Bipolar Disorder 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.

Sensitive people usually love deeply and hate deeply. They don't know any other way to live than by extremes because thier emotional theromastat is broken.

I have just now come from a party where I was its life and soul; witticisms streamed from my lips, everyone laughed and admired me, but I went away — yes, the dash should be as long as the radius of the earth's orbit ——————————— and wanted to shoot myself.

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

Which of my feelings are real? Which of the me's is me? The wild, impulsive, chaotic, energetic, and crazy one? Or the shy, withdrawn, desperate, suicidal, doomed, and tired one? Probably a bit of both, hopefully much that is neither.

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.

What if talking about your feelings doesn't fix anything? What if what you really need is to make the feelings go away?

Soon madness has worn you down. It’s easier to do what it says than argue. In this way, it takes over your mind. You no longer know where it ends and you begin. You believe anything it says. You do what it tells you, no matter how extreme or absurd. If it says you’re worthless, you agree. You plead for it to stop. You promise to behave. You are on your knees before it, and it laughs.

I feel like I'm a snow globe and someone shook me up and now every little piece of me is falling back randomly and nothing is ending up where it used to be.

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

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.

Creativity is closely associated with bipolar disorder. This condition is unique . Many famous historical figures and artists have had this. Yet they have led a full life and contributed so much to the society and world at large. See, you have a gift. People with bipolar disorder are very very sensitive. Much more than ordinary people. They are able to experience emotions in a very deep and intense way. It gives them a very different perspective of the world. It is not that they lose touch with reality. But the feelings of extreme intensity are manifested in creative things. They pour their emotions into either writing or whatever field they have chosen" (pg 181)

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.

I feel sorry for every Therapist, Psychologist, and Psychiatrist I've ever met. I know I've put thoughts in their mind they will never forget.

I used to think it utterly normal that I suffered from “suicidal ideation” on an almost daily basis. In other words, for as long as I can remember, the thought of ending my life came to me frequently and obsessively.

Unrequited love is the only emotion that allows sane people to taste the “life sentence” of someone with bipolar disorder. The longer they hang onto a lost cause the more unstable they look to everyone else. They contradict their own belief systems and statements, by circling the drain with two competing emotions—love and hate.

Maybe there's a galaxy with a planet that's just a little more tilted, with a sun that shines just a little bit darker, and that's where I'm supposed to be, where it somehow makes sense to feel this broken.

A vivid Imagination is awesome a Manic Imagination is a curse.

Before I die I'd love to see my name on the Famous Bi Polar list I'm not ashamed of my Illness I believe most of my talent comes from it.

you may have bipolar disorder, but it does not have you. It cannot have you because I have claimed you and I don't share.

I get absolutely shitfaced. I am shitfaced and hyper and ten years old. I am having the time of my life.

Even though I'm sleeping again, everything still feels a little rickety, like I'm here but not quite here, like I'm just a stand-in for my real self, like someone could just reach over and pinch me and I'd deflate. I thought I was feeling better, but I don't know anymore.

Psychosis can happen out of the blue, to anyone, and no one knows why. Not even the best doctors on the planet. And that’s why Mom is always so afraid. If we don’t know what made me sick in the first place, how can anyone guarantee I won’t flip out again?

What most people call talent is our way to vent, and if we’re not discovered it will never pay the rent.

Saying I don't take my meds because they make me feel funny. Is like cannibals saying they don't eat clowns because the taste funny

A person who gossips & talks too much may not suffer from Bipolar Disorder but may suffer from Verbal Diarrhea.:)

In the terms of 'Mental Illness' Isn't stable a place they put horses that wish to run free?

The greatest communication barrier known to man is the lack of the common core of experience "When’s the last time you had a Manic Episode Doctor"?

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.

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.

May 18, 2018 Some days I could fly and feel very happy. I record those days in my journal for I know that I will feel very sad again. And I need proof that I will be very happy again. Thankfully, I feel very happy tonight. Goodnight.

The reason I don't Kill Myself is because I know I can.

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.

Everything is, the way it is, for a reason. Or it isn't. Or neither. Or both. It's so hard to tell. It's so hard to tell you're a mile away by the Luke in your eye.

But new love only lasts so long, and then you crash back into the real people you are, and from as high as we were, it's a very long fall, and we hit the ground with a thud.

Falling in love happens so suddenly that it seems, all at once, that you have always been in love.

I said just let me try one more time and she said, "THAT'S ENOUGH, ISABEL," again, and she could just say it over and over and it would never get through my thick skull because I'm always wanting and wanting because nothing is ever enough you are never enough I am never enough I am never enough I AM NEVER ENOUGH.

I have bipolar 2 disorder, anxiety disorder, and ADHD. I take my medications every day. I go to therapy every week. I hope, one day, I can be on the other side of therapy - you know, like the one who gets to write stuff down and shakes her head and listens.

Most people can only sleep with a nice soft pillow I can only sleep with heavy anti psychotics

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.

I've invaded the walls of the asylums with my ink pen. The way they look at mental illness won't be the same again

Cincinatti was where I learned that running away from your problems has a three-month statute of limitations, a lesson I have found repeatedly to be true. Three months is still a first impression -- of a city, of other people, of yourself in that place. But there comes a point when you can no longer hide who you are, and the reactions of others become all too familiar...

My psychiatrist said "you're BI Polar. I said "tell us something we don't already know".

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.

I admit I have Mental Illness so please no more 'Fruit Cakes' for Christmas Please

The say addiction might be linked to bipolar disorder. It's the chemicals in our brains, they say. I got the wrong chemicals, Ma. Or rather, I don't get enough of one or the other. They have a pill for it. They have an industry. They make millions. Did you know people get rich off of sadness? I want to meet the millionaire of American sadness. I want to look him in the eye, shake his hand, and say, 'it's been an honor to serve my country.

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.

It turns out that up to 35 percent of people with bipolar disorder also have ADHD.

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.

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

I just have basically too much personality for one person, and not quite enough for two

Just to let you know I don't post my books and things on the net in hopes of being rich. The reason is. "I am a person with Bipolar Disorder" and they're are a lot of great minds on the "Famous Bipolar" list that died penniless. If I do the same it's no big deal but having a form of mental Illness I would love to get my name on the Bipolar list also one day. Preferably while I'm still living so I can make sure they spelled it right

Bipolar is an illness not a hopeless destination it can be maintained with proper medication

My story is not a sad story; it's a real one. It's a story about a girl who fought through a storm she thought would never end.

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.

If you think there is something wrong with Bipolar People you might want to Google the Famous Bipolar List. Everyone on it had something wrong with them but obviously for all the right reasons

I am mad. The thought calms me. I don't have to try to be sane anymore. It's over. I sleep

Lithium tweaks many mood-altering chemicals in the brain, and its effects are complicated. Most interesting, lithium seems to reset the body’s circadian rhythm, its inner clock. In normal people, ambient conditions, especially the sun, dictate their humors and determine when they are tuckered out for the day. They’re on a twenty-four-hour cycle. Bipolar people run on cycles independent of the sun. And run and run.

Yes I'm Bipolar but I'm as normal as you except the times when my mind thinks like two

I've accepted the fact I have mental illness but when my imaginary friends start calling me crazy that's where I draw the line

If I ever get rid of my Bi Polar condition we'll be so happy.

That’s what mountains do, they taunt you, lure you to the freedom of the wilderness, and it is fucking exhilarating.

Sometimes it seems like "pain" is too obvious a place to turn for inspiration. Pain isn't always deep, anyway. Sometimes it's awful and that's it. Or boring. Surely other things can be as profound as pain.

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.

No matter how bad your life gets if you Execute yourself it won't get better!

Seeing metaphors in everything again.

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.

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.

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.

Bipolar disorder is about buying a dozen bottles of Heinz ketchup and all eight bottles of Windex in stock at the Food Emporium on Broadway at 4:00 a.m., flying from Zurich to the Bahamas and back to Zurich in three days to balance the hot and cold weather (my sweet and sour theory of bipolar disorder), carrying $20,000 in $100 bills in your shoes into the country on your way back from Tokyo, and picking out the person sitting six seats away at the bar to have sex with only because he or she happens to be sitting there. It's about blips and burps of madness, moments of absolute delusion, bliss, and irrational and dangerous choices made in order to heighten pleasure and excitement and to ensure a sense of control. The symptoms of bipolar disorder come in different strengths and sizes. Most days I need to be as manic as possible to come as close as I can to destruction, to get a real good high -- a $25,000 shopping spree, a four-day drug binge, or a trip around the world.

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

For all the normal people who make fun of the mentally ill it's spelled K.A.R.M.A. and it's pronounced your days coming, Bitch!

I admit I'm bipolar but if you think I'm stupid you're crazy

Because of my bipolar condition I will have to take anti psychotics until I die but hopefully a handful of them won't be the last thing I taste

There is a dead space between most people and those afflicted with Mental Illness and it's called Understanding

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

At first it's bliss. It's drunken, heady, intoxicating. It swallows the people we were - not particuarly wonderful people, but people who did our best, more or less - and spits out the monsters we are becoming. Our friends despise us. We are an epic. Everything is grand, crashing, brilliant, blinding. It's the Golden Age of Hollywood, and we are a legend in our own minds, and no one outside can fail to see that we are headed for hell, and we won't listen, we say they don't understand, we pour more wine, go to the parties, we sparkle, fly all over the country, we're on an adventure, unstoppable, we've found each other and we race through our days like Mr. Toad in his yellow motorcar, with no idea where the brakes are and to hell with it anyway, we are on fire, drunk with something we call love.

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.

I didn’t realize I actually had post-traumatic stress disorder at the time, but why would I think I had that? Anyway, how would I know which was post-traumatic stress, which is addiction, which is bipolar, which is Libra?

Here's to adrenaline. Here's to dramatic abandon of protocol. Here's to treasured pain and purple rain. Here's to chasing our souls, burning across to sky. Here's to drinking the ash as it falls, and not asking why.

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.

The thing about pills, Regan wanted to say to the doctor who had clearly never taken any, was that the ups and downs still happened; they were just different now, contained within brackets of limitation. Some inner lawlessness was still there, screeching for a higher high and clawing for a lower low, but ultimately the pills were loose restraints, a method of numbly shrinking

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.

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.

Trust me, in these moments - when you decide whether you can take anything else or if you have given up hope on your future, and you’re so upset that you can barely breathe, because everyone you’ve hurt and everything you’ve done wrong is swarming around in your mind - you’re sucked right back into that tornado. You don’t know how big the tornado will be until it’s already here, and you’re spiraling in it, watching it destroy everything around you - except it’s not a tornado. It’s you. You’re the tornado. You think you are causing pain to others, but most of all, you are in pain yourself, so you see no other way out. You can’t live this way anymore. And you think everyone would be better off without you.

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.

The scientist in me worries that my happiness is nothing more than a symptom of bipolar disease, hypergraphia from a postpartum disorder. The rest of me thinks that artificially splitting off the scientist in me from the writer in me is actually a kind of cultural bipolar disorder, one that too many of us have. The scientist asks how I can call my writing vocation and not addiction. I no longer see why I should have to make that distinction. I am addicted to breathing in the same way. I write because when I don’t, it is suffocating. I write because something much larger than myself comes into me that suffuses the page, the world, with meaning. Although I constantly fear that what I am writing teeters at the edge of being false, this force that drives me cannot be anything but real, or nothing will ever be real for me again.

I want to be more productive, funnier, better, and I can do all that while I'm climbing. But I can't sustain it. I have to crash. And I know the crash is coming, I can taste it, but I can't stop it. Well actually I can, but I always think I have more time to stop it, until I don't. And then I fall-fast and hard-and disappoint just about everybody.

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.

I AM come of a race noted for vigor of fancy and ardor of passion. Men have called me mad; but the question is not yet settled, whether madness is or is not the loftiest intelligence--whether much that is glorious--whether all that is profound--does not spring from disease of thought--from moods of mind exalted at the expense of the general intellect. They who dream by day are cognizant of many things which escape those who dream only by night. In their gray visions they obtain glimpses of eternity, and thrill, in waking, to find that they have been upon the verge of the great secret. In snatches, they learn something of the wisdom which is of good, and more of the mere knowledge which is of evil. They penetrate, however, rudderless or compassless into the vast ocean of the "light ineffable", and again, like the adventures of the Nubian geographer, "agressi sunt mare tenebrarum, quid in eo esset exploraturi". We will say then, that I am mad.

Psychiatric diagnoses are getting closer and closer to the boundary of normal,” said Allen Frances. “That boundary is very populous. The most crowded boundary is the boundary with normal.” “Why?” I asked. “There’s a societal push for conformity in all ways,” he said. “There’s less tolerance of difference. And so maybe for some people having a label is better. It can confer a sense of hope and direction. ‘Previously I was laughed at, I was picked on, no one liked me, but now I can talk to fellow bipolar sufferers on the Internet and no longer feel alone.’” He paused. “In the old days some of them may have been given a more stigmatizing label like conduct disorder or personality disorder or oppositional defiant disorder. Childhood bipolar takes the edge of guilt away from parents that maybe they created an oppositional child.

For eight years I was an inmate in a state asylum for the insane. During those years I passed through such unbearable terror that I deteriorated into a wild, frightened creature intent only on survival. And I survived. I was raped by orderlies, gnawed on by rats and poisoned by tainted food. I was chained in padded cells, strapped into strait-jackets and half-drowned in ice baths. And I survived. The asylum itself was a steel trap, and I was not released from its jaws alive and victorious. I crawled out mutilated, whimpering and terribly alone. But I did survive.

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.

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.

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.

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.