Bipolar Depression Quotes

If I can't feel, if I can't move, if I can't think, and I can't care, then what conceivable point is there in living?

When you are mad, mad like this, you don't know it. Reality is what you see. When what you see shifts, departing from anyone else's reality, it's still reality to you.

I'm the girl who is lost in space, the girl who is disappearing always, forever fading away and receding farther and farther into the background. Just like the Cheshire cat, someday I will suddenly leave, but the artificial warmth of my smile, that phony, clownish curve, the kind you see on miserably sad people and villains in Disney movies, will remain behind as an ironic remnant. I am the girl you see in the photograph from some party someplace or some picnic in the park, the one who is in fact soon to be gone. When you look at the picture again, I want to assure you, I will no longer be there. I will be erased from history, like a traitor in the Soviet Union. Because with every day that goes by, I feel myself becoming more and more invisible...

Others imply that they know what it is like to be depressed because they have gone through a divorce, lost a job, or broken up with someone. But these experiences carry with them feelings. Depression, instead, is flat, hollow, and unendurable. It is also tiresome. People cannot abide being around you when you are depressed. They might think that they ought to, and they might even try, but you know and they know that you are tedious beyond belief: you are irritable and paranoid and humorless and lifeless and critical and demanding and no reassurance is ever enough. You're frightened, and you're frightening, and you're "not at all like yourself but will be soon," but you know you won't.

Except you cannot outrun insanity, anymore than you can outrun your own shadow.

She was a free bird one minute: queen of the world and laughing. The next minute she would be in tears like a porcelain angel, about to teeter, fall and break. She never cried because she was afraid that something 'would' happen; she would cry because she feared something that could render the world more beautiful, 'would not' happen.

Though I am often in the depths of misery, there is still calmness, pure harmony and music inside me.

Though I am often in the depths of misery, there is still calmness, pure harmony and music inside me. I see paintings or drawings in the poorest cottages, in the dirtiest corners. And my mind is driven towards these things with an irresistible momentum.

I have never seen battles quite as terrifyingly beautiful as the ones I fight when my mind splinters and races, to swallow me into my own madness, again.

Bipolar robs you of that which is you. It can take from you the very core of your being and replace it with something that is completely opposite of who and what you truly are. Because my bipolar went untreated for so long, I spent many years looking in the mirror and seeing a person I did not recognize or understand. Not only did bipolar rob me of my sanity, but it robbed me of my ability to see beyond the space it dictated me to look. I no longer could tell reality from fantasy, and I walked in a world no longer my own.

But money spent while manic doesn't fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you're given excellent reason to be even more so.

One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of. They should issue medals along with the steady stream of medication.

Depression is a painfully slow, crashing death. Mania is the other extreme, a wild roller coaster run off its tracks, an eight ball of coke cut with speed. It's fun and it's frightening as hell. Some patients - bipolar type I - experience both extremes; other - bipolar type II - suffer depression almost exclusively. But the "mixed state," the mercurial churning of both high and low, is the most dangerous, the most deadly. Suicide too often results from the impulsive nature and physical speed of psychotic mania coupled with depression's paranoid self-loathing.

Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it, an illness that is unique in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering and, not infrequently, suicide.

People with mental illnesses aren't wrapped up in themselves because they are intrinsically any more selfish than other people. Of course not. They are just feeling things that can't be ignored. Things that point the arrows inward.

Oh! This'll impress you - I'm actually in the Abnormal Psychology textbook. Obviously my family is so proud. Keep in mind though, I'm a PEZ dispenser and I'm in the abnormal Psychology textbook. Who says you can't have it all?

Compared to bipolar's magic, reality seems a raw deal. It's not just the boredom that makes recovery so difficult, it's the slow dawning pain that comes with sanity - the realization of illnesss, the humiliating scenes, the blown money and friendships and confidence. Depression seems almost inevitable. The pendulum swings back from transcendence in shards, a bloody, dangerous mess. Crazy high is better than crazy low. So we gamble, dump the pills, and stick it to the control freaks and doctors. They don't understand, we say. They just don't get it. They'll never be artists.

Because I'm not, in fact, depressed, Prozac makes me manic and numb - one of the reasons I slice my arm in the first place is that I'm coked to the gills on something utterly wrong for what I have.

She looked to Roy as though she lived in Oz, in the land of color, like she carried it with her everywhere she went. When they began dating, he found that her energy was the perfect counterpoint to the world into which he sank at regular intervals, that black and white Kansas that he inhabited.

It's difficult. I take a low dose of lithium nightly. I take an antidepressant for my darkness because prayer isn't enough. My therapist hears confession twice a month, my shrink delivers the host, and I can stand in the woods and see the world spark.

I thought I would inaugurate a Bipolar Pride Day. You know, with floats and parades and stuff! On the floats we would get the depressives, and they wouldn’t even have to leave their beds - we’d just roll their beds out of their houses, and they could continue staring off miserably into space. And then for the manics, we’d have the manic marching band, with manics laughing and talking and shopping and fucking and making bad judgment calls.

Suddenly I wanted to get better. Mania wasn't fun anymore. It wasn't creative or visionary. It was mean parody at best, a cheap chemical trick. I needed to stop and get better. I'd take whatever they gave me, I pledged silently. I'd take Trilafon or Thorazine or whatever. I just wanted to sleep.

You cannot free someone who is caged in their own self.

I know the empathy borne of despair; I know the fluidity of thought, the expansive, even beautiful, mind that hypomania brings, and I know this is quicksilver and precious and often it's poison. There has always existed a sort of psychic butcher who works the scales of transcendence, who weighs out the bloody cost of true art.

I have the choice of being constantly active and happy or introspectively passive and sad. Or I can go mad by ricocheting in between...I am still so naïve; I know pretty much what I like and dislike; but please, don’t ask me who I am. A passionate, fragmentary girl, maybe?

The doctor’s words made me understand what happened to me was a dark, evil, and shameful secret, and by association I too was dark, evil, and shameful. While it may not have been their intention, this was the message my clouded mind received. To escape the confines of the hospital, I once again disassociated myself from my emotions and numbed myself to the pain ravaging my body and mind. I acted as if nothing was wrong and went back to performing the necessary motions to get me from one day to the next. I existed but I did not live.

The depressed person is mired in the past; the manic person is obsessed with the future. Both destroy the present in the process.

Bipolar illness, manic depression, manic-depressive illness, manic-depressive psychosis. That’s a nice way of saying you will feel so high that no street drug can compete and you will feel so low that you wish you had been hit by a Mack truck instead.

When I was lost in the fog, it was as though nothing else existed. And, afterwards, it seemed incomprehensible that I had ever really thought like that. Self-recrimination inevitably followed.

I actually stopped talking. I actually listened. So I knew that I wasn't all the way manic, because when you're all the way manic you never listen to anybody but yourself.

That was the crux. You. Only you could work on you. Nobody could force you, and if you weren't ready, then you weren't ready, and no amount of open-armed encouragement was going to change that.

I'd wasted so much of my life. So many of my days, and all of my promise, all of my dreams, lost to hospitals, to depression, to wanting to die. This wasn't how it was supposed to be. This is not who I am. Except, of course, it was. It was all there was left to be.

Take me to your darkest corners and watch your demons surrender to mine..

Destruction wasn't when you chose to destroy me. It was when i let you.

I now know for certain that my mind and emotions, my fix on the real and my family's well-being, depend on just a few grams of salt. But treatment's the easy part. Without honesty, without a true family reckoning, that salt's next to worthless.

Love is not enough. It takes courage to grab my father's demon, my own, or - God help me - my child's and strap it down and stop its mad jig; to sit in a row of white rooms filled with pills and clubbed dreamers and shout: stop smiling, shut up; shut up and stop laughing; you're sitting in hell. Stop preaching; stop weeping. You are a manic-depressive, always. your life is larger than most, unimaginable. You're blessed; just admit it and take the damn pill.

Master the art of selflove and you will never have to seek validation ever again.

Anxious, depressed, psychotic, lunatic, bipolar, manic - you name it, I attract it. Perhaps you’ve heard of me? In some circles I am known as the Pied Piper of Mental Illness.

I was lost for too long but when i found you, i could feel it in my bones. You were my home.

It's okay darling, creative people are called crazy all the time.

Some of our fiercest battles are fought and won in silence.

I'm heavily medicated yet happily manic, I've been stuck on hypo mania for years.

That such a final, tragic, and awful thing is suicide can exist in the midst of remarkable beauty is one of the vastly contradictory and paradoxical aspects of life and art.

I was depressed because I was nothing. And I couldn’t become something again because I was depressed. I was stuck in quicksand.

I am no one's to be claimed, I belong to me.

I’m a classic eccentric, living at the extremes of high mania and low mood. There’s no middle ground, only madness and sadness.

All of the diagnoses that you deal with - depression, anxiety, ADHD, bipolar illness, post traumatic stress disorder, even psychosis, are significantly rooted in trauma. They are manifestations of trauma. Therefore the diagnoses don't explain anything. The problem in the medical world is that we diagnose somebody and we think that is the explanation. He's behaving that way because he is psychotic. She's behaving that way because she has ADHD. Nobody has ADHD, nobody has psychosis - these are processes within the individual. It's not a thing that you have. This is a process that expresses your life experience. It has meaning in every single case.

In the United States, people with depression, bipolar, and schizophrenia are losing twelve to twenty years in life expectancy compared to people not in the mental health system.

My pillow is as good as any ocean to drown in the nightmare of myself. I swam all the way here from the moon.

You’ve got to reach bedrock to become depressed enough before you are forced to accept the reality and enormity of the problem.

People aren't crazy, they’re just reacting normally to an abnormally crazy world.

Sometimes I though about killing myself. The idea of it circled my head, shining and lovely like a tinsel halo. How beautiful it would be if everything could just stop. If I could stop. If I didn't have to feel like this. Yes, I thought about it and thought about it, but I was too exhausted to do anything about it. That should have been funny, right?

The tapestry of my life was a ruin of unravelling threads. The brightest parts were a nonsensical madman's weaving. And now every day was a grey stitch, laid down with an outpatient's patience, one following the next following the next, a story in lines, like a railway track to nowhere, telling absolutely nothing.

Schizophrenia is just a catch-all term for forms of mental behaviour that we don’t understand. In the nineteenth century there was a term, melancholia, which we would now call bipolar depression… but all forms of sadness, unhappiness, maladaptation, were poured into this label melancholia… Now, schizophrenia is a similar thing… A book about schizophrenia [says that] the typical schizophrenic lives in a world of twilight imagining. Marginal to his society, incapable of holding a regular job, these people live on the fringes content to drift in their own self-created value system. I said, that’s it! That’s it! Now I understand!

Days passed in a grey fog. I was becalmed. Without energy, without hope, with no sight of land, I could remember feeling better but I somehow couldn't believe in it. There was nothing but this.

They're the perfect loving fam'ly, so adoring... And I love them ev'ry day of ev'ry week. So my son's a little shit, my husband's boring, And my daughter, though a genius, is a freak.

I mean, that's at least in part why I ingested chemical waste - it was a kind of desire to abbreviate myself. To present the CliffNotes of the emotional me, as opposed to the twelve-column read. I used to refer to my drug use as putting the monster in the box. I wanted to be less, so I took more - simple as that. Anyway, I eventually decided that the reason Dr. Stone had told me I was hypomanic was that he wanted to put me on medication instead of actually treating me. So I did the only rational thing I could do in the face of such as insult - I stopped talking to Stone, flew back to New York, and married Paul Simon a week later.

There had been a subtle realignment of the spheres. The world was somehow a place I could endure again. If life was a grey corridor lined with doors, it was now within my power to open some of them.

Don't take my hate personal. I hate even myself.

I've been accustomed to mysteries, holy and otherwise, since I was a child. Some of us care for orphans, amass fortunes, raise protests or Nielsen ratings; some of us take communion or whiskey or poison. Some of us take lithium and antidepressants, and most everyone believes these pills are fundamentally wrong, a crutch, a sign of moral weakness, the surrender of art and individuality. Bullshit. Such thinking guarantees tradgedy for the bipolar. Without medicine, 20 percent of us, one in five, will commit suicide. Six-gun Russian roulette gives better odds. Denouncing these medicines makes as much sense as denouncing the immorality of motor oil. Without them, sooner or later the bipolar brain will go bang. I know plenty of potheads who sermonize against the pharmaceutical companies; I know plenty of born-again yoga instructors, plenty of missionaries who tell me I'm wrong about lithium. They don't have a clue.

Her parents, she said, has put a pinball machine inside her head when she was five years old. The red balls told her when she should laugh, the blue ones when she should be silent and keep away from other people; the green balls told her that she should start multiplying by three. Every few days a silver ball would make its way through the pins of the machine. At this point her head turned and she stared at me; I assumed she was checking to see if I was still listening. I was, of course. How could one not? The whole thing was bizarre but riveting. I asked her, What does the silver ball mean? She looked at me intently, and then everything went dead in her eyes. She stared off into space, caught up in some internal world. I never found out what the silver ball meant.

I stopped losing my sleep over you... Now i lie awake in search of me!!

Call it dysphoric mania, agitated depression, or a mixed state: nobody will understand anyway. Mania and depression at once mean the will to die and the motivation to make it happen. This is why mixed states are the most dangerous periods of mood disorders. Tearfulness and racing thoughts happen. So do agitation and guilt, fatigue and morbidity and dread. Walking late at night, trying to get murdered, happens. Trying to explain a bipolar mixed state is like trying to explain the Holy Trinity, three persons in one God: you just have to take it on faith when I tell you that the poles bend, cross, never snapping.

I'm not the kind of person who likes to shout out my personal issues from the rooftops, but with my bipolar becoming public, I hope fellow sufferers will know it's completely controllable. I hope I can help remove any stigma attached to it, and that those who don't have it under control will seek help with all that is available to treat it.

It is in my head! That's why it's called Mental Illness.

But if love is not the cure, it certainly can act as a very strong medicine.

When I am high I couldn’t worry about money if I tried. So I don’t. The money will come from somewhere; I am entitled; God will provide. Credit cards are disastrous, personal checks worse. Unfortunately, for manics anyway, mania is a natural extension of the economy. What with credit cards and bank accounts there is little beyond reach. So I bought twelve snakebite kits, with a sense of urgency and importance. I bought precious stones, elegant and unnecessary furniture, three watches within an hour of one another (in the Rolex rather than Timex class: champagne tastes bubble to the surface, are the surface, in mania), and totally inappropriate sirenlike clothes. During one spree in London I spent several hundred pounds on books having titles or covers that somehow caught my fancy: books on the natural history of the mole, twenty sundry Penguin books because I thought it could be nice if the penguins could form a colony. Once I think I shoplifted a blouse because I could not wait a minute longer for the woman-with-molasses feet in front of me in line. Or maybe I just thought about shoplifting, I don’t remember, I was totally confused. I imagine I must have spent far more than thirty thousand dollars during my two major manic episodes, and God only knows how much more during my frequent milder manias. But then back on lithium and rotating on the planet at the same pace as everyone else, you find your credit is decimated, your mortification complete: mania is not a luxury one can easily afford. It is devastating to have the illness and aggravating to have to pay for medications, blood tests, and psychotherapy. They, at least, are partially deductible. But money spent while manic doesn’t fit into the Internal Revenue Service concept of medical expense or business loss. So after mania, when most depressed, you’re given excellent reason to be even more so.

That's it: watch your moods. Don't let people see you fluctuate. Don't let yourself run your mouth. Never ever cry, even alone, because your cat or your kettle might tell. Always smile, but don't laugh loudly. Mania is an extrovert, but if you need to vent, tell your mattress or maybe your therapist, but put nothing in writing and never tell a friend or coworker how you're really feeling. Downplay any problem or joy. Pay attention to any signs that your life is shitty or excellent, because either is an illusion. Be careful around men, especially ones with big arms or opinions. Stop talking.

For some reason the word “chronic” often has to be explained. It does not mean severe, though many chronic conditions can be exceptionally serious and indeed life-threatening. No, “chronic” means persistent over time, enduring, constant. Diabetes is a chronic condition, but measles is not. With measles, you contract it and then it is gone. It can sometimes be fatal, but is never chronic. Manic depression, in other words, is something you have to learn to live with. There are therapies which may help some people to function and function for the most part happily and well. Sometimes a talking therapy, sometimes pharmaceutical intervention helps.

An intensely gripping narrative...expertly crafted and totally addictive...a must read!

I'm Bipolar with PTSD there's no shortage of pain inside of me

The bright light of brilliance keeps the darkness away, but it can be so very exhausting.

I was at the bottom. And instead of telling me how sorry you were that I felt this way, you climbed down to the bottom with me, and we were feeling this together.

I think that’s the hardest thing about bipolar disorder. You don’t know if you will wake up in the morning and spike a manic episode or if you won’t want to get out bed because you’re in a depressive episode that makes you want to go back to sleep and never see the light of day again. The moment I tell someone I am bipolar, they are shocked. You know, the whole ‘I never would have known because you don’t act like it’s a thing.' It always makes me laugh. ‘What does bipolar look like to you, sir?’ - that’s what I want to say to them.

It was as if my father had given me, by way of temperament, an impossibly wild, dark, and unbroken horse. It was a horse without a name, and a horse with no experience of a bit between its teeth. My mother taught me to gentle it; gave me the discipline and love to break it; and- as Alexander had known so intuitively with Bucephalus- she understood, and taught me, that the beast was best handled by turning it toward the sun.

The world is essentially bipolar: driven to extremes but defined by flux. Saints are always just a stumble away from sinners. Nothing is absolute, not even death

I am Broken single mother Disconnected lover Slow motion dresser Dark secret confessor White flag trend Professional dead end

You may not understand my mind, but that does not give you the right to judge it.

As if your brain wants to kill your soul

The very worst thing about being bipolar, depressed, or mentally ill in likely any way, is that any time you’re legitimately sad—any time you’re truly angry—and with good and clear reason, you will be told that you are only feeling as you are because of your illness.

Depression, somehow, is much more in line with society's notions of what women are all about: passive, sensitive, hopeless, helpless, stricken, dependent, confused, rather tiresome, and with limited aspirations. Manic states, on the other hand, seem to be more the provenance of men: restless, fiery, aggressive, volatile, energetic, risk taking, grandiose and visionary, and impatient with the status quo. Anger or irritability in men, under such circumstances, is more tolerated and understandable; leaders or takers of voyages are permitted a wider latitude for being temperamental. Journalists and other writers, quite understandably, have tended to focus on women and depression, rather than women and mania. This is not surprising: depression is twice as common in women as men. But manic-depressive illness occurs equally often in women and men, and, being a relatively common condition, mania ends up affecting a large number of women. They, in turn, often are misdiagnosed, receive poor, if any, psychiatric treatment, and are at high risk for suicide, alcoholism, drug abuse, and violence. But they, like men who have manic-depressive illness, also often contribute a great deal of energy, fire, enthusiasm, and imagination to the people and world around them.

He lifted his shirt, and on his back was the White Rabbit, wearing his waistcoat and looking at his watch. It was just like the illustration from the book. Only standing next to him, back-to-back, was another White Rabbit wearing a leather motercycle jacket and boots and smoking a cigar.

Because if I smashed anything, Team Jaiden would just get me into a behavior modification program, or maybe some doctor would put be on drugs for my ADD or bipolarism or depression or whatever they're calling being alive and feeling royally screwed these days.

One of the many, many horrors of depression is that it takes your words away from you. You realise the other person is talking, and you haven't been saying anything for hours on end. This is a painful inversion of mania's excess of speech. You simply run out of words at some point. This is what they mean by the two poles of 'bipolar'.

I read it as if it had been written by someone else, although it was my own experience being recounted. The endless questioning finally ended. My psychiatrist looked at me, there was no uncertainty in his voice. "Maniac-depressive illness." I admired his bluntness. I wished him locusts in his land and a pox upon his house. Silent, unbelievable rage. I smiled pleasantly. He smiled back. The war had just begun,

In fact, many features of hypomania--such as outgoingness, increased energy, intensified sexuality, increased risk-taking, persuasiveness, self-confidence, and heightened productivity--have been linked with increased achievement and accomplishment.

There are people who fantasize about suicide, and paradoxically, these fantasies can be soothing because they usually involve either fantasizing about others' reactions to one's suicide or imagining how death would be a relief from life's travails. In both cases, an aspect of the fantasy is to exert control, either over others' views or toward life's difficulties. The writer A. Alvarez stated, " There people ... for whom the mere idea of suicide is enough; they can continue to function efficiently and even happily provided they know they have their own, specially chosen means of escape always ready..." In her riveting 2008 memoir of bipolar disorder, Manic, Terri Cheney opened the book by stating, "People... don't understand that when you're seriously depressed, suicidal ideation can be the only thing that keeps you alive. Just knowing there's an out--even if it's bloody, even if it's permanent--makes the pain bearable for one more day." This strategy appears to be effective for some people, but only for a while. Over longer periods, fantasizing about death leaves people more depressed and thus at higher risk for suicide, as Eddie Selby, Mike Amestis, and I recently showed in a study on violent daydreaming. A strategy geared toward increased feelings of self-control (fantasizing about the effects of one's suicide) "works" momentarily, but ultimately backfires by undermining feelings of genuine self-control in the long run.

Since I am suffering with type 2 bipolar disorder mainly on the depressive side of the bipolar disorder. I am not afraid nor am I disappointed with it; if this is what God Almighty want me to have; I will make sure that I will make good use of this disorder; and, be the best person that I can be.

Like Sylvia Plath, Natalie Jeanne Champagne invites you so close to the pain and agony of her life of mental illness and addiction, which leaves you gasping from shock and laughing moments later: this is both the beauty and unique nature of her storytelling. With brilliance and courage, the author's brave and candid chronicle travels where no other memoir about mental illness and addiction has gone before. The Third Sunrise is an incredible triumph and Natalie Jeanne Champagne is without a doubt the most important new voice in this genre.

What do you know about bipolar disorder?” I almost say, What do you know about it? But I make myself breathe and smile. “Is that the Jekyll-Hyde thing?” My voice sounds flat and even. Maybe a little bored, even though my mind and body are on alert. “Some people call it manic depression. It’s a brain disorder that causes extreme shifts in mood and energy. It runs in families, but it can be treated.” I continue to breathe, even if I’m not smiling anymore, but here is what is happening: my brain and my heart are pounding out different rhythms; my hands are turning cold and the back of my neck is turning hot; my throat has gone completely dry. The thing I know about bipolar disorder is that it’s a label. One you give crazy people. I know this because I’ve taken junior-year psychology and I’ve seen movies and I’ve watched my father in action for almost eighteen years, even though you could never slap a label on him because he would kill you. Labels like “bipolar” say This is why you are the way you are. This is who you are. They explain people away as illnesses.

Manic depression — or bipolar disorder — is like racing up to a clifftop before diving headfirst into a cavity. Maintaining a healthy lifestyle is the psychic equivalent of an extreme sport. The manic highs — that exhilarating rush to the top of the cliff — make you feel bionic in your hyper-energized capacity for generosity, sexiness and soulfulness. You feel like you have ingested stars and are now glowing from within. It’s unearned confidence-in-extremis — with an emphasis on the con, because you feel cheated once you inevitably crash into that cavity. I sometimes joke that mania is the worst kind of pyramid scheme, one that the bipolar individual doesn’t even know they’re building, only to find out, too late, that they’re also its biggest casualty.

Perhaps people felt there was nothing more they could do, you know? After all, how can someone be helped who doesn’t see the need? A Christian counselor I saw for a while described such situations as, “a White Elephant everyone can see but no one wants to deal with; everyone hopes the problem will just go away on its own.” Just like with my mom. Back then it seemed women were almost expected to go a little loopy sometimes. After all we’re the ones with raging hormones that get out of whack – by our periods, PMS or pregnancy and childbirth – and cause craziness and bizarre behavior. And because of those uncontrollable hormones, women are also more emotional and predisposed to depression. These are things my mom was actually told by her parents, her family, her husbands and friends... even her doctor. Eventually, she made herself believe that her erratic behavior stemmed from PMS, not mania or alcohol.

You know those afternoons," he asks, drawing a shaking breath, "where you’re just going along, doing fine, and then afternoon comes and it feels like you’ve just got the wind knocked out of you and everything is wrong?" He sighs and slowly pushes himself so he’s sitting upright. His shoulders are slumped. "That’s all," he says. "It’s just one of those afternoons." We are silent for a minute. Then he lies back down on the couch. I should say I love him. I should say it will be all right. But it won’t. I walk down the hall to my bedroom. I lie down on my side and stare at the wall, the blue-flowered wallpaper next to my nose. Despite my best efforts, I start to cry. I know those afternoons.

In our family "whim-wham" is code, a defanged reference to any number of moods and psychological disorders, be they depressive, manic, or schizoaffective. Back in the 1970s and '80s - when they were all straight depression - we called them "dark nights of the soul." St. John of the Cross's phrase ennobled our sickness, spiritualized it. We cut God out of it after the manic breaks started in 1986, the year my dad, brother, and I were all committed. Call it manic depression or by its new, polite name, bipolr disorder. Whichever you wish. We stick to our folklore and call it the whim-whams.

And then the horror sets in. All that time I wasn’t crazy; I was, in fact, crazy. It’s hopeless. I’m hopeless. Bipolar disorder. Manic depression. I’m sick. It’s true. It isn’t going to go away. All my life, I’ve thought that if I just worked hard enough, it would. I’ve always thought that if I just pulled myself together, I’d be a good person, a calm person, a person like everyone

At least when I was an adult, I had a name for what was wrong with me: manic depression. It's easier to make sense of things - even very disturbing things like sexual acting out and suicidality - when there's a big, fat label slapped on top. But as a child, I knew nothing. I had no diagnosis. All I had was a vague and gnawing awareness that I was different from other children, and that different was not good. Different must be kept hidden.

He’s already run the standard battery of questions, checked the check boxes, computed the data: hears voices = schizophrenic; too agitated = paranoid; too bright = manic; too moody = bipolar; and of course everyone knows a depressive, a suicidal, and if you’re all-around too unruly or obstructive or treatment resistant like a superbug, you get slapped with a personality disorder, too. In Crote Six, they said I “suffer” from schizoaffective disorder. That’s like the sampler plate of diagnoses, Best of Everything. But I don’t want to suffer. I want to live.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

Diagnoses —such as ADHD, oppositional defiant disorder, bipolar disorder, depression, an autism spectrum disorder, reactive attachment disorder, the newly coined disruptive mood regulation disorder, or any other disorder—can be helpful in some ways. They “validate” that there’s something different about your kid, for example. But they can also be counterproductive in that they can cause caregivers to focus more on a child’s challenging behaviors rather than on the lagging skills and unsolved problems giving rise to those behaviors. Also, diagnoses suggest that the problem resides within the child and that it’s the child who needs to be fixed. The reality is that it takes two to tango. Let there be no doubt, there’s something different about your child. But you are part of the mix as well. How you understand and respond to the hand you’ve been dealt is essential to helping your child.

I was diagnosed with ADHD in my mid fifties and I was given Ritalin and Dexedrine. These are stimulant medications. They elevate the level of a chemical called dopamine in the brain. And dopamine is the motivation chemical, so when you are more motivated you pay attention. Your mind won't be all over the place. So we elevate dopamine levels with stimulant drugs like Ritalin, Aderall, Dexedrine and so on. But what else elevates Dopamine levels? Well, all other stimulants do. What other stimulants? Cocaine, crystal meth, caffeine, nicotine, which is to say that a significant minority of people that use stimulants, illicit stimulants, you know what they are actually doing? They're self-medicating their ADHD or their depression or their anxiety. So on one level (and we have to go deeper that that), but on one level addictions are about self-medications. If you look at alcoholics in one study, 40% of male adult alcoholics met the diagnostic criteria for ADHD? Why? Because alcohol soothes the hyperactive brain. Cannabis does the same thing. And in studies of stimulant addicts, about 30% had ADHD prior to their drug use. What else do people self-medicate? Someone mentioned depression. So, if you have been treated for depression, as I have been, and you were given a SSRI medication, these medications elevate the level of another brain chemical called serotonin, which is implicated in mood regulation. What else elevates serotonin levels temporarily in the brain? Cocaine does. People use cocaine to self-medicate depression. People use alcohol, cannabis and opiates to self-medicate anxiety. Incidentally people also use gambling or shopping to self-medicate because these activities also elevate dopamine levels in the brain. There is no difference between one addiction and the other. They're just different targets, but the brain systems that are involved and the target chemicals are the same, no matter what the addiction. So people self-medicate anxiety, depression. People self-medicate bipolar disorder with alcohol. People self-medicate Post-Traumatic-Stress-Disorder. So, one way to understand addictions is that they're self-medicating. And that's important to understand because if you are working with people who are addicted it is really important to know what's going on in their lives and why are they doing this. So apart from the level of comfort and pain relief, there's usually something diagnosible that's there at the same time. And you have to pay attention to that. At least you have to talk about it.