Author: Allan Cooper (Page 5 of 7)

Our Extraordinary Ability to Adapt

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Having a positive routine is crucial for people who have bipolar disorder to maintain a positive life. When Covid-19 hit Calgary and in-person contact became limited there was a good possibility that I could have become acutely ill. My routine keeps me active, connected to people and generally happy and motivated to take care of myself. I have been ok so far and I believe it is because of our ability as human beings to adapt to adverse circumstances.

I facilitate a peer support group for people with bipolar disorder at an agency called OBAD. When it was determined it was no longer safe to meet in person our meetings were cancelled temporarily. Then, our executive director, Kaj Korvela, learned how to get our meetings on zoom. At first, I was skeptical that online meetings were going to be effective, but our members have been able to find emotional connection with each other despite the change.  

I am no longer able to do my volunteer job because of Covid-19. This creates a certain angst for me because regularly helping people and being in contact with the positive staff helps me stay well. My psychiatrist proposed the idea that I teach myself crochet to get by until the pandemic is over. Learning this craft has allowed me to have a positive focus for my attention and it helps me stay in the present moment.

I attend a club that teaches you how to improve your public speaking skills called Toastmasters. When we were no longer able to meet in person our club learned how to do our meetings via zoom. We have had to learn new skills like having proper lighting, maintaining eye contact with the camera, and keeping our gestures visible to our virtual audience.  

None of this seems particularly impressive now. We have all become accustomed to it and we have an expectation that some activities and services should be available online. However, if someone told me in 2019 that my support group, toastmasters club and doctors appointments would all be online I would have had a hard time believing it. We have all learned to change our behaviour and expectations to get through this difficult time.

I wonder if we have not used our greatest strength to its potential. We clearly have a tremendous capacity to learn new skills to adapt to change. Problem solving techniques I am aware of are based on brainstorming and trouble shooting. What if we added, “Learning” to the list? What if we challenged ourselves to ask, “What can we learn to solve this problem?” I think it could empower us to find more thoughtful and creative solutions and improve our quality of life.

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Crochet Connection

I would describe myself as an extroverted introvert. I need my alone time and I need my not alone time. Most of the laughter and energetic spark in my life comes from interactions with people. Due to the isolation in my life because of Covid-19, I have not been able to do my volunteer job, play badminton, and go to coffee shops which has been hard on me.

Several weeks ago, I told my psychiatrist I felt terrible and I thought I might be having a depressive episode. After doing her assessment, she said that it was not a depressive episode, but stress caused by the isolation. The best solution we could come up with was teaching myself to crochet to promote a more positive state of mind and distract myself.

The first thing I tried to make was a hat. I spent more time untangling the yarn and unravelling all the stiches because of mistakes I made than making the hat. I felt like breaking my little wooden crochet hook in half and throwing it off my balcony. Then, I made mittens. I think the designers of the pattern live close to the equator because it had so many big holes that they offered little protection from the cold we experience in Canada.

Then, I received a request from a friend for a crocheted infinity scarf. I looked it up on YouTube and it looked like a scarf that is in a ring. I followed the instructions on the video, and when I was done my ring, it had a twist in it. I thought that was the reason it was called an infinity scarf. I found out infinity scarves do not have twists, so I undid the whole thing and remade it. When I saw my psychiatrist, she told me an infinite scarf with a twist is a mobius scarf. I wish I had known that before I took it apart.

I have continued to crochet despite the stress it causes me at times. Recently, I was making a scarf and I realized that it has a value beyond mindfulness and the satisfaction of creating something new. When I make something for someone, the care I put into making it is an extension of my feelings for them. This experience makes me feel connected to the people I love and reminds me that we are all still together even though our opportunities to occupy the same physical space have become limited.

The Impact of Mental Health Awareness Campaigns

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In my life, I have often heard people say that everyone has a mental illness. The intent is to make me feel better that I have one. Unfortunately, the statement is not true, and it does not make anyone who has a mental illness feel better.

There is a difference between mental health and mental illness. Mental health is concerned with ones’ overall mental well being just like physical health refers to our bodies’ state of wellness. Mental illnesses, like bipolar disorder, have symptoms that are unique to the illness. They can be debilitating and at times so severe that they require hospitalization.

I believe mental health awareness campaigns try to decrease stigma by promoting the idea that everyone has a mental illness. In my personal experience, this seems to be working to a certain extent because it has become more acceptable to have conversations about bipolar disorder. The problem is that it has created some confusion as well.  

No one is seeking a greater amount of pity because the nature of our suffering is unique to those who have bipolar disorder, but it is difficult to feel misunderstood. I am ok with the fact that I have bipolar disorder and my life experience is different from people who do not have it. To be honest, I am proud to share a personal connection to all the extraordinary individuals I have met who have bipolar disorder.  

In my opinion, bipolar disorder belongs in the physical health category more than the mental health category anyway. I see a specialized medical doctor, called a psychiatrist, for treatment of my bipolar disorder. When I see her, she asks me about my physical symptoms such as how many hours per night I am sleeping, if I am having difficulty concentrating or if I have the capacity to experience enjoyment. This assessment informs her decisions on the medication she prescribes for me.  

Stigma still exists. A lack of understanding of the nature of mental illnesses can cause employers to perceive employees who have one as lazy or incompetent. People who have other health problems are often treated with more compassion. Friends and family members can interpret the opinions and emotional reactions of people with mental illnesses as symptoms of their illness which is invalidating and hurtful.

Mental health awareness campaigns have opened the door to discussions on mental illness. Now, we have the opportunity to clarify what it means to have one. This understanding would decrease stigma giving people who have mental illnesses a greater chance to thrive and contribute to society.

The Power of Peer Support

This blog was published by the International Bipolar Foundation a couple of years ago. The meetings that I describe in this blog have gone online now because of Covid-19 but they have been just as powerful as they were when we met in person.

The Power of Peer Support

By: Allan G. Cooper

“Psychiatrists can tell you about the ocean by reading about it and seeing it in their practice but we know what it’s like to be in the water”.

This is how my co-worker Ray explains peer support. We work for an agency called OBAD, the Organization for Bipolar Affective Disorder, in Calgary, Canada. We facilitate drop in peer support groups for people with the illness.

When I went to my first meeting, I was experiencing another crippling depressive episode. My connection to life seemed to be fading away and I was on the verge of losing my job. I only had enough energy to barely feed myself and lie in bed obsessing about suicide.

I called the distress centre line in Calgary and they put me through to the Mental Health Mobile Response Team. They came to my home to meet me and they suggested I go to an OBAD meeting.

I could barely find the energy to walk and forming a sentence in a social setting seemed impossible. I hated support groups. I felt like they just confirmed the fact that I was different from everyone else. But, I had become hopeless and I was desperate to find anything to make the pain stop.

At my first meeting, I sat with my head down avoiding eye contact with everyone. Partially because I can be shy around new people but mostly because I was just exhausted.

When the meeting started I was surprised that the facilitators also had bipolar. As we went around the room, people talked about whatever they felt like including suicide, psychosis or sometimes they just talked about their day.

When it was my turn, I was nervous at first but one of the facilitators gently coaxed me into sharing with the group. Reluctantly, I began to talk about my life and that is when I first experienced the magic of peer support.

I told them about my suicidal thoughts and my shame for having them along with the perception that I was a coward because I couldn’t do it. I told them that I was afraid of losing my job, my friends and financial stability. Everyone nodded in understanding as I spoke.

When people said words of encouragement to me they started with, “when I was going through …”. Everyone, including the facilitators, talked from the perspective of their own personal experiences. It was like opening a can of instant hope.

Sometimes, when people who don’t have bipolar ask me about our meetings they find it confusing.

“So, do you guys have topics?”

“Nope.”

“Do you have coffee and snacks?”

“Nope”.

“Do you have a list of rules on the board and write down goals?”

“Nope”.

“I don’t get it. What’s the point?”

The fact that they don’t get it is precisely the point. When you attend an OBAD meeting you can relax and take off the costume of pretending to be perfectly fine. You can be in a severe depressive episode and not be able to say a word and the group will genuinely congratulate you for making it to the meeting.

If you are hypomanic and babble on and on, the group may help you by dropping hints or sharing stories of the damage that hypomania can do to your life. Or, we just listen and when you come down from the high there is no reason to be ashamed or embarrassed because we all understand.

After I started to attend meetings regularly my life started to turn in a positive direction. I did not lose my job and I was able to achieve a lengthy period of stability after that first meeting.

The shame I had of having the illness dissipated and the tips I learned from the facilitators and other members of the group proved to be invaluable.

Seven years ago, I became one of the facilitators of the group. I have had the privilege of seeing the progress of people’s recovery first hand. The day someone is able to smile after an extended period of suffering is special to me. They are usually not aware of the change because the transition is so gradual but it is a distinct moment for me.

If you have bipolar disorder even though it may feel like it at times you are not alone. You share a special connection to some of the most extraordinary people in the world. We are in this together and with the help of our peers we can stay well and find joy in our lives despite the suffering.

Recovery from the Losses Bipolar Disorder Can Impose on Life

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Imagine walking down the road and as you stroll past one block you have a career, a spouse, money, and friends and then by the end of the second block you have none of these things. In their place, you receive the ire of people who are angry, afraid, or frustrated with you. This example is similar to what some people with bipolar disorder may experience within a couple of months.

A severe depressive episode can leave you unable to perform your duties at work causing loss of employment, resulting in financial problems that lead to trouble in your marriage ultimately ending your relationship.  A manic episode might cause you to overspend, have an affair, or your colleagues and friends may become fearful of you because of your psychosis. This can all lead to a loss of relationships with friends, colleagues, family members and spouses and all your life savings.

After my last manic episode, I had this level of loss. It had been the third time it had happened to me. I felt done with life. It seemed like no matter how hard I tried bipolar disorder would never allow me to be happy. I had lost my job, moved to a small town where I did not know anyone, spent all my money and alienated myself from my friends. The depressive episode that followed was so debilitating I rarely got out of bed and my appetite was so poor that I only ate one sausage roll and a glass of orange juice on the good days. Some days, I did not eat at all.

To rebuild my life I received a lot of support from my family. They ensured I had my basic needs met and called me regularly to offer support and encouragement. In addition, I started going to a peer support group that I used to attend regularly at an organization called OBAD. I felt embarrassed that I was manic and extremely obnoxious at the last meeting I went to but when I saw my peers again it was a relief. People were happy to see me and my peers perception of Allan had not been tainted by the symptoms of bipolar disorder.

With the support of the group I was able to gain the emotional resiliency and confidence to move back to Calgary. It was nice to be back in my hometown. I reconnected with friends and being in the city offered me more opportunities to build a healthy routine.

My psychiatrist recommended I look for a volunteer job. When I was a child my grandmother used to bring me to a centre for seniors to have lunch and play badminton called the Kerby Centre. I decided to volunteer there in the Information Department and Volunteer Department. The positions provide structure to my week, a sense of fulfillment and interacting with the appreciative staff creates a positive energy that contributes to my wellness.

I became a facilitator for the meeting at OBAD in 2012. It is amazing to be involved in the recovery of so many extraordinary people and I still learn things from the meetings that I can apply to my own life. It has been my experience that people with bipolar disorder are compassionate, creative and they have an insightful perspective on life. I am grateful for the honor and privilege of working with my peers.

Rebuilding your life after the devastation of an acute episode can seem impossible. Peer support can help because you meet people who have done it which can give you hope. It is an awful and lengthy process that requires self compassion, determination and supports from the ones we love. In the end, it leaves us grateful for a life of stability that includes moments of joy.

Life After Psychosis

This blog was published by the International Bipolar Foundation.

Life After Psychosis

By: Allan G. Cooper

Do you know what it feels like to help NASA calculate the speed of light? Or, maybe you know what it’s like to find a formula that makes nuclear fusion possible. How about being the sole person responsible for averting a disaster that would crash the entire internet. Do you know what that’s like? I do. Well, I know what it’s like to believe I am going through these experiences would be more accurate.

I have bipolar 1 and these are all examples of a type of psychosis called delusions that I have had. Delusions and hallucinations are forms of psychosis that people with bipolar disorder may suffer from during full blown manic episodes.

I had my first episode at the age of twenty-five when I was living in Japan teaching English and working on my goal to become completely proficient in Japanese. During a period of considerable stress, I started to believe that I had achieved Enlightenment and I had been gifted unbridled intelligence and the power to heal people. My family was forced to come to Japan to bring me home. I lost all of my money, my career and all of my friendships.

Psychosis scares people. The media often reports stories that make a connection between psychosis and violence which in my opinion contributes to the problem. People with mental illnesses are no more likely to be violent than the general population. All of the regular stuff we do just isn’t interesting enough to put into a news story.

When you’re psychotic you are not in a hazy dream state. Your bipolar brain is telling you that what is going on around you is completely real. Eventually, you end up on the psych ward trying to explain to everyone that they don’t understand that the world is going to end. You beg the staff to let you go because the results will be catastrophic if they don’t. Then, one day you wake up and the world did not end and you’re left trying to make sense of the fact that the organ that controls every aspect of your life has let you down.

To recover from this type of episode is not easy and it requires work. I know that is not what I wanted to hear when it happened to me the first time but that is reality. The physical recovery from the episode is a challenge and you will likely have a depressive episode when you crash and you will need time to deal with that as well.

Once you are physically back in the game it’s time to pick up the pieces. A nice way to ease back into society is by doing volunteer work. This gives you the opportunity to make new friends, gain work experience and it provides structure to your day. People are happy to have your help and it’s pretty hard to get fired from a volunteer job. You can control your hours and if you are physically not able to work on a bad bipolar day you can take the day off without any hassles.

Therapy can also play an important part in rebuilding your life. It can help you process the potentially traumatizing experience of going through psychosis. Also, it can provide tools that can make managing the chronic symptoms of bipolar disorder more manageable.

I haven’t had a manic episode in 8 years now. I take my meds, I have a routine that brings me joy and I have an exceptional psychiatrist. I have an outstanding group of peers that help me stay well. My friends who have bipolar are the most non judgemental, genuine and gentlest people you could ever have the pleasure to meet. Because we know what it’s like to suffer in ways others cannot even fathom, we have a tremendous capacity for empathy.

My peers and I are obviously not afraid of each other so our discussions about our psychosis are really extraordinary. Sometimes we burst out laughing at some of the ridiculous behavior you see when people are experiencing psychosis. There is the guy who bought a horse when he knew nothing about horses and he lived in an apartment. The fact, that there is always one guy on the psych ward who thinks he’s Jesus is kind of funny too. Of course, there are stories that are not the least bit amusing but at least we can talk about it openly and comfortably.

I strongly suggest that if you are struggling with trying to deal with the shame, loss and guilt that comes with dealing with the aftermath of psychosis you go find a group of your bipolar brothers and sisters. Unfortunately, we have an illness that has unusual behavior as a symptom and some people may not be capable of separating that from who we really are. We are responsible for cleaning up the mess that our Illness can create but we need compassion from those around us and ourselves to do it successfully.

Discussing Peer Support, Hypomania and Creativity with OBAD Executive Director Kaj Korvela

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This week my blog features a podcast interview with Kaj Korvela, Executive Director of OBAD, the Organization for Bipolar Affective Disorder. We discuss the value of peer support, hypomania and how creativity is experienced by people who have bipolar disorder.

Discussing Peer Support, Hypomania and Creativity with OBAD Executive Director Kaj Korvela

Life Beyond Survival Mode

Recently, I was hiking with some friends and as we walk through a portion of the trail where pure white snow draped the trees that lined the path, I was in awe of being engulfed in the beauty that surrounded me. It made me reflect on my life and I felt a sense of gratitude that I was able to experience the pleasure of being in nature. There was a time in my life when I believed that a day like that could not happen.

My last manic episode was in 2010. Once it was over, I had spent all my money, lost my job, and several friends. The depressive episode that followed was so debilitating that I spent most of my days in bed with terrible physical pain and horrible negative thoughts bombarded my brain. I was exhausted and I was hardly eating anything. It was the third time that this had happened to me and I could not imagine ever having any kind of existence that was not clouded in misery.

What I have learned since then is that even though you cannot think of a solution to your problems it does not mean that a solution does not exist. I received a great deal of support from my family which kept me going but there were also things that happened that I could not have predicted that helped me get my life back together again.

One day, I was talking to a healthcare professional and he disclosed to me that he had bipolar disorder. I had become so stuck that learning that this person also had bipolar disorder and he had a positive life made me feel better. It gave me a little added strength to carry on.

Around the same time, I ran into a facilitator of a peer support group I used to attend regularly at an organization called OBAD. She encouraged me to come back to the group. Attending the group empowered me to rebuild my life slowly and methodically. In 2012, I became one of the facilitators of the group.

Life is unpredictable. If we continue to do our best and we are open to accepting the support of others there is always hope that things can get better. Now that I have been through these trying times when I experience a beautiful moment it is a little sweeter because I know what it feels like to believe that such a day is an impossibility.

Our Collective Resilience

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I do not believe, “Everything happens for a reason.” There is no reason why one child is born into a horrifically abusive home while another grows up in a nurturing environment.  I do not believe, “We all have our stuff.” Everyone struggles with their own personal adversity, but some suffer more than others. The world is not so simple that we have all been given an equal slice of the finite pie of personal hardship. I do believe that there can be positive outcomes from tragic circumstances.

There is nothing that I can write that could do justice to the cloud of darkness that Covid-19 has imposed on our world. The loss of life, mental health tragedies, isolation, strained work environments, exhausted medical staff and having our healthcare system pushed to the edge of collapse is hard to completely conceptualize. In my case, the major change has been the end of meeting in groups in public.

I am a peer support group facilitator for people who have bipolar disorder for an agency called OBAD, The Organization for Bipolar Affective Disorder. I remember when we had to adapt to doing our meetings online, I was doubtful that they would be as effective as being present with others in the same space but they have been a success. Plus, we have gained the capacity to support individuals who live outside of Calgary. Covid-19 forced us to create a service that we will provide in addition to our regular meetings in the future.  

I am a member of Toastmasters International, a club that empowers people to improve their public speaking and leadership skills. When Covid-19 forced us to have our meetings online I was concerned they would be less meaningful but it has given us the opportunity to improve our speaking skills in front of a camera. In addition, we have new members who live in the UK, Ecuador, and the US. When it becomes safe to do our meetings in person, we will have hybrid meetings so our new friends who live in other countries can attend virtually.

Covid-19 has stung all of us in different ways and to varying degrees. I do not know what life has been like for exhausted healthcare workers or families who have lost loved ones and have not been able to grieve together, but I imagine the pain is enormous. Despite these challenges this catastrophic global disaster has allowed us to witness the emergence of human resiliency, strength and creative problem solving that we might never have experienced. My hope is that the discovery of these positive traits creates a momentum of change in our society that we will benefit from well into the future.  

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