How to cope with the hypomanic or manic phase of bipolar disorder (hypomania or mania)?

Dear Friends, Thanks for stopping by! Trust you have had a blessed and wonderful weekend. Thank God for the beginning of a new week to walk with Him and serve Him. Recently, I received an email from one of the readers of my blog. She noticed that I don't touch much on the manic state of Bipolar Disorder and on how I am learning to cope with manic state. I have written much on the Depression phase of bipolar disorder and been sharing about how to identify the signs and symptoms, and what are the coping strategies that I have been learning to use to help me to be more functional besides medical help and looking to God. I have found some helpful articles on the internet on bipolar disorder and the mania / hypomania phase. 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. What is mania? What are the signs and symptoms?

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.

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.

Descriptions offered by people with bipolar disorder give valuable insights into the various mood states associated with the illness:

Hypomania: At first when I'm high, it's tremendous… ideas are fast… like shooting stars you follow until brighter ones appear…. All shyness disappears, the right words and gestures are suddenly there… uninteresting people, things become intensely interesting. Sensuality is pervasive, the desire to seduce and be seduced is irresistible. Your marrow is infused with unbelievable feelings of ease, power, well-being, omnipotence, euphoria… you can do anything… but, somewhere this changes.

Mania: The fast ideas become too fast and there are far too many… overwhelming confusion replaces clarity… you stop keeping up with it—memory goes. Infectious humor ceases to amuse. Your friends become frightened…. everything is now against the grain… you are irritable, angry, frightened, uncontrollable, and trapped.

This is taken from an article from 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."

Read more here.

Another helpful website listed Some ways on How to cope with Hypomania:

1. Get enough sleep. Patients experiencing a hypomanic episode often feel a decreased need for sleep. This is an important warning sign of the condition and stabilization is key. Try your best to return your sleep patterns to normal. If you are unable to sleep, contact a doctor or mental health specialist.

2. Refrain from making important decisions despite the impulsive urge. Wait until you feel normal before rushing into any action you may regret later. Maintaining awareness of your character and patterns are important.

3. Refrain from excess caffeine, sugar and alcohol because they are stimulants and may keep you from getting the rest you need.

4. Engage in calming activities and refrain from over-stimulating environments.

5. Identify members of your personal support system, such as family members, friends and loved ones, and reach out to them as necessary.

6. Contact your local medical and/or mental health provider for ongoing help.

7. Call 911 immediately for assistance if you are thinking about suicide

Read more here.

Actually, for me personally, my depression episodes have been more severe, prominent and paralysing, and I have been learning intensively how to manage it besides medication and looking to God. So I was able to write and share what I am learning along the way and what are my coping strategies thus far. As for manic, whenever I am well, I am a little hypomanic but I don't really get very manic. I am still learning to identify when I am hypomanic and what are the things I do when I am hypomanic. So I don't really have much to share yet and that is why I have not written about it on my blog. My hypomania is partly controlled by medication. I am taking an anti-psychotic (Seroquel 25mg) every evening which helps to slow me down and sleep through the night. My psychiatrist is training me to identify my hypomanic phase. Keeping a Mood Chart is one of the way to track and see how my mood fluctuates and what may have caused it. I try to chart down my mood for each day, whether it is depression, normal or hypomanic. This way, I can kind of identify the triggering factors and try to work on resolving it from getting worst or do what can be helpful to get better. Recently, I have been learning to identify that one of my hypomanic behaviour is I tend to write long emails to many people, or make many gifts or buy many gifts for many people when I am hypomanic. I tend also to take on many projects and have many ideas on what to do. These often lead to over-exhaustion, burn out and eventually depression. So now I am learning to cut down on these whenever I notice it. That's if I notice it :) I am learning to let go and set my priority on choosing what I need to do now and what can wait. Thank God also for some friends around me who constantly remind me to slow down when they sense that I am doing more than I ought to do. Do you know of any other strategies that is helpful in managing mania or hypomania? Do feel free to share with me and my readers.

Thank you once again for stopping by. Take care and have a blessed week!

God is our refuge and strength

Dear Friends,

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

Thank God for strengthening me. I am feeling better but still trying to pace myself moderately. I do missed all of you very much. Thanks for all your encouragements.

This morning, I was reading CH Spurgeon's Morning and Evening as part of my morning devotion, and very much encouraged by it.

Thank God that He is our refuge and strength, and we may rest in Him daily no matter what we may go through in this world. He is unchangeable!

May God encourage you with this article and you may find rest in Him daily too.

Take care and have a great weekend!

“Thou hast made the Lord, which is my refuge, even the Most High, thy habitation.”
Psalm 91:9

THE Israelites in the wilderness were continually exposed to change.

Whenever the pillar stayed its motion, the tents were pitched; but to-morrow, ere the morning sun had risen, the trumpet sounded, the ark was in motion, and the fiery, cloudy pillar was leading the way through the narrow defiles of the mountain, up the hillside, or along the arid waste of the wilderness.

They had scarcely time to rest a little before they heard the sound of “Away! this is not your rest; you must still be onward journeying towards Canaan!” They were never long in one place. Even wells and palm trees could not detain them. Yet they had an abiding home in their God, His cloudy pillar was their roof-tree, and its flame by night their household fire.

They must go onward from place to place, continually changing, never having time to settle, and to say, “Now we are secure; in this place we shall dwell.” “Yet,” says Moses, “though we are always changing, Lord, thou hast been our dwelling-place throughout all generations.”

The Christian knows no change with regard to God. He may be rich to-day and poor to-morrow; he may be sickly to-day and well to-morrow; he may be in happiness to-day, to-morrow he may be distressed—but there is no change with regard to his relationship to God.

If He loved me yesterday, He loves me to-day. My unmoving mansion of rest is my blessed Lord.

Let prospects be blighted; let hopes be blasted; let joy be withered; let mildews destroy everything; I have lost nothing of what I have in God. He is “my strong habitation whereunto I can continually resort.”

I am a pilgrim in the world, but at home in my God. In the earth I wander, but in God I dwell in a quiet habitation.

Taken from CH Spurgeon's Morning and Evening, 27 Feb, Morning

(My brother took this photo at Muriwai Beach, New Zealand)

In loving memory of my beloved friend

My beloved friend and sister-in-Christ, Madam Chan, born AD 1916, returned to be with Christ Jesus her Lord on 6 February 2009, AD at the age of 93.

"For I know that my redeemer liveth, and that he shall stand at the latter day upon the earth: And though after my skin worms destroy this body, yet in my flesh shall I see God:" Job 19:25-26

Dear Friends,

Thanks for stopping by my combined Word-Filled Wednesday and Thankful Thursday.

Thanks for your comments, prayers and encouragements.

Sorry for my long silence. Sorry that I have not been able to visit most of you.

My health has not been good in the recent weeks and I was rather overwhelmed by various commitments at home and in church. I am compelled to slow down and rest whenever I can.

I do miss blogging and many of you. Thanks for stopping by. I will try my best to catch up with you as soon as I can!

I am thankful to God for giving me grace and strength daily.

I am thankful to God that my beloved friend and sister-in-Christ, Madam Chan, is now safe in the arm of Jesus. Our dear Lord called home this precious servant of His on Friday, 6 February 2009. Now she is in the presence of the One Who loved her and gave His life for her, to worship Him and enjoy His love and fellowship for all eternity without the hindrance of sin, sickness or sufferings.

I shared about a wonderful reunion with her recently after 10 years interval. Madam Chan is 93 years old and came to know the Lord more than 10 years ago and I was then given the privilege to minister to her. Thank God that she was baptised recently on 7 December 2008.

On the day of her baptism, she said that was the happiest day of her life. She was thrilled and overjoyed to become a part of the Church of Christ. She daily began to pray for her brothers and sisters-in-Christ in the church many of whom she has never met. Being bed-ridden due to her health, she was never able to go to church. But her love for the Lord and His people remain the same.

It is a comfort to be reminded that this is not our home. We too are pilgrims here sojourning for a season and travelling towards the celestial city. One day, we shall be with our Lord Who loved us and gave His life for us, to worship and enjoy His love and fellowship without hindrance.

Meanwhile, we must press on and run the race that is set before us, looking unto Jesus, the Author and Finisher of our faith, seeking, loving and serving our Lord until He calls us home in His time.

Thanks again for stopping by. May God grant you a very blessed week. Take care.

or more Word-Filled Wednesday participants, do visit Amy.

For more participants of Thankful Thursday, do visit Iris.

Before they call, I will answer (Isaiah 65:24)

(I took this picture near my house during a brisk-walk session)

Dear Friends,

A very blessed and joyous new year to you!

Thanks for stopping by my combined Word-Filled Wednesday and Thankful Thursday post. This post was originally posted on Monday.

♥ Thank God for seeing us through another year of walking with Him and serving Him. May God grant us a closer walk with Him and a deeper love and devotion to Him.

♥ Thank God for granting me a very refreshing and fruitful weekend and Lord's day of worship, fellowship and service. Trust you too have had a very blessed and restful weekend!

♥ Thank God for preserving and restoring the health of Madam Chan. I shared about a wonderful reunion with her recently after 10 years interval. Madam Chan is 92 years old and came to know the Lord more than 10 years ago and I was then given the privilege to minister to her. Thank God that she was baptised recently on 7 December 2008.

Madam Chan was very sick last week and I thought the Lord might take her home. Thank God for restoring her health and she is better now. She is continuing to trust in the Lord and waiting upon Him to call her home to Himself. She is full of thanfkulness to our Lord despite her bodily afflictions. She is a wonderful encouragement to me and my brethren.

♥ Thank God for providing my family, church brethren and blogging friends who continue to care and encourage me in many ways.

♥ Thank God He knows our every need and will provide for us. A friend and brother-in-Christ send me this very very encouraging story of God knowing our needs and providing for us even before we ask Him. May this encouraging story encourages our heart in this new year as we walk with our Lord Jesus Christ and serve Him, trusting in His love and mercies that He will provide for all our needs spiritually and physically.

Isaiah 65:24 "Before they call, I will answer"

This story was written by a doctor who worked in South Africa

One night I had worked hard to help a mother in the labor ward; but in spite of all we could do, she died leaving us with a tiny premature baby and a crying two-year-old daughter. We would have difficulty keeping the baby alive, as we had no incubator (we had no electricity to run an incubator).

We also had no special feeding facilities. Although we lived on the equator, nights were often chilly with treacherous drafts. One student midwife went for the box we had for such babies and the cotton wool that the baby would be wrapped in.

Another went to stoke up the fire and fill a hot water bottle. She came back shortly in distress to tell me that in filling the bottle, it had burst (rubber perishes easily in tropical climates). "And it is our last hot water bottle!" she exclaimed. As in the West, it is no good crying over spilled milk so in Central Africa it might be considered no good crying over burst water bottles They do not grow on trees, and there are no drugstores down forest pathways.

"All right," I said, "put the baby as near the fire as you safely can, and sleep between the baby and the door to keep it free from drafts. Your job is to keep the baby warm."

The following noon, as I did most days, I went to have prayers with any of the orphanage children who chose to gather with me. I gave the youngsters various suggestions of things to pray about and told them about the tiny baby. I explained our problem about keeping the baby warm enough, mentioning the hot water bottle, and that the baby could so easily die if it got chills. I also told them of the two-year-old sister, crying because her mother had died

During prayer time, one ten-year old girl, Ruth, prayed with the usual blunt conciseness of our African children. "Please, God" she prayed, "send us a water bottle. It'll be no good tomorrow, God, as the baby will be dead, so please send it this afternoon."

While I gasped inwardly at the audacity of the prayer, she added, "And while You are about it, would You please send a dolly for the little girl so she'll know You really love her?"

As often with children's prayers, I was put on the spot. Could I honestly say,"Amen". I just did not believe that God could do this. Oh, yes, I know that He can do everything, the Bible says so. But there are limits, aren't there? The only way God could answer this particular prayer would be by sending me a parcel from homeland. I had been in Africa for almost four years at that time, and I had never, ever received a parcel from home. Anyway, if anyone did send me a parcel, who would put in a hot water bottle? I lived on the equator!

Halfway through the afternoon, while I was teaching in the nurses' training school, a message was sent that there was a car at my front door.

By the time I reached home, the car had gone, but there, on the veranda, was a large twenty-two pound parcel. I felt tears pricking my eyes. I could not open the parcel alone, so I sent for the orphanage children.

Together we pulled off the string, carefully undoing each knot. We folded the paper, taking care not to tear it unduly. Excitement was mounting. Some thirty or forty pairs of eyes were focused on the large cardboard box. From the top, I lifted out brightly colored, knitted jerseys. Eyes sparkled as I gave them out. Then there were the knitted bandages for the leprosy patients, and the children looked a little bored. Then came a box of mixed raisins and sultanas - that would make a batch of buns for the weekend Then, as I put my hand in again, I felt the.....could it really be? I grasped it and pulled it out - yes, a brand-new, rubber hot water bottle. I cried. I had not asked God to send it; I had not truly believed that He could. Ruth was in the front row of the children. She rushed forward, crying out, "If God has sent the bottle, He must have sent the dolly too!"

Rummaging down to the bottom of the box, she pulled out the small, beautifully dressed dolly. Her eyes shone! She had never doubted!

Looking up at me, she asked: "Can I go over with you and give this dolly to that little girl, so she'll know that Jesus really loves her?"

That parcel had been on the way for five whole months. Packed up by my former Sunday school class, whose leader had heard and obeyed God's prompting to send a hot water bottle, even to the equator. And one of the girls had put in a dolly for an African child - five months before, in answer to the believing prayer of a ten-year-old to bring it "that afternoon."

"Before they call, I will answer" (Isaiah 65:24)

(My friend, AR, took this picture at Changi Airport, Singapore)

Thanks for stopping by. Take care and have a great week ahead!

For more Word-Filled Wednesday participants, do visit Amy.

For more participants of Thankful Thursday, do visit Iris.

Where the will of God leads us, the grace of God will keep us

“We will be glad and rejoice in Thee. Song of Solomon 1:4”

Dear Friends,

Thanks for stopping by.

A very blessed and joyous New Year to you!

Thank God for seeing us through another week and another year.

♥ I thank God for His mercies and faithfulness through another year of walking with Him and serving Him.

♥ I thank God for providing for my every need through the year. It's been more than a year since I do freelance work due to my health limitations. I am thankful to testify that God has provided for my every need in His many wonderful ways. Truly, the Lord is my Shepherd and I shall not want (lack) - Psalm 23:1.

♥ I am thankful to God for providing precious people in my life ie. my family, church, friends and blogging friends who love and care for me in their very wonderful ways. These are tokens of God's love for me and I treasure very much.

♥ It's been almost a year since I started blogging. I am very thankful to God for the many blessings I have received through blogging.
- I am thankful that I can share and testify of God's goodness and mercies to me through this blog
- I am thankful to God that I can share the resources I have found useful in coping with bipolar disorder (manic-depressive illness) with my readers on this blog
- I am thankful to God once again for all of you, my dear blogging friends and visitors. I have been so greatly blessed by all of you and I thank God upon every remembrance of you. It is wonderful to read of how God is guiding and blessing you in your walk with our Lord and it encourages me in my walk with God too. Thanks again for your prayers and encouragements.


♥ Thank God for the joy of knowing Him, trusting Him and serving Him. May these words of CH Spurgeon be our hearts prayer too:

"Since, O sweet Lord Jesus, Thou art the present portion of Thy people, favor us this year with such a sense of Thy preciousness, that from its first to its last day, we may be glad and rejoice in Thee.

Let January open with joy in the Lord, and December close with gladness in Jesus."

May God continue to bless you with His love, mercies and blessings in many wonderful ways in this New Year.

May you continue to know His love and all-sufficient grace through this year.

May the assurance of God's love and mercies strengthen our heart to continue to walk with Him and serve Him despite whatever uncertainties or turmoil we see in the world today or in future. For we are assured that we are More Than Conquerors through Him Who loved us!

Where the will of God lead you, the grace of God will keep you.

"I have been young, and now am old;
yet have I not seen the righteous forsaken,
nor his seed begging bread."
Psalm 37:25

For more participants of Thankful Thursday, do visit Iris.