Bipolar People Quotes

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...

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.

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.

There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against-- you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew those caves were there. It will never end, for madness carves its own reality.

Because now people use the phrase OCD to describe minor personality quirks. "Oooh, I like my pens in a line, I'm so OCD." NO YOU'RE FUCKING NOT. "Oh my God, I was so nervous about that presentation, I literally had a panic attack." NO YOU FUCKING DIDN'T. "I'm so hormonal today. I just feel totally bipolar." SHUT UP, YOU IGNORANT BUMFACE.

Labels like “bipolar” say This is why you are the way you are. This is who you are. They explain people away as illnesses.

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.

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)

Minds that have withered into psychosis are far more terrifying than any character of fiction.

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.

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

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.

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

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.

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

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...

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

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.” The thing is, I don’t want my sadness to be othered from me just as I don’t want my happiness to be othered. They’re both mine. I made them, dammit. What if the elation I feel is not another “bipolar episode” but something I fought hard for? Maybe I jump up and down and kiss you too hard on the neck when I learn, upon coming home, that it’s pizza night because sometimes pizza night is more than enough, is my most faithful and feeble beacon. What if I’m running outside because the moon tonight is children’s-book huge and ridiculous over the pines, the sight of it a strange sphere of medicine? It’s like when all you’ve been seeing before you is a cliff and then this bright bridge appears out of nowhere, and you run fast across it knowing, sooner or later, there’ll be another cliff on the other side. What if my sadness is actually my most brutal teacher? And the lesson is always this: you don’t have to be like the buffaloes. You can stop.

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.

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

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.

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.

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

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.

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!

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

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.

When you read my poems or quotes remember you're stepping into the mind that steps outside of me

I love the idea of reincarnation, so just in case it doesn't exist, I decided to be different people in the same lifetime.

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!

America hadn't really been suited for its long and tiresome role as the Last Superpower, the World's Policeman. As a patriotic American, Oscar was quite content to watch other people's military coming home in boxes for a while. The American national character wasn't suited for global police duties. It never had been. Tidy and meticulous people such as the Swiss and the Swedes were the types who made good cops. America was far better suited to be the World's Movie Star. The world's tequila-addled pro-league bowler. The world's acerbic, bipolar stand-up comedian. Anything but a somber and tedious nation of socially responsible centurions.

Bipolar and paranoid. Throw in schizophrenic and you’ve hit the trifecta. They have padded rooms for people like you. Some of them even come with a view.

I fucking hate it, the idea that something like that would be trivialized down to a fucking hashtag. I mean, there's a ton of biphobia — people refuse to accept bisexuality as an actual sexuality. And I'm biracial, but also white-passing, which is a unique perspective. So these kids say, like, "Oh, fucking tri-bi Halsey! She'll never miss an opportunity to talk about it!" I want to sit them down like a mom and go, "Six months ago you were begging for an artist that would talk about this shit! But then I do, and you say, 'Oh, not her. Someone else.

These days, all I ask of Fate is that the people she hurls into my life, whether they are evil or good, or morally bipolar, should be amusing to one degree or another...Most good people have a sense of humor. The problem is finding smile-inducing evil people, because the evil are mostly humorless.

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.

There are other kinds of damage, to the people in your life, to your sense of who you are and what you can do, to your future

Many people say that psychiatrists just want to push drugs. Well I seriously have to say, without medication, I’d be locked up in a VA hospital somewhere.

Not that I'm bipolar, but that I'm two people, and not just two people, but two people at odds with each other. The mom and the kid, the homebody and the explorer, the strong and the weak, the logical and the emotional, the funny and the sad, the angry and the calm, the open and the closed, the loved and the hated, the hot and the cold, the alive and the dead, the beautiful and the ugly. It's exhausting. I. Am. Exhausting.

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.

Mental illness may be invisible, but the people who live with it are not.

Sculley began to believe that Jobs’s mercurial personality and erratic treatment of people were rooted deep in his psychological makeup, perhaps the reflection of a mild bipolarity.

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.

They 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.

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.

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.

These days, all I ask Fate is that the people she hurls into my life, whether they are evil or good, or morally bipolar, should be amusing to one degree or another.

Being colonized automatically makes you bipolar.

Like diabetes, she referred to it. Diabetics take insulin. In the same way, people with bipolar disorders took lithium, and alcoholics went to AA. Diabetes is the all-purpose analogy in my culture. Everybody has some form of it that needs to be tended on a maintenance basis. No one is ever cured, no one gets all the way well.

James had taken his own life, but the need to do so was not something easily explained. He had the life he wanted: money, a home, a job, a wife, a good friend. I’d known people who died at their own hand because life became unbearable, or because something happened, something terrible. That wasn’t so for James—there was something inside him, something a part of him, something over which he had no control, but which had absolute control over him.

On the surface a borderline personality can be very difficult to identify, despite the underlying volcanic turbulence. Unlike many people afflicted with other mental disorders—such as schizophrenia, bipolar (manic-depressive) disease, alcoholism, or eating disorders—the borderline can usually function extremely well in work and social situations without appearing overtly pathological. Indeed, some of the hallmarks of borderline behavior are the sudden, unpredictable eruptions of anger, extreme suspiciousness, or suicidal depression from someone who has appeared so “normal.” The

Why Does He Do That? That's the number one question, isn't it? Maybe it's his drinking, you say. Maybe it's his learning disabilities. It's his job; he hates it. He's stressed. I think he's bipolar. It's his mother's fault; she spoiled him rotten. It's the drugs. If only he didn't use. It's his temper. He's selfish. It's the pornography; he's obsessed. The list could go on and on. You could spend many years trying to pinpoint it and never get a definite answer. The fact is, many people have these problems and they aren't abusive. Just because someone is an alcoholic doesn't mean he is abusive. Men hate their jobs all the time and aren't abusive. Bipolar? Okay. Stressed? Who isn't! Do you see where I am going with this? Off the subject a bit, when someone commits a violent crime, they always report in the news about his possible motive. As human beings, we need to somehow make sense of things. If someone murders someone, do you think it makes the family of the victim feel better to know the murderer's motive? No. Except for self-defense, there really is no excuse for murder. Motive, if there is any, is irrelevant. The same is true of abuse. You could spend your whole life going round and round trying to figure out why. The truth is, the why doesn't matter. There are only two reasons why men commit abuse—because they want to do so and because they can. You want to know why. In many ways, you might feel like you need to know. But, if you could come up with a reason or a motive, it wouldn't help you. Maybe you believe that if you did this or that differently, he wouldn't have abused you. That is faulty thinking and won't help you get better. You didn't do anything to cause the abuse. No matter what you said, no matter what you did, you didn't deserve to be abused. You are the victim and it won't help you to know why he supposedly abused you. No matter what his reason, there is no excuse for abuse. You are not to blame.

Well, well, well. Tickle my Elmo ass silly. I was sitting across from a person who enjoyed talking to dead people, and if they wouldn’t talk, then by God, he’d just wake their corpses up instead. Next to him was a moody, chain-smoking vampire who just might be bipolar and smoked like a corncob pipe.

I don't need people, love or sex. Neither money, clothes or cars. The hate I gained was most needed. Don't understand me in the wrong way. It's been a while and the loathing turns into indifference, which now solves my problems.

Depression, bipolar disorder, and other examples of neurodivergence7 are stigmatized because we are unwilling to extend the same care and treatment to our brains that we afford our bodies. If I broke my arm and never went to a see a doctor, not only would I be in extreme pain but the people in my life would be incensed by such a reckless choice. Yet we make statements like “It’s all in your head” all the time, minimizing the experiences of our brains and neglecting their care.

We're like little kids. We are little kids, but don't tell us that—we're having a fantastic time. We have our little house, and live our little life. We are the perfect young husband and wife. We have nonstop dinner parties—the glorious food, the fabulous friends, the gallons of wine. I sometimes feel as if I've raced off a cliff and am spinning my legs in midair, like Wile E. Coyote. But I'm fine. It's fine. It's all going to be fine. Crazy people don't have dinner parties, do they? No.

fiction writers are fully ten times more likely to be bipolar than the general population, and poets are an amazing forty times more likely to struggle with the disorder. Based on statistics like these, psychologist Daniel Nettle writes, “It is hard to avoid the conclusion that most of the canon of Western culture was produced by people with a touch of madness.” Essayist Brooke Allen does Nettle one better: “The Western literary tradition, it seems, has been dominated by a sorry collection of alcoholics, compulsive gamblers, manic-depressives, sexual predators, and various unfortunate combinations of two, three, or even all of the above.

These days, all I ask of Fate is that the people she hurls into my life, whether they are evil or good, or morally bipolar, should be amusing to one degree or another. This is a big request to make of busy Fate, who has billions of lives to keep in constant turmoil.

Was James bipolar?” The tears returned, and I watched her battle them. “We don’t use that word in our family.” I stared at her for a moment. “Why not?” “Mum and Dad don’t believe in it.” She kept walking. “James was always … troubled. But there was nothing wrong with him, nothing more than anyone else anyway, everyone feels a bit down sometimes.” “Olivia! It was more than feeling down.” She laughed, bitterly. “I know, Dee, fuck, do I know that. I’m just telling you how it goes. The party line—what we told people when they asked.

Losing even a single night’s sleep can precipitate a manic episode in people with bipolar disorder who have otherwise been stable (Malkoff-Schwartz et al. 1998). In parallel, sleep deprivation can improve the mood of a person with depression, although only briefly (Harvey, 2008).

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.

He is the most wonderful person alive. I am suddenly struck by the fact that he is unlike anyone else in the world. How many people could love me like this? How many people would visit every day at six o'clock, without fail? And bring me dinner, and a grocery bag of fruit? Who could? Who would? Why would they?

Bipolar disorder is the impact of the memory loss, ADHD, dread, anxiety, racing thoughts, depression, mania, panic attacks, and more. Bipolar disorder is suffering in silence and mourning the lost years. Bipolar disorder is misreading situations and people and constantly checking to see if things are as they seem to be.

Guess what? Your brain is part of your body! Why am I yelling this? Because too often we treat our brain as though it’s a separate operating system tucked away in a room we call the skull. Our tendency to divorce our brains from our bodies is one of the sneaky ways in which body shame thrives. Isolating our brains gives us permission to treat them differently. Depression, bipolar disorder, and other examples of neurodivergence7 are stigmatized because we are unwilling to extend the same care and treatment to our brains that we afford our bodies. If I broke my arm and never went to a see a doctor, not only would I be in extreme pain but the people in my life would be incensed by such a reckless choice. Yet we make statements like “It’s all in your head” all the time, minimizing the experiences of our brains and neglecting their care.

In less than a year, the magic of being diagnosed had begun to wear off, and my bipolar disorder no longer felt like a story hook. It felt like a part of me I wasn't sure I wanted to sit with anymore. So the further away I got from the diagnosis and all that had led up to it, the more I downplayed the extremes or made them punchlines I could use before anybody else could. I came to resent the head tilts and looks of surprise that go hand in hand with sharing what I'd come to see as a particularly unglamorous part of my life. If this was what interesting was, I didn't want it anymore. I hadn't counted on the most interesting people not being able to opt out. I didn't want to be the woman who does everything despite her bipolar disorder. I wanted to be the woman who has many complexities, her bipolar disorder being just one of them. (You know, a person).

Things weren’t always as good as they are now. In school we learned that in the old days, the dark days, people didn’t realize how deadly a disease love was. For a long time they even viewed it as a good thing, something to be celebrated and pursued. Of course that’s one of the reasons it’s so dangerous: It affects your mind so that you cannot think clearly, or make rational decisions about your own well-being. (That’s symptom number twelve, listed in the amor deliria nervosa section of the twelfth edition of The Safety, Health, and Happiness Handbook, or The Book of Shhh, as we call it.) Instead people back then named other diseases—stress, heart disease, anxiety, depression, hypertension, insomnia, bipolar disorder—never realizing that these were, in fact, only symptoms that in the majority of cases could be traced back to the effects of amor deliria nervosa.

Almost every sane person is at least two different people.

Normal people think about one or two things at once- they don't have twenty thoughts whirring around like a brain in a blender.

They say people who are bipolar see colors differently when in a manic state. What did Emme see when I showed her the photo a few days later?

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.

the morally bipolar are too preoccupied with justifying their contradictory behaviors to learn to laugh at themselves, and I’ve noticed they laugh at other people more than with them.

These days, all I ask of Fate is that the people she hurls into my life, whether they are evil or good, or morally bipolar, should be amusing to one degree or another...Most good people have a sense of humor. The problem is finding smile-inducing evil people, because the evil are mostly humorless, though in the movies they frequently get some of the best lines. With few exceptions, the morally bipolar are too preoccupied with justifying their contradictory behaviors to learn to laugh at themselves, and I’ve noticed they laugh at other people more than with them.

There was almost certainly a genetic contribution to Einstein’s dopaminergic traits. One of his two sons became an internationally recognized expert on hydraulic engineering. The other was diagnosed with schizophrenia at the age of twenty, and died in an asylum. Large population studies have also found a genetic component of a dopaminergic character. An Icelandic study that evaluated the genetic profile of over 86,000 people discovered that individuals who carried genes that placed them at greater risk for either schizophrenia or bipolar disorder were more likely to belong to a national society of actors, dancers, musicians, visual artists, or writers.

When I certify someone insane, I am not equivocating when I write that he is of unsound mind, may be dangerous to himself and others, and requires care and attention in a mental hospital. However, at the same time, I am also aware that, in my opinion, there are other people who are regarded as sane, whose minds are as radically unsound, who may be equally or more dangerous to themselves and others and whom society does not regard as psychotic and fit persons to be in a madhouse.

These people all thought they knew him. They believed he was a whore, and sometimes he thought he was too. But he really wasn’t. Every partner he’d ever had broken it off with him when they couldn’t handle him at his worst points. A lot of partners won’t stick around when they hear the phrase “I have bipolar disorder” come out of someone’s mouth, so he didn’t tell them, just telling them he was moody. Of course, they all liked him when he was happy. It was when he wasn't that things went bad.

They 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.” The thing is, I don’t want my sadness to be othered from me just as I don’t want my happiness to be othered. They’re both mine. I made them, dammit. What if the elation I feel is not another “bipolar episode” but something I fought hard for? Maybe I jump up and down and kiss you too hard on the neck when I learn, upon coming home, that it’s pizza night because sometimes pizza night is more than enough, is my most faithful and feeble beacon. What if I’m running outside because the moon tonight is children’s-book huge and ridiculous over the line of pines, the sight of it a strange sphere of medicine? It’s like when all you’ve been seeing before you is a cliff and then this bright bridge appears out of nowhere, and you run fast across it knowing, sooner or later, there’ll be yet another cliff on the other side. What if my sadness is actually my most brutal teacher? And the lesson is always this: You don’t have to be like the buffaloes. You can stop. There was a war, the man on TV said, but it’s “lowered” now. Yay, I think, swallowing my pills.

When I first went to Rwanda, I was reading a book called Civil War, which had been receiving great critical acclaim. Writing from an immediate post-Cold War perspective, the author, Hans Magnus Enzensberger, a German, observed, “The most obvious sign of the end of the bipolar world order are the thirty or forty civil wars being waged openly around the globe,” and he set out to inquire what they were all about. This seemed promising until I realized that Enzensberger wasn’t interested in the details of those wars. He treated them all as a single phenomenon and, after a few pages, announced: “What gives today’s civil wars a new and terrifying slant is the fact that they are waged without stakes on either side, that they are wars about nothing at all.” In the old days, according to Enzensberger—in Spain in the 1930s or the United States in the 1860s—people used to kill and die for ideas, but now “violence has separated itself from ideology,” and people who wage civil wars just kill and die in an anarchic scramble for power. In these wars, he asserted, there is no notion of the future; nihilism rules; “all political thought, from Aristotle and Machiavelli to Marx and Weber, is turned upside down,” and “all that remains is the Hobbesian ur-myth of the war of everyone against everyone else.” That such a view of distant civil wars offers a convenient reason to ignore them may explain its enormous popularity in our times. It would be nice, we may say, if the natives out there settled down, but if they’re just fighting for the hell of it, it’s not my problem. But it is our problem. By denying the particularity of the peoples who are making history, and the possibility that they might have politics, Enzensberger mistakes his failure to recognize what is at stake in events for the nature of those events. So he sees chaos—what is given off, not what’s giving it off—and his analysis begs the question: when, in fact, there are ideological differences between two warring parties, how are we to judge them? In the case of Rwanda, to embrace the idea that the civil war was a free-for-all—in which everyone is at once equally legitimate and equally illegitimate—is to ally oneself with Hutu Power’s ideology of genocide as self-defense.

In a world of terrorists, terrorist states and weapons of mass destruction, the option of preemption is especially necessary. In the bipolar world of the Cold War, with a stable non-suicidal adversary, deterrence could work. Deterrence does not work against people who ache for heaven. It does not work against undeterrables. And it does not work against undetectables: non-suicidal enemy regimes that might attack through clandestine means—a suitcase nuke or anonymously delivered anthrax. Against both undeterrables and undetectables, preemption is the only possible strategy.

People with personal experience of bipolar disorder will often state the importance of routine and structure as a way of preventing relapse. Routine, in this context, does not mean boring and repetitive so much as relatively predictable and stable. This appears to have many beneficial physical effects, one of which is sleep.

We always make the best decision we can based upon what we believe in that moment. When I was growing up, my father and I experienced a lot of tension with each other for many years. He had bipolar disorder and it was very difficult for him. As I got older and went through my transformation of consciousness and really forgave him—and forgave myself and forgave the world—my father started showing up in my awareness as an angel. He got happier and happier and our relationship began to improve. People would say, “Your dad has really changed a lot,” and I would say, “My mind has really changed.” My father was just reflecting that back. In fact, he came to me one day and said, “David, I’m sorry. I was not a very good father. I didn’t do the things that a good father should do.” I replied, “Nonsense! I don’t believe that for one instant. You did the best you could and I did the best I could. You didn’t let me down and I didn’t let you down. We’re not going to buy into that guilt trip anymore.” He lit up when I said this. His whole demeanor changed and he instantly reflected love back to me. That simple exchange completely rearranged our view of everything that had taken place during those early years. None of it mattered anymore. We had been mistaken about many things because we couldn’t perceive truly while we were going through our time together.

An estimated 3.5 million people with serious mental illnesses are going without treatment (Kessler et al. 2001). That is scandalous. But mentally ill people are not the cause of the violence problem. If schizophrenia, bipolar disorder, and depression were cured, our society’s problem of violence would diminish by only about 4% (Swanson 1994).

Let’s try discrimination. “I have been discriminated against.” State the obvious. “People treat me differently when they find out I have bipolar disorder.” Now state the not so obvious. “As someone with a mental illness, I see discrimination where others don’t. Take happy hour, for instance. I think that is being discriminatory. There should also be a crappy hour for depressed people. And people with bipolar disorder could go to both.” So where do you see discrimination? At work? At school? With family? Now think of the unexpected. How about the bathtub? Or the local restaurant? Let’s take the restaurant. What would be a menu item that is discriminatory? Scrambled eggs? Take your time. Let your mind

What was that bit about fish sticks?” he asked, climbing back into the SUV. “Oh, pretty clever of her actually, though I thought it ridiculous at the time. Sometimes Mom gets paranoid, thinks people might be out to get her, out to get me.” I laughed nervously at how close that hit to home. “Anyway, one night she was really freaked out and came up with a code. If I was ever kidnapped or something, she would say something about me liking fish sticks. If I said I wanted fish sticks, that meant I was in danger and needed help, no matter what else I’d said to her that I was fine.” “So by you saying you hate fish sticks…”“She knows I’m fine and she doesn’t need to further involve the police. Who says bipolar disorder can’t be useful?

BPII differs from the other main type of bipolar disorder, bipolar I (BPI), in two key ways. First, everyone with BPII experiences one or more periods of depression; however, depression may or may not be present in BPI. Second, people with BPII experience hypomania, a less severe version of mania, the episodic high or elevated mood that is the defining feature of BPI.

People will love people no matter what terrible shit they do.   We forgive people, even when they don’t ask for forgiveness.   When there is no atonement, no penance.   Why do we love people? Why do we forgive evil? Stupidity— Shallowness— the darkest motives. We forgive because we are attached, we have known them a long time, we have put them into the category of family or friend. We want to have sex with them. Because they entertain us.   We even forgive child molesters if they make good movies.   The unspeakable truth is that we need written laws that have mystic origins— with weapons to keep them upheld.   Because we are too forgiving of our friends and family. We take their side, even when we know they are wrong, and lying.   The world would collapse into chaos without law not because we are savage beasts, but because we are so forgiving.

I won't say that writing tamed the Black Beast. It soothed him, though, enough so he agreed simply to occupy a corner of my mind...Gradually, I redirected my focus and skills towards causes much closer to my own heart: writing and mental health advocacy. [...] I felt so good at times that I even wondered, was I still bipolar? In my community work, I saw so many people who were much worse off than I was - deep in their disease in a way I no longer seemed to be. I knew that this often happens to manic-depressives: the brain forgets the ravages of the illness they way a woman forgets the pains of childbirth. You have to, to survive. But it's always a dangerous place to be, because you inevitably start to question the need for medication, therapy, and all the other rigorous stopgaps of sanity so carefully put into place to prevent another episode.

Autism, dyslexia, language delay, language impairment, learning disability, left-handedness, major depressions, bipolar illness, obsessive-compulsive disorder, sexual orientation, and many other conditions run in families, are more concordant in identical than in fraternal twins, are better predicted by people’s biological relatives than by their adoptive relatives, and are poorly predicted by any measurable feature of the environment.

Most of my housemates had ADHD, PTSD, bipolar, autism, or some combination of those. I might have been the only one who didn’t realize I was neurodivergent—that is, not neurotypical. In that house, for the first time since childhood, I didn’t feel like an introvert. I got energy from being around people, because I didn’t feel the need to play a role—I could just be. Stimming was common and accepted. People dressed however they liked. Meltdowns were an occasional part of life, not a big and scary event.

Worse, Roger erupted into outbursts of uncontrollable rage, without apparent cause. In time I learned that this was one symptom of what therapists formerly described as a manic-depressive personality. Now they call the condition bipolar disorder. Roger sometimes telephoned and began the conversation, “You better listen to me, Dad, or you are one dead man.” Then, half an hour later, “Dad, can we go to the Yankee game tonight?” Bipolar disorder is terrifying, perhaps most of all for the person suffering from it.

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

At the severe end of the spectrum, these parents are, quite frankly, mentally ill. They may be psychotic or bipolar, or have narcissistic or borderline personality disorder. At times, their unbridled emotionality can even result in suicide attempts or physical attacks on others. People are nervous around them because their emotions can escalate so quickly, and because it’s so frightening to see someone you know come unglued. Suicide threats are especially terrifying to children, who feel the crushing burden of trying to keep their parent alive but don’t know what to do.

The number of episodes, and it’s a very rich literature [documenting this], is associated with more cognitive deficits,” he said. “We are building more episodes, more treatment resistance, more cognitive dysfunction, and there is data showing that if you have four depressive episodes, unipolar or bipolar, it doubles your late-life risk of dementia. And guess what? That isn’t even the half of it…. 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.

People tend to look unfavorably upon the mentally ill, especially those of us who’ve been hospitalized. Losing your mind is indeed traumatizing, but doing so in front of a supposedly sane audience is mortifying. It’s not like getting cancer. No one rallies around you or shaves her head in solidarity or brings you sweets. “Normals” (or “normies,” as some of us “crazies” affectionately refer to them) feel uneasy around those of us who’ve lost a grip on reality. Perhaps they’re afraid we might attack them or drool on them or, worse yet, suck them into our alternate universe where slitting your wrists and talking to phantoms seem perfectly rational.

They 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.” The thing is, I don’t want my sadness to be othered from me just as I don’t want my happiness to be othered. They’re both mine. I made them, dammit. What if the elation I feel is not another “bipolar episode” but something I fought hard for? Maybe I jump up and down and kiss you too hard on the neck when I learn, upon coming home, that it’s pizza night because sometimes pizza night is more than enough, is my most faithful and feeble beacon. What if I’m running outside because the moon tonight is children’sbook huge and ridiculous over the line of pines, the sight of it a strange sphere of medicine? It’s like when all you’ve been seeing before you is a cliff and then this bright bridge appears out of nowhere, and you run fast across it knowing, sooner or later, there’ll be yet another cliff on the other side. What if my sadness is actually my most brutal teacher? And the lesson is always this: You don’t have to be like the buffaloes.

The cumulative results of the brain’s chemical effects are not well understood. In the 1989 edition of the standard Comprehensive Textbook of Psychiatry, for example, one finds this helpful formula: a depression score is equivalent to the level of 3-methoxy-4-hydroxyphenylglycol (a compound found in the urine of all people and not apparently affected by depression); minus the level of 3-methoxy-4-hydroxymandelic acid; plus the level of norepinephrine; minus the level of normetanephrine plus the level of metanepherine, the sum of those divided by the level of 3-methoxy-4-hydroxymandelic acid; plus an unspecified conversion variable; or, as CTP puts it: “D-type score = C1 (MHPG) - C2 (VMA) + C3 (NE) - C4 (NMN + MN)/VMA + C0.” The score should come out between one for unipolar and zero for bipolar patients, so if you come up with something else—you’re doing it wrong.

Bipolar II disorder is a highly misunderstood form of bipolar illness. By its very designation as type II, clinicians, patients, and the public often assume it is less impairing than bipolar I, “the real thing.” When we examine the diagnostic criteria for bipolar II, they sound very mild. Who doesn’t get sad and happy? Who doesn’t have mood swings? Why would a four-day period of excess energy, which does not affect the ability to function, be of any clinical importance? Several longitudinal studies have found that bipolar II is far more impairing than we once thought. It is characterized by lengthy and recurrent periods of depression, comorbid anxiety disorders, and high rates of substance and alcohol misuse. The occasional hypomanias of bipolar II—in which people experience elation and irritability, exuberance, increased energy, and reduced need to sleep—are not as impairing as the full manic episodes of bipolar I, but they can certainly have a negative impact on family members and friends. Moreover, for the person with the disorder, these high periods are often short-lived, and they do little to alleviate the suffering caused by depressive phases. The hypomanic periods may even overlap with the low phases, resulting in an agitated, anxiety-ridden, and highly distressing period of depression. People with bipolar II often have difficulty maintaining jobs and relationships, and, like people with bipolar I, they are at high risk for suicide.

Given this new theory of mental illness, we can now apply it to various forms of mental disorders, summarizing the previous discussion in this new light. We saw earlier that the obsessive behavior of people suffering from OCD might arise when the checks and balances between several feedback loops are thrown out of balance: one registering something as amiss, another carrying out corrective action, and another one signaling that the matter has been taken care of. The failure of the checks and balances within this loop can cause the brain to be locked into a vicious cycle, so the mind never believes that the problem has been resolved. The voices heard by schizophrenics might arise when several feedback loops are no longer balancing one another. One feedback loop generates spurious voices in the temporal cortex (i.e., the brain is talking to itself). Auditory and visual hallucinations are often checked by the anterior cingulate cortex, so a normal person can differentiate between real and fictitious voices. But if this region of the brain is not working properly, the brain is flooded with disembodied voices that it believes are real. This can cause schizophrenic behavior. Similarly, the manic-depressive swings of someone with bipolar disorder might be traced to an imbalance between the left and right hemispheres. The necessary interplay between optimistic and pessimistic assessments is thrown off balance, and the person oscillates wildly between these two diverging moods. Paranoia may also be viewed in this light. It results from an imbalance between the amygdala (which registers fear and exaggerates threats) and the prefrontal cortex, which evaluates these threats and puts them into perspective. We should also stress that evolution has given us these feedback loops for a reason: to protect us. They keep us clean, healthy, and socially connected. The problem occurs when the dynamic between opposing feedback loops is disrupted.

Why Does He Do That? That's the number one question, isn't it? Maybe it's his drinking, you say. Maybe it's his learning disabilities. It's his job; he hates it. He's stressed. I think he's bipolar. It's his mother's fault; she spoiled him rotten. It's the drugs. If only he didn't use. It's his temper. He's selfish. It's the pornography; he's obsessed. The list could go on and on. You could spend many years trying to pinpoint it and never get a definite answer. The fact is, many people have these problems and they aren't abusive. Just because someone is an alcoholic doesn't mean he is abusive. Men hate their jobs all the time and aren't abusive. Bipolar? Okay. Stressed? Who isn't! Do you see where I am going with this? Off the subject a bit, when someone commits a violent crime, they always report in the news about his possible motive. As human beings, we need to somehow make sense of things. If someone murders someone, do you think it makes the family of the victim feel better to know the murderer's motive? No. Except for self-defense, there really is no excuse for murder. Motive, if there is any, is irrelevant. The same is true of abuse. You could spend your whole life going round and round trying to figure out why. The truth is, the why doesn't matter. There are only two reasons why men commit abuse—because they want to do so and because they can. You want to know why. In many ways, you might feel like you need to know. But, if you could come up with a reason or a motive, it wouldn't help you. Maybe you believe that if you did this or that differently, he wouldn't have abused you. That is faulty thinking and won't help you get better. You didn't do anything to cause the abuse. No matter what you said, no matter what you did, you didn't deserve to be abused. You are the victim and it won't help you to know why he supposedly abused you. No matter what his reason, there is no excuse for abuse. You are not to blame. —Beth Praed

Almost no one—not even the police officers who deal with it every day, not even most psychiatrists—publicly connects marijuana and crime. We all know alcohol causes violence, but somehow, we have grown to believe that marijuana does not, that centuries of experience were a myth. As a pediatrician wrote in a 2015 piece for the New York Times in which he argued that marijuana was safer for his teenage children than alcohol: “People who are high are not committing violence.” But they are. Almost unnoticed, the studies have piled up. On murderers in Pittsburgh, on psychiatric patients in Italy, on tourists in Spain, on emergency room patients in Michigan. Most weren’t even designed to look for a connection between marijuana and violence, because no one thought one existed. Yet they found it. In many cases, they have even found marijuana’s tendency to cause violence is greater than that of alcohol. A 2018 study of people with psychosis in Switzerland found that almost half of cannabis users became violent over a three-year period; their risk of violence was four times that of psychotic people who didn’t use. (Alcohol didn’t seem to increase violence in this group at all.) The effect is not confined to people with preexisting psychosis. A 2012 study of 12,000 high school students across the United States showed that those who used cannabis were more than three times as likely to become violent as those who didn’t, surpassing the risk of alcohol use. Even worse, studies of children who have died from abuse and neglect consistently show that the adults responsible for their deaths use marijuana far more frequently than alcohol or other drugs—and far, far more than the general population. Marijuana does not necessarily cause all those crimes, but the link is striking and large. We shouldn’t be surprised. The violence that drinking causes is largely predictable. Alcohol intoxicates. It disinhibits users. It escalates conflict. It turns arguments into fights, fights into assaults, assaults into murders. Marijuana is an intoxicant that can disinhibit users, too. And though it sends many people into a relaxed haze, it also frequently causes paranoia and psychosis. Sometimes those are short-term episodes in healthy people. Sometimes they are months-long spirals in people with schizophrenia or bipolar disorder. And paranoia and psychosis cause violence. The psychiatrists who treated Raina Thaiday spoke of the terror she suffered, and they weren’t exaggerating. Imagine voices no one else can hear screaming at you. Imagine fearing your food is poisoned or aliens have put a chip in your brain. When that terror becomes too much, some people with psychosis snap. But when they break, they don’t escalate in predictable ways. They take hammers to their families. They decide their friends are devils and shoot them. They push strangers in front of trains. The homeless man mumbling about God frightens us because we don’t have to be experts on mental illness and violence to know instinctively that untreated psychosis is dangerous. And finding violence and homicides connected to marijuana is all too easy.

Another common form of mental illness is bipolar disorder, in which a person suffers from extreme bouts of wild, delusional optimism, followed by a crash and then periods of deep depression. Bipolar disorder also seems to run in families and, curiously, strikes frequently in artists; perhaps their great works of art were created during bursts of creativity and optimism. A list of creative people who were afflicted by bipolar disorder reads like a Who’s Who of Hollywood celebrities, musicians, artists, and writers. Although the drug lithium seems to control many of the symptoms of bipolar disorder, the causes are not entirely clear. One theory states that bipolar disorder may be caused by an imbalance between the left and right hemispheres. Dr. Michael Sweeney notes, “Brain scans have led researchers to generally assign negative emotions such as sadness to the right hemisphere and positive emotions such as joy to the left hemisphere. For at least a century, neuroscientists have noticed a link between damage to the brain’s left hemisphere and negative moods, including depression and uncontrollable crying. Damage to the right, however, has been associated with a broad array of positive emotions.” So the left hemisphere, which is analytical and controls language, tends to become manic if left to itself. The right hemisphere, on the contrary, is holistic and tends to check this mania. Dr. V. S. Ramachandran writes, “If left unchecked, the left hemisphere would likely render a person delusional or manic.… So it seems reasonable to postulate a ‘devil’s advocate’ in the right hemisphere that allows ‘you’ to adopt a detached, objective (allocentric) view of yourself.” If human consciousness involves simulating the future, it has to compute the outcomes of future events with certain probabilities. It needs, therefore, a delicate balance between optimism and pessimism to estimate the chances of success or failures for certain courses of action. But in some sense, depression is the price we pay for being able to simulate the future. Our consciousness has the ability to conjure up all sorts of horrific outcomes for the future, and is therefore aware of all the bad things that could happen, even if they are not realistic. It is hard to verify many of these theories, since brain scans of people who are clinically depressed indicate that many brain areas are affected. It is difficult to pinpoint the source of the problem, but among the clinically depressed, activity in the parietal and temporal lobes seems to be suppressed, perhaps indicating that the person is withdrawn from the outside world and living in their own internal world. In particular, the ventromedial cortex seems to play an important role. This area apparently creates the feeling that there is a sense of meaning and wholeness to the world, so that everything seems to have a purpose. Overactivity in this area can cause mania, in which people think they are omnipotent. Underactivity in this area is associated with depression and the feeling that life is pointless. So it is possible that a defect in this area may be responsible for some mood swings.