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What is Manic Depression?

Hello there. I’m Seaneen. And this is a blog about manic depression. Some days I “suffer” from it, some days I just have it. It’s all down to perspective. But first, here is some…

General Information about Manic Depression

It’s a mental illness that affects about 1% of the UK population. It’s also known as bipolar disorder. There are generally four different kinds of bipolar disorder:

1) Bipolar Disorder I: With full blown mania and depression.

2) Bipolar Disorder II: With hypomania (not full manic) and depression. People with bipolar II tend to experience depression more than hypomania, as opposed to people with bipolar I who do experience depression more often, but mania is not far behind. Hypomania is not considered to be mania as it doesn’t cause much impairment like mania does, and never progresses into psychosis, like mania can.

3) Bipolar NOS: Bipolar disorder not otherwise specified- i.e doesn’t fit into any category. People who experience mania or hypomania after taking medications for depression sometimes fall into this one.

4) Cyclothymia: chronic mild bipolar with periods of mild depression and mild depression. People with cyclothymia don’t have many “normal” periods.
Anyone with bipolar disorder can experience rapid-cycling, which means four or more episodes a year, or continuous episodes with a gap shorter than two months between, or even switching from one episode to another. Some people experience an episode every few months, some every week, some every day.

As well as mania and depression, there is also the dreaded mixed episode, which is literally being manic or hypomanic and depressed at the same time. This is generally considered to be the most dangerous episode. Mixed states may or may not have psychotic features.

I was diagnosed with bipolar 1 disorder with rapid cycling in October 2006. My diagnosis came after a while of being in a psychiatric hospital, where I was admitted when experiencing a psychotic mixed episode.

Bipolar I is considered to be “classic” manic depression, and is less common than bipolar II disorder. My experiences as a classic manic depressive have involved frequent, full-blown psychotic manic episodes, frequent depression, suicide attempts, self harm, mad amounts of anxiety and eventually rapid-cycling. I get hypomania too.

After four months of beating the crap out of myself for it, I decided to be open about my illness. I created this blog initially as a personal tool for which to chart my recovery from diagnosis and to speak out a little about what it’s like to suffer from manic depression. Of course, my experiences are not typical, and I can only speak for myself. But I thought that another voice in the chorus wouldn’t do any harm.

This blog also chronicles experiences of the mental health system, various frustrations and aims to dispel some myths and legends about manic depression. This blog also deals with other issues. I lost my dad to alcoholism recently and I discuss it here. I also have problems with anxiety, eating disorders, self-harm and Body Dysmorphic Disorder. I’ve also written about discrimination and the undeniable stigma surrounding mental illness. Here are a few things that I believe.

I believe that mental illnesses such as manic depression, unipolar depression and schizophrenia have a biological basis.

I also believe that nature does not always oppose nurture and that in the case of mental illness, both have a part to play.

I believe that the treatment of mental illness should have equal priority to the treatment of other long-standing physical conditions.

I believe that by and large, the mental health services in the UK are underfunded, understaffed and undervalued.

I believe in the importance of crisis centres and continuing care.

I believe that mental illness can’t be cured, but managed. And I don’t think that believing this is defeatist.

I believe that it is never weak to take medications or to go into hospital.

I believe that mental illness are not personality weaknesses and are not our fault.

I believe that untreated, mental illness can be as terminal as a physical illness and that mental illness needs to be approached and treated more effectively.

I believe that the media fuels ignorance and fear surrounding mental illness and that there should be more public education surrounding mental illness.

I believe in ending the spreading of misinformation about mental illness.

I believe that mental illness is ordinary. One in four people find they have depression at some point in their lives. 1% of the UK population have manic depression. A further 1% have schizophrenia.

I believe that there’s nothing wrong with having a mental illness. I also believe that you can deal with it in any way you want to. You can think of it as a gift, and that’s okay, and you can think of it as a force you want to fight, and that is okay too. I believe that it’s no-one’s business how you think of your mental illness. Whether you feel it is a part of you, or something outside you, or even both, is up to you.

I believe that people who have from mental illness should reclaim the negative words attributed to it. Looper is a particular favourite.

I believe that there’s nothing wrong with taking the piss.

36 Responses

  1. I know you from the moodgarden boards. Nice to see your blog. I like it!

  2. BiPolar
    Not Mediocre!

    Dangerous Gifts

  3. hello.. I have rapid cycling bipolar and ocd and anxiety disorders. I am 31, I was diagnosed with bipolar at 18 and after religously taking zoloft for 11 years I stopped, I was then told that the zoloft caused me to have rapid cycling.. my fiance has the classic symptoms of bipolar1 but has never been diagnosed. I am currently however not on any meds. at the time. my doc has thru mea couple anti-psycotic drug scripts but I fear the side effects and waiting a half a year for them to work out weigh the benifits.. sorry for ramblin’ on … It is nice to talk to peoplewho know about it when everyone around me knows so little… stacy

  4. Read your “writer’s cramp” blog but would like to read more. Just happened onto this site with query of “on meds, still depressed” and this caught my eye. You have compacted 22 years of my life in an easy to read format or blog if you will. I just entered therapy yet again and am hoping that the depression cloud will eventually lift. I approached therapy differently this time, going in with specific directions from me to my therapist about learning coping skills different from the ideas previously taught.
    No more self triangle imaging, or funky 2000ish ideas of self love crap that doesn’t work. It’s time to get real or get off this ride. I wish I could so eloquently describe my life and feelings as you have. I used to think maybe I was dropped on my head too much as a child, and went to the TAG (talented and gifted) programs, was recognized for having “unbounding ideas and energy for cumulative learning” but found especially throughout high school that there was more to it than pouring out ideas, acting out, using drugs to slow things down, promiscuity (sp?) and generally flipping out on family, friends and strangers at very inappropriate times. Much of this behavior continued well into my twenties and at thirtyseven I stil have chronic episodes of depression. Hoping to hear from you more on how we feel because you, my friend, have captured the correct wording and laid it down for the rest of us who cannot.

  5. Interesting. It took me more than eighteen years to get where you are. These, to me, are the critical observations necessary for recovery, and the ones I try to teach anyone who will listen:

    “I’m no-one special- not an artist, a comedian, not a tortured soul.”

    “It’s a mental illness that presents a life-long challenge to its sufferers and which must be managed with medication, therapy and… smart lifestyle choices.”

    I’m 37 now, when I was your age I was deep into the trap of manic depression as a lifestyle. What I believed was this disease enhanced, or even created, whatever artistic ability I had. So, in order to write, I would not take the medication. It took me almost ten years to understand the disease works against me, that whatever artistic ability I have exhibits itself despite the disease. It’s a delusion that many with the disease believe because of the romanticism associated with the disease — the lists of great artists who may have had bipolar disease, the constant confusion between clinical depression and manic depression.

    With my blog, which I started to help in my recovery, I’ve managed to help some people come to the understanding the disease is something to be managed with medications and therapy, that a cure is something to want. I would imagine that you have done so as well. So, thank you for doing that. With all of the stigma and misunderstanding attached to manic depression it’s an important thing for people to stand up and speak some truths about the disease…

  6. Quote from you:

    “I believe that mental illnesses such as manic depression, unipolar depression and schizophrenia have a biological basis.”

    I suspect that you are correct in the above allegation. However, I strongly suspect based on my personal observation that mental illness is also environmental. Take for instance Posttraumatic stress disorder (PTSD). Something in the environment stresses the mind and results in damaging the mental faculties, which results in varying degrees and types of mental illness. Perhaps there is a genetic predisposition to such illness. An otherwise healthy person would never in their entire life suffer the effects of said illness unless triggered by say, emotional, physical, and/or sexual abuse, drug abuse, etc.

    On a side note I think that psychiatrists and other mental health practitioners commonly misdiagnose and overdose (prescribe drugs the patient does not really require) patients on a regular basis. This is just my observation; the alleged professionals do not really have much more of a clue what they are doing than say the non-professionals. Not to say there are not mental health professionals out there who are great, but it just seems to me that these type are few and far between. Ultimately I do not trust the system overall based on my observations of the arrogance and incompetence I have witnessed, not to mention the lack of sufficient funding.

    Based on how the “system” has treated both a close friend of mine, my sister, and now my brother. I lack significant confidence in the mental health care system (FYI: I am in U.S., Texas). Speaking from the perspective of a person watching others around him manage serious mental illnesses.

  7. I don’t particularly trust the system either. It’s why it took me 10 years to get proper help.

  8. i have just found out that my partern has got bipolar. i have lived with him for 20years and it was the frist time i new he had it was when he had a mania and i had to put him in hospital. i have never seen him like that before. but when i look back i can see it now i just put down to working hard as he works for hes self.he is very well liked and no one new. i just thought he was atipecall man having good days and bad days.if anyone can tell me how i can help him as this is new to me.he has been of work from sep i need to get him back to work as he luvs his work and my kids need him to get better they miss there dad. we all do.

  9. I love you. This is a great blog. It takes a lot of courage to open up the way you have when society and people discriminate against those with mental illnesses so greatly that it is better to hide and not speak of such things. You can’t hide your race or ethnicity but you can hide things such as this if want to and find that it makes your life better. I think that probably more than 1 percent of the US is bipolar. My wife is bipolar and it runs in my own family. I am lucky in that it has skipped me along with the other mental things.
    You are awesome. I love your blog. I put you on my blog roll a while back. I can’t remember if I commented or not back then when I stumbled across this blog some way, which I can’t remember what way that was.

  10. This doesn’t have anything to do with anything, but I love the Into the Wild Soundtrack. Eddie Vedder is awesome. His music soothes me. There has been more than once in my life that I think that his music has saved my life, but then I am prone to becoming overly dramatic.

  11. i think your right you should be allowed to the piss, i always do out of myself, for me and i can only speak for myself bi-polar can be like a unruly kid or thug maybe it wants to beat the crap out of you but then hug and kiss you!!!

  12. I stubbled onto your site while I was looking more into Schitzo/dissociative disorders. You are awesome just for being stronge enough to say “this is me, I have Bipolar dissorder”. I too suffer from Bipolor 1, plus ADD, mild schitzo episodes and possible PTSD athough that one has not been properly diagnosed. I wish more than anything that people knew more about these things. My fiance doesn’t understand why I am so irrational at times, or why some of the things I say when Im upset really make little or no sence. I tell him it’s not his fault, I have no reason for acting as I do. I have unfortunitly had to tell him that I am seeing doctors, taking my meds so if you can’t handle me Im sorry thins is just the way it is. People somehow think that you can turn off “crazy” excuse the term. I have had mental illness all my life and we still are unsure of exactly WHAT it is that I suffer from. We just know what meds are currently working. I have so many symptoms. I have been considering hypnosis. If anyone out there has any knowledge or expereince, please let me know. Be strong and remember If life wasn’t hard, it wouldn’t be worth living. What doesnt kill you only makes you stronger

  13. Our environment certainly does have an effect on our mental health. Having said that, I must clarify that I too have been diagnosed with hypomania. I suffer from depression, mania runs in both blood lines. My father passed away at a young age of 47-he was a classical guitarist, composer and pianist. He was a great artist, his spirit is still with me. I realize to a doctor, the signs I have from time to time might seem like that of which my father suffered from, however doctors do not seem to really dig into the nature of ones environment while being brought up in this unfair world by a man that suffered from mania. My father always moved our family where work was. He never held a job very long except for those of which were granted to him by friends in the music business which suffered from the same illness. I had a very unstable childhood and was left to watch after my father until his death. I was only 16 when he killed himself by jumping off of the Chesapeake Bay Bridge. One of his first songs that he wrote and composed was in honor of that bridge. How dramatic can one get? In any event, I was left to take care of a man that was ailing in health and nobody would listen to me (a sixteen year old at the time). My father threatened to shot himself after killing me “because we were too good for this world and our minds were too great”. My father was a genius and graduated from Duke University majoring in Philosophy and Minoring in Music (HELLLOOOO!!!) This in itself says a lot. Long story short, I do not want to jump right into taking abilify along with Effexor just because of my family history (my grandfather on my moms side killed himself and every other woman on both sides of family have suicides that occurred). My life was very hectic growing up, and I experienced very traumatic instances, that of which includes trying to talk my father out of killing himself 15 minutes before he was spotted by a police officer trying to talk him down from the top of the bridge. I know that there is nothing I can do about it, and that there was nothing I could have done at that time. I realize he had a disease and he is at peace now. I do not blame myself at all for what happened, I simply miss my father as crazy as he was, he was a beautiful person. Well liked, his charisma on the stage beat jerry lee lewis (yes my father would jump on the piano and start playing with his toes in the same manner as jerry lee lewis). My father was simply amazing, an amazing artist and a genius-just not a good father and not a good dad. My mother was a flight attendant and left my father one month prior to him killing himself-I even brought it to her attention that he was ill and tried to shoot me ( i had to calmly talk to my father and convince him that the poor souls on this earth needed us, when I was really trying to save my life and scared like shit) My mother still did not do anything about it and she completely abandoned me after my fathers death and moved to Hong Kong got married to my sister and so on and so forth…..I SUFFER, but from abandoment issues, I do not think I am manic but do not want to state that I am not manic. I know that I suffer from depression, (hello look at what I have been through) Who would not suffer from depression if they were close to such a manic man. I can’t explain it, I know I am going on and on, in conclusion I believe that our current surroundings, our past childhood, and our beliefs make up our current state of mind. Yes chemical balances exists but we also need to make it very clear to everyone out there that therapy along with meds can work and that over medicating yourself is not always the answer as many doctors like to do…….I think I simply need to remove myself from such stressful crazy environments now that i have dealt with most anger issues towards my mother…stay on the effexor for a little while longer…take a xanax or valium once and a while and stay the crap off of the abilify……What do you think?

  14. CORRECTION TO A MUSICIANS DAUGHTER:

    Sorry correction in my spelling above My mother took my sister to HONG KONG(not married my sister) my mom married another man obviously I meant that) and of course I stated my dad was not a good father and meant to say he was not a good father and was not a good husband.

  15. I’m bipolar I with rapid cycling (fueled by formerly being a Grave’s disease patient and now a Hashimoto’s patient).

    Anyway, I have been blogging on medical things, but today–I got the idea to make an online journal.
    My old blog http://www.prodosi.com

    My question is:

    Did you have trouble with concentration/cognition after a psychotic episode? I’m having trouble with that.

    Thanks.

  16. Hey chemicalbirds.

    Yep, big time. I’ve written about it here before, if you want to look. I have zero concentration and pretty awful cognitive skills. My memory sucks. I am very clumsy. This stuff is, I believe, caused by my episodes. I have very little memory of a lot of my life because I spent most of it manic, depressed, both and psychotic.

  17. Thank you for your response. I haven’t had anyone to ask–besides doctors. They said it could but then didn’t care to explain further. I’m glad I’m not alone with it–thanks for your site.

  18. hi there, I have just come across this website!
    My sister has been diagnised as manic depressive…it has been going on for 3 years now, this year -this summer being the worst!
    She is in her manic stage at the mo; she doesnt think she is manic depressive; wont take medication; left her husband and 2 children; pack in her well paid job and the list goes on!
    Unfortunately we were told they can not section her as she hasnt hurt anyone /herself yet!!
    How can I make her listen to me? Nothing seems to work! Do we have to wait until she reaches the depressive stage?Please help!

  19. chemicalbirds……..yes, hun, have the same problem with concentration it is zippo……have talked to dr about it and due to the meds this is one of the side effects, just try to hang in there, i know it is difficult and makes us feel worhtless at times, heck we may even wonder if we have a brain left ! just like now i have forgotten your question….woops, just i noticeds i called you hun, so sorry didnt meen to offend you, our family is so used to useing pet names, i have to get over that but being the old woman that i am old habits are hard to break…nice chatting, have a great day!

  20. Jana, I’m not sure what you can do. Lots of people aren’t helped til they reach crisis point. She really should be in hospital, although I don’t know how you can get her there. I’m sorry I don’t know how to help.

  21. hello .has anyone out there had the same experience as me. diagnosed cyclothmic m d .20 years ago. i told a psychiatrist that the only occupation that made me feel reasonably o.k. was in healthcare. he said do not give up that job .therefore i am now in a position where i wish to retire but am terrified to in case of impending doom in the shape of a major depression.i have seen many nurses who seem to “need”the job for the same reasons. anyone out there ever quit.and survived.

  22. Just to drop a line and say how fantastic you’re blog is. I am a student nurse in my first year. I am doing a little research into bipolar and came across you’re blog as I was look for a perspective from somebody with understanding. You can read as many medical journels as you like, but the truth comes from the people who know best.

    My Dad has bipolar and so did his mum. She died when he was 12 years old from suicide. Back then there was a huge stigma on mental illness. For example, on one attempt, she drove 90miles an hour into a lamp post. The government made my Grandfather pay to replace it when his wife died 2 weeks after the crash.

    There was little understanding now and it is refreshing to hear the opinions and views of other fresh minded and understanding people that are training specifically as mental health nurses, many of them have experiences health problems themselves.

    Thank you for speaking up as my Grandmother and father have never been able to.

  23. Hey Everyone,
    Let me just tell you how strong and brave I think you all are. It was an unlucky hand you were dealt and you have to do the best you can with it. My husband was recently treated for a psychotic break. With all my experience (my mom tried to commit suicide twice, my uncle killed himself at 45) I thought he was depressed but now everything makes so much more since. I feel like I am way ahead iof his psychiatrist etc. in understanding the situation and that is very sad to me. I feel your pain Jana. He has moved out and suddenly I have become the enemy when a week ago we were going to renew our vows. I can only sit back and watch him self destruct. Let me just tell all of you that I have found strength, support and understanding through NAMI, National Alliance for Mental Health. Please look up your local chapter. Don’t give up!!!

  24. i wonder if u are still around!!i have bipolar god iam sick of it!!iam not good at expressing myself at times .Do you ever feel like you have to be constantly trying to prove that you are in control to those around you?and feel if you dont ie say for instance you have good days and bad days people may think and say well she has a mental illness its that rather than it just being a bad day.

  25. hi, i am bi polar and have had enough of it, i have times when i am manic and cant remember things i have done then get depressed about it and cant leave the house. I found work stabilised me for a while when i was busy but its a fine line as it can then bring on a manic stage. I cant find much help working my way through different meds but each has there own problems. i know i put my husband through so much and he has been very supportive but i feel very bad for what i put him through

  26. Manic depression or as it is now called bipolar affective disorder, have millions of people suffering from this mood disorder. Mood swings are but natural, but this mood disorder is way beyond the normal experiences of people.

    And this is my affliction. I’m glad I came across your blog, and hope to learn to be as brave as you have been; for the most part I’ve kept my mania a secret.

  27. I have just added you to my blogroll at the blog MODERN TIMES IN MUDSHIRES at http://rocketspage.wordpress.com/

    My partne rwas diagnosed bipolar ten years ago and my efforts to look after/help just ended up with my life being trashed.

    I wouldn’t care about that if my efforts had been successful but she started drinking and just won’t stop (now an alcoholic for some time).

    I am completely perplexed about how to deal with it as I am convinced she could easily manage the bipolar bit really well if she kept away from booze.

    Can you give me any advice on how to help her ?

    Oh, and I intend writing about this, possibly a book, but definitely a blog. (not Modern Times)

    psssst I’m a journalist.

  28. [...] Seaneen, The Secret Life of a Manic-Depressive. This third bipolar blog is written by a woman from the United Kingdom. It gives a personal glimpse [...]

  29. Thanks for the post! Deep breathing exercises are excellent for anxiety and many people report positive results from mediatation. Some other natural anxiety remedies to look into are St.John’s Wort, SAMe, L-Theanine, and Tryptophan.

  30. You are as you believe. Be wel;l.

  31. My husband and sister in law both have bi-polar finally diagnosed. I know how difficult it is coping with the extreme mood swings, both for the sufferer and their partners and family. Now I understand what’s going on I have much more compassion and my heart goes out to all you brave people that are affected by this condition.

  32. In 2006 I started “snapping” on people. First it was in a discussion group at a church I attended at the time. Then it was at work. Then amongst friends. Roommates. I want to say it’s been at least 18 different times over the past three years I’ve lost my temper. Though I was diagonosed type I at sixteen, and had my second manic episode my senior year of high school, some how I have never known my self or others to see me as losing my cool in this way. Not in college (well, there was one time…but it was only one time), not in my first three years after college. What has happened to me? I swear… I used to be different, I used to feel stable in between episodes but now it all feels one big clump and those times when my mind hurts more…I’m scared to be hospitalized. I try and “tough it out”. But what if I need to go? What if it would be better?
    Thank you for your site- It was comforting to see your philosophy on the matter.

  33. My oldest daughter has been diagnosed as bipolar. Her mother passed away within the last year, and she has had a hard time coping with it. She gets depressed, says she wants to go and be with her mom, and has attemped suicide two times. This is a terrible disease and one that can be intensified by events in your life.

  34. I believe we are what we believe. I never believed that I had “mental illness” and a life -long disease. I grew through my peculiar experiences when they were not aborted by psychiatric drugs and shock treatment. Full recovery is possible if one can avoid the tactics of organized psychiarty. Be well.

  35. wow!!!! it looks like iam not on my own in this.or maybe i am and people i work with are not interested in bipolar,they cant be.i dont try to be different just feel that i have to be ultra normal at work.its along story really but i had to fight two years to keep my job and i was put through the mill.

    i have to do sleepins aspart of my duty but as we al no sleep deprivation is a bigie wen ur bipolar they finally agreed due to me getting funding for the sleepins from disability funding .however they constantly ask wen can i go back to doing them.i feel under pressure but am digging heels in.
    i have been fit and have only had one relapse in three years which i nipped in the bud and started back on medication .tell me anyone is there any medication that doesnt put on weight !!

  36. There is another variation of bipolar I have not heard much about other than the fact that my mother has it.
    All her life she was told she had depression, but she never felt it wasd right. Then when it was suggested that she was bipolar she laughed “I don’t get manic!”
    And it’s true she doesn’t. Her downs were so intense, so sudden & so terrifying that she always knew that it wasn’t just depression. She described it as an engine running in her chest. But she is bipolar…. without the ups.
    Thank god she’s found some worth while medicaton, saved her life.

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