#bipolar mania

[mariposas8494]

Fuck yeah it has

[saddevilsworld]

i’m fighting a war within my head that i don’t want to fight anymore it’s so exhausting and no one understands

[maniccherrygirl]

[uncannylesbianism]

do yall also ever get the soul crushing realisation that you are in fact mentally unstable and its not just something you made up for attention or because its "quirky" and then just sit there like damn

[traumakid-hideout]

An episode of mania almost always always always starts out so euphorically, makes you feel like you’re on the perfect drug, makes your confidence and motivation sky rocket and has you romanticizing all the fun it baits you with. It feels so amazing, you feel like nothing can hurt you or get to you.

Then the irritability comes, genuine rage, such an uncomfortable and overwhelming increase in libido, dangerous impulses, social behavior to be humiliated from by the time you crash, severe sleep deprivation that disorients the fuck out of you the longer you go without it, without even feeling tired at all. But feeling completely out of control. And if it escalates, Lord help you. Hallucinations, bad paranoia, black outs, substance abuse (or relapse if you happen to be recovering), delusions, everything that could get you into a psych ward. It isn’t fun at the end and any pleasure you feel is completely illusionary.

The worst part is I still normally never want it to stop. Because the depression after, which gets so ugly and terrible the longer, more intense the mania is, is something I’m not looking forward to at all. That, and mania can really sometimes convince you that you love it. I’m not wanting to go there though, because I have a lot to lose. Even if I don’t lose anything, I’m tired of this cycle and just can’t afford to desire it anymore. So I’m managing where I can, but wow it’s just scary to watch it take you higher and higher into it, and further and further away from yourself.

This is precisely why I despise any sort of stigma toward bipolar disorder. It’s so misunderstood, misquoted, and mistreated. I just really want and need some help. My hands are so sweaty and shaky, my heart and my mind are racing, I can’t stop talking, I can’t eat. I can’t focus, I can only fixate. And it’s just so overwhelming already.

[that-bipolar-mood]

It should be said more often that bipolar disorder and many other serious mental disorders CANNOT be cured.

Which means struggling with symptoms WHILE medicated is actually expected and common.

MANAGING symptoms does not mean being free from illness.

Mental disorders are more often than not chronic, so NORMALISE recovery that is not linear and symptoms-free.

Lastly, comparing yourself and your functioning with those around you only SEEMS to work because our conditions are invisible.

[skinnyr4t]

[shy-the-schizophrenic]

[chronicallycouchbound]

Guide to interacting with people with psychosis spectrum disorders and psychotic symptoms

If someone who has psychotic symptoms is talking to you about their hallucinations or delusions, do not suggest:

That they are inherently violent or dangerous Why: Statistically, people with psychosis are more likely to be victims of violence, not perpetrators. They are more likely to be killed by police than people without mental illnesses.

That their hallucinations are actually reality and everyone else can’t experience it Why: this can cause further dissonance between reality for the person, especially if they’re actively experiencing symptoms. It can lead to derealization and depersonalization, and exasperate or trigger hallucinations and/or delusions.

That they are a prophet, god, all powerful, etc. Why: along with the above reason of causing further separation from reality, many people with psychotic spectrum disorders experience delusions, one common type of delusion is called delusions of grandeur, which is a specific delusion around perceiving oneself or one’s accomplishments as greatness or of higher status than others. This specific delusion can be dangerous because it can lead to the person believing that they are immune to consequences, including physical harm to oneself. By affirming beliefs of the person being god-like, it can trigger or exasperate this delusion. This is especially common with people who have Bipolar type 1 with psychotic features and they are in manic states.

That they should just meditate Why: Meditation often isn’t safe for people with psychosis! Studies show that unguided meditation is especially risky, because without focusing on reality, people with psychotic symptoms are more likely to have hallucinations, or have depersonalization/derealization.

That you can see/hear it too, when you can’t/lying to agree with their hallucinations Why: This will absolutely exasperate symptoms, also it’s lying and is wrong and a genuinely horrible thing to do. This one should be obvious.

That they should just use cannabis or other psychoactive drugs Why: THC and other psychoactive compounds, can trigger psychotic episodes in people who have or are predisposed to psychosis, and trigger anxiety and hallucinations, which can exasperate symptoms. That being said, individual experiences may differ greatly, and they may be able to use psychoactive substances with no issues, but to suggest it as a cure-all or without a proper understanding of its possible negative side effects can be dangerous. Also, many antipsychotics and other psychiatric medications interact with many psychoactive drugs, so it’s important to know if it’s physically safe for them to use both at once.

Things you can say/do instead!

When actively experiencing symptoms/episodes:

Maintain a calm and steady tone of voice, don’t yell.

Explain what you’re doing before you do it, and try to avoid sudden movements which can scare or jump someone

If they have an action plan, follow it. I also urge you to remember that they’re scared right now. They likely don’t want to hurt anyone, but they’re terrified. Find ways to be safe, preferably that don’t involve police (there are lots of statistics around why this is unhelpful and can be dangerous)

“I understand that you feel scared right now, let’s find ways to be safe through this.” Be supportive! Psychotic symptoms are similar to symptoms of any other mental illnesses, when someone is depressed or anxious, we often reach out with kindness, remember that people with psychosis also need that compassion and consideration.

“We are at [location], I am [name] we are [relationship to person], we are safe” Talking about reality can be really helpful, most people with symptoms need some guidance around basic understandings of reality, affirming what is real can help them distinguish what is and isn’t. An important note, reality checks can sometimes be more harmful than helpful. Usually, a person who needs a reality check will just ask the questions: “Who are you?”, “Where are we?”, Etc.

Sometimes, doing reasonable things to help them feel safer is necessary to help them calm down enough that they stop having severe symptoms. For example, someone who is afraid that people are watching them might want to cover windows and lock doors, help them create a safe space for them mentally by doing that. Some requests might be a bit odd, but harmless, like putting salt in the doorways so demons can’t get in, you can do that, or find alternatives to help them feel safe. It’s important to try to create this safe space while also affirming reality.

Try not to focus on the specific hallucination, but rather on their feelings, for example instead of talking about the demons or details about the demons, talk about their feelings about the demons, and how you can make them feel safer. It can help them feel secure to have someone in reality helping them stay safe while they cope with these scary symptoms.

Ask permission before touching, consent is particularly important for people with psychosis, we are often stripped of our right to consent while in episodes.

Offer snacks, stuffed animals, or other comfort items

When talking about their experiences, diagnosis, or when not in episodes:

Ask how you can be supportive, both in and outside of episodes, some people need help with remembering medications, or someone to call when they’re scared and having symptoms. Sometimes it just helps to be able to explain what they’re going through and have someone just listen. They know their needs best.

Help them come up with a crisis/safety plan for when they have episodes, it can literally save their life, or at least make it more manageable and sometimes less scary.

Check on them if they seem off, have life changes, or are isolating.

Learn their warning signs and help them stay safe before they have episodes, and hopefully prevent them from happening or being more unmanageable.

Offer to do reality checks if that's something that helps them

Offer to do medication reminders ( if you're able to)

I was diagnosed with Bipolar 1 with Psychosis when I was 18. I have many psychotic symptoms including hallucinations, delusions, derealization, and depersonalization. This was written from my own experiences, research, and recommendations from providers. I highly recommend seeking out more information and experiences about psychosis to gain a more comprehensive understanding of it. No guide is one-size-fits-all, and this is definitely incomplete in many ways, but hopefully, this provides some insight or education for you.

[thatsluciferr]

I should just end it🫡

[mariposas8494]

Haha yasss

[saddevilsworld]

idk as the days go by the urge to hang myself is getting stronger

[eclipsewilliam]

Even once I escaped that house, I have yet to escape my mind but I’ve escaped one prison how hard can it be to escape another?

[pastacrylic]

made this for my moirail

[seductive-suffering]

The rage.

It’s fucking real.

I hate you.

I hate you because you made me love you.

And all I know how to do is love you.

That’s it.

Breath in.

I love you.

Breath out.

I hate you.

I hate that all I can do is love you.

[that-bipolar-mood]

Anyone else with bipolar have issues with understimulation?

We talk about being overwhelmed and stressed out easily. But at night, when I finally get to my hard earned sleep, I find myself... at a loss? I can't deal without external sounds, etc.

Being bored and having to be still just gets to me. It really comes down to balance and it's impossible to maintain it...