Triggers, warning signs and delusions…
Have you ever made a bad decision and wanted to kick yourself afterwards? I have made many mad decisions that varied on a scale of bad from vaguely stupid to incredibly dangerous and every shade of poor in between.
From kicking the Mayor of Bolton to buying a 6ft mermaid to moving house numerous times, I have made some really interesting choices.
Of course I’m only human so I can’t blame all of my poor choices on being bi polar. However with the benefit of hindsight I can usually identify enough qualifying factors to recognise a mad decision from a simply bad decision.
The problem is recognising them before ‘doing’ whatever it is that my bipolar brain thinks is a good plan.
I’m 41 so I’ve had time to identify some clear patterns. I know most of my triggers so I avoid making big (or any) decisions when I’m tired, drunk, on pain meds, very happy, very sad, involved in any life stressors, in a new relationship, have money, have no money… Yes, pretty much all the time. I analyse every decision from what I choose to wear to where I choose to go and what I choose to do. I think, analyse, review, consider every factor I can identify, think, review, rethink (check with someone if it’s a biggie) then decide.
Some decisions, as I have noted, are recognisable from past patterns. These include: moving house, ending/starting new relationships, taking on too much work, spending money, getting animals, hibernating away from people, buying rocking horses (I just replaced Pablo) and being obsessed with things, although this last one is a decision, trigger, warning and partly just my personality.
The trouble with bipolar and patterns is that you can’t recognise patterns in advance. You need a good few episodes and the benefit of hindsight.
Hindsight tells me not to move house again even though I have itchy feet. We are in a nice, relatively secure rented house. The moving urge has seen me live in eight houses as a child and change school eleven times. That was not my fault but it set the pattern.
I have lived in eleven houses as an adult and been homeless (living in homeless accommodation) four times since I was sixteen. It has brought chaos and disorder to my children and me. Moving house unnecessarily is bad. I will not move house.
My life has been chaotic and difficult. Bipolar creates chaos and is the enemy of ordered routine. My bipolar personality cannot cope with boredom and cannot cope without challenge and stress. The trick is to get the balance right and I can only manage this if I understand myself.
Understanding myself didn’t come easy. But here’s how to make a start:
1) create a timeline of your life from birth to now. Include major life events, key memories and extreme ups and downs
2) for each event on the timeline write down how you remember feeling, what you remember hearing/seeing what was happening and what you were thinking and any decisions you made/regret.
This will be your starting point.
3) try to identify any patterns: for every obvious extreme of mood/poor decision, were you studying, working a lot, under stress, experiencing/recently experienced any big life event? Make a list of these stressors. Mine include travel, tiredness, boredom, over stimulation, studying, working too hard, illness, sunshine v winter dullness = up v down in mood, new relationships (including friendships), new hobbies, bereavement, loss of any sort, dehydration, upset, PMT. the list can be long and it doesn’t mean avoiding everything.
4) for each trigger list the warning signs and issues e.g. Travel: I worry about long journeys, get tired and travel sick and then am exhausted, get migraine, can’t cope. As a result I feel like a failure, get down on myself and get depressed which can spiral out of control. The solutions include deciding if the journey is important/necessary/desirable, planning ahead so that I can rest in advance, planning breaks to sleep if possible or extending my journey to include additional rest at the start/finish. Ensuring I have pain and travel sickness meds and being prepared for things to not go as planned. If I have to travel for work I always stay an additional night at the beginning and end so that I am ok for whatever meeting/conference is in the middle.
Of course you can’t plan for some things. Bereavement is a huge trigger. But you can learn how it affects you. I am very good in a crisis. I can cope with the death loved one as long as there is practical stuff and other peoples grief to deal with. I fall apart months later when everything is calm. I can’t plan for this but expecting it means I’m watching for warning signs, can put support in place for myself and can get through it. The last time this happened I spent a week in hospital which felt like an epic fail at the time but since the shortest period I’ve otherwise been hospitalised is almost six months, I figure it’s a good outcome.
The only way to function with bipolar (in my opinion) is to know yourself. There’s a great book called mood mapping by Dr Liz Miller that I recommend to anyone wanting to figure themselves out.
Know yourself, manage your bipolar, live a good life. We are stuck with our genes and our illness but it doesn’t have to destroy us.
Oh, and if you ever have the blessed fortune to meet a higher power (like my wife) grab them and keep them. She is my rock, she is the calm in the storm and the solid foundation for my crazy. Without her I couldn’t. I wouldn’t. But with her I can and I do and I am.