Mental health

Trauma Confession Series: When Trauma Work Wakes Other Sleeping Monsters

“And above all, watch with glittering eyes the whole world around you because the greatest secrets are always hidden in the most unlikely places.”
Roald DahlDear Readers, Today I hope to dispel some myths and promote understanding. Yesterday we discussed acknowledging, allowing, and accepting our grieving process after childhood trauma in Trauma Confession Series: Mourning. Well, no sooner than I mentioned the possibility of comorbid mental health conditions resurfacing did I experience psychosis in combination with the tag-a-long depression that follows. So, let’s talk more about what that means and (perhaps more importantly) what that doesn’t mean for me. Do keep in mind psychosis is always relative to the individual, and varies greatly among the population. It started yesterday while walking down a warm sidewalk at 4pm. Suddenly, I noticed peripheral shadows and distinguishable sounds along the wooded pathway. This included walking feet and whispering voices following me along the fence line. Then the thought hallucinations, commonly referred to as delusions, surfaced with the conviction that I was being followed, and certain harm would come to me. Fortunately, this is the only delusion I experience and it consists solely of other people’s intentions toward me. I have never felt grandiosity or that I was a deity. I have never had false visions despite evidence to the contrary. However, it is worth noting that these things are progressively degenerative. I believe my episodes of psychosis are linked to Manic Depression (Bipolar Disorder) and trauma (PTSD), and are not to be confused with Schizophrenia or Schizoaffective Disorder. After about an hour of this, I rode home in a moving vehicle still distracted, but virtually free from fear. In general, I can tell the difference between what’s real and what isn’t, but not always. Upon arriving home, I felt strange but mostly okay. This is what a textbook would describe as depersonalization, a sensation of being outside one’s self or that nothing is real. I sat out on my patio in some attempt to release the day (grounding technique) when I caught myself within the flickers of flashbacks and racing internal dialogue. This feels like time travel in a gag reel. The sensation of flashbacks following hallucinations is intense, and I physically shook my head in attempt to keep myself grounded in the here and now. That’s when the person I  lived with noticed I wasn’t quite right, and offered to help in anyway he could. I thanked him, and sat this way a few minutes longer. When relief didn’t come I decided to take a bath. One thing I have learned over the years is that even when my wires cross, I can usually tolerate it if I stay calm and stop talking. This often includes isolating myself so I can better distinguish my surroundings, and not become overstimulated or agitated. Coping with mental illness has everything to do with self-awareness and requires practice. In the bathtub I remained in a state of detached rumination, fighting the good fight – but I was tiring quickly. I realized then that I needed a distraction while waiting for my brain chemistry to correct itself. I logged into one of my online support groups where thousands of people exist who are just like me. After posting what I was experiencing, I received nothing short of an outpouring of love and support within seconds. Remember, distraction and the knowledge that you are not alone is invaluable while tumbling like Alice down the rabbit hole. Within two hours the fog lifted. Although I am less familiar with articulating the post-psychosis depression that followed, I am proud to say I navigated this episode unassisted by medication. I say that to say this: Even though Bipolar symptoms are more chemical than environmental, this is an opportunity to understand the relationship between trauma work and triggers that can flip a seemingly unrelated switch when living with multiple mental health conditions. The truth is, they are related and rarely travel alone. Many people with mental illness can not digest stress properly. Processing pain is extremely distressing, so it is not uncommon to find yourself suddenly faced with new mountains while seeking self-development. While hallucinations are a facet of my Bipolar Disorder diagnosis, they are also almost always linked to past abuse or abandonment and/or tied to a future fear of harm. This distrust for humans is a natural response to an unnatural childhood. The manifestation of my mental illness is simply the product of a mind unable to properly place the context of this logic. Likewise, psychosis is one of the most misunderstood and stigmatized topics in mental health. Here are eight more myth busting truths for you: Yes, I am mostly cognizant in-between breaks with reality. No, I am not alone. 100,000 young people experience psychosis each year. Yes, we are your friends, family, neighbors, and co-workers. No, I am not at risk to harm others when this happens. Those with mental illness are more likely to be victims of violent crime than they are to be perpetrators. Yes, loved ones can help by picking up on red flags and assisting in a predetermined action plan. No, I am not embarrassed. Education and proclamation has afforded me the opportunity to rid myself of shame. Stay tuned for the next phase of this Trauma Confession Series: Confrontation. **If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!** For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide! In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!
Mental health

5 Tips on Maintaining Friendships When You Have Bipolar Disorder

Dear Readers,

Relationships of all kinds have their moments of turbulence, even those we cherish most. However, mental health conditions can often produce an added source of friction due to the very nature of the illness. Those characterized by misconceptions or delusions, Bipolar Disorder for example, can compound the difficulties associated with miscommunication or avoidance even further. I’m certain we can all recall moments of escalation with those we love that were exacerbated by our psychological state at the time.

As someone living with Mixed Bipolar Disorder, I can attest to the unique challenges sprung forth from the seat of agitation, which may present itself in both manic or depressed states, as well as dangerously persistent mixed episodes. It becomes all too easy to misunderstand, say things we don’t mean, and act poorly on our impulses when engaging with others with these added features. Fortunately, the Optimum Performance Institute offers up wholesome tools to aid in conflict resolution in the presence of Bipolar Disorder.

5 Tips on Maintaining Friendships When You Have Bipolar Disorder from Optimum Performance Institute

” …What are the distinguishing factors between the relationships that have failed and those that have gone on to flourish? We all experience emotional ups and downs. For those with bipolar, these experiences may be more pronounced. What is it that keeps friends together despite the symptoms of bipolar when so many others fizzle out? I believe with the right tools, support, and practice, people with bipolar can maintain healthy friendships. “

COMMUNICATION
When feeling the need to isolate, it’s perfectly acceptable to tell a friend that you need some “me” time or that you need space. No need to go into details, just gently assure your friend that it isn’t anything they said or did. In addition, be accepting and supportive when your friend needs alone time as well. Setting healthy boundaries in this way prevents misunderstandings.

LEVELS OF FRIENDSHIP
Having a different friend, or friendly acquaintance, for different needs is very healthy. Accept that not everyone has to be your “BFF.” For example, one friend may be your support group friend, another your study buddy, another your roommate, etc. You may not see them every day, but you know exactly who will help you out when you are overwhelmed by that big exam coming up!

SUPPORT TEAM
When you need support, take a moment to be mindful of the kind of support you need, and take appropriate action. Establish your own go-to support team so that you are not “unloading” on one person, since this will likely push that person away after long. For example, a therapist, doctor, counselor, life coach, sponsor, or peer from your mental health program are all appropriate people to turn to in addition to family and friends.

COMING OUT
The decision whether to tell someone about your illness can be a tough one. Fear and stigma can cloud your friend’s mind when hearing the word “bipolar.” At the same time, keeping your friend may be easier when they know about your condition, and it may be easier for you to communicate. The choice is yours only when you are ready. If you have a hard time trusting a friend with this personal information, try finding a support group or mental health program.

MAKING AMENDS
Sometimes when an episode of depression or mania come along, we do or say things that we didn’t mean. This also happens to people who do not suffer from bipolar disorder. When feeling better again, it’s important to make amends as soon as possible. When apologizing, state what for, and then reassure them. Don’t make promises you can’t keep, however assure them you are getting treatment and working on it. If they want to talk about it, make sure to actively LISTEN in return. Validate their feelings. Everyone wants to feel heard. Your friend may need some space before they are ready to talk, or even after talking. In this case, be mindful of tip one.

Discuss:

How has Bipolar Disorder affected your friendships? How might you navigate these waters differently with the above knowledge?

**If you’re a mental health survivor or mental health provider and want to tell your story – please email me at contact@deskraven.com!**

For more excellent insight and entertainment through a collaborative approach to all things mental health, including a guest post from yours truly, visit the Blunt Therapy Blog by Randy Withers, LPC! For additional perspectives on suicide prevention from master level mental health providers visit, 20 Professional Therapists Share Their Thoughts on Suicide!

In collaboration with Luis Posso, an Outreach Specialist from DrugRehab.com, Deskraven is now offering guides on depression and suicide prevention to its readers. For more information on understanding the perils of addiction visit, Substance Abuse and Suicide: A Guide to Understanding the Connection and Reducing Risk! In addition, for a comprehensive depression resource guide from their sister project at Columbus Recovery Center visit, Dealing with Depression!