging, vlogging, illustration, (even crafts), or becoming a media volunteer. Although I’m already writing here on this blog, I’m still relatively new to the idea of sharing my story and getting my voice heard. I wanted to broaden my knowledge and learn from others and this seemed like the ideal opportunity. Time to Change set up the day and work tirelessly to reduce mental health stigma in the UK. Their focus is on the general public, and providing them with real life stories, awareness days, (such as Time for Talk Day) and educational tools to combat harmful and sensationalist ideas surrounding mental illnesses.

The Day

One of the most inspiring aspects of the day was that three of the speakers had attended Story Camp just a year before. They had taken the experience and ran with it – using their passion and creativity to spread awareness across the country and on a number of media platforms. The first speaker of the day was Shea whose motivational words and assured yet warming presence set up the day perfectly. Shea spoke about storytelling and its power and how telling our stories helps to humanise mental health.

Next up was Jodie, who led us through blogging and social media. Although I realised I was already doing many of the things she mentioned, it gave me the belief that I was on the right track and that I could make a few tweaks here and there. It felt important to know this and that I should have some self belief! I came away from this segment with a ton of new blog ideas that I can share with you all in the upcoming months.

Then Andrea spoke passionately about vlogging. This is something I’ve begun but rejected earlier this year. It felt too daunting and emotionally draining a task. After hearing Andrea speak however, and the important message that it doesn’t have to be polished and perfect has renewed my interest. Making shorter videos that are more focused should help them feel less tiring to make.

The final speaker of the day was Lucy who, like the others, spoke so inspiringly. Her segment was about the media and how to work with and share your story with them. This is definitely something that sounds scary but could be ever so rewarding. I had a upsetting experience working with BBC three last year. I was unhappy with the final edit, but it was put on the website without any of the participants having a say beforehand. What I hadn’t realised until story camp was that Time to Change can support you if you are contacted by the media to share your mental health story. It’s given the confidence to know they’ve got my back if I ever have the opportunity to participate in something again.

My own mental health

Although I do struggle with Bipolar disorder and sharing my story does dredge up painful emotions and experiences, I feel it is vital to educate others and provide a voice for those that aren’t able to. I do have periods of stability and even during depressive or manic episodes I can still write. When depression strikes I’m not constantly in a state of numbness or deep emotional pain, and have good days. Sometimes I can even feel positive!

The mental health community

It was wonderful to meet people at story camp and everyone sat and chatted immediately because we all had a common interest; helping others and reducing the stigma of mental illness. I truly feel there is a community online that suffer with mental health problems that support one another. Just as importantly we want to create change in our society and I believe we can. I’m excited and full of motivation to continue my journey with you all, and to really make an impact surrounding mental health.

 

 

 

 

What not to say to someone with Bipolar Part 1

I’ve compiled a list of what not to say to someone about Bipolar. I have heard variations of all of these at some point and they either make me sigh, make me angry, or I just burst out into laughter. Sometimes what people say seems helpful from their side, but actually they are pointing something out I have tried before, or already doing. I often get the same advice time and time again, when what I really need is a listening ear or a normal chat to take my mind of things. We’re all guilty of making assumptions about mental illnesses, so it’s vital we educate ourselves and understand the illness from the sufferers point of view.

“Cheer up”

I’ve heard all of these; “Snap out of it!” “Look on the bright side!” “People have it worse then you.” “What have you got to be upset about?” It’s one of those cliches people come up with when they don’t know what to say. They feel like they have to say something to make you feel better but they’re just making it worse. It’s like telling someone having an asthma attack to pull themselves together and just breathe normally. They can’t and all they need is help.

“I’m a bit Bipolar sometimes.”

Mood swings are not the same as experiencing Bipolar episodes. Mania and severe depression are totally self destructive and debilitating. You’re probably just in a bit of a bad mood, a bit tired from a night out and then drunk loads of coffee and energy drinks that made you kind of hyper. Mania and depression can last for weeks or months, or cycle rapidly from one to another.

“Are you a creative genius?”

I definitely believe that when I’m manic! I say to myself, “I’m amazing!” “I can do anything!” “I’m the best at everything!” But really we’re all just normal people. We don’t have a predisposition to being creative. We all have our own strengths and weaknesses like everyone else. Personally I am creative, but I’m pretty average. I like to write and sketch but I don’t believe it’s anything special.

“Are you sure you have Bipolar?”

I am very very sure. It took over ten years for me to be diagnosed. I had to write a journal for my psychiatrist and I looked at it and go “Oh yeah, it makes sense.” I can see the pattern. Bipolar has caused massive upheavals in my life. Everyone thinks they are an expert. When someone asks this question it’s not ignorance, but a lack of information and education. Before my diagnosis, I never thought it would be me with Bipolar. It never even registered it could be a possibility.

“You don’t seem like you have a Bipolar.” 

I’ve become very good at hiding it. I’m not sure what people mean when they ask this question. Do they think I should be running around screaming and shouting and being ‘wacky’ and ‘crazy’? Or huddled in the corner clutching my head swaying backwards and forwards? Maybe I need a tattoo on my forehead to make it easier for you?

“Is this the Bipolar talking?” 

I have my own thoughts, feelings and personality that aren’t governed by my Bipolar. Everyone has mood swings to a degree, everyone has good days and bad days and it’s the same with having Bipolar. It’s extremely difficult when people are constantly second guessing or trying to interpret what you are saying or how you’re acting.

“Have you taken your meds?”

I find this very insulting. It’s a way of saying my feelings aren’t valid and any emotions I feel must be connected to my illness.

“Have you tried to commit suicide?”

It’s not ok to ask if you hardly know me! It always seems to be people I don’t know very well and they sort of blurt it out. Why would you ask someone that? Would you ask a person who didn’t ask who didn’t have a mental illness this question? No you wouldn’t. If you’re already depressed this can be very triggering and make you further spiral down. It triggers ideas, plans and previous thoughts. It’s like if you have Bipolar you are a curiosity, or people think it’s a faze, or a fad.

 

There are many more things that shouldn’t be said to someone with Bipolar and I will explore them in part 2.

 

The Warning Signs of a Manic Episode

fullsizeoutput_2ab

I’ve separated them into two sections, for mania and depression. This is in no way an exhaustive list for every person with Bipolar, as people have varying signs and symptoms. This is a list specific to me, and what I have become aware of over the last four and a half years.

  • Sleeping less than four hours a night, or not sleeping at all for more than three days in a row. I will simply not feel the urge to sleep, or feel tired. I will have too much to do, too much to focus on. Sleep becomes unimportant and low on my list of priorities.

 

  • Becoming more talkative, usually talking endlessly about everything and anything. I will often speak at a faster pace and my mind will rush ahead to my next point, so my speech can come across as frenzied, as I stumble over or miss out words. This leads to me sometimes speaking complete gibberish.

 

  • A surge in confidence. I will feel like I can do anything and no one can stop me. I will feel more important than everyone else and that my opinions and ideas are always right and any other opinion is wrong.

 

  • Impulsive behaviour. Buying ridiculous shoes that I’m never going to wear! My partner will notice random packages turning up filled with items I’m never going to use, or don’t need. I will start a new business and decide I want to leave my job, for instance.

 

  • Overspending. My spending habits will change and I will buy whatever I want, whether I can afford it or not. I’ll start buying things that are completely out of character that I would never dream of buying when I’m stable, like designer bags/shoes/clothes.

 

  • Starting new projects. This is a regular sign for me that a manic episode is imminent. It may be painting the entire house, being more active on social media, creating reams of artwork or notes for a book.

 

  • No appetite. I won’t feel the need to eat or feel hungry. I will eat for the sake of eating but not because I want to or need to.

 

  • Risk taking. In the past my driving has become more reckless and dangerous. I’ll think less about my own safety and not worry about the consequences of my actions.

 

  • More energy. I’ll wake up in the morning and I’m extremely awake, like someone has flicked a switch and I’m ready for anything. I’ll run around the house doing everything, go to the gym, but nothing dampens my energy.

 

  • Irritability. The little things in life will start to annoy me, like people eating loudly. I will snap at people and be generally grouchy.

It’s critical during these times to have people close to you who can spot the signs of a manic episode. Personally, I’m not always aware of changes to my behaviour and need someone to point them out to me. Share with them what the warning signs are for you, so they are better equipped to help you. Being made aware that your behaviour is showing signs of mania can help you to stop it in it’s tracks. If that’s not possible, it enables you to see a doctor before it becomes any worse.