Recovery steps for depression and bipolar disorder or manic-depressive illness

Dear Friends,

Thanks for stopping by this Mission 4 Monday post.

I am thankful to God that I can continue to serve Him through this blog.

One of the missions of my blog is to share with others God's goodness and mercies to me in managing clinical depression and bipolar disorder, as well as to share resources that will benefit a person with a mood disorder and information for their family and loved ones.

Depression and bipolar disorder are mood disorders, real physical illnesses that affect a person’s moods, thoughts, body, energy and emotions.

Treatment for these illnesses can also have ups and downs. As much as we may want it to, wellness often does not happen overnight. It is normal to wish we could feel better faster or to worry that we will never feel better.

It is important to know that we can feel better, and that ultimately we are in charge of our recovery. There are many things we can do to help ourselves. God is with us and He has provided helps that we can make use of by His grace and strength. We need to pray that God gives us grace and wisdom to make use of all the means available and suitable to our particular condition. We each need to discover what works best for us as we are very unique and different from one another. There is no one single solution but God will help us as we look to Him.

Relief of symptoms is only the first step in treating depression or bipolar disorder. Wellness, or recovery, is a return to a life that we care about. Recovery happens when our illness stops getting in the way of our life. We may still experience the symptoms once in a while, but we can learn to manage our conditions so that we can be as functional as possible and our symptoms no longer hinder or crippled us.

To work towards wellness or achieve wellness may take time and effort, and much prayers to God for grace and wisdom to make use of available resources and help, for Him to make these means effective to us. A support network of our family and loved ones, and working closely with our health professionals such as our medical doctor and therapist or counsellor are extremely crucial too.

I am thankful to God that He has provided me with a very caring and kind psychiatrist who is determine to equip me with the necessary knowledge and skill to manage my condition so that I can be more functional and be a useful person in the community. With medical helps and learning to keep a mood chart to monitor fluctuations on my mood, and various other coping strategies, I am beginning to learn how to recognize early symptoms of relapses or worsening symptoms, and what I can do to get better.

Earlier in my diagnosis of bipolar disorder or manic-depressive illness last year (2007), I have benefited from some sessions of counseling or talk therapy with a Christian lady counselor who helps me to understand my confusing past, what is mood disorders and how it can affect my thoughts and feelings, and how God is sustaining me and working all things for His glory and my good. Through her help, by the mercy and providence of God, I have embarked on a new journey of understanding God, myself and others better and how best I can love God and others, and serve Him and His people.

It is my joy and privilege, to share this journey, with you dear Readers. It is my sincere prayers that the resources and sharing on this blog will continue to glorify God as you sense His presence with me, strengthening me and uplifting me. May these posts also brings hope and comfort to you knowing that you are not alone and that God has provided resources and means for you and I to manage our condition. Through this affliction, we will know more and more of His sufficiency and mercy. Nothing in this world will last forever, not even our health but only our relationship with God through our Lord Jesus Christ. He will never leave us nor forsake us, and He is lovingly working all things for His glory and our good (Romans 8:28). We are more than conquerors through Him Who loved us (Romans 8:37)!

The following encouraging article on "Recovery steps for depression and bipolar disorder or manic-depressive illness" is taken from the website of Depression and Bipolar Support Alliance (DBSA)

Relief of symptoms is only the first step in treating depression or bipolar disorder. Wellness, or recovery, is a return to a life that you care about. Recovery happens when your illness stops getting in the way of your life.

What is Recovery?

SAMSHA (the Substance Abuse and Mental Health Services Administration/Center for Mental Health Services) (http://www.samhsa.gov/) defines recovery as:

Mental health recovery is a journey of healing and transformation enabling a person with a mental health problem to live a meaningful life in a community of his or her choice while striving to achieve his or her full potential.

Next Steps in Recovery

Depression and bipolar disorder are mood disorders, real physical illnesses that affect a person’s moods, thoughts, body, energy and emotions. Both illnesses, especially bipolar disorder, tend to follow a cyclical course, meaning they have ups and downs.

Treatment for these illnesses can also have ups and downs. As much as we may want it to, wellness often does not happen overnight. It is normal to wish you could feel better faster or to worry that you will never feel better. However, know that you can feel better, and that ultimately you are in charge of your recovery. There are many things you can do to help yourself.

Relief of symptoms is only the first step in treating depression or bipolar disorder. Wellness, or recovery, is a return to a life that you care about. Recovery happens when your illness stops getting in the way of your life. You decide what recovery means to you.

You have the right to recover according to your needs and goals. Talk to your health care provider (HCP) about what you need from treatment to reach your recovery. Your HCP can provide the treatment(s) and/or medication(s) that work best for you. Along the way, you have a right to ask questions about the treatments you are getting and choose the treatments you want.

It can also be helpful to work with a therapist, family member, friend and peer supporters to help define your recovery. Your definition of a meaning life may change at different times in life. At times, depression and bipolar disorder might make it seem difficult to set a goal for yourself.

Sometimes it might feel almost impossible to think about the things that you hope for or care about. But goal setting is an important part of wellness, no matter where you are on your path to recovery. Work on what you can when you can.

Setting Goals

Identifying life goals is the heart of the recovery process. When we see a future for ourselves, we begin to become motivated to do all we can to reach that future. Goals can be big or small, depending on where you are in your recovery journey.

Ask yourself:

• What motivates me?
• What interests me?
• What would I do more if I could?
• What do I want?
• What do I care about, or what did I care about before my illness?
• Where do I want my life to go?
• What brings me joy?
• What are my dreams and hopes?

It can help to start small and work up to larger goals. You might want to begin by setting one small goal for yourself at the beginning of each day. As you move forward with your recovery, look at the different areas of your life and think about your short and long term goals.

Short term goals might include:

• Be out of bed by xx:00 am.
• Finish one household chore.
• Call a DBSA support group.

Long term goals might include:

• Get training or experience for a job.
• Change a living situation, e.g., find an apartment
• Build a relationship with a friend or family member.

Remember break your goals down into small steps at first. Looking at a goal such as 'move to a new city' can be difficult to visualize and plan all at once. Ask yourself what you need to do first. What can you do now that will help you eventually reach this goal? Not only will this help move you closer to your goal, but it will also help give you a positive feeling of accomplishment.

What are some things I can do that might help me feel better?

Know the difference between your symptoms and your true self. Your HCPs can help you separate your true identity from your symptoms by helping you see how your illness affects your behavior. Be open about behaviors you want to change and set goals for making those changes.

Educate your family and involve them in treatment when possible. They can help you spot symptoms, track behaviors and gain perspective. They can also give encouraging feedback and help you make a plan to cope with any future crises.

Work on healthy lifestyle choices. Recovery is also about a healthy lifestyle, which includes regular sleep, healthy eating, and the avoidance of alcohol, drugs, and risky behavior.

Find the treatment that works for you. Talk to your HCP about your medications' effects on you, especially the side effects that bother you. Remember to chart these effects so that you can discuss them fully with your HCP. You might need to take a lower dosage, a higher dosage, or a different medication. You might need to switch your medication time from morning to evening or take medication on a full stomach. There are many options for you and your HCP to try. Side effects can be reduced or eliminated. It is very important to talk to your HCP first before you make any changes to your medication or schedule.

Talk with your HCP first if you feel like changing your dosage or stopping your medication. Explain what you want to change and why you think it will help you.

Treatments for Depression and Bipolar Disorder

Treatments that work can help you:

• Reach your goals.
• Build on the strengths you have and the things you can do.
• Plan your health care based on your needs.
• Live your life without the interference of symptoms.

Treatments can include some or all of these elements: therapy, medications, peer support, and overall lifestyle changes.

Medications for Depression and Bipolar Disorder

Your HCP might prescribe one or more medications to treat your symptoms. These may include:

■ Mood stabilizers: These medications help balance your highs and lows. Some mood stabilizer medications are called anticonvulsants, because they are also used to treat epilepsy.

■ Antidepressants: These medications help lift the symptoms of depression. There are several different classes (types) of antidepressants.

■ Antipsychotics: These medications are primarily used to treat symptoms of mania. Even if you are not hallucinating or having delusions, these medications can help slow racing thoughts to a manageable speed.

Talk Therapy

There are many types of talk therapy that can help you address issues in your life and learn new ways to cope with your illness. Goal setting is an important part of talk therapy. Talk therapy can also help you to:

• Understand your illness
• Overcome fears or insecurities
• Cope with stress
• Make sense of past traumatic experiences
• Separate your true personality from the mood swings caused by your illness
• Identify triggers that may worsen your symptoms
• Improve relationships with family and friends
• Establish a stable, dependable routine
• Develop a plan for coping with crises
• Understand why things bother you and what you can do about them
• End destructive habits such as drinking, using drugs, overspending or risky sex
• Address symptoms like changes in eating or sleeping habits, anger, anxiety, irritability or unpleasant feelings

Peer Support

Support from people who understand is another important part of recovery. There are many ways to get this support. DBSA offers a variety of ways to interact with your peers, such as support groups, discussion forums, and an interactive chat room.

• Find a support group
• DBSA's discussion board
• Interactive chat room

Lifestyle

A healthy lifestyle is always important. Even if symptoms of depression or bipolar disorder make things like physical activity, healthy eating or regular sleep difficult, you can improve your moods by improving your health. Take advantage of the good days you have. On these days, do something healthy for yourself. It might be as simple as taking a short walk, eating a fresh vegetable or fruit, or writing in a journal. A talk about lifestyle changes should be a part of your goal setting with your HCPs.

You have the power to change. You are the most important part of your wellness plan. Your treatment plan will be unique to you. It will follow some basic principles and paths, but you and your HCPs can adapt it to fit you. A healthy lifestyle and support from people who have been there can help you work with your HCP and find a way to real and lasting wellness.

Family and Friends' Guide to Recovery From Depression and Bipolar Disorder

When a friend or family member has an episode of depression or bipolar disorder (manic depression), you might be unsure about what you can do to help. You might wonder how you should treat the person. You may be hesitant to talk about the person’s illness, or feel guilty, angry, or confused. All of these things are normal.

There are ways you can help friends or family members throughout their recovery while empowering them to make their own choices.

The Five Stages of Recovery

It can be helpful to view recovery as a process with five stages. People go through these stages at different speeds. Recovery from an illness like depression or bipolar disorder, like the illness itself, has ups and downs. Friends and family who are supportive and dependable can make a big difference in a person’s ability to cope within each of these stages.

1. Handling the Impact of the Illness
Being overwhelmed and confused by the illness.

An episode of mania or depression, especially one that causes major problems with relationships, money, employment or other areas of life, can be devastating for everyone involved. A person who needs to be hospitalized may leave the hospital feeling confused, ashamed, overwhelmed, and unsure about what to do next.

What friends and family can do:

• Offer emotional support and understanding.
• Help with health care and other responsibilities.
• Offer to help them talk with or find health care providers.
• Keep brief notes of symptoms, treatment, progress, side effects and setbacks in a journal or personal calendar.
• Be patient and accepting.

Your loved one’s illness is not your fault or theirs. It is a real illness that can be successfully treated. Resist the urge to try to fix everything all at once. Be supportive, but know that your loved one is ultimately responsible for his or her own treatment and lifestyle choices.

2. Feeling Like Life is Limited
Believing life will never be the same.

At this stage, people take a hard look at the ways their illness has affected their lives. They may not believe their lives can ever change or improve. It is important that friends, families, and health care providers instill hope and rebuild a positive self-image.

What friends and family can do:

• Believe in the person’s ability to get well.
• Tell them they have the ability to get well with time and patience. Instill hope by focusing on their strengths.
• Work to separate the symptoms of the illness from the person’s true personality. Help the person rebuild a positive self-image.
• Recognize when your loved one is having symptoms and realize that communication may be more difficult during these times. Know that symptoms such as social withdrawal come from the illness and are probably not a reaction to you.
• Do your best not to rush, pressure, hover or nag.

A mood disorder affects a person’s attitude and beliefs. Hopelessness, lack of interest, anger, anxiety, and impatience can all be symptoms of the illness. Treatment helps people recognize and work to correct these types of distorted thoughts and feelings. Your support and acceptance are essential during this stage.

3. Realizing and Believing Change is Possible
Questioning the disabling power of the illness and believing life can be different.

Hope is a powerful motivator in recovery. Plans, goals, and belief in a better future can motivate people to work on day-to-day wellness. At this stage people begin to believe that life can be better and change is possible.

What friends and family can do:

• Empower your loved on to participate in wellness by taking small steps toward a healthier lifestyle. This may include:
  • Sticking with the same sleep and wake times
  • Consistently getting good nutrition
  • Doing some sort of physical activity or exercise
  • Avoiding alcohol and substances
  • Finding a DBSA support group
  • Keeping health care appointments and staying with treatment
• Offer reassurance that the future can and will be different and better. Remind them they have the power to change.
• Help them identify things they want to change and things they want to accomplish.

Symptoms of depression and bipolar disorder may cause a hopeless, “what’s the point?” attitude. This is also a symptom of the illness. With treatment, people can and will improve. To help loved ones move forward in recovery, help them identify negative things they are dissatisfied with and want to change, or positive things they would like to do. Help them work toward achieving these things.

4. Commitment to Change
Exploring possibilities and challenging the disabling power of the illness.

Depression and bipolar disorder are powerful illnesses, but they do not have to keep people from living fulfilling lives. At this stage, people experience a change in attitude. They become more aware of the possibilities in their lives and the choices that are open to them. They work to avoid feeling held back or defined by their illness. They actively work on the strategies they have identified to keep themselves well. It is helpful to focus on their strengths and the skills, resources and support they need.

What friends and family can do:

• Help people identify:
  • Things they enjoy or feel passionate about
  • Ways they can bring those things into their lives
  • Things they are dissatisfied with and want to change
  • Ways they can change those things
  • Skills, strengths and ideas that can help them reach their goals.
  • Resources that can help build additional skills
• Help them figure out what keeps them well.
• Encourage and support their efforts.

The key is to take small steps. Many small steps will add up to big positive changes. Find small ways for them to get involved in things they care about. These can be activities they enjoy, or things they want to change, in their own lives or in the world.

5. Actions for Change
Moving beyond the disabling power of the illness.

At this stage, people turn words into actions by taking steps toward their goals. For some people, this may mean seeking full-time, part-time or volunteer work, for others it may mean changing a living situation or working in mental health advocacy.

What friends and family can do:

• Help your friends or family members to use the strengths and skills they have.
• Keep their expectations reachable and realistic without holding them back.
• Help them find additional resources and supports to help them reach their goals step-by-step.
• Continue to support them as they set new goals and focus on life beyond their illness.
• Help them identify and overcome negative or defeatist thinking.
• Encourage them to take it easy on themselves and enjoy the journey.

People with depression or bipolar disorder have the power to create the lives they want for themselves. When they look beyond their illness, the possibilities are limitless.

What you can say that helps:

• You are not alone in this. I’m here for you.
• I understand you have a real illness and that’s what causes these thoughts and feelings.
• You many not believe it now, but the way you’re feeling will change.
• I may not be able to understand exactly how you feel but I care about you and want to help.
• When you want to give up, tell yourself you will hold of for just one more day, hour, minute - whatever you can manage.
• You are important to me. Your life is important to me.
• Tell me what I can do now to help you.
• I am here for you. We will get through this together.

Avoid saying:

• It’s all in your head.
• We all go through times like this.
• You’ll be fine. Stop worrying.
• Look on the bright side.
• You have so much to live for why do you want to die?
• I can’t do anything about your situation.
• Just snap out of it.
• Stop acting crazy.
• What’s wrong with you?
• Shouldn’t you be better by now?

What to find out:

Contact information (including emergency numbers) for your loved one’s doctor, therapist, and psychiatrist, your local hospital, and trusted friends and family members who can help in a crisis

Whether you have permission to discuss your love one’s treatment with his or her doctors, and if not, what you need to do to get that permission.

The treatments and medications your loved one is receiving, any special dosage instructions and any needed changes in diet or activity.

The most likely warning signs of a worsening manic or depressive episode (words and behaviors) and what you can do to help.

What kind of day-to-day help you can offer, such as doing housework or grocery shopping.

When talking with your love one’s health care providers, be patient, polite and assertive. Ask for clarification of things you do not understand. Write things down that you need to remember.

Helping and getting help

As a friend or family member you can provide the best support when you’re taking care of yourself. It helps to talk to people who know how it feels to be in your situation. Talk with understanding friends or relatives, look for therapy of your own, or find a DBSA support group.

DBSA support groups are run by people, families and friends affected by depression or bipolar disorder. They are safe, confidential, free meetings where people can learn more about depression, bipolar disorder, and how to live with the illnesses.

One father of a daughter with bipolar disorder says, “DBSA support groups help take a lot of stress out of your life. As a family member, you have to be as prepared as possible, and accept that things will still happen that you aren’t totally prepared for. DO all the research you can. Build a long list of dependable resources and support people, so when a situation arises, you know where to turn and how to take the next step. This really helped my family when we needed it.”

A mother of a son with depression says, “When you are in the middle of a situation, it’s hard to see what’s happening, but when you sit in a support group meeting across from someone who is going through the same things, it gives you perspective.”

page created: May 10, 2006

page updated: December 29, 2006

May God continue to enable us who suffer from mood disorders to equip ourselves with means to get better and be more functional.

May God also enable our loved ones and family to understand our condition and how best they can pray, encourage and help us to get better.

May God's presence with you and the assurance of your love gives you hope and courage to press on knowing that He is able to make a way for us where there seemed to be no way.

For more Mission 4 Monday posts, visit Peggy.

Thanks again for stopping by! Thanks for all your prayers and encouragements!

Take care and God bless :)

About depression, bipolar disorder (manic-depressive illness) and mental illness or mood disorders:
1. About bipolar disorder (manic-depressive illness)
2. Myths and Facts on Mental Illness
3. Treatment of bipolar disorder
4. Various pamphlets and articles on bipolar disorder for sufferer and carer

For friends and carers:
1. Helping someone with mood disorder
2. Family and Friends' Guide to Recovery from Depression and Bipolar Disorder
3. How Carers and Friends can help

Other recent related posts:

1. Trust during rough times
2. Finding meaning in a life with bipolar disorder
3. Mental illness (depression, bipolar disorder, etc) is an illness like any other
4. Video on "Depression - A Stubborn Darkness"

Trust in the Lord...He will make a way... And my First Give-away

Dear Friends,

Thank you for stopping by my Word-Filled Wednesday (WFW) and Thankful Thursday (TT) post and my First Give-away! I am combining these 2 in order to share the same picture and verse for WFW with my TT friends.

(I took this picture at a Flower Exhibition in Singapore)

Proverbs 3

5 Trust in the LORD with all thine heart; and lean not unto thine own understanding. 6 In all thy ways acknowledge him, and he shall direct thy paths.

♥ Thank God that through all the changing scenes in life, I can put my trust in God and He will guide and direct me in the paths He wants me to go.

♥ Thank God for His mercies and faithfulness that are new every morning!

♥ Thank God for always working His ways for me where there seemed to be no way.

Are you going through a tough time now and there seems no way out? Don't give up! Keep trusting in God. He will make a way for you where there seems to be no way. For with Him all things are possible (Matthew 19:26).

Hope this song "God will make a way" will encourage you to continue to trust in God to work a way for you.

God will make a way

God will make a way
Where there seems to be no way
He works in ways we cannot see
He will make a way for me
He will be my guide
Hold me closely to His side
With love and strength for each new day
He will make a way, He will make a way.

By a roadway in the wilderness, He'll lead me
And rivers in the desert will I see
Heaven and earth will fade
But His Word will still remain
He will do something new today.

God will make a way,
Where there seems to be no way
He works in ways we cannot see
He will make a way for me
He will be my guide
Hold me closely to His side
With love and strength for each new day
He will make a way, He will make a way

♥ I thank God for my family, church, friends and every one of you my blogging friends and visitors.

♥ I am thankful to God for the prayers and encouragements of so many of you! It is my joy and privilege to meet all of you through blogging! I am greatly blessed and encouraged by many of you. Thank you for your friendships!

♥ I am thankful to God that I can serve Him through this blog. It has been a great blessing for me to share my life and God's goodness to me, as well as some useful resources and articles with you. I have been greatly blessed by your posts and comments too.

It is my joy to announce my First Give-away!

My First Give-away!

As some of you probably know, I love photography and making bookmarks.

The following are 6 bookmarks that I will be giving away.

The photos that I used to make these bookmarks are taken by me, my friends and my brother. The pink (1st) and peach rose (2nd), and the green beach (6th) pictures are taken by me. The eagle (3rd) is taken by my friend CWFong, the sunrise (4th) is taken by my friend HS and the beautiful blue beach (5th) is taken by my brother at Muriwai Beach, New Zealand. Thank God for these friends and my brother who allowed me to use their pictures to make bookmarks.

I am also taking this opportunity to ask for feedback from you regarding my blog so that I can improve on it and make it more useful to you and other readers.

Click at the picture to see a bigger version of the bookmark.






































































If you are interested to own these 6 bookmarks, let me know your opinion on the following by leaving a comment here. You may answer in parts if you need to think about some of the answers :) and then come back and comment further :)

1) What do you like about this blog or how have you been helped by this blog?

2) What improvement would you like to see on this blog or what would you like to read here?

3) Which is your favorite Bible verse?

I will choose 5 best answers (or more) and each person will receive these 6 bookmarks or alternatively any 6 bookmarks from my website Homemade Bookmarks and Gifts.

Give-away begins today and ends next Tuesday. I will announce who are the 5 (or more) persons who will receive these 6 bookmarks next Wednesday.

I hope you will participate! I love to hear from you and to know how best I can improve on this blog.

Remember you may answer in parts if you need to think about some of the answers :) and then come back and comment further :) So you don't have to answer all the questions at one time if you need some time to think about the answers. And have fun :)

May God continue to bless you with His love and mercies, guide and lead you, and make a way for you in whatever you may go through today and every day :)

For more Word-Filled Wednesday participants, do visit Amy at The 160 Acre Woods. It will be a very blessed and encouraging experience for you.

For more participants of Thankful Thursday, do visit Iris at Sting My Heart.

Thank you for stopping by. Thanks for your encouragements. Hope you have a blessed day!

God will make a way when there seems no way

Thank God for the ways He can work His ways for me when there seemed to be no way.

Are you going through a tough time now and there seems no way out? Don't give up! Keep trusting in God. He will make a way for you when there seems to be no way. For with Him all things are possible.

Hope this song "God will make a way" will encourage you to continue to trust in God to work a way for you.

God will make a way

God will make a way
Where there seems to be no way
He works in ways we cannot see
He will make a way for me
He will be my guide
Hold me closely to His side
With love and strength for each new day
He will make a way, He will make a way.

By a roadway in the wilderness, He'll lead me
And rivers in the desert will I see
Heaven and earth will fade
But His Word will still remain
He will do something new today.

God will make a way,
Where there seems to be no way
He works in ways we cannot see
He will make a way for me
He will be my guide
Hold me closely to His side
With love and strength for each new day
He will make a way, He will make a way

May you God guide and lead you, and make a way for you in whatever you may go through today and every day :)

Thank you for stopping by. Thanks for your encouragements. Hope you have a blessed day!

Call unto me, and I will answer thee, and show thee great and mighty things, which thou knowest not. Jeremiah 33:3

Sign and symptoms of clinical depression and bipolar disorder (manic-depressive illness)

Dear Friends,

Thanks for stopping by this Mission 4 Monday post.

I am thankful to God that I can continue to serve Him through this blog.

One of the missions of my blog is to share with others God's goodness and mercies to me in managing clinical depression and bipolar disorder, as well as to share resources that will benefit a person with a mood disorder and information for their family and loved ones.

There is still a wide misunderstanding about depression in our society and even among Christians. Many still mistakenly think that all depression is due to a weakness in a person's character or a lack of faith in God. But in reality depression is complex (read more on The Complexity of Depression).

There is a form of depression which is clinical and due to changes in the brain or body in which a person is not able to think or function as per normal. There is also a form of mental illness or mood disorder in which a person alternate between 2 extreme mood swings ie mania and clinical depression.

What are the signs and symptoms of clinical depression or bipolar disorder (manic-depressive illness)?

How can one differentiate between spiritual depression and clinical depression or bipolar depression?

Clinical depression and bipolar depression are real medical conditions that can be treated. Different from the normal ups and downs that everyone goes through, the symptoms are severe.

The following is an excerpt taken from an article on the website of National Institute of Mental Health (NIMH). (NIMH said "NIMH publications are in the public domain and may be reproduced or copied without the permission from the National Institute of Mental Health (NIMH). NIMH encourages you to reproduce them and use them in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is appreciated.")

Introduction
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a person's mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide. But there is good news: bipolar disorder can be treated, and people with this illness can lead full and productive lives.

What Are the Symptoms of Bipolar Disorder?
Bipolar disorder causes dramatic mood swings—from overly "high" and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods of highs and lows are called episodes of mania and depression.

Signs and symptoms of mania (or a manic episode) include:
• Increased energy, activity, and restlessness
• Excessively "high," overly good, euphoric mood
• Extreme irritability
• Racing thoughts and talking very fast, jumping from one idea to another
• Distractibility, can't concentrate well
• Little sleep needed
• Unrealistic beliefs in one's abilities and powers
• Poor judgment
• Spending sprees
• A lasting period of behavior that is different from usual
• Increased sexual drive
• Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
• Provocative, intrusive, or aggressive behavior
• Denial that anything is wrong

A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present.

Signs and symptoms of depression (or a depressive episode) include:
• Lasting sad, anxious, or empty mood
• Feelings of hopelessness or pessimism
• Feelings of guilt, worthlessness, or helplessness
• Loss of interest or pleasure in activities once enjoyed, including sex
• Decreased energy, a feeling of fatigue or of being "slowed down"
• Difficulty concentrating, remembering, making decisions
• Restlessness or irritability
• Sleeping too much, or can't sleep
• Change in appetite and/or unintended weight loss or gain
• Chronic pain or other persistent bodily symptoms that are not caused by physical illness or injury
• Thoughts of death or suicide, or suicide attempts

A depressive episode is diagnosed if five or more of these symptoms last most of the day, nearly every day, for a period of 2 weeks or longer.

A mild to moderate level of mania is called hypomania. Hypomania may feel good to the person who experiences it and may even be associated with good functioning and enhanced productivity. Thus even when family and friends learn to recognize the mood swings as possible bipolar disorder, the person may deny that anything is wrong. Without proper treatment, however, hypomania can become severe mania in some people or can switch into depression.

Sometimes, severe episodes of mania or depression include symptoms of psychosis (or psychotic symptoms). Common psychotic symptoms are hallucinations (hearing, seeing, or otherwise sensing the presence of things not actually there) and delusions (false, strongly held beliefs not influenced by logical reasoning or explained by a person's usual cultural concepts). Psychotic symptoms in bipolar disorder tend to reflect the extreme mood state at the time. For example, delusions of grandiosity, such as believing one is the President or has special powers or wealth, may occur during mania; delusions of guilt or worthlessness, such as believing that one is ruined and penniless or has committed some terrible crime, may appear during depression. People with bipolar disorder who have these symptoms are sometimes incorrectly diagnosed as having schizophrenia, another severe mental illness. It may be helpful to think of the various mood states in bipolar disorder as a spectrum or continuous range. At one end is severe depression, above which is moderate depression and then mild low mood, which many people call "the blues" when it is short-lived but is termed "dysthymia" when it is chronic. Then there is normal or balanced mood, above which comes hypomania (mild to moderate mania), and then severe mania.

In some people, however, symptoms of mania and depression may occur together in what is called a mixed bipolar state. Symptoms of a mixed state often include agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking. A person may have a very sad, hopeless mood while at the same time feeling extremely energized. (read the full article)

(Note: This blog is for me to share my experiences and information I have found, or resources I have found useful. This is not a place for self-diagnosis. But if you recognize some of these signs and symptoms in yourself or your loved ones or friends, you/they may need medical attention, please consult the medical physician.)

I hope to share more from this article and other resources on the diagnosis and treatment of depression and bipolar disorder (manic-depressive illness).

If you are keen to read more, you can also read my previous posts:

About depression, bipolar disorder (manic-depressive illness) and mental illness or mood disorders:
1. About bipolar disorder (manic-depressive illness)
2. Myths and Facts on Mental Illness
3. Treatment of bipolar disorder
4. Various pamphlets and articles on bipolar disorder for sufferer and carer

For friends and carers:
1. Helping someone with mood disorder
2. Family and Friends' Guide to Recovery from Depression and Bipolar Disorder
3. How Carers and Friends can help

Other recent related posts:

1. Trust during rough times
2. Finding meaning in a life with bipolar disorder
3. Mental illness (depression, bipolar disorder, etc) is an illness like any other
4. Video on "Depression - A Stubborn Darkness"

For more Mission 4 Monday posts, visit Peggy.

Thanks again for stopping by! Thanks for all your prayers and encouragements!

Take care and God bless :)

Praise ye the Lord for it is good (Scottish Metrical Psalms - Psalm 147)

Dear Friends,

Thanks for stopping by my Fearfully Fabulous Friday and Then Sing My Souls Saturday.

For Fearfully Fabulous Friday I am sharing this wonderful verses from Psalm 147 and a very encouraging commentary from Matthew Henry on these verses:

Psalm 147:1-11

1 Praise ye the LORD: for it is good to sing praises unto our God; for it is pleasant; and praise is comely.
2 The LORD doth build up Jerusalem: he gathereth together the outcasts of Israel.
3 He healeth the broken in heart, and bindeth up their wounds.
4 He telleth the number of the stars; he calleth them all by their names.
5 Great is our Lord, and of great power: his understanding is infinite.
6 The LORD lifteth up the meek: he casteth the wicked down to the ground.
7 Sing unto the LORD with thanksgiving; sing praise upon the harp unto our God:
8 Who covereth the heaven with clouds, who prepareth rain for the earth, who maketh grass to grow upon the mountains.
9 He giveth to the beast his food, and to the young ravens which cry.
10 He delighteth not in the strength of the horse: he taketh not pleasure in the legs of a man.
11 The LORD taketh pleasure in them that fear him, in those that hope in his mercy.

The following is an excerpt taken from Matthew Henry's Commentary:

Psalm 147:1-11

Here,

I. The duty of praise is recommended to us.

II. God is recommended to us as the proper object of our most exalted and enlarged praises, upon several accounts.

1. The care he takes of his chosen people, Psalm 147:2. The Lord builds up Jerusalem. The gospel-church, the Jerusalem that is from above, is of this building (the church and all who truly trusted in the Lord Jesus Christ is the spiritual Jerusalem). He founded it by the preaching of his gospel; he adds to it daily such as shall be saved, and so increases it. He gathers His people by giving them repentance and bringing them again into the communion of saints.

2. The comforts he has laid up for true penitents, Psalm 147:3. They are broken in heart, and wounded, humbled, and troubled, for sin, inwardly pained at the remembrance of it, as a man is that is sorely wounded. Their very hearts are not only pricked, but rent, under the sense of the dishonour they have done to God and the injury they have done to themselves by sin. To those whom God heals with the consolations of his Spirit he speaks peace, assures them that their sins are pardoned and that he is reconciled to them, and so makes them easy, pours the balm of Gilead into the bleeding wounds, and then binds them up, and makes them to rejoice.

3. The sovereign dominion he has over the lights of heaven, Psalm 147:4, Psalm 147:5. The stars are innumerable, many of them being scarcely discernible with the naked eye, and yet he counts them, and knows the exact number of them, for they are all the work of his hands and the instruments of his providence.

4. The pleasure he takes in humbling the proud and exalting those of low degree (Psalm 147:6): The Lord lifts up the meek, who abase themselves before him, and whom men trample on; but the wicked, who conduct themselves insolently towards God and scornfully towards all mankind, who lift up themselves in pride and folly, he casteth down to the ground, sometimes by very humbling providences in this world, at furthest in the day when their faces shall be filled with everlasting shame.

5. The provision he makes for the inferior creatures. Though he is so great as to command the stars, he is so good as not to forget even the fowls, Psalm 147:8, Psalm 147:9. Observe in what method he feeds man and beast.

(1.) He covereth the heaven with clouds, which darken the air and intercept the beams of the sun, and yet in them he prepareth that rain for the earth which is necessary to its fruitfulness. Clouds look melancholy, and yet without them we could have no rain and consequently no fruit. Thus afflictions, for the present, look black, and dark, and unpleasant, and we are in heaviness because of them, as sometimes when the sky is overcast it makes us dull; but they are necessary, for from these clouds of affliction come those showers that make the harvest to yield the peaceable fruits of righteousness (Hebrew 12:11), which should help to reconcile us to them. Observe the necessary dependence which the earth has upon the heavens, which directs us on earth to depend on God in heaven. All the rain with which the earth is watered is of God's preparing.

(2.) By the rain which distils on the earth he makes grass to grow upon the mountains, even the high mountains, which man neither takes care of nor reaps the benefit of. The mountains, which are not watered with the springs and rivers, as the valleys are, are yet watered so that they are not barren.

(3.) This grass he gives to the beast for his food, the beast of the mountains which runs wild, which man makes no provision for. And even the young ravens, which, being forsaken by their old ones, cry, are heard by him, and ways are found to feed them, so that they are kept from perishing in the nest.

6. The complacency he takes in his people, Psalm 147:10, Psalm 147:11. In times when great things are doing, and there are great expectations of the success of them, it concerns us to know (since the issue proceeds from the Lord) whom, and what, God will delight to honour and crown with victory. It is not the strength of armies, but the strength of grace, that God is pleased to own.

(1.) Not the strength of armies - not in the cavalry, for he delighteth not in the strength of the horse, the war-horse, noted for his courage (Job 39:19,. etc.) - nor in the infantry, for he taketh no pleasure in the legs of a man; he does not mean the swiftness of them for flight, to quit the field, but the steadiness of them for charging, to stand the ground.

But, (2.) God is pleased to own the strength of grace. A serious and suitable regard to God is that which is, in the sight of God, of great price in such a case. The Lord accepts and takes pleasure in those that fear him and that hope in his mercy.

Observe, [1.] A holy fear of God and hope in God not only may consist, but must concur. In the same heart, at the same time, there must be both a reverence of his majesty and a complacency in his goodness, both a believing dread of his wrath and a believing expectation of his favour; not that we must hang in suspense between hope and fear, but we must act under the gracious influences of hope and fear. Our fear must save our hope from swelling into presumption, and our hope must save our fear from sinking into despair; thus must we take our work before us.

[2.] We must hope in God's mercy, his general mercy, even when we cannot find a particular promise to stay ourselves upon. A humble confidence in the goodness of God's nature is very pleasing to him, as that which turns to the glory of that attribute in which he most glories. Every man of honour loves to be trusted.

Thank and praise God that He has called us to Himself and place us in the church which is the body of Christ that we can worship Him, grow in Him and enjoy His love through the fellowship of His people. As we converse one with another and recount God's goodness and mercies to us, we shall find many reasons to praise the Lord!

God heals us when sin broke us by sending His only begotten Son, our Lord Jesus Christ to die for us on the cross and wash away all our sins. He reconciled us to Himself and bless us with every spiritual blessings and provide also for our temporal needs. Though in this life, we have our portions of ups and downs, being sinners saved by grace and still living in a fallen and imperfect world, God is showering His love and mercies to us daily that we may know His love and know that He is working all things for our good (Romans 8:28).

Thus afflictions, for the present, look black, and dark, and unpleasant, and we are in heaviness because of them, as sometimes when the sky is overcast it makes us dull; but they are necessary, for from these clouds of affliction come those showers that make the harvest to yield the peaceable fruits of righteousness (Hebrew 12:11), which should help to reconcile us to them.

For which cause we faint not; but though our outward man perish, yet the inward man is renewed day by day. For our light affliction, which is but for a moment, worketh for us a far more exceeding and eternal weight of glory; While we look not at the things which are seen, but at the things which are not seen: for the things which are seen are temporal; but the things which are not seen are eternal.
2 Corinthians 4:16-18

For Then Sing My Souls Saturday I am sharing this video on Psalm 147:1-11 posted on Youtube:

Psalm 147:1-11

1 Praise ye the Lord; for it is good
praise to our God to sing:
For it is pleasant, and to praise
it is a comely thing.

2 God doth build up Jerusalem;
and he it is alone
That the dispersed of Israel
doth gather into one.

3 Those that are broken in their heart,
and grievèd in their minds,
He healeth, and their painful wounds
he tenderly up-binds.

4 He counts the number of the stars;
he names them ev'ry one.
5 Great is our Lord, and of great pow'r;
his wisdom search can none.

6 The Lord lifts up the meek; and casts
the wicked to the ground.
7 Sing to the Lord, and give him thanks;
on harp his praises sound;

8 Who covereth the heav'n with clouds,
who for the earth below
Prepareth rain, who maketh grass
upon the mountains grow.

9 He gives the beast his food, he feeds
the ravens young that cry.
10 His pleasure not in horses' strength,
nor in man's legs, doth lie.

11 But in all those that do him fear
the Lord doth pleasure take;
In those that to his mercy do
by hope themselves betake.

May God enable us to sing praises unto Him daily as we remember and experience His goodness and mercies.

Thanks for stopping by. Hope you have a blessed weekend!

For more participants of Fearfully Fabulous Friday, do visit Jill.

For more participants of Then Sing My Souls Saturday, do visit Amy Wyatt.