Daily Archives: July 13, 2015

ALPIM (Anxiety-Laxity-Pain-Immune-Mood)

FIGURE 7. The ALPIM Syndrome: A Neuropsychosomatic Spectrum Disorder. Schematic Venn diagram showing the hypothesized spectrum of comorbidity in patients having a core anxiety disorder with laxity, pain, immune, and mood disorders. The overlapping circles demonstrate that comorbidities exist along a spectrum, in which a patient might have anywhere from just one disorder under one domain to multiple disorders under multiple overlapping domains. ALPIM, anxiety, laxity, pain, immune, mood.
J Neuropsychiatry Clin Neurosci. 2015 Spring;27(2):93-103. doi: 10.1176/appi.neuropsych.14060132

Thank you, Blahpolar Diaries, for informing me about ALPIM in her blog post nudge nudge link link. I tracked down the original SUNY press release, which I quote here.

In the study, published in the Journal of Neuropsychiatry and Clinical Neurosciences, the researchers proposed the existence of a spectrum syndrome comprising a core anxiety disorder and four related domains, for which they have coined the term ALPIM:

A = Anxiety disorder (mostly panic disorder);

L = Ligamentous laxity (joint hypermobility syndrome, scoliosis, double-jointedness, mitral valve prolapse, easy bruising);

P = Pain (fibromyalgia, migraine and chronic daily headache, irritable bowel syndrome, prostatitis/cystitis);

I = Immune disorders (hypothyroidism, asthma, nasal allergies, chronic fatigue syndrome); and

M = Mood disorders (major depression, Bipolar II and Bipolar III disorder, tachyphylaxis. Two thirds of patients in the study with mood disorder had diagnosable bipolar disorder and most of those patients had lost response to antidepressants).

Bipolar III is cyclothymia, a “milder” form of bipolar than bipolar II.

Should you want to read the journal article, I purchased the pdf version: A Novel Anxiety and Affective Spectrum Disorder of Mind and Body—The ALPIM (Anxiety-Laxity-Pain-Immune-Mood) Syndrome: A Preliminary Report (J Neuropsychiatry Clin Neurosci. 2015 Spring;27(2):93-103. doi: 10.1176/appi.neuropsych.14060132). No copyright infringement intended.

Filed under: About Mental Health, Health Tagged: ALPIM, ALPIM Syndrome, anxiety, Immune, Laxity, Mood, Neuropsychosomatic Spectrum Disorder, pain, SUNY


I was reading another blog from a young girl with Bipolar and an alcohol addiction recently, (bipolardrunkchick.com) and she said...

The post Rainbows appeared first on Pretending to be What We Are.

OMC – How Bizarre

I love how this song can make me feel like a little 90s kid again..

all cares are away…

dreams are still shining…

how bizarre…

Awards, Dragons, and Sporks, Oh My!


(Ha ha ha, Blah, still make you wanna barf? Loved the dragon, hated the chick, inserted my own idol.)

Thank you to the Blahthority for nominating me for this prestigious blogging award that has an awesome dragon on it. With bling, no less. Dragons, sporks, throw in some ketchup and we got a cookout.

Um…I have to present to 15 bloggers? I am only subscribed to 14 (half of whom rarely ever post.) Consider yourselves all nominated. You know who you are because you’re the only 14 people on the internet I talk to and my comments show it. (I talk to anyone who comments, if you don’t comment, I don’t talk. Not stuck up, just socially inept. My bad.) Sass, Tessa, Chris, Shadow, Zoe, my most frequent commenters, et al- feel free to accept your nomination or stab me with the spork. Whatevs.

Seven Interesting Things About Myself:

(Insert final round of Jeopardy theme music here for a half hour while I try to think up some interesting stuff about me.)

scroll wayyy down







1.) I ran away to Hollywood, CA when I was sixteen. I wasn’t a misfit there. I fit in. I made friends. I went places. (Didn’t hurt that I looked way older and never got carded, bars just let me in.) Only reason I got shipped back to this armpit was my hooker roommate called my parents after finding their number in my stuff. Stuff she stole from me before taking off and the cops arriving with the runaway advocate coming to fetch me. I regret NOTHING except that bitch stealing my black leather jacket.

2.) I won the Creative Author award in 8th grade for my short novel about a teenage girl who attempts suicide. The teacher and principal all tried to talk me out of entering it for it was too dark. I refused to make a single change. It won.  Fuckest thou.

3.) I had a pet snake named Ophelia Juliet. She was a ball python and so docile, I used to take her around to various schools and teach the kids about snakes. The kids were enthralled. The teachers were out in the hallway turning fifty shades of green.

4.) I joined Job Corps when I was 17. Hotel management was gonna be my thing. Unfortunately, there were too many rules and I developed a very close relationship with Wild Irish Rose and grape Mad Dog that left me scrubbing shower floors with a toothbrush way too many nights. They refused to let me leave. I ran away, took a  bus, called my mom to wire me money, and left on my own. Fuckest thou.

5.) I became an adult at age 11 when I started watching my younger sister while both parents worked. Dad drove a truck six days/nights a week, mom worked swing, so I raised my sis and myself. When I was 14, my mom wouldn’t stop bouncing checks, so my dad took her name off their checkbook and put mine on it so the bills got paid and I had to “give” my mom a weekly allowance. When I was sixteen, mom had a nervous breakdown so I took a leave of absence from my job so someone would be there to take care of my sister while dad was on the road and mom was in the psych hospital. Perhaps why I wasn’t in any rush to procreate and take on all that again. Least it broke me in.

6.) I am a fountain of useless pop culture. In fact, when R was playing a trivia game, instead of consulting Google for Marilyn Manson’s birth name, he consulted me. If I could only make a living with all this useless crap in my brain.

7.) I used to work in a daycare. Yes, dark gloomy foul mouthed chain smoking liquor lusting me. Kids have always loved me. I used to take my Furby in with me and I’d wear a bathrobe and fuzzy bunny slippers to indicate nap time. Never mind it was during my manic time. I was frigging awesome, right up until the winter depression when  all my adorable charges became slithering shrieking examples of demonic evil.





Screen Shot 2015-07-13 at 4.57.19 PM Screen Shot 2015-07-13 at 5.01.25 PM

Even though I am not feeling well, I couldn’t just let this go by without a comment! For some reason, this post appeared on my FB page, it’s a page by a person whose mother supposedly has bipolar d/o. He says her doctor didn’t know anything, but if you buy his booklet for $9.95, you’ll know everything there is to know about handling your loved one’s bipolar d/o. Hmmm, the doctor didn’t know anything, but this person does, and he will sell you all you need to know for only $9.95! Somehow, this sounds like a scam to me. I would rather listen to my doctor than to some nobody (to me) on the internet. Please beware of these scam artists. And do not give them a penny for god knows what kind of advice and information! This page should be taken off, this website needs to be shut down!



An End in sight at last…..

When I started to answer these questions, I thought it would take me an hour or so, but here we are, days if not weeks later, and I am stillllll writing the answers. Of course, I haven’t just been doing … Continue reading

enter name…

So I thought I’d start reviewing webcomics containing bipolar disorder themes and characters. No matter how tenuous the connection, or how low profile the manic depression content, there’s a chance I’ll review it. First lady for a shave is MS Paint Adventures.

Let’s go.

Your name is SOLLUX CAPTOR.

You are apeshit bananas at computers, and you know ALL THE CODES. All of them. You are the unchallenged authority on APICULTURE NETWORKING. And though all your friends recognize your unparalleled achievements as a TOTALLY SICK HACKER, you feel like you could be better. It’s one of a number of things you SORT OF BEAT YOURSELF UP ABOUT for NO VERY GOOD REASON during sporadic and debilitating BIPOLAR MOOD SWINGS. You have a penchant for BIFURCATION, in logic and in life. Your mutant mind is hounded by the psychic screams of the IMMINENTLY DECEASED. Your visions foretell of the planet’s looming annihilation, and yet unlike the typical sightless prophet of doom, you are gifted with VISION TWOFOLD.

For now.

You have developed a new game, adapted via CODE PARSED FROM THE RUNES AND GLYPHS IN AN ANCIENT UNDERGROUND TEMPLE. You believe this game to be THE SALVATION OF YOUR RACE, though you are not sure how yet. To ensure success, you will distribute the game to two teams of friends, a RED TEAM and a BLUE TEAM. You will lead the latter group. Your trolltag is twinArmageddons and you tend two 2peak wiith a biit of a lii2p.

What will you do?

Chill, stigma diggers, it is impossible to be offended by it. You’ll enjoy it if you’re nostalgic about DOS, Telnet, BB boards, plain text and nnnnnnngskreeeeechdoingwkwkwk modems. Its lo-fi, lo-res, ooooold school rpg layout looks at first as though it’s going to get all interactive on your ass, but it doesn’t. You’ll geek right out anyway, it’s got all the right tropes. 


As you will have noticed in the intro quote, it’s riddled with contemporary pop culture references; the comic is current and it’s updated five days a week. There are no bells, there are no whistles, its WYSIWYG charm is in its content and cleverness. There are unobtrusive animations in some images, there are chatlogs and it’s all deliciously meta. It’s quietly cool about stuff like gender and disability and the wit is sustained throughout. It has as many puns as there are dots in the matrix and it’s intelligently lighthearted – not the easiest thing in the world to pull off.

I do not recommend trying to get through it all in one sitting, you’ll miss the subtlety of its deceptive simplicity. Also, there are a fuckload of pages. Like, years of them. It doesn’t hold obsession level appeal for me, but it thoroughly delighted me and made me grin. For someone in the throes of bipolar depression, that grin is the equivalent of a neurotypical ROFL.

It’s 1337, is what it is.


(scheduled post)

A Physical Illness For A Change

Buster Poster

Yes Gentle Readers, I have a cold. Not just a mild cold, a whopper of a cold. My nose feels like it is made of solid concrete. And the rest of me feels quite like a wet rag. For the last two days I thought I was suffering from really bad allergies, but now I am sure it is a cold. My sister had it when we were in Turkey, I’m sure it’s the same one. Wow! The timing could not have been worse. Three days till the opening of our play called  “Buster!” We have 5 hour rehearsals every night and then the performances start. This takes an enormous amount of energy, as you have to be on your toes the whole time you are on stage, and for this Musical In Concert, it means the WHOLE 5 HOURS! Ugh! Did I say this was an awful time to get a cold? Well it is, all I want to do is stay in bed, with an icepack on my head, but no such luck. I’ll be there for the rehearsals, and OF COURSE for the performances, because gentle readers, the show must go on!


Usually, as a person with bipolar disorder, I look forward to physical illnesses, lol, because you get so much more sympathy and understanding if you have the flu, for example, than if you have the depression (why are people in a depression and have the flu?), you don’t have to hide the fact that you have the flu, you just rest in bed, maybe get Tamiflu, and everyone understands, and you get better, and go on your merry way. No one tells you to be strong, to be positive, it’s all in your mind. BUT, this time I don’t have the luxury to be physically ill, as weird as that may sound… I have a play, OMG, I have to be ready to do this play. Maybe Dayquil will work, and none of the ingredients will make me manicky… might not be so bad, manicky might be good for on stage… ok I’m rambling, I’m done, going to bed…


Sorry, life got in the way of my updating much last week, and then we were gone to dance competition.  Our girls won four out of the top five places in their category, so they received trophies and were proud of themselves.  We came home early because the youngest got sick at six a.m. yesterday so we missed Sunday’s classes and came on home.  She’s rested up now and is gone with my parents along with the middle one to see my parents so I can recover somewhat in peace after tomorrow.

I have to get there at six a.m. at the surgery center for a seven-ten a.m. surgery.  So we will be very, very early risers tomorrow morning.  I’m the first surgery of the day, so I hope that’s a good omen.  My surgeon says she’s a morning person, so hopefully she will not be too sleepy to get everything done right.  All I know is I am ready to get this over with and get into the recovery period and get that over with as soon as possible as well.  It’s been a long time coming, but hopefully it will resolve my problems in due time and I can put all of it behind me soon. Prayers for a good recovery are much appreciated.

Accolades From GoodTherapy.org

It’s been a couple of months since my last post, but I’ll always come back and write a post if it strokes my ego. Unbeknownst to me, this blog received special attention from GoodTherapy.org a couple of weeks ago. I didn’t know about it because I have been bad about checking my email regularly. Good Therapy […]

The post Accolades From GoodTherapy.org appeared first on Insights From A Bipolar Bear.