Archive for the ‘Op-eds’ Category

Are bipolar disorder and schizophrenia genetically related? June 17th, 2009

Kai

Since starting to study psychology at University, I’ve discovered a couple of things about my personality, studies and how though lots of them appear to repeat the same things, over and over again, some do actually pull in information of interest.

I’m going to explain my research process in greater depth in another post, because it works for academic, personal and professional projects, but I have google alert emails daily that post information (news and blog posts mostly) that mention my keywords prominently.  In the ‘bipolar+disorder’ set, I found this link, and wanted to share the underlying idea with you.

The link was called ‘common causes of schizophrenia and Bipolar disorder’ and talks about a study that was undertaken in Sweden and has recently appeared in the Lancet.

What the study found

Though I’ve not seen this study myself (because I can’t access Aleph, the computer’s library from home), it says that there was a statistical link found between those with bipolar disorder and the incidence of schizophrenia, and vice versa.  Net result of the study of 2 million families was interesting, and probably not for the reasons listed in the report.

Of the 2 million studied families, 35,985 (1.7% – or just under 2 in 100) had schizophrenia and 40,487 (2.02%) had bipolar disorder as a confirmed diagnosis.  In total, they amount to less than 4% of the studied group, and yet, they found that there was a link of increased incidence between the two diseases if you have one in your family.

I know how convoluted these studies can be, first hand – and my tutors deliberately teach me to question the information in every study to ensure that it meets both scientific, ethical and common sense standards.  And the question now arises, having looked at the brief abstract, ‘is there an increased or correlatable percentage between the 96% and their chance of developing bipolar disorder?  What diseases make up the ‘1 in 4′ percentage that is always so highly vaunted in medical fields, if bipolar and schizophrenia only make up 4% in these studied cases, and most importantly, is there a real world value to this information, other than a statistical link to two diseases that paralyze families?

I’ll let you know what I find out ;)

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The common sense approach to ’sanity’ October 22nd, 2008

Kai
Getting a twisted view of things (_DSC5867)

Image by Shutterhack via Flickr

Steps to happiness

Connect
Developing relationships with family, friends, colleagues and neighbours will enrich your life and bring you support

Be active
Sports, hobbies such as gardening or dancing, or just a daily stroll will make you feel good and maintain mobility and fitness

Be curious
Noting the beauty of everyday moments as well as the unusual and reflecting on them helps you to appreciate what matters to you

Learn
Fixing a bike, learning an instrument, cooking – the challenge and satisfaction brings fun and confidence

Give
Helping friends and strangers links your happiness to a wider community and is very rewarding.

Does this sound like anything familiar?  This is my list every day.

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{op-ed}Bipolar essay (uni, October 2007) September 3rd, 2008

Kai

(author’s note – this was written in response to a lecturer questioning why I couldn’t move my appointment for councelling. I think I really upset her, but at least she knew that I could document appropriately – I thought it was worth sharing)

Xposted to Kai@LJ and bi-polarbears
Written, 10th October 2007.

I wrote this entry because I’m of the opinion that people (in general) don’t understand how it feels to be like me. And though this is mainly complaint, I’m going to start with the positive.

Being bipolar is awesome in many ways. It’s something I’ll never change – never remove, because to remove it is to alter, at the core, what I am. I was asked a while back what I’d do if there was a cure for bipolar disorder – and I answered that I liked being bipolar. It sucks when I’m depressed, but I guess that’s my price for being brilliant occasionally. Dave said to me once, that I’m as awe inspiring and bright as a star when I’m at my best. I don’t know if he’s right, but I do know that I see things differently. Colours are, whole experiences for me. Trees are an amazing juxtaposition of terror and wonder for me – I’m scared of the world, on the whole, but incredibly at peace in the heart of nature. Despite the fact that though I see beauty everywhere, it’s incredibly difficult NOT to see danger too.
I think differently too – I tell stories that others just don’t think of – like merry-go-rounds full of corpses, and being shot in the head by one of my characters, cause he didn’t like ‘Mary sues’ – he thought, it turned out, that I was IAB (he’s a police man). And there, I betray my other oddity. I think of my characters as real people, living in my head. It gets slightly schizophrenic in there sometimes – when I’m arguing with my pen names, and my characters. I’ve likened it to a ‘green room’ – and mostly, they wait their turn.

There’s more good to being bipolar than that – my memory doesn’t work well, but I have an unerring ability to see the conclusion of most stories. I’m not always good for that, but most of the time, I see twists coming. I don’t think in straight lines either – I’ve got ‘intuitive’ down to a fine art. One of my counsellors said it was something like parallel processing – I just think I consider things differently.

It’s an unenviable position to be in – knowing, with crystal clarity, exactly how dark things get. How much it hurts, till every breath literally paralyzes me because it’s all I can do without crying. Sitting up in bed makes me cry. Texting a friend and begging them to help me before I do something stupid fills me with shame. Crying in public is about the ‘worst’ of the sins I can commit. I was always told not to make a fuss, not to cry. People aren’t used to seeing others crying in public. We cry in private – just as we hurt ourselves where others can’t see. We do it because we’re already hurting others with our sadness, our inability to interact and be the people they need, so we stay home.

I don’t choose to be bipolar – its part of my genetic code. Therapy – the one that I go to anyway – is designed to teach me ways – not to live with it myself, but to cope with the fact that there are people that don’t understand, or choose not to. Invariably ‘normal’ people think that they won’t ever hit the stage that I’m at. And I sometimes look at them and hope they don’t. It takes a very strong person to survive as a bipolar, and even in my broken state, I’m stronger than most.

And at the same time, I’m weak. I can’t deal with people fussing over me. I can’t stand it for my friends to be put out, but at the same time, I deeply need them. I can’t be alone, but I don’t want company. It’s like having something inside your head throwing a hissy fit no matter what choice you make. Dammed if you do.

The worst of it is the feeling that it’s screaming in there, constantly. There’s this, glassy, numb feeling in my head – like it’s full of ice. Slide down a bit, and my cheeks are burning – it’s either hot, stinging, painful tears, or because I’m mortally embarrassed and trying not to cry. I wish myself dead frequently when that hits me, not because I want to hurt others – but because I want to STOP hurting them.

I’m competitive at the best of times, but when I start falling out of ‘favour’ – either in reality, or because I just don’t understand, that hurts me too. I can’t laugh it off and bounce back now – and I misunderstand and second guess so often it’s hard to get people to actually talk to me. I question everything – from whether the kids are mine, to sometimes, whether life is real. I’ve been known to deliberately do something stupid just to test it – like cut myself. I’m mortally ashamed of that too – perversely though the scars remind me I’ve survived again. Each notch though gets that little bit deeper. I’ve nicked an artery twice doing that and it’s so hard to explain to doctors, cause that’s one of the few cardinal sins of mental health. We don’t hurt others, and if we can help it, we don’t start self harming.
And that’s the thing. It’s not exactly a compulsion. I’m incredibly lucky. I don’t like drawing my own blood, but if it comes down to it, I need some reason for the amount of pain I’m in. If I know there’s something physical there, I can live with it – or at least hang on till I can breathe again without thinking about it.

I’m paranoid too. I get scared that I’m going to burn down the house – or that someone’s coming to get me. I’m highly suggestive – if someone says something to me often enough, even if it directly competes with my beliefs, it’ll stay with me. This means I can be influenced to another point of view, eventually. Worse than that, I actually believe in ghosts and axe murderers and other stuff that, to be honest, is fairly unlikely, but still possible. When the nuclear threat starts ramping up, or they talk about terrorists, I start working out how to get back to David and my children. As far as I’ve worked out, I’ll get about halfway home, if I’m lucky, if it happened at Uni. I’m terrified by that, but I have no control over it, so it’s a fairly moot point. When I’m really having trouble with other stuff though, that starts really bothering me.
Things like leaving the gas fire on – or the cooker – or the boiler randomly exploding, a fire in the garage – a fire next door – a fire in the attic cause of the electrics. Those things I know about and I check for. I wake up about 10 times a night and check the house. Sometimes I just see if I can smell anything in the air. Other times I’ll check the whole house. Where we used to live, I couldn’t hear the rain.
Here, I hear it, and the first time I woke up and it was raining that hard, I thought someone was in the bathroom washing off knives. I couldn’t move for four hours.

That’s called sleep paralysis. It’s also called ‘night terrors’ – something most psychologists think we outgrow as children. It’s got many names – though the most poetic is the Japanese description, kanashibari, which, roughly translated means, bound in metal. I also get the other half of that aspect, hallucinations. Sometimes I forget, but most of the time I remember.

When I’m very depressed, or incredibly stressed, I disassociate. It’s like flicking a switch. One minute I’ll be stammering along – and the next I’ll be gone, completely. I think my nose is bleeding, or at least I’ve been told that I act as if it is, and wipe it, usually till it does. I don’t talk, and certainly don’t recognize people talking to me. And I’m usually inconsolable coming out of it – to the degree that the only way Dave’s found of shaking me out of it – something that a psychologist in Edinburgh corroborated, is getting me to respond to something tactile. It’s a bit difficult to carry my furry blanket around with me during the day, but that’s what worked last time.

The sum of all of this that sometimes I can’t cope with the real world. Not because I don’t want to, but because I don’t want to put people in the position of needing to work out how to handle me. It’s really unfair, but I’ve never met a group of people, on the whole that knows what to do with me. More importantly, I don’t interact well with the bits of the ‘world’ I should, and that distresses my friends. Which is disruptive, which, in turn, triggers yet more guilt in me. So, I usually choose not to put myself in that position willingly – there’s no promising I won’t go there, occasionally, unwillingly, but if I can avoid it, I don’t go out at all when I’m having a bad time, and head home if I know I’m going to be triggered into it. Therapy triggers me a lot. Not always, but often enough to make me cautious.

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I can’t get no sleep…. August 13th, 2008

Kai

One of my freinds sleeps eight hours a day, every day. When this pattern is disturbed, even by half an hour, he feels sluggish, under the weather, less creative and able to function. If he sleeps too long he’s unaffected.

Another freind of mine needs seven hours sleep. She’s trained herself into that sleep pattern, and if she oversleeps she feels dopey and not with it all day.

Me? I do perfectly on four hours of sleep a day. I manage ok if I sleep longer, and not too badly if I sleep less – but most nights, all I sleep is four hours a night. Which means, on average, I have two to four hours more productive time than other people do.

Correlations and fact
My point is that ‘normality’ is the setting on appliances – normality in humans only occurs because we’re either working to an expected ‘norm’ – or that expected norm has been formulated because people have reported it as thier experience. When that catalyses, it becomes a norm. Norms are something that can create barriers – or offer a benchmark to kick them down. It’s our choice, as a society.
What do you think? Any sleeping anecdotes you’d like to share?

(head nod to Chris Brogan for bringing up the subject on his blog)

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In good company…. July 25th, 2008

Kai

Bi-polar disorder isn’t something that a lot of us consider an asset – but if you look at it from another angle, it’s a mark of something more.

Those of us with mental health problems can count ourselves in esteemed company:

Hugh Laurie
Stephen Fry
Axyl Rose (front man of Guns and Roses)

Virginia Woolfe
Sting (front man of the band Police, and pop star as a solo artist)
Sylvia Plath

As you can see, each person on this tiny list is considered excentric, or has at one point gone off the rails in one way or another – some succumbed to the urges that the illness inspired, and others have fought back.  Some are winning, in a public way, and others are working on it as they go.

Mostly though I wanted to highlight that it’s not something that we’re facing alone – and that it affects us no matter where we are in our lives – and where we are in our carreers.

Zemanta Pixie

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Bipolar disorder IS NOT PMT(PMS)! April 24th, 2008

Kai

Ignorance is wonderful isn’t it?
I mean, its really nice to get up in the morning, be depressed and ratty and get a freind demanding to know why I’m taking my ‘PMT’ (for my American freinds, it’s PMS – we say ‘tension’, you say ‘Stress ;) ) out on them. I remember that a couple of years ago, I wrote an article that explained, in fairly non-threatening language, what it felt like to be bipolar, and that though being bipolar itself isn’t an excuse for behaving badly *because we can* – it did explain why, occassionally, we didn’t socialise ‘properly’.

And I got to thinking.

I’ve had to explain bipolar disorder for so long in terms that others can relate to that I’ve found that I’ve lost some of my impact. That’s not a good thing.
So just a quick statement.

BIPOLAR DISORDER is not PMT.  BUT – if it gives you a reference point to understand how we cope (or don’t in some cases) more the better. Just remember its a reference point. Like PMT, bipolars don’t have an control over how they are feeling – unlike PMT, it doesn’t go away and doesn’t only affect one gender.

I think that if you’re bipolar and that way of looking at it really offends you – that’s your choice, but I would also like to point out that if something is so alien to someone that they assume you are dangerous, crazy or unstable constantly in the first place, its my view that a reference point, no matter how strange, is better than none at all.

And no – at no point did I actually compare bipolar disorder to PMT – you can see the origional article that lead to this post here: What is…

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Article – why two words can change YOUR life for the better January 12th, 2008

Kai

This is a free article reprint.
Please do NOT edit the resource box and ensure all links are intact.

There are two incredibly powerful words in any language – and no matter what language you encounter, there’s bound to be a way to say it (though, maybe not in two words ;) ).

More powerful than I want, I need, I’m dying.
More powerful than even ‘I do’.

Those two words?
Thank you.

The Secret” is the reason that most people know about the concept of gratitude, but I heard about if for the first time when another member of Ryze, Marilyn Jenett, in about 2004.  Three and a half years later and I’m still enacting something I researched after she piqued my interest.
The concept I discovered, following Marilyn’s initial lead, was that all it takes is to say thank you.

I get up in the morning – every morning, with my children.  I take care of the breakfast chores, and then I sit down in our dining room, with my diary and I make my gratitude list. 
No matter how bad a morning I’m having, no matter how awful the day before.

For example: (more…)

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Designated drivers October 24th, 2007

Kai

I’ve had a couple of comments about a post a couple of months back, about the fact that it *seems* I’m saying bipolar disorder is comparitable to PMT. I had another editor friend go back and read it, and she’s told me that’s not how it reads, and that the person that emailed me demanding that I remove it, because I’m adding to the ‘uneducated’ masses is wrong.

And her reaction was exactly what I’m talking about.
Bipolars tend to jump to conclusions. Even *I* do it and I work with words on a daily basis. We don’t always understand that just because we’ve got a perfect grasp of what Bipolar disorder actually *IS* that others need something to reference to.
So – I’m going to explain one myth that I talked about specifically.

Myth: Bipolars have an excuse for ‘bad’ behaviour.

Fact: We are just as in control of our reactions as most others, most of the time. Bipolar disorder isn’t any more of an excuse for rudeness than having a bad day, PMT or sleep problems. Sometimes our control is a bit stretched, especially in times of stress and difficulty, but the fact of the matter remains that we cannot excuse our bad behavior any more than anyone else.

The MYTH is that as bipolars, we can be excused for everything we do, simply because we are bipolar. We can be bad tempered, throw tantrums, beguile, lie, cheat, steal….you get the picture – because we’re bipolar?
And I say NO.
I say that just as people with PMT are expected to operate within the bounds of acceptable human behaviour, on a day to day basis – so are bipolars. Of course, there’s exceptions to the rule – sometimes we’re not ‘behaving badly’. Sometimes we’re out of control – which is why I’ve picked up this myth where I left off.

Being bipolar is sometimes like having a designated driver. We’ shrug into’ that persona, because its the only way to do our ‘every day’ things. We drive ourselves through the day, to the safest places we can find, until there’s nothing left, and we’re on our own again. Its not that we’re drunk, but in control of an imperfect reaction to the world. Which means we CAN be dangerous too. Or just sad. Or too happy to control ourselves properly.

Bipolars ARE just as capable of being ‘normal’ – or within the bounds of what society expects of its inhabitants. But sometimes, just sometimes, we need a designated driver to pull us out. Be that our alteregos, or our personas, or our carers.

In the next couple of months, I’m going to be specifically writing content to support – thank – and explain work with our carers. Because though we’re strong, wonderful, amazing, perfect souls, our carers are ANGELS.

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Witchdoctors? July 30th, 2007

Kai

From Stircrazy

People with bipolar disorder — or manic depression — suffer from an accelerated shrinking of their brain, researchers at the University of Edinburgh have found.

…”Although we do no yet know the cause of this brain shrinkage, it may be that repeated episodes of illness harm the brain and lead to the decline. Another possibility is that the brain changes are caused by stress or genetic factors, which tend to lead both to more frequent illness episodes and to greater brain loss. Further research will be required.”

[source: http://www.sciencedaily.com/releases/2007/07/070720103036.htm]

Its probaby a very odd thing to reference, but the first thing I thought of was witchdoctors, shrinking our heads.

The post goes on to talk about something I’ve been saying for a while – that lithium (possibly) makes our brains shrink.
Anything that increases certain  elements in our blood damage our brains – that damage is sometimes used to control other disorders and health issues, such as epilepsy, and migranes, but in the case of bipolar disorder, I believe this may be a very bad thing.

I believe that stronger, and more in depth studies of bipolar disorder will have to be completed, at which point, we, those of us that have to agree to the treatments, or are placed on them, can choose whether we want to run the risk of damage, shrinkage or anything else that may, or may not come up in the course of our treatment. With informed choice, its possible to build, and rebuild our lives effectively, and survive.

I’d also recommend exploring ‘Stir Crazy’.  It looks like its quite a good blog – and we’ve blogrolled it here.

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What is….? July 23rd, 2007

Kai

(authors note – we’ve spent the last several days retrieving and reposting some of the content we used to have on our various site incarnations and I thought this was worth running now, instead of back in the archives)

Someone said that she was about to ask me a dumb question this month and then proceeded to ask some things about bipolar disorder that I’ve answered many times. So this month I decided to do a crash course on my perceptions of bi-polar disorder.

Myth: bipolar disorder isn’t manic depression

Fact: Bipolar disorder is just another term for manic depression. Typically people with depression are referred to as unipolar (as in they only go to one extreme, or ‘pole’) and people with bipolar disorder (manic depression) have two extremes or ‘poles’. Bipolar disorder is further characterized by grades, dependent on the severity of your mood swings and whether there are some other characteristics alongside them.

Myth: You can diagnose bipolar disorder with a blood test

Fact: Not that I know of. Bipolar disorder does not have markers, and though there is some evidence of genetics being able to keep track of what is going on, the human genome mapping project is a long way from finished and therefore not everything is understood.

Myth: Bipolar disorder is easy to diagnose

Fact: It’s missed in most people until someone that knows exactly what they are looking at sits down and talks to the patient. What could be mistaken for moody teens can sometimes be bipolar disorder. I’m not saying ALWAYS, just sometimes.

Myth: Bipolars are easy to spot/can’t hold down a job

Fact: Where it’s true that it’s easier to tell if we are different when we are at one of our extremes, not every bipolar gets really hyper or really depressed. Some of us are as ‘normal’ as the rest of the world. And if the bipolar disorder is under control then it’s not that hard to hold down a job. Like everything else it’s dependent on both our triggers and our control over ourselves.

Myth: Bipolars have an excuse for ‘bad’ behaviour.

Fact: We are just as in control of our reactions as most others, most of the time. Bipolar disorder isn’t any more of an excuse for rudeness than having a bad day, PMT or sleep problems. Sometimes our control is a bit stretched, especially in times of stress and difficulty, but the fact of the matter remains that we cannot excuse our bad behavior any more than anyone else.

Myth: Bipolars aren’t aware of how they should behave

Fact: Like I said above, Bipolars are no different to people that deal with depression or anything else. We DO have an extra component, but that just makes most of us ‘faster’. When we are at one of our extremes we can be slightly more difficult to relate to and interact with, but we are inherently ‘normal’.

Myth: Moods don’t mix and it’s very easy to judge where someone will be based on what they’ve been saying and doing.

Fact: Some people are very stable bipolars. Some people however, medicated or not, are not stable. These people do need help and support until they find their feet.

Myth: You cannot get pregnant if you are bi-polar

Fact: I’m the mother of two children, though admittedly they didn’t realize I was bipolar till after I had my eldest child. It is true however, that some of the medication they use to control bipolar disorder are very dangerous and not suitable for use when pregnant. It’s always best to discuss any plans that would affect your medication with your doctor or other professional health care official.

Bipolar disorder hasn’t been fully investigated, and isn’t understood like depression. It IS caused by a chemical imbalance. What is harder to determine is why it happens and whether it’s a genetic inheritance or a fault at the level of DNA that sometimes occurs. Bipolars are usually medicated, because severe mood swings can be incredibly disruptive, and sometimes dangerous

There is a lot of work to go into the effective tracking of this disease, and a lot more understanding needs to start, as most of the misconceptions about bipolar disorder cause many misunderstandings and gaps in knowledge. The battles against this need to start at grass roots level; encouragement and support from the community and the spread of understanding is a must.

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