Author Archives: Sarah

Mad Parenthood

This is a scary topic. There is no getting around it.

I’ve been gnawing on how to approach this for quite sometime, because I fear the possible repercussions of being an “out-there” parent with a diagnosed psychiatric disorder. Will I be seen as an unfit parent, or worse, will my children be affected by my public speaking? I don’t really know the answer. I only have my truth to hang on to, and my hope to make things easier for others out there who are suffering. Likewise, I want to help promote a world that is accepting of personal differences and unique minds. I want that for my kids.

After a lot of though, I’ve come to the same point I always do. Honesty is the only approach that has any impact, and any hope of raising awareness.

So, here it goes.

There are three events that have occurred in my life for which I am most grateful. They are my marriage to my husband, the birth of my son, and the birth of my daughter. I can say quickly and without hesitation that these three choices created more happiness than I could have ever fathomed. There’s no way to prepare for that kind of enduring, deepening love. And, it just keeps on growing with time. It’s more beautiful than I am able to verbalize.

I tell my children every night before they go to sleep, “I love you more than the moon and stars. I love you more than everything.” It’s our little ritual, and really, the words aren’t strong enough. I simply don’t know how else to tell these small people who live in my house, any more emphatically, how much I care about them.

Even with all the love in the world, parenthood is a challenge.

I have never met another parent (mad or “sane”) who thought it was easy, or a perpetually smooth road. But I’m unique, and I know it. If you add into the mix some interesting thought processes and bouts with depression, well things get more complicated in an instant. I wish I could sit here and compose a piece about my parenting perfections, but that would be a farce and no good to anyone.

There have been stretches of time when I haven’t been the best version of myself. I wasn’t the pillar of stability that I wanted to be for my small sidekicks, or my dear husband. That’s extremely challenging to admit because there is no aspect of living for which I am more devout.

My depressive episodes have affected my family the most. I’m sure of it. That’s the hard truth. Trips to the park become too much to handle. Every ounce of energy I could muster was put into the daily routine, leaving nothing for my wonderful husband. It was at times like running through water, uphill, in the freezing cold.

When I was diagnosed as being bipolar the kids were extremely young (thankfully). I breathe a sigh of relief for this fact alone. But having them at all is what prompted me to consider how I moved through the world, and what sort of an example I was offering them.

I recall a moment shortly after my diagnosis where I saw them playing in our compact living room. I looked at them, hard. A bizarre tactile conviction passed over me, like nothing I’ve ever felt. It was visceral, and profoundly consuming. I thought to myself, “I will take control of this, for you.” I have not stopped fighting to improve and maintain ever since, and that was many years ago.

The one gift I took away from diagnosis was the notion that I was imperfect. Yes, I realize that sounds bizarre, but this concept of being flawed helped me awaken to a state of openness. I finally had a construct that explained a lot of my early twenties, my behavior (which I had previously thought was simply personality driven), and oppressive elements that were not of my choosing like biology at play. I accepted I was broken, and it gave me the chance to evolve. I figured, if I had this “thing” to contend with, why not examine my whole self, and see just how much I could transform into the person I wanted to be for my family.

It was an opportunity.

I feel like anything is possible when you are open to looking at things objectively, even if it hurts. When you can’t be objective, get someone involved who is – namely a good psychiatrist, family, friends, and your community. Support is critical. You can not go it alone, and a long-term strategy is in order.

I was, and am, willing to walk through broken glass in order to be the most stable, loving, and in-tuned parent (and partner) I can be. It’s my reason for every doctor’s appointment, every pill I swallow, every choice I make, and action I commit to.

I’ve got to say also, that as a result, my family is thriving. There is so much love in this house. The kids are developing into these beautiful, caring, silly creatures and I couldn’t be more proud of them. My husband is a rock deserving of some sort of award. Maybe I’ll fly a sign behind a plane someday so everyone knows the kind of man he is, and has been.

So, how did we get here, to this marvelous point? This was a gradual process, where I learned important lessons. First I discovered ways to support myself, then my children, and ultimately I did not accept bipolar as an excuse for anything.

When I was initially diagnosed, this is how I saw the situation, and I was petrified:

Parenthood + Bipolar = Me Being A Lousy Parent

As if the challenge of raising human beings wasn’t enough, I also had to face my own shortcomings, and I was pale at the thought of the damage I could bestow upon my most precious gifts, if I didn’t take control of the situation. It didn’t happen overnight, but with support from my husband, family, and physician, I can now say that I am more stable and happy than I can recall. Surely, my kids are benefiting as a result.

I can tell you now that the above equation probably doesn’t work, nor can it ever be so simple. So, what does work? I think my actual approach to parenthood, post diagnosis, has looked a lot more like this:

Physician + Family + Friends + Community Involvement + Therapy + Medication + Self-Determination + Rules For Living + Routine + Self-Awareness + Patience + Parent Education + (Love (x infinity)) = Parenthood/2 = Me – Bipolar = Happy Family

Complicated? Yes, but, in reality parenthood is complicated and requires a multifaceted approach. I have also found the need for an awful lot of self-discipline, and education as well, and I can’t really stress these points enough. No one instinctual knows all the intricacies of parenthood. It’s a skill that is very much learned. Likewise, the phrase “it takes a village” really applies to being a mad-mom, in my humble opinion.

Instead of describing the many challenges we all face as mothers and fathers, regardless of psychological diagnosis, I’d rather dive straight into what I have found to be immensely helpful, in my quest to be a purposeful parent. We have to take care of ourselves, if we intend on being top-notch care providers for our kids. That is critical point, which cannot be overlooked.

How I Support Myself:

  • Join a cooperative preschool

This was the single best thing that I was ever involved in during my kids’ preschool years. Cooperative preschools are usually geared towards parent education. I learned more here about being a good mother than in any book I’ve ever read. Also, I had other parents, and a gifted set of teachers, to keep an eye on things. They were as much a support to me, as they were to my two offspring. I am deeply grateful for the connections that were made there, and for all the lessons, painful or joyous, easy, or difficult to grasp. I’d recommend you check out your neighborhood co-op. They are usually a more affordable option also when compared to drop-off style preschools and much more supportive of the family as a whole.

  • Go to therapy for eternity

This is just what it sounds like. Parents need guidance, and this is especially true if you have a mental health diagnosis. Keep going. Find a therapist that fits your style and don’t stop, because you’re never done being a parent, or growing as a human being.

  • Get a life-coach (if you can afford it)

I wish this was covered by insurance, but it generally isn’t. How do you balance it all? What are your personal goals? What makes you happy and feel connected to the world around you? A life coach can help you make an actual plan to achieve what you want in life, and answer some of those questions. That will make you a happier person, and therefore a better parent. It’s completely different than therapy, but not a substitute.

  • Remove stress where possible

This is easier said than done obviously. If there are ways to minimize your environmental stress, like making good financial choices (following a budget), or getting a housekeeper, then go for it. We all have different resources here, but asking for help from loved ones is sometimes an option to consider.

  • Maintain a routine

Day in, and day out, a routine will give you a sense of order and rhythm. It’s so important for people who are easily swayed into high-energy or depressive modes of being and your kids will feel secure in an established routine also.

  • Follow the rules to live by

See my article here for the bullet list:

  • Check-in with friends and spouses regularly

I often ask my trusted friends, and husband, how they think I’m doing. I’ve also openly invited them all to make it known if they feel like trouble is brewing. Sometimes it’s very hard to hear, and no one appreciates the need for an eye over your shoulder, but I’ve come to realize it’s important and I need to swallow my ego and listen with open ears.

  • Take breaks / don’t over commit

For me, this means keeping my scheduled activities at a reasonable level. I don’t plan too much, and I don’t allow myself to be a shut in. I also might take some time to myself in the evening, after my husband gets home, if I need to recharge. If I feel overwhelmed with the chaos in the house during the day, I might take 2 minutes to pause, and collect my thoughts, before I respond to the situation. Slow, and steady, wins the race.

  • Connect with others who have bipolar

I have found this to be important. By relating to others who share your condition you can lessen the sensation of isolation. You can also learn a thing or two from connecting with people who share your condition. You’re not alone. There are an estimated 6 million people in the U.S. alone who have bipolar.

  • Educate yourself on parenting

Read. Read. Read. No one is a born parent. Parents are made and grown. Ask questions, and get answers.

  • Have outlets / hobbies

You can’t work all day, and never play. It’s not good for you, and it teaches the kids an unhealthy habit also. Just like kids have interests, hopefully you do also. Just keep an eye on things, in case you become too engrossed in your hobbies, which might be a sign of mania.

  • Be physically healthy

You can’t be at your peak mental state, if you’re denying yourself the basics of sleep, good food, rest, and activity. Keep up with your general physician also. The basics are critical to well being for all people.

  • Be grateful, it’s good for you

I have a friend who once told me, “Everyone, has something.” It’s true. In our lives, everyone will have a medical issue. It can’t be escaped. You have bipolar, yes, but you’re also alive and life is full of possibilities! There is so much to be grateful for, and if you’re a parent, you have a very, very good reason for gratitude already.

  • Have a back-up plan if it all goes south

I can’t stress this enough. If all else fails, the children need to be cared for, regardless of where you are in your state of recovery. Who will take care of them if you need to be hospitalized? If you cannot provide for them on a basic level, you need to contact help immediately. The children deserve care and if you are unable, even if it tears your heart out you, you need to address this and call in back-up. Temporary separation might be the best thing for them, and you. Kids first. That’s the rule. Even if you are feeling great, have a plan. It’s just part of being a responsible parent.

  • Never, and I mean never, consider giving up

If you remove the option of surrender from your mind, then the idea of perpetually addressing bipolar will become second nature. It ceases to be a chore after a time, and becomes simply, your way of life. Your kids need you for a lifetime.

In an ideal world we all have access to the support we need, and all the resources possibly available. I, sadly, understand this isn’t true for everyone. Make the best of what you have, and ask your doctor about possible access to what you’re missing. They might have some great community programs that are within your grasp.

Now we have reviewed how to support ourselves, but how can we support our children directly, while facing our own mental health challenges? Here are some of the tactics that have really worked for me thus far. I am certain there is much I can still learn, without question, and I hope this list grows over time as I do.

How To Support The Kids:

  • Join a mother’s group when they’re infants

Enduring the rigors of the first days and months of parenthood can challenge even a seasoned veteran. Couple this fact with sleep deprivation, and a mental health issue, and things can quickly become more complicated. Staying connected and finding peers during this time can be really helpful. You may find it of benefit to compare notes with other new mothers and fathers, to determine if you’re having a significantly harder time coping than they are. At the very least, you might figure out a way to get out of the house faster or to calm a crying infant using hand puppets. Sunshine and play dates are often good for the whole family.

  • Join a Co-Op when they’re of preschool age

I touched on this in my previous article, because a cooperative nursery school experience was astonishingly positive for my entire family. The community we built through that process supported our children’s development, and our parenting, in a brilliant manner. I would highly recommend being involved with their preschool experience as much as is possible for you. Being connected to a community in anyway is a powerful and therapeutic action in itself.

  • Be involved in their classroom when they’re in grade school and beyond

By knowing how your children are integrating into their school classrooms you’ll likely get an idea of how well they are doing overall. If a child is wracked with anxiety, for example, it’s possible that they need additional services. Your involvement demonstrates to your child that you’re invested in what their doing. Likewise, a regular homework routine can offer you both some relaxed bonding time, while giving you cues about their academic progress.

  • Maintain a routine

People with mental health issues, and children, can both benefit from knowing what is expected of them during each day. Removing as many surprises as possible allows for a more relaxed and manageable day for everyone. You might consider making your kids visual calendars. When my kids were smaller I had a schedule for each day for them to examine. It’s all about stress reduction, and simplicity, for the sake of the whole family.

  • Check-in with teachers, physicians, and care-givers regularly

Most of us aren’t trained experts in medicine, teaching, or child development. Given that, it’s probably best to confer with the professionals about your child’s progress. You want to make certain that they are getting all the support they need in a variety of areas. Knowing they are on track developmentally allows you to use your energy where it is needed, by engaging with your kids, and taking care of yourself.

  • Do fun activities together, and separately

Activity times can strengthen your bond, there’s no question of it. They show your child a level of engagement that builds confidence. Likewise, activities that are independent of you can offer some respite time for mothers and fathers to recuperate. There’s a great big world out there, and so much to discover, both together, and independently. Just don’t over commit your schedule, or take on anything too grandiose (I should take my own advice here).

  • Don’t over burden them with adult problems

I’ve spoken with a great number of people about how much to share with your kids about bipolar, or on the contrary, what to shield them from. I find this to be a very age-specific conversation and plan on making this topic non-taboo in our household when the time does come. That time is not now, for us. I have personally chosen to only share the fact that I take medication with them, as they are still far too young to have a more in depth conversation (they simply saw me doing this, which prompted a conversation). I see having an in depth conversation with them as serving no purpose at this juncture except perhaps to alarm them. At times when I haven’t been feeling my best, I simply removed myself from their line of sight, or called in the backup squad to help me. I feel it’s my duty to shield them from any notion that I am in danger, or unreliable. Of course, everyone handles this differently, which I respect. I guess I would ask myself, what is the motivation for explaining bipolar to a young child in any detail? I would confer with your psychiatrist about how to approach this topic if you feel the need to do so. Obviously older kids need to be educated about what signs and symptoms to look out for, when it comes to their own health, as bipolar is correlated with a genetic factor.

  • Keep children away from medications

This is a no-brainer. Just as we keep children away from hot stoves, you should also have a locked cabinet for your medications, if you take any. Actually, the only fact my kids know about my bipolar, is that I take medication. They have no earthly idea why. My older child did ask me about it one day, and I simply told him, “My body needs some medicine to be healthy. I have to take this everyday, but then I feel great. If you were to swallow my pills though you would be very, very sick – so please, don’t ever touch it, ok?” This was enough of an explanation to satisfy the curiosity, but it also helps me teach them to think for themselves and avoid life-threatening situations. Still, as I said, I don’t tempt fate, and keep everything out of reach in a locked cabinet.

  • Teach them to identify emotions + express them

It’s so powerful to teach a kid to identify how they feel. Ask them questions. Teach them names for frustration, anger, happiness, disappointment, and beyond. This will serve them well throughout their lives, and help them develop self-awareness. Self-awareness of your mental state is the most powerful behavioral cognitive skill you can have, when fighting something like bipolar. I’ve tried to teach my two children some ways to calm themselves also, and to express how they feel in a constructive way (e.g. without throwing things or screaming). This is a challenging skill for many people to master, so be patient. It’s a life-long process.

  • Tech them how to keep themselves physically healthy, and later, mentally fit

I think most people try to keep their kids healthy, in a general sense. We are laying the foundation here with information about the basics of good food, exercise, proper sleep habits, and hygiene. But in the future, when they are older, I hope to build on this by making the leap towards taking care of their mental health. It’s all about stepping-stones.

  • Model the behaviors you want them to possess

If you want your children to communicate with kind words, and reasonable reactions to stress, you need to demonstrate how to do that yourself. They are always watching! We need to be very careful how we present ourselves, as people who gravitate towards extreme emotional states. This is a massive challenge, no doubt, but it’s always in the back of my mind. Think before you speak.

  • Be willing to say you’re sorry

I have never met a perfect parent, let alone a perfect person. If I over-react or realize I had a poor approach to a situation, I am the first to offer an apology to my kids. It’s about respect. I don’t have to beg for forgiveness on bended knee, but I do feel like it’s ok to say, “I was thinking about… and I wish I had done…instead. I’m sorry about that, but I think I understand things better now.”

  • Remind them (too often) how loved and safe they are

This is the easiest, and potentially the most powerful item you have in your parenting tool belt. Tell them everyday, how much you care. Love needs to be expressed, and children are especially prone to being aware of how safe they feel. Telling a child you love them only reinforces the notion of security, and belonging, in this big confusing world. No matter what happens, I end each and everyday with an “I love you.”


And now, in conclusion, I would like to address the following:

What I blame bipolar for as a parent:

Being a parent was very much my choice, and I took on that responsibility without any caveats. Being bipolar wasn’t my choice, but it doesn’t make my children’s needs any different. Clearly, being a parent with psychiatric challenges, doesn’t make things simple, or easy, by any stretch of the imagination but it doesn’t change the facts.

My kids need a stable, loving, fun, and engaged Mom, and that’s what they have today. I’m not perfect – not by a mile. But I can say with all honesty that I’m doing everything I can think of to try and support my family, and myself. I work at it everyday. In return, I get to see them grow, thrive, and fill me up with their love and goodness. It fuels me to stay well, and on-top of whatever ugliness bipolar tries to throw my way.

If I were a diabetic, I wouldn’t leave the house without my testing meter, and insulin. Well I have bipolar instead, but I consider it similarly.

I get to see my children belly-laugh, learn new skills, and wonder at the marvels of the world around them. What greater gift is there than that? I can’t think of a single thing. There’s nothing besides the love of my family that I would fight this hard for.

Likewise, if it is needed, I’ll remove myself (temporarily) for proper treatment should it come to that. I won’t subject them to any extreme states – I believe it is entirely possible to commit to this notion. It is my responsibility to put into place systems for dealing with a potential crisis. It is my responsibility to be self-aware of my progress, and to ask others to keep a guarded eye on me. It is my responsibility to address bipolar head on, and not make it my children’s burden.

If you think mental illness disqualifies you from parenthood, I say think again. You just have to be willing, and committed, to going the extra mile to ensure you are exactly what they require, and deserve, as often as humanly possible. I believe in the power of the human spirit and the power of parental love, to overcome adversity. It simply requires dedicated effort and the right support systems in place. We can raise a more self-aware and healthy generation of young people, and we can have an incredible amount of fun doing it.

Wherever you find yourself in your parenting career, I hope we all remain open to change and evolution. No one is ever done learning, or developing. There are always things we can improve upon, but remaining open to that possibility is what makes it all possible. I hope you other parents out there, hug your children tonight, and fill their ears with silly thoughts.

Life with kids is joy incarnate. I wish you all a house full of love and happiness.

Light Cures Depression

Let There Be Light!

As I make connections with others in the bipolar community, I am consistently gob-smacked by the number of “controversial” treatment options available. This seems to apply to nearly every course of action that is considered common practice.

Some may declare a specific psychotropic medication to be the holy grail of treatment. Yet simultaneously, others will malign the product as a soul-sucking compound designed to lobotomize the user. What information can you really trust? And how do we even begin to address the tactfully withdrawn research, which never even makes it to the peer-review process in the first place? Even published studies can be criticized for their structure.

I began to think about what elements affect me on a daily basis, and are supported by basic biology. What treatment needs do I have, that can’t be denied? My conclusion = sunlight, and controlled sleep.

People with bipolar disorder seem to be universally affected by the amount of daylight they are exposed to, with regards to mood and energy levels.

I have found that while spending time with my family in cold northern locations (generally Ireland or New England), the draw to sleep at odd hours is profound. My energy levels plummet, and the possibility for creative bursts are infinitesimal. I must be very careful to adjust my schedule so I rise with the morning sun, very early in the day, or else when the 4:30 darkness rolls in, I will be ready for an ill-timed nap (only leading to the dreaded wee-hour insomnia and compounding irritability).

This pattern of existence is quite opposite from my usual Californian routine. My workstation, outside of San Francisco, is situated beside a floor-to-ceiling window, which basks me in sunlight nearly everyday without pause. I often have a terrible time reigning in the resulting energy and inspiration after a day’s worth of writing and research. It’s quite clear to me that this affect can be summarized in the following poorly constructed diagram:

sunlight => energy => creativity => ability => productivity => ‘normal’ fatigue

Everyone can’t relocate to a climate that is supportive of constant sun exposure. So what else can be done? It was suggested to me, when I was residing in the dense fog of San Francisco itself, that I employ the use of a full-spectrum light. I was very skeptical of this method. It felt far too simplistic – even gimmicky.

That said, I ordered one, because I am open to trying almost anything that might bully bipolar into the background where it belongs.

I must say that I believe it helped me achieve a better energy-sleep rhythm. If I used it regularly, 45 minutes each morning, I did notice improvement in my energy during the morning hours, and improved ability to sleep at night. It does not compare however to my current set-up, which, includes full workdays soaking in the California sunshine with very little interruption to the flow of cosmic energy.

Perhaps if I were still working in the white-out fog of San Francisco, I would swear by the full-spectrum lamp throughout the day, in the hopes of achieving the same affect. I did read a few very convincing studies on this topic. One I will quote here, and I believe you’ll find the results rather astonishing.

“This analysis of randomized, controlled trials suggests that bright light treatment and dawn simulation for seasonal affective disorder and bright light for nonseasonal depression are efficacious, with effect sizes equivalent to those in most antidepressant pharmacotherapy trials.”
(Source: )

You read that correctly, light therapy can be compared to the potential power of an antidepressant.

In other studies the use of sleep-deprivation coupled with light therapy produced a rapid anti-depressant effect in people with bipolar disorder.

“The combination of total sleep deprivation (TSD) and light therapy (LT) in bipolar depression causes rapid antidepressant effects, and its mechanism of action has been hypothesized to involve the enhancement of all of the monoaminergic systems targeted by antidepressant drugs (serotonin, dopamine, norepinephrine)…. Two‐thirds of the patients responded to treatment (50% reduction in Hamilton Depression score).”

I can say with great personal certainty that limiting my sleep to 7 hours per night and coupling it with sunlight exposure has dramatically improved my life, overall. I have more prolonged energy throughout the day, and a general feeling of happiness and enthusiasm for my work (and family) commitments.

I’m noticing how the absence of such a light and sleep routine, while on vacation, leads to great dips and spikes in my energy and mood. One would think the excitement of being on vacation would overcompensate for the darkness, fog, and precipitation in the northern climates we tend to frequent. But I am not a typical human being. I have bipolar. As I accept this label to be very fitting, I shall toast to midnight bedtimes, and morning basking, as a result. It’s profound what a difference these two non-pharmaceutical approaches can make.

I can’t help but ask, why not try sleep deprivation and sunshine, before ECT or other truly controversial treatments? As always, a discussion with you physician is in order before you should adjust anything in your treatment protocol. But perhaps, your doctor will feel this is a cause worthy of further exploration. This tactic provides further proof that we can take control of this beast called bipolar, sometimes through simple actions.

My advice: Set a bedtime, and an alarm-clock, and I sincerely hope you’re able to find some light, be it artificial or more divine in origin. It will lead to a stronger state of wellness.

Why 2014 Will Be A Better Year

2013 has come to a close.

I’ve spent the first day of 2014, in part, reflecting on the past 365 days – all the opportunities, the challenges, the heartaches, and the joys. It was truly a blood, sweat, and tears kind of year. There were great rewards ultimately, but this year also forced some personal growth that was simply painful and all consuming. Still, I am grateful to have endured it. Through it all, I held onto this safety rope. I held on until my hands bled. I’ve been holding on for years, and years, and years.

The rope has been my guide. It has led me to the next inevitable day, propelling me forward into the future, where things are consistently hazy, shrouded in fog and uncertainty. I have followed the rope knowing that I will face whatever it leads me to.

But, what if I just let go this year?

What if I stop following the rope, and stop all that growling back in the face of adversity? What if follow a less ambiguous path? I’m going to create a guidebook for myself instead, with a path of my choosing. I’m going to take into account my strengths, limitations, and desires.

In order to do this, it occurs to me that I need to build off of the guidelines I already employ for living with bipolar. I have learned that I can best manage my unique, and often chaotic mind, by living within a set of self-determined rules.

My (ideal) guidelines for making bipolar manageable:

  • Take my medication before my feet hit the floor in the morning
  • Sleep 7-8 hours a night, no more, no less
  • Eat good food, regularly
  • Get as much sunshine as possible!
  • Exercise
  • Don’t drink alcohol (except champagne toasts!)
  • Make time for introversion – everyday
  • Force time for social connection – everyday
  • Take 5-min breaks for mindful awareness throughout the day
  • Mood chart every evening
  • Consider my emotions before allowing outward reactions
  • Keep appointments with my shrink, and be honest with him
  • Find joy – everyday
  • Find spontaneity – everyday

This may sound like a lot to keep track of, or far too altruistic, but it has become second nature to me. If I were diabetic I would check my blood sugar often, and plan my meals at specific intervals, so often in fact that the lifestyle would be purely habitual.

I believe living with bipolar can be seen in the same way. It is a chronic dysfunction that requires adjustments and self-awareness, and brutal honesty – at all times. If I adhere to this pattern, I’ve found that tweaks are more often need versus life-changing overhauls to find peace when things evolve.

My guidelines for living with bipolar might not suit any of you. Perhaps we have some overlap, perhaps not. It doesn’t matter if our methodologies differ, but having a structure that suits you can bring much needed order to the times when your mind feels more fractured than whole.

Perhaps you don’t trust your reactions, or state of energy, on a given day. You can rely on the fact that following some basics will help protect you from poor decision making, the potential for self-inflicted harm, or deepening suffering.

I want to elaborate on this notion of living by “guidelines” for 2014 so I am going to draw a proposed path that leads me towards the following goals:

I want to be the best possible human being I can be, and this means growth on a soulful level, being generous, having sincerity in my voice, and compassion in my heart. I want to continue to be ruled by love, and put my whole self into the protection and incubation of my family. I want to contribute to society as much as I can, but reasonably so, and not to my detriment. I want to be in control of my bipolar disorder. I want to have meaning in my work.

I want to keep growing the hell up.

I am hopeful to continue towards these goals as much as is possible, given the constraints of being an imperfect human, in a mortal and flawed body. The point is I’m going to create a plan for making it possible, and I’m going to commit to it.

I have found that so many of us, who live with bipolar, are swayed and pushed vigorously by forces derived not only from within, but also externally in our environments. Clearly, events outside our sphere of influence are to be expected. We tend to have inherently sensitive natures, and are easily over-stimulated. I’ve found we internalize the severity of the world around us will alarming ease. We need to protect ourselves.

I hope you all get out a white sheet of paper, a pencil, and devote some time to drawing/writing your guidebook. I hope it comes complete with a potential (reasonable) timeline so you can guide yourself toward mental well-being, physical health, meaningful relationships, inspiring work, or whatever else allows you to experience fulfillment and peace in your life.

There is so much more to your life than bipolar disorder.

Figure out what parameters you need to live by to make certain that this sucking force, called bipolar, remains locked up in a steel bound cage. Set yourself free to live, and live big!

Yep, 2014 is going to be a better year.

Why I Take Medication

Bipolar is not well defined with regards to causation, despite decades of research. The current theories revolve around the complex interplay between genetic expression, environmental triggers, and biological neuro-transmission. If a holistic approach to healing the patterns of the mind (and how those emotions affect the body) is utilized, it is my opinion that you cannot deny the existence of biological elements at play. It is, however, only a piece of a complicated puzzle.

I cannot determine with any veracity if biology is more responsible than environment or experiential learning, in the causation of bipolar. That said, I will attempt to reflect on my life experiences to address this. Based on this single account (clearly not a wide scientific study), I think biology is largely responsible for bipolar becoming unmanageable.

I’ll explain why.

I have loving parents, supportive siblings, and a husband that adores me (you rock, baby). I have a roof over my head, an education in my pocket, and friends who accept my eccentricities. I have all the gifts in life a person could dream of, in my humble opinion. It isn’t perfect, but it’s all I need and then some. There is no motivation for me to sabotage the beauty of what surrounds me. None. Absolutely none. I appreciate the love and comfort I experience with immense heart-felt gratitude – daily. Surely I have faced tremendous challenges, we all have, but I would not identify as someone who has been dealt a rough hand.

Despite my attachment to my “good life” I have still felt the despair of depression soak into every cell of my body. I have also attempted feats, and taken risks, well beyond my abilities in moments of manic energy. This is counter-intuitive and self-damaging, it goes against the natural tendency to protect that which makes us happy, feel loved, and safe.

So why would someone choose suffering, added complications, and distress for those they love? You wouldn’t if you are in a rational head-space. Environmental triggers are usually absent for me. Biology however remains constant.

Despite my many gifts, and years-long therapeutic efforts, nothing has ever worked to get me out of the dark bowels of depression like serotonin affecting medication. Call them drugs, call them pharmaceuticals, you may call me an addict, or someone who drinks the psychiatry kool-aid, whatever you like is fine by me. The truth is the medications have saved me – and I am grateful. I have attempted (under doctor’s care) to withdraw their use, but relapse was the only result I have ever experienced. It is a sure as the sun rising in the morning.

I can’t be as certain about my anti-manic agent as I haven’t tested this as directly. That said, I haven’t had a bad spell of mania in years and I’m comfortable with my low dose and obvious results.

As for the ever-so-common anxiety that many of us face, well, that’s more complex. I am still fine-tuning my approach to this, but the occasional use of medication offers respite from intense moments. I am far more interested in so-called “alternative” treatments for anxiety, and I am actively learning more about various techniques that are used. I feel I am quite green in this particular area, but I am hoping to hit the learning curve in an exponential fashion. Still, there are times when pharmaceuticals give me time to breathe, reflect, and internalize possible reasons for my anxious tendencies. I can contemplate patterns if given a break from the crushing effects of nervousness.

How can I look at this empirical evidence and deny what is my personal truth? Inner strength, lifestyle choices, family support, and biological alterations have all been required for me to find my version of wellness.

Of course, I don’t think many people are comfortable with the idea of life-long medication. And I sincerely wish I didn’t have a need for it. That said, I am utterly opposed to changing something, which is not broken, just for the sake of being unaltered. I need to be altered. I know what is inevitable if I am not. A physical disease deserves the same holistic view as a mind-based disorder.

So despite my obvious improvement, found in pharmaceuticals, what other reasons do I have for adhering to my medication schedule religiously?

My family deserves the best possible version of myself that I can offer them, first and foremost. If I am honest they are the reason for every bit of self-care and medication compliance I participate in. They are why I attend all appointments, research like a lunatic about additive therapies, and communicate with others who have my diagnosis. But, ultimately, I don’t deserve to suffer either, and I have. Life is just far more manageable in this way.

I want to be clear that I support anyone who can find satisfaction, living with bipolar, without medication. I need it to be known that I cast no judgment on those who can manage without. I am just well aware that I am not one of those people, and I doubt I ever will be. But, at least for now, I am free of the burdens of bipolar – long may it last.


Everyone, if you are in crisis, or considering suicide, reach out to the following people for an instant online chat:

I am not a professional therapist, but rather a nurse, and survivor of bipolar disorder. If you write to me, it may be days before I see your email, and I fear for the safety of those who read my blog and are hoping for a response from me personally while they experience a crisis. I care. I really, really do. I try to answer as many emails as I can, but please, if you are in danger, go to that link and they will help you make a plan.

Sending mad-love to you all!

On Difference

Before I begin my extensive research into topics which affect people with bipolar disorder, I wanted to make a generalized statement to you all.

I’m humbled at the outpouring I’ve received over the last five days. There have been so many responses to my philosophies found in public internet forums, in private messages, as well as emails. Via twitter, Google+, Facebook, my website, and email I have heard from so many of you, and I’m grateful that a dialogue has begun and that people have taken the time to interact with me. I am actually exhausted by it all at the moment. Such a wonderful windfall of information and new connections is a very rare gift. I feel very alive, although drained from the pure effort of absorbing the many conflicting opinions and suggested reading.

It should be assumed that people are passionate about the topic of bipolar, and mental health as a whole. Given that, it is not surprising that I have heard from supportive voices whom align with my ideals, well educated non-subscribers, and mud-slingers alike. I am genuinely respectful of all of them. I do accept that by expressing my opinions I must contend with uninvited hostility, by those who haven’t had the opportunity to learn how to disagree respectfully. I’m more than willing to pay this small price, in order to share with people my take on this thing called ‘life’ which is complicated so heavily by bipolar.

I have no doubt that I will produce work that will be considered a blunder by some and an epic success by others, both of which are undoubtedly wrapped up in a single simultaneous moment. This is inevitable, and to be expected.

I want to speak about the notion of inclusion within our community. When I say “our community” I am referring to those who have either been diagnosed with bipolar, or those who recognize an existential difference within themselves, and who refuse to be labeled. Regardless of how you define your “illness” (or lack thereof for some) we have all experienced turbulent emotional distress, and some find it powerful to share those experiences with others, and relate. We are all survivors who can learn and grow from each other, and therefore we are a community in my eyes.

There is connection between us all. It is like a secret-handshake-club where only those who have endured an emotional crisis can truly relate. Here’s the rub: How we approach our dysfunctional states of being are quite varied, and often controversial.

And here’s my point to all of you: Accept diversity of thought. You might learn something that improves your life, or someone else’s.

The state of living itself is a subjective experience only known to the individual, and when you sprinkle in a bit of madness, things really get interesting. Since we know full-stop that one medication can affect (or not affect) people differently, then you can conclude that directing a single course of treatment for everyone would be asinine. Simply stated, what works for me, may very well not work for you. That could be due to biology, value sets, accessibility, or even personal goals. Whatever the reason is for differences in treatment strategies and outcomes, well, it is actually quite irrelevant. What is relevant is that there are choices, and we all should have autonomy in that decision making process.

What I would like to see, as I begin to really explore specific topics, is a level of acceptance within our community for one another. I have heard much from the pro-psychiatry part of the world, and I have heard yet more from the anti-psychiatry cohort. It has this feeling of republican v. democrat. It is fractured beyond belief, and leaves little room for the truly powerful experience of sharing and relating to one another. I feel like I should hand out team jerseys to each side, or draw lines in the proverbial sand.

Let me make my ideals known. I am a fence-straddler. Like that term? I’m sure it’s not proper English but it serves my point well. I am sitting upon the bold red line, which separates these two camps, one ass-cheek on each side. Bam. There I am. Also, I’m probably not moving. I can’t say for certain that my opinions won’t become better developed over time leading me to scoot left, or right, here, or there. But, you will not find that I align solely with the modern medical model for treatment, because I do not refute the potential improvement found in “alternative” methodologies, or combinations of the two. It does us no good to be on one side, or the other! Since we can (hopefully) agree that there is not one treatment that will guarantee “wellness” in us all, whatever that means to you personally, then why can’t we accept that people will go about this differently?

I can only speak for myself, so that’s what I will attempt to do now. I have been saved by modern day psychiatry. I have also suffered greatly while going through the crude routine of “trying” medications. I don’t blame anyone for this however as it was my choice to continue looking for a solution via this method. I take full responsibility for that, and I’m glad I endured it. I feel it is simply where we are in terms of scientific progress and I accept it’s imperfect. I also feel that as a result of that work, I am now in a place of comfort, and peace. I am so very grateful for that, more than I can possibly convey at this moment. I’m grateful for my patient and caring physician, my family and their continuous support, for those who spoke with me, and for my strength of will.

So while I subscribe to the theories that my psychiatrist has discussed with me, others may not. I think there has to be room for either choice to be respected within our community. So-called alternative treatments often have a founded basis in science, so who is to say that adding these to a medical model, or solely relying upon them is wrong? Whatever you “do” that improves your stability, and does not produce harm to others, is a-ok with me.

There is only one notion that I feel is imperative to living with struggle and emotional distress: Make a plan based on your values that will promote wellness, and attempt to execute that plan, to the absolute best of your ability. You deserve it. All those who suffer should explore their options, and act upon their choices. I believe this firmly. To sit passively and be consumed by that which attempts to ruin you, is to give up. I don’t have the ability to give up, I never have. I wish each and every one of you the inner strength to fight.

I detest the forced separation of those who do not subscribe solely to the medical model. This fractures our community and leaves scattered sub-cultures existing on the fringe of society. We are already minimized and feared by society. We are already misunderstood and disregarded as “unwell” and “crazy” and “scary” by so many. What if we could unify these groups with their various beliefs and choices? We would have a more powerful movement if that were possible, and a genuine message of inclusion in society, versus a false double-standard which currently applies.

This concept means everyone needs to exercise tolerance though. It is the same tolerance that we hope our society will grant us, so let’s begin by offering an olive-branch to each other, regardless of your chosen path towards the dream of wellness. I hope you can all, at the end of the day, be able to respect another person’s autonomy.

My next bit of writing will begin to explore the many topics at hand. I’ll be discussing ECT, parenthood, diagnosis itself, testing advances, pharmaceuticals, and much more. Stay tuned. Thanks for reading.

Comic Genius

Are comics the best form to get messages across? Sometimes I am convinced that I should drop the lengthy sentences and pick up a blank piece of paper instead. I’m quite serious.

This recent creation, from Steven “Smashy” Curtis, hits the nail on the head for me. It’s a very clear explanation for others, visually representing what his experience living with bipolar is like. I can really identify with his message. Frankly, I love it. He touches on social inclusion, relationships, affects of the disorder, and his treatment — all in one little comic.

I’m so pleased that he includes the subject of how his relationship affects him. He has support, just as he should. It’s an important area of living for so many of us, and our wonderful partners often deserve a piece of chocolate, and a high-five, for their contributions to our sometimes murky lives.

Please check out this brilliant bit of work:

Have a great Sunday everyone!

A New Voice Is Here

More Ways to Live With Bipolar Disorder
By Sarah Ryan

It is quite apparent that the voice of suffering is a powerful one. People with bipolar, around the globe, have sought out connection, resonance and insight. We, the affected people, are often suffering in silence, unable to disclose our condition out of fear of retribution, judgment, and ignorance. Given that I can understand why people have clung to the messages that Natasha Tracy preaches. She has been admirable in her openness, and I do not for a moment want to detract from that. I’m proud of her for that. Her visibility has obviously offered solace to many, and they are grateful. What’s not to respect about that? I can understand why on a human level the slightest inkling of connection would be coveted by many people who may be suffering alone. That said, her message does not have to resonate with every person who has ever had bipolar. It would be asinine to think so.

So I will attempt to clarify my earlier post, and my position on the subject I raised.

I hadn’t anticipated the amount of attention that my recent blog post would receive, and I’ve learned to make more detailed points in my writing, which I will do from here forward. I’m thankful for those who pointed out my lack of backing information. They were correct to say so. It was primarily lazy on my part, but I (like many of you) had an emotional reaction and the result was perhaps not my best bit of text.

I feel as though it is important for me to begin by introducing myself as well, properly. I am Sarah Ryan. I am 35. I have bipolar. I am a human. I am a registered nurse, and my undergraduate studies were in liberal arts, with an emphasis on psychology. I have also attended graduate school studying new media and web design. I’ve enjoyed all the scribbled in and highlighted books immensely. I’ll probably always be in college (sorry dear husband) because I’m just that sort of curious creature.

I think my voice is just as powerful as any of yours though, regardless of your race, religion, socioeconomic background, political stance, height, weight, gender, sexual orientation, love of hotdogs, belief in aliens, or the like. I do think my education was valuable in that it taught me how to think critically more than anything else. Oh, and I can start an IV. That’s pretty cool. It made me hungry for information and that continues to this day.

So, this brings me back to my earlier musings. Who do we declare an expert, and what messages do we internalize as truths? The answer is very individual obviously.

Do you believe everything you read? If so, why? I don’t believe everything I read. I question things, devour ideas, do my own research, and then most likely change my stance multiple times due to various influencing people and factors. I think it’s a necessary part of living. It’s like air and water for my mind. It’s healthy to question your perceived “reality.” I did this when I read Natasha Tracy’s work.

So while many of you found connection with her, I didn’t. And that’s ok. It doesn’t mean I have an ill will towards her, not in the slightest actually. For all I know she is the salt of the earth. What sort of person she is doesn’t actually matter because I have no way of knowing, nor is it relevant. I am only interested in her published works… and you should be as well.

We question the pharmaceutical industry because of financial motives. We question doctors and their abilities. We question hospitals for their treatment of us, and the public for their lack of understanding. So why wouldn’t you question the writing of a blogger who lacks any medical qualifications? She is but one voice, and there are so many of us out there. She chooses which studies and doctors to cite, so chances are those people agree with her perspective, or she has derived it from them to begin with. I have no idea how to tell who is the chicken, and who is the egg.

The very fact that she is public with her disorder is powerful, and I have the utmost respect for her speaking about her experiences in great detail. I simply intend to do the same, and our beliefs are not aligned.

I care deeply about people. That’s why I became a nurse. I wanted to affect people positively with my compassion, my science driven brain, and my capable hands. I didn’t choose to have bipolar, but I carry the same convictions when it comes to this issue also. I want to impact others positively, so I take care of myself, and worked incredibly hard to find my version of wellness. I was also given the profound gifts of education, family support, and intellect and I intend to do them all justice. I will continue to try and impact people positively, and offer a message of healing, for the duration of my life.

I hope many of you will agree that one size does not fit all when it comes to bipolar. It is a spectrum disorder, meaning we are all affected differently. Pharmaceutical based therapy affects each of us differently on a microbiological level. That’s why we experience the med-go-round phenomenon and there isn’t a single magic treatment. Some people live their version of a good life without medication. Some people take a fist full each morning. There is no right or wrong answer. There is only your answer. Given the fact that we are all unique biological beings, with alternate upbringings, resources, ideologies, and spirits, it doesn’t make sense to think there is only one form of suffering, or triumph, when it comes to this disorder. Why be satisfied with the perspective of only one human life?

My message is as unique as me.

My experience is that of profound improvement. Some might call it recovery, others are offended at this very idea. But my experience is just as valuable as Natasha’s. If we teach people that mental health is as important as physical health the world would be a better place. That’s not a message you can quote in any of her writing. She says the opposite.

She states “I don’t think there’s anything wrong with admitting that an illness that has disordered my brain has fundamentally changed who I am. I don’t think there’s anything wrong with admitting that bipolar is not the same thing as a broken leg.” (

I can not concur! I think bipolar has not changed who I am fundamentally. It’s made it challenging as hell to live the way I would like to at times, and it has threatened my very life, like so many of you. But I have always been this compassionate, caring, inquisitive soul with profound bursts of creativity and curiosity. I have a wild side and I cherish it. I have a nerdy side and I relish in it. I have many facets and gifts, just like all of you!

I do see bipolar as relative to a broken leg. My mind was broken, and now I don’t feel that it is. For me, this is a medical and spiritual issue. Will this state of recovery continue for all time? I don’t know, and that scares me. It should. That is the very reason I work at it – everyday. But this is where I am now, and have been for quite some time. If this thing raises it’s ugly head again, I’ll approach it with the same tireless devotion as in the past until it’s sorted out. That’s my strength talking, and I know so many of you have the same ability to demand a better quality of life.

I want to offer information to the masses so they might examine ways to obtain a better quality of life, and that means a wide variety of topics need to be discussed.

Now I understand that people need to connect to the negative experiences they have endured. I could write for days about my many challenges, and at some point this will be explored further. I think it will make me more human to all of you. In the mean time, I just want to convey that even in my darkest hour, I knew I didn’t have to accept it and you shouldn’t either. Fight. Fight hard.

Suffering is real, and this thing that has been attached to our physical minds and emotional selves is a burden (without relent for some). But why give up and accept it full stop? I feel this is the message in Ms.Tracy’s writing. She writes, “Lifelong diseases like depression, bipolar disorder and other mental illnesses naturally grind people down because they never go away.” (

I’m not apologetic for believing that language like this is detrimental to the idea of profound improvement and recovery. I’m not even going to address her hand-picked science sources because they are simply that – hand-picked. Instead of perpetuating the negativity and dwelling on her writing, I have decided to just keep conveying my own ideas and sources. I encourage you to judge me accordingly.

I want people to feel hope for the promise of an easier time, and their version of normal. Normal is relative after all.

I don’t think that alternative treatments should be dismissed and not investigated. She does. ( I don’t think there is any one way to live, but time and time again in her writing she states her position emphatically as the fundamental truth about bipolar. It’s not my truth.

I thought heavily about going through all her articles and posting quotes that repulse me, but it seems like a waste of time, and devoid of purpose other than to discredit her. I’m not interested in doing that – at all. The purpose of my post was to say, I have a different message. I have a different attitude entirely and over time my project will share more science and perspectives with the masses. Sure I could have been more eloquent in my short post this morning, but I was angry.

I’m angry that people accept notions of impending death, intense side-effects, social isolation, and suffering as an inevitability. I changed medication combinations 10+ times before I reached something that approached normal. I quit drinking (and I’m Irish). I sit under a sun-lamp everyday. I go to sleep on-time. I am in therapy. I have a life-coach. I don’t entertain my triggers. But you know what helps me the most? My family, my dear beloved husband, and friends. Their love and patience has gotten me through it all. (Thanks again guys. I love you.) My point is I fucking worked at it. I do everyday and so can you. Just keep going until you get it right, whatever that combination is – be it medication or hourly meditation. It’s irrelevant what course you take, you should be celebrated for trying as many possible strategies as you can discover.

So, let’s leave Natasha alone (if possible), and all of you who are her followers, I implore you to do what’s best for you. Listen to whomever brings you comfort. I support you fully. If you are interested in a new voice, one of self-empowerment and recognition of your “mad-gifts”… well then I’m here for you with open arms. I stand by my previous statements. Don’t internalize the negativity. It will not help you recover, nor maintain stability. You have to work for that, but it is so very worth it. I assure you.

Tomorrow is a new day, and I am looking forward to it. I send my love to you all, wherever you are in the process of suffering or recovering. Happiness awaits you… XO


A New Voice Is Required

I am frustrated this morning — beyond belief.

I sat down just now to begin my extremely enjoyable research, with a cup of coffee in my hand, and a smile on my face. The sun is shining down on me, and my dog is planted at my feet. I had planned on completing a piece I’ve been working on discussing ECT, but instead I am forced to put my efforts into debunking myths and stigma. These messages are promoted by one of us, a blogger with bipolar, named Natasha Tracy. I have zero desire to bash her on a personal level, as I have no desire to do that to anyone. I do however have a gag reflex, and it has been triggered by the “research” she is promoting and her employers are supporting. So, let’s begin the discussion of the work at hand. I just want to be clear, I am only interested in discussing the work, and I am not interested in discussing the individual. I don’t know her personally, nor do I assume she is satanic.

I am struck by the negativity that many major health-care websites are perpetuating, such as,, and They are advertising Ms.Tracy as an expert on those sites, so if that is the case, I’m sure the vast majority of her readers will assume they can trust her message and treat it as fact-based.

Here’s the rub:
I find her message to be wrought with negativity, misinformation, and deeply internalized social stigma.

Here are some titles for articles that she has written recently:

  • How Are You? – I’m Not Fine, I’m Bipolar
  • Intelligence and Bipolar Disorder (*I’ll save you the time, she thinks we’re stupider than the average bear)
  • Can You Die From Bipolar Disorder? (*Saving you more time, the answer is yes)
  • More Ways to Die from Bipolar Disorder
  • Trying Bipolar Therapy You Don’t Believe In – Mindfulness Meditation
  • Can a Person with Bipolar Disorder be Happy? (*Again, don’t waste your time, she’s not happy)
  • I’m Too Tired to Keep Fighting Bipolar Disorder

I’m sure that list sets the general tone. I am hoping to be a much needed counter balance to this sort of negativity. Likewise, for the vast majority of her “research” I’m quite certain I could provide an alternate study that refutes it. I’m sure this isn’t universal to every single thing she has ever put into print, of course there is some value in her experience and her sharing, but overall I find the writing perpetuates nothing but hopelessness and fear. She is basically explaining why your life as a bipolar person will never be whole and you should accept it. She says that quite often. She says you should accept weight gain, terrible medication side-effects, a lack of social interaction, and mental insufficiency. It’s all the writing. Don’t believe me? Go check it out for yourself.

I’m calling bullshit and shenanigans on that message. I know profoundly creative people with this disorder. I know excellent parents, business owners, and wonderful friends who, yes, they have struggled immensely, but ultimately they are all prevailing and leading rich meaningful existences with this diagnosis attached. I am one of those people. My film and this website will be dedicated to providing truthful information with a committed voice that preaches recovery, health, happiness, and meaning in people’s lives who are affected by bipolar.

I won’t debunk her writing with sources, unless I am asked to do so, because I feel it is taking time away from my important work. I am of course willing and able to refute topics, if people desire it. Just ask me, and I’ll do my best to answer your questions and hopefully restore your self-vision as a full and important being. I will cite science, and not just opinion. Seriously, ask away… I’m here to help.

Don’t internalize negativity. It will not help you recover, or maintain stability.

UPDATE: I have a meeting for the remainder of the afternoon, but I really appreciate all the dialogue everyone is offering each other. I will respond to each and every comment. You guys took the time to contact me, and I appreciate that. It just might take me a little time. Have a great rest of the day!

UPDATE 2: First of all, thank you to everyone who commented. I really appreciate you taking the time to make your position known. I am hopeful that I haven’t missed any comments, and that I responded to each and every one of you. Even the angriest comments are useful, if you’re able to step back and see the motivation behind the sharp tongue. I will take all that you have to say to heart and mind, and consider your perspectives. Really truly. I have been asked to write a more complete assessment to back up my point, rightly so! Please give me a little time to complete this task, and I will post it for your viewing, devouring, and perhaps flogging. 🙂 Have a great night everyone!

UPDATE 3: There is a response to this post located at:

The Icarus Project

I have found the mecca of free thinkers surrounding mental health. The Icarus Project.

Here is an introductory video, a TEDx talk by Sascha Altman DuBrul.

I am hopeful to gain an audience with Sascha and talk about his amazing work with this project. More soon…