Friday, June 21, 2013

Bipolar Disorder: the Basic Fact Sheet

This infographic lists facts, symptoms, and treatments for Bipolar Disorder.
Published byHealthline
Designed by Cristina gambaccini


Friday, June 14, 2013

Zeta-Jones may help dispel stigma of bipolar disorder



By Rebecca Dube
TODAY
updated 4/14/2011 10:53:57 AM ET 

Oscar-winning actress Catherine Zeta-Jones suffers from bipolar disorder, and checked herself into a mental health facility earlier this month, her publicist has confirmed.
The news may be shocking to fans who associate the actress and wife of Michael Douglas with her image of polished glamour. But bipolar disorder – which used to be called manic depression – can take many different forms, psychiatrist Gail Saltz told TODAY. 

"It can look like a very high-functioning person who is just super 'up,' " Saltz said.
Zeta-Jones is diagnosed with bipolar II disorder, which is less severe than bipolar I. People with her condition swing between major depression and what’s called hypomania, which can include intense irritability, sleeplessness, relentless optimism or grandiose elation.

Zeta-Jones’s publicist, CeCe Yorke, blamed stress for the actress’s recent hospital stay. In the past year, her husband was diagnosed with advanced throat cancer; he’s also been battling a lawsuit from his ex-wife seeking half of his recent movie earnings. Zeta-Jones and Douglas have two children, ages 7 and 10.

Stress can indeed be a trigger for bipolar episodes, Dr. Nancy Snyderman, NBC’s chief medical editor, told TODAY. And a brief stay in a hospital would not be uncommon, either to bring a manic episode under control, or to tune-up medications for more effective treatment, Snyderman and Saltz noted. Bipolar disorder can usually be controlled with a combination of medication and therapy. Lithium is one of the most common treatments. 

Researchers aren’t quite sure what causes bipolar disorder -- a combination of genetic and environmental factors seem to come into play. They do know the disorder is associated with an imbalance in the brain chemicals called neurotransmitters.

Bipolar disorder affects about 2.5 percent of the U.S. population, around 6 million people. Mental-health advocates hope Zeta-Jones’s public struggle will help dispel some of the myths and fears about mental illness.

"There is a ridiculous stigma in this country about this," Snyderman said. "We have to get over it. People get sick, our job as doctors is to get them well."

Saltz applauded Zeta-Jones for announcing that she has bipolar disorder after the National Enquirer reported that she had checked in to a psychiatric hospital. 

"I think it’s tremendously brave of her to come forward and I’m delighted that she’s doing that," Saltz said. "There are many people getting a new diagnosis, and we want them to know they have every hope, if they get treatment, of having wonderfully productive lives."
Yorke, Zeta-Jones’s publicist, said the 41-year-old actress is "feeling great and looking forward to starting work this week on her two upcoming films."

http://www.today.com/id/42589427/ns/today-today_health/t/zeta-jones-may-help-dispel-stigma-bipolar-disorder/#.UbsCHZzhfNg

Bipolar disorder made marriage stronger: Catherine Zeta-Jones



Actress Catherine Zeta-Jones believes her bipolar disorder brought her closer to husband Michael Douglas. 

The Welsh actress said she got to know herself and her 68-year-old actor husband, with whom she shares daughter Carys, 9, and son Dylan, 12, better during the tough period, a media report said. 

"It's been an intense time, in good ways and bad. You find out who you really are and who you're married to. You find things inside yourself you never imagined were there. 

"You can't escape what people say, and if you're human it can be painful. The smartest thing I did was to stop going online. I'm the sort of person who will just look for the negative," she said. 

The 43-year-old actress is now hoping to remove the stigma attached to mental illness by going public with her diagnosis. 

"I'm not the kind of person who likes to shout out my personal issues from the rooftops, but with my bipolar becoming public, I hope fellow suffers will know it is completely controllable. 

"I hope I can help remove any stigma attached to it, and that those who didn't have it under control will seek help with all that is available to treat it."


http://www.indianexpress.com/news/bipolar-disorder-made-marriage-stronger-catherine-zetajones/1031031/

How to Understand the Difference Between Borderline and Bipolar



When it comes to navigating the mental health system, there is so much terminology and so many overlapping symptoms that it can be hard to understand what is what. This is especially the case with borderline personality disorder and bipolar disorder (formerly known as manic-depression). In this article, I will address the differences and similarities between borderline personality disorder and bipolar disorder, from similar symptoms to different symptoms to the differences in treatment. Hopefully you'll be able to understand them a little bit better!

Instructions

    • 1
One of the primary reasons borderline personality is commonly confused with bipolar disorder is because both mental health issues share similar symptoms. One of the symptoms both disorders has is an unstable sense of self. When a person has an unstable sense of self, she lacks a solid, coherent view of what she is like as a person. At any given moment, the person may see herself as either "all good" or "all bad". She may place far more worth on what others think of her than her own view.
Intense anger, irritability, and anxiety are all common symptoms of both disorders. Many borderline and bipolar patients also suffer other mental health problems, particularly anxiety issues, such as social anxiety.

Impulsivity is another common symptom- such impulsiveness may involve sex, substance abuse, or self-harm. It is a common belief that self-harm is only a symptom of borderline personality disorder, but that is not true.
Those with bipolar and borderline are also much more likely than the general population to idealize suicide, and also to attempt it.

One other commonality between the two is that of "affective instability": borderline and bipolar patients may experience erratic and inappropriate responses to daily experiences. They can be extremely sensitive to criticisms.
    • 2
A major difference between borderline and bipolar is the speed with which the moods of the patient change. In someone with borderline, mood changes can be very fast. They may have an angry emotional outburst one minute, and a few moments later be extremely joyous. In someone with bipolar, these emotional changes can last days, weeks, or even months.

A second major difference between borderline personality disorder and bipolar disorder is that the borderline personality is more often fraught with feelings of loneliness, emptiness, and fear of abandonment. Bipolar people tend to not have these feelings, or not to the same extent as borderlines.
Bipolar people, on the other hand, are more likely to have psychosis, particularly paranoid psychosis or delusions of grandeur. Thus, while both are commonly admitted to psychiatric hospitals, the reasons either are likely to be admitted for are different. Bipolar patients are more likely to suffer more extreme psychosis, and are thus more likely to be admitted for this. Borderline patients are more likely to be "admitted for outbursts of rage and anger.
    •  
    • 3
The major difference between borderline and bipolar treatment is that bipolar treatment is first and foremost medication, while borderline personality is treated foremost with psychotherapy. Borderline can sometimes be treated only with psychotherapy. In bipolar, therapy alone is almost never used unless the patient refuses medication.

Bipolar disorder patients tend to respond best with traditional therapies, such as Cognitive Behavioral Therapy or psychoanalysis. Borderline, however, has a specific type of therapy that works well: Dialectical Behavior Therapy (DBT).

http://www.ehow.com/how_5051371_understand-difference-between-borderline-bipolar.html

Monday, May 27, 2013

5 Coping Strategies for loving someone experiencing depression

August 16, 2010 by Robin Mohilner
 

Suffering with depression is incredibly difficult and painful.  However, the second most painful and difficult position is experienced by the person trying to love their partner, child, parent or best friend experiencing depression.
The rejection is heart-breaking. Feeling like your presence (doing anything in your ability to help) makes your partner worse or doesn’t matter at all really hurts.
In this blog we will explore strategies that will support you during the difficult times caused by depression.


Strategy #1: Do not take it personally
Nothing that is expressed or takes place during your loved one’s depression is personal.
When they reject you, and they will, IT IS NOT PERSONAL.
Rejection has nothing to do with you. Isolation is an instinctive response to suffering and depression.
Rejection can also be seen as an act of protection.  Your loved one does not want to hurt you. The only thing depression can do is hurt you.  Everything that is said is a reflection of the depression – the fear, the anxiety, the panic and the pain.  It’s a very heavy load, if you take it personally, the load will become yours.
When someone is experiencing depression they experience the inability to be themselves and it feels permanent.  When they can’t be themselves with you (ie. be loving with you) it hurts them more and makes the depression feel worse.
People often share with me that their loved one experiencing depression is able to talk with casual friends and acquaintances and that those people are helpful and it hurts.
My response to that is that partners, parents, children and best friends are different from casual friends, colleagues and acquaintances.  Partners etc get to actually see the depression.
Casual friends, colleagues and acquaintances get to see your loved one’s “representative”.  They get to see your loved one pretend to not be depressed.  They get to distract your loved one.  If your loved one does talk with them about their feelings, they’re not dragging them through the mud the way they do with you. Instead, they give their friends the “I’m struggling, but look how well I’m handling it” story.
Casual friends don’t know that when you’re loved one gets home that they can’t get off the couch and wish they were dead. Of course your loved one feels better when they get to pretend that they are okay.


Strategy #2: Accept that you cannot make your loved one be “not depressed” or feel good
This is a really hard thing for anyone to accept. Depression hurts not only the one experiencing it, but it also hurts the people who love them the most. Here is a metaphor that I share that has helped people develop acceptance of this statement:
When we come into life we are all given two things: a shovel and a bucket of shit.
It doesn’t matter in life that we have a bucket of shit.  We all have it.  We always will.  It never goes away and no matter what you do the shit will always be there.
What matters is what we do with our shovel.
Some will use their shovel to take their own shit and put it in other people’s buckets.  They never actually can get rid of their shit, they simply make other people feel like crap.
Some will use their shovel to stick in other people’s shit and then put other people’s shit in their own bucket.
Others will first use their shovel to cover their bucket from giving others shit and receiving other people’s shit and then figure out what they can grow with the shit that they have.
If you stick your shovel in your loved one’s shit who is experiencing depression, it doesn’t make the depression go away. It just puts the depression in your own bucket and adds to your shit.
You cannot make flowers grow in a bucket of shit that is not your own.

Instead of “making it better” take the pressure off yourself to fix it by: 
Simply being with the person you love.
Sitting beside them.
Holding their hand.
Rubbing their head and their feet.
Validating their feelings.  What they are experiencing is horrible.
Reminding them that what they are experiencing is temporary.
This won’t make the depression go away, but it will help them get through the suffering.


Strategy #3: Perspective: Depression is in a relationship with the person you love, not the person you love
Your loved one is not depressed.  Depression is NOT who they are.  Your loved one is experiencing depression.
They are in a relationship with depression that has them captured or held hostage.  Its a bad relationship.  A relationship that isn’t easy to get out of.  However, depression affects them and when they have the strength they can affect depression.
It can help your loved one to hear that you know that this is not who they are and that you love them.  It is also important for your loved one to know that you love them even though they are not themselves.
Of course they won’t respond the way you want them to…with love, affection and appreciation. However, deep down beneath all of the numbness, pain, anxiety, fear etc…your loved one is still there and need to be loved.


Strategy #4: Interpreting Rejection
When your loved one is in a depression rejecting you and pushing you away as best they can.  They’re not saying, “I need you and want more of you.” It would be easy to allow their rejection to cause you to dive into a depression yourself and feel heart-broken.
Here’s an alternative interpretation to their rejection:

“I need to be alone.”
Interpretation: “I need to escape this by sleeping as much as possible. I can’t escape it as easily if you’re here talking with me about it. Why don’t you go do something you need to do for yourself.”
“I’d rather be with my friends [than you].”
Interpretation: “When I’m with my friends, it distracts me from how horrible I feel.  My friends don’t ask me how I’m feeling. They don’t ask me if anything is wrong. If they see something is wrong, they wait until I share.  If I don’t share, they don’t ask…they just keep talking about themselves.”
“I don’t know if I want our relationship.”
Interpretation: If your relationship was in good standing when your loved when went into the depression…”I’m not myself. I don’t like who I am being. This is not who I want to be. I don’t want to treat you this way. This feels permanent.  If this is how I will always treat you. I don’t want to be with you.”
“You don’t make me feel better.”
Interpretation: “You can’t make me feel better even though you really try to. When I am with you, I still feel so depressed because I don’t get to pretend to be okay when I’m with you. When I’m with you I’m stuck feeling whatever I feel and there is nothing you can do to make me feel better.”

Strategy #5: Your Own Self-Care
When your loved one is experiencing depression, it is not your responsibility to make them feel better. You can’t. It is your responsibility to take care of yourself.
It is incredibly difficult to not be sucked in by the depression of your loved one because of how much you care.  It is your responsibility to not be sucked in.  It is your responsibility to take care of yourself.
Think about what soothes you, brings you joy, and nurtures you.
Here are some areas of self-care to explore:
Exercise / Movement
Being in nature / Being outside
Attitude of gratitude and appreciation
Forgiveness
Connection with others
Being Creative / Artistic
Self-Expression / Journaling
Therapy
Games / Playing
Cooking / Eating healthy
Conscious breathing
Meditation / Guided meditation / Yoga
Depression is incredibly hard on everyone involved.  When you are loving someone with depression it is so important that you make the time to love yourself, to nurture yourself, and receive support in a way that is fulfilling to you.
From

Article Link :
http://thrivewithbipolardisorder.wordpress.com/2010/08/16/5-coping-strategies-for-loving-someone-experiencing-depression/