Category: Peer Support

blogs that include the topic peer support.

Allan Moves for Movember

The rate of suicide among people who have bipolar disorder is approximately 10 -30 times higher than the general population. Researchers estimate that between 25% and 60% of individuals with bipolar disorder will attempt suicide at least once in their lives and between 20% (of mostly untreated) people who have bipolar disorder will die by suicide. The reasons why this occurs can be complex but I will try to explain it from the perspective of someone who has the illness.

Most of these deaths occur during depressive episodes. When you understand the symptoms of depressive episodes it is easier to understand why these deaths occur. The first problematic symptom is that depressive episodes give you suicidal ideation. Our illness impacts our thoughts and behaviour when we are acutely ill. This is a physical response caused by the illness. In my experience, pep talks and trying to have a positive attitude will have little impact in improving these thoughts when our symptoms are severe. In fact, people may conclude that they are to blame for their symptoms because they are not trying hard enough to have a positive attitude which reaffirms any negative thoughts they are having about themselves.

There are other symptoms of depressive episodes that can contribute to suicidal ideation. You have thoughts that you are worthless, no one likes you, and every aspect of life appears dark. Depressive episodes create concentration problems which make conversations impossible. During acute depressive episodes it is very difficult to enjoy anything. This means eating, entertainment, family gatherings, music, Netflix do nothing for you. It feels like you are a shell of a human being, and it is easy to conclude that there is no purpose to staying alive.

Often people who have depressive episodes think their episode will continue for the rest of their lives which is rarely the case. We generally go back to baseline, and we may even head into hypomania or mania. It’s a journey to get the right mix of medication, therapy and a positive routine to create a positive life long term. There are many people who have bipolar disorder who are able to do this, one need only attend a peer support group to meet some of them.

This year, I will be participating in Move for Movember. For this campaign, I will be walking 60 km this month for the 60 men we lose every hour around the world to suicide. There is simply not enough support for men to receive the treatment they need to prevent these deaths so I am going to participate in the walk so that in my small way I can contribute to a solution to this problem. If you would like to make a donation in my name please click here.

If you are suffering from suicidal ideation, please know you are not alone. There are many people who have suffered just like you are. It is possible to have a better life. You may not be able to think of a solution to your problems but that does not mean that a solution does not exist.

Below are a few links to resources for support for people who are struggling with suicidal ideation.

Peer Support

OBAD (Organization for Bipolar Affective Disorder)

DBSA (Depression and Bipolar Support Alliance DBSA)

Distress Centre Lines

Crisis Services Canada 1-833-456-4566

Lifeline (US) 1-800-273-TALK (8255)

Befriends Worldwide (International)

Lifeline (Australia) 13-11-14

Bipolar Disorder and Stress

Photo by cottonbro from Pexels

Stress management plays an integral role in maintaining a stable life when you have bipolar disorder. High levels of stress can trigger acute depressive and manic episodes. The frequency and severity of these episodes can be reduced by a lifestyle that is conducive to a lower stress level.  Having a life that is suitable for your tolerance of stress, healthy relationships, a support system, counselling, and other wellness practices can help manage the symptoms of bipolar disorder.

Finding an activity level that is congruent with someone who has bipolar disorder’s tolerance for stress comes from experience. It is only after having multiple episodes can it be determined how sensitive an individual’s bipolar disorder is to stress. Once a pattern emerges, decisions can be made on matters like the capacity to maintain employment or attend school. These decisions can be hard on one’s self esteem, but they may be necessary for long term stability.

When you have bipolar disorder, navigating personal relationships in a positive way can reduce the chances of stress induced acute symptoms. There is no black and white approach that can be used to do this. Using relationship skills is more of an art that takes into consideration the consequences of changing behaviour, one’s sense of duty, power dynamics and the nature of the relationship. Learning about healthy boundaries and other social skills an be helpful. The Canadian Mental Health Association offers free courses online on these topics in their Calgary Recovery College.

You cannot maintain stability without a support network. Psychologist Kelly McGonigal makes the argument that stress is good for us as long as we seek the support of others in her TED talk How to Make Stress Your Friend. While this view may be extreme for people who have bipolar disorder, it illustrates the value of having support. The support of family and friends is essential for people who have bipolar disorder and peer support groups like those offered by OBAD or the DBSA can be life changing.

Counseling can play a significant role in reducing stress. People who have experienced trauma from life experiences or their episodes can benefit from therapy that addresses these issues. Counselling can also help with negative thought patterns, emotional dysregulation, and relationships.  

Mindfulness, a life practice that grounds you in the present moment, and exercise are often recommended as ways to decrease stress. While it is true that incorporating these two things into your life will reduce your stress it may be a challenge to maintain a routine that includes these activities given the constant change in our symptoms. For this reason, I feel it is important to decrease stress in multiple areas of life.

Maintaining a positive life when you have bipolar disorder requires a lot of work. One must be mindful of their symptoms, be an active participant in finding the right medication, and create a life with a manageable level of stress. It takes a long time to build all of this into your life but usually the suffering decreases along the way and the frequency of consistent moments of joy increase.

This will be my last written blog until September 6, 2021. For the next three months, I will be sharing a link to my podcast, “The Bipolar Disorder Moment” where I will be reading excerpts from my book , Brain Betrayal: The Allan They Never Met, every week. My book has not been published yet but hopefully a publisher will pick it up in the near future.

Please subscribe to my site if you would like to receive a link to my blog emailed to you every week.

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

Photo by Tima Miroshnichenko from Pexels

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

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