Boyfriend called me bipolar


What Dating with Bipolar Really Feels Like

Bipolar DisorderLiving with Bipolar Disorder

When you're dating with bipolar you have a whole other challenge on your hands. Here's what I've learned from my experience jumping into the dating world

Hannah Blum

Dating during your twenties is an experience in itself, but when you live with a severely stigmatized condition like bipolar disorder, dating can really be a challenge. As a 28-year-old mental health advocate who is publicly open about her life with bipolar II disorder, I have often experienced stigma in my dating life. Bipolar disorder is a part of me, and I am not ashamed of my condition, in fact, it is the opposite, I embrace it.

However, dating—when you live with a mental health condition—can be complicated: When should you tell your date about your diagnosis? Should you even tell them at all? Will they think of you differently once they know? You have self-doubt, you question yourself, and mainly you assume you are the underdog in romantic relationships. When I accepted my diagnosis and life with bipolar disorder, I finally found my confident self, but I had to overcome some obstacles to get there.

I was in a toxic relationship where I was gaslighted by my boyfriend: he manipulated me into questioning my own sanity. He turned out to be a miserable person all around. We started dating around three years after my diagnosis—when I was just starting to publish my blog and open up about my struggle with mental health.

Slowly he began to use my diagnosis of bipolar against me. In his mind, everything I said or did was a result of my mood disorder. When I suspected him of cheating, he made me feel as though bipolar prompted delusional ways of thinking. I questioned myself and my sanity, which was the wrong thing to do. But it was not long before concrete evidence of him cheating on me surfaced.

Rejected Because of Bipolar

After our breakup, it took me almost a year to feel like I could start dating again. When I finally got back into the dating world, I was very skeptical of people. I went into dates automatically on the defense. My guard was up and still is today. Past experiences with dating also include people asking about my diagnosis of bipolar disorder. On some dates, I have felt more like a therapist or consultant than a woman being courted. I have had men reject me based on my openness about bipolar disorder and tell me they don't feel comfortable dating someone with "those types of issues." There have been many dates where stigma plays a role, but I pay no attention to it anymore. These experiences have only made me stronger and more confident.

What I Know Now

Bipolar disorder does the dirty work for me and filters out individuals who tiptoe through life. The fact is, we all have issues, whether you live with bipolar disorder or not. And if someone won't give you a chance because of a label, consider yourself lucky. Today I approach dating with one purpose— to have fun. Dating experiences can teach you a lot about yourself. In an attempt to mask my vulnerability, I have found that I can be a bit harsh and overly confident in some situations.

Living with bipolar disorder gives you a very different perspective on the world around you. You look for meaning and depth in everything. We behave based on what we feel, not necessarily what we know is right or wrong. Sometimes this can lead us to be irresponsible and careless, but if handled properly, can actually be a gift to another person.

In my opinion, everyone benefits from getting to know someone who is unlike them. I believe individuals with bipolar or any mental health condition add depth and understanding to a person's life. We live in a society right now that lacks empathy and is void of emotion. The most empathetic people I know live with bipolar disorder, depression or anxiety.

My dating experiences have opened me up to individuals who are very different from me as well. I have learned a lot from men I've been romantically involved with—including the ones who have treated me poorly. It is important for people to remember that challenges are inevitable in romantic relationships regardless of if your partner has a mental health condition or not.

My advice to those who live with bipolar disorder and ready to enter the dating world is to make sure you are confident in yourself. Do not assume you are the underdog because you live with a mental health condition. Self-love and self-acceptance are so important when it comes to dating with bipolar disorder.

I never used to be a big fan of self-help books, but two books that have really helped me gain confidence are: "You Are a Badass: How To Stop Doubting Your Greatness And Start Living An Awesome Life" by Jen Sincero, and "The Subtle Art Of Not Giving A F*ck" by Mark Manson. Give them a read for yourself and see how you can incorporate self-love into your life.

When you're first getting to know someone I'd suggest letting the person get to know your character before opening up about your condition. It is not necessary for you to reveal your diagnosis up front. Wait until you feel comfortable, and believe that the other person deserves to hear about that part of your life. Know that you are a capable and unique individual who has something special to add to another person's life. Remind yourself of that on a daily basis, and go into dating feeling proud of your differences.

Notes: This article was originally published March 21, 2018 and most recently updated October 25, 2021.

Hannah Blum

Hannah Blum is a writer, mental health advocate, and guest contributor for PsyCom. Hannah writes about her journey as a young adult living with bipolar II disorder on her blog, Halfway2Hannah, to encourage others to join the mental health movement and learn to embrace their differences both mind or body. She is also author of the book The Truth About Broken: The Unfixed Version of Self-Love.

What are the signs and symptoms of bipolar disorder?

What is the treatment for mania, hypomania and depression?

You can check what treatment and care is recommended for bipolar disorders on the National Institute for Health and Care Excellence (NICE) website.

NICE produce guidelines for how health professionals should treat certain conditions. You can download these from their website at:
www.nice.org.uk.

The NHS doesn’t have to follow these recommendations. But they should have a good reason for not following them.

What medications are recommended?

Mood stabilisers are usually used to manage mania, hypomania and depressive symptoms.

The mood stabilisers we talk about in this factsheet are:

  • Lithium
  • Certain antipsychotic medication
  • Certain anticonvulsive medication
  • Certain benzodiazepine medication

Mania and hypomania
You should be offered a mood stabiliser to help manage your mania or hypomania. Your doctor may refer to your medication as ‘antimanic’ medication.

If you are taking antidepressants your doctor may advise you to withdraw from taking them.

You will usually be offered an antipsychotic first. The common antipsychotics used for the treatment of bipolar disorder are:

  • Haloperidol
  • Olanzapine
  • Quetiapine
  • Risperidone

If the first antipsychotic you are given doesn’t work, then you should be offered a different antipsychotic medication from the list above.

If a different antipsychotic doesn’t work, then you may be offered lithium to take alongside it. If the lithium doesn’t work you may be offered sodium valproate to take with an antipsychotic. Sodium valproate is an anticonvulsive medication.

Sodium Valproate shouldn’t be given to girls or young women who might want to get pregnant.

Your doctor should think about giving you benzodiazepine medication short term.

Your doctor will suggest different dosages and combinations to you depending on what works best for you. Your personal preferences should be listened to.

Depression
Your doctor should offer you medication to treat depressive symptoms. You may be offered the following medication:

  • Fluoxetine with Olanzapine
  • Quetiapine
  • Olanzapine or
  • Lamotrigine

Fluoxetine is an antidepressant. Lamotrigine is an anticonvulsant medication.

Your doctor can prescribe the above medication alongside:

  • Lithium, and
  • Sodium valproate.

If you would like to take medication, doctors will use different dosages and combinations depending on what works best for you. Your personal preferences should be listened to.

You can find more information about:

  • Mood stabilisers by clicking here.
  • Antipsychotics by clicking here.
  • Antidepressants by clicking here.
  • Benzodiazepines by clicking here.
  • Medication – choice and managing problems by clicking here.
What psychological treatments are recommended?

If you have an episode of depression you should be offered medication and a high intensity talking therapy, such as:

  • cognitive behavioural therapy (CBT), or
  • interpersonal therapy.

What is cognitive behavioural therapy (CBT)?
CBT is a talking therapy that can help you manage your problems by changing the way you think and behave.

What is interpersonal therapy?
Interpersonal therapy is a talking therapy that focuses on you and your relationships with other people.

You can find more information about ‘Talking therapies’ by clicking here.

What are the long-term treatments for bipolar disorder?

Bipolar disorder is a life-long and often recurring illness. You may need long term support to help manage your condition.

What medication options are there?

Your doctor will look at what medication worked for you during episodes of mania or depression. They should ask you whether you want to continue this treatment or if you want to change to lithium.

Lithium usually works better than other types of medication for long-term treatment. Your doctor should give you information about how to take lithium safely. If lithium doesn't work well enough or causes you problems, you may be offered:

  • Valproate,
  • Olanzapine, or
  • Quetiapine.

Your doctor should monitor your health. Physical health checks should be done at least once a year. These checks will include:

  • measuring your weight,
  • blood and urine tests,
  • checking your liver and heart, and
  • checking your pulse and blood pressure.
What psychological treatments are recommended?

You should be offered a psychological therapy that is specially designed for bipolar disorder. You could have individual or group therapy.

The aim of your therapy is to stop you from becoming unwell again. This is known as ‘relapse.’ Your therapy should help you to:

  • understand your condition,
  • think about the effect that your thoughts and behaviour have on your mood,
  • monitor your mood, thoughts and behaviour,
  • think about risk and distress,
  • make plans to stay well,
  • make plans to follow if you start to become unwell,
  • be aware of how you communicate, and
  • manage difficulties you may have in day to day life.

If you live with your family or are in close contact with them, you should also be offered ‘family intervention.’

Family intervention is where you and your family work with mental health professionals to help to manage relationships. This should be offered to people who you live with or who you are in close contact with.

The support that you and your family are given will depend on what problems there are and what preferences you all have. This could be group family sessions or individual sessions. Your family should get support for 3 months to 1 year and should have at least 10 planned sessions.

Is there any other support?

Your mental health team should give you advice about exercise and healthy eating.

If you want to return to work, you should be offered support with that including training. You should get this support if your care is managed by your GP or by your community mental health team.

You might not be able to work or to find any. Your healthcare professionals should think about other activities that could help you back to employment in the future.

Your healthcare team should help you to make a recovery plan. The plan should help you to identify early warning signs and triggers that may make you unwell again and ways of coping. Your plan should also have people to call if you become very distressed.

You should be encouraged to make an ‘advance statement.’ This is an instruction to health professionals about what you would like to happen with your care if you ever lack mental capacity to make your own decisions.

What is the Care Programme Approach?

You may be assessed under the Care Programme Approach (CPA) if you have complex needs or you are vulnerable.

CPA is a package of care that is used by secondary mental health services. You will have a care plan and someone to coordinate your care. All care plans should include a crisis plan.

CPA aims to support your mental health recovery by helping you to understand your:

  • strengths,
  • goals,
  • support needs, and
  • difficulties.

CPA should be available if you have a wide range of needs from different services or you are thought to be a high risk. Both you and your GP should be given a copy of your care plan.

Your carers can be involved in your care plan and given a copy if you give your consent for this to happen.

You can find more information about:

  • Care Programme Approach by clicking here.
  • Planning your care. Advance statements and advance decisions by clicking here.
  • Mood stabilisers by clicking here.
  • Antipsychotics by clicking here.
  • Antidepressants by clicking here.
  • Medication. Choice and managing problems by clicking here.
  • Talking therapies by clicking here.

What if I’m not happy with my treatment?

If you aren’t happy with your treatment you can:

  • talk to your doctor about your treatment options,
  • ask for a second opinion,
  • get an advocate to help you speak to your doctor,
  • contact Patient Advice and Liaison Service (PALS), or
  • make a complaint.

There is more information about these options below.

How can I speak to my doctor about my treatment options?

You can speak to your doctor about your treatment. Explain why you aren’t happy with it. You could ask what other treatments you could try.

Tell your doctor if there is a type of treatment that you would like to try. Doctors should listen to your preference. If you aren’t given this treatment, ask your doctor to explain why it isn’t suitable for you.

What’s a second opinion?

A second opinion means that you would like a different doctor to give their opinion about what treatment you should have. You can also ask for a second opinion if you disagree with your diagnosis.

You don’t have a right to a second opinion. But your doctor should listen to your reason for wanting a second opinion.

What is advocacy?

An advocate is independent from the mental health service. They are free to use. They can be useful if you find it difficult to get your views heard.

There are different types of advocates available. Community advocates can support you to get a health professional to listen to your concerns. And help you to get the treatment that you would like. NHS complaints advocates can help you if you want to complain about the NHS.

You can search online to search for a local advocacy service.

What is the Patient Advice and Liaison Service (PALS)?

PALS is part of the NHS. They give information and support to patients and a good place to start if you’re not happy with any aspect of the NHS.

You can find your local PALS’ details through this website link:
www.nhs.uk/Service-Search/Patient-advice-and-liaison-services-(PALS)/LocationSearch/363.

How can I complain?

You can complain about your treatment or any other aspect of the NHS verbally or in writing. See our information on ‘Complaining about the NHS or social services’ for more information.

You can find out more about:

  • Medication. Choice and managing problems by clicking here.
  • Second opinions by clicking here.
  • Advocacy by clicking here.
  • Complaining about the NHS or social services by clicking here.

What can I do to manage my symptoms?

You can learn to manage your symptoms by looking after yourself. Selfcare is how you take care of your diet, sleep, exercise, daily routine, relationships and how you are feeling.

What lifestyle changes can I make?

Making small lifestyle changes can improve your wellbeing and can help your recovery.

Routine helps many people with their mental wellbeing. It will help to give a structure to your day and may give you a sense of purpose. This could be a simple routine such as eating at the same time each day, going to bed at the same time each day and buying food once per week.

Your healthcare professionals should offer you a combined healthy eating, exercise and sleep programme.

You can find more information about wellbeing any physical health at:
www.rethink.org/advice-and-information/living-with-mental-illness/wellbeing-physical-health/.

What are support groups?

You could join a support group. A support group is where people come together to share information, experiences and give each other support.

You might be able to find a local group by searching online. The charity Bipolar UK have an online support group. They also have face to face support groups in some areas of the country. Their contact details are in the Useful contacts at the bottom of this page.

Rethink Mental Illness have support groups in some areas. You can find out what is available in your area if you follow this link: www.rethink.org/about-us/our-support-groups. Or you can contact our General Enquiries team on 0121 522 7007 or [email protected] for more information.

What are recovery colleges?

Recovery colleges are part of the NHS. They offer free courses about mental health to help you manage your symptoms. They can help you to take control of your life and become an expert in your own wellbeing and recovery. You can usually self-refer to a recovery college. But the college may inform your care team.

Unfortunately, recovery colleges aren’t available in all areas. To see if there is a recovery college in your area you can use a search engine such as Google.

What is a Wellness Recovery Action Plan (WRAP)?

Learning to spot early signs of mania or depression is important in self-management. The idea of the WRAP is to help you stay well and achieve what you would like to. The WRAP looks at areas like how you are affected by your illness and what you could do to manage them.

There are guides that can help with this. You can ask your healthcare professional to make one with you or ask them for a template of one. There is more information about the WRAP in the further reading section at the bottom of this page.

Rethink Mental Illness has created a guide called ‘Staying well with bipolar’. This is a guide based on information from people who have or support someone with bipolar disorder. You can download it here:
www.rethink.org/living-with-mental-illness/staying-well-with-bipolar.

You can find more information about ‘Recovery’ by clicking here.

People with bipolar disorder tell how to properly support them

March 30 is celebrated as Bipolar Day around the world. With this disease, it is important to monitor mood changes, which can be difficult to do alone. The founder of the Bipolar Association, Masha Pushkina, has collected stories of people who are helped by treatment partners.

At the initiative of public organizations bringing together scientists, doctors and activists, every year on March 30, World Bipolar Day is celebrated. The date chosen was the birthday of Vincent van Gogh, an artist who, according to researchers, was the embodiment of a "bipolar genius." nine0003

With bipolar disorder, a person lives either in a state of high emotional uplift and excitement (mania), or in depression. According to world statistics, about 2% of people suffer from bipolar disorder in various forms. This means that in Russia there are at least three million bipolar people - this is about half of St. Petersburg.

In most cases, this condition responds well to medication. But, unfortunately, many do not seek help or do not know how to find it. Without treatment, the disease progresses and ultimately leads to sad consequences: loss of family, job, disability in general, and in almost every seventh case, suicide. nine0003

These consequences can be avoided. The peculiarity of bipolar disorder is that the onset of remission depends not only on the doctor and medications, but also on the behavior of the patient himself. Very often, bipolar people provoke seizures "with their own hands." The mood of people with BAD (bipolar affective disorder. - Note ed. ) is very unstable, the balance is fragile, and mania or depression can be “started” in dozens of ways: the psyche is easily shaken by psychoactive substances, alcohol, lack of sleep, too intense work, travel and even love. So, a short time after the next course of treatment with powerful drugs, the person again ends up in the hospital. And each new attack reduces the chances of a long remission, affects social status, and even more painfully - self-esteem. nine0003

The experience of people with mental disorders around the world has proven that you are much more likely to cope with difficulties when you are supported by people who understand your problems and condition, but do not look at you as a patient. As practice shows, such a person can be not only a partner or close relative. An old friend, and even a person with whom you have never met in person, can help you get through the darkest times. Masha Pushkina, especially for Afisha Daily, spoke with several bipolar people about those in whom they found their support. The result is a story not about illness, but about friendship and trust, which can defeat even madness. nine0003

Yana, 31 years old

Housewife, collects books and is fond of confectionery

Purposefully, I didn't find out about the ways of support anywhere, everything turned out quite naturally. I have been sick for 15 years. The first person who looked after me was my best friend, and now it's my husband.

When my hypomania (a mild degree of mania, which is characterized by a constantly high mood. - Approx. ed. ) accelerated into a full-fledged mania (this state is also characterized by a one-sided attraction to some topic, sometimes accompanied by delirium. - Note ed. ), it became clear that I needed to be looked after. A friend began to pay attention to repetitive patterns of behavior in one phase or another, and we decided together to find out what helps in such cases. I think my friend was afraid to take responsibility for my condition, but she turned out to be generous and selfless. When I got married, a friend passed this knowledge on to her husband, and he already supplemented it, based on his own experience. The husband initially knew with whom he connects his life. He says it didn't scare him. nine0003

I have obsessions during my manic episodes. My husband does not argue with me at this time, but he also does not feed them, trying to redirect my stormy energy in a different direction. You can’t argue, because the result will be the opposite: I will finally get stuck on the idea, I will consider that I must prove it at all costs, even if the whole world is against me, and there are enemies and conspiracies around. If this does not help, the husband agrees to discuss all these things, but at the same time tries to slow down their implementation by offering to draw up a specific and detailed plan. Sometimes it takes me a long time. nine0003

For example, I always want to move somewhere. Right now, and why aren't we packing our things yet? My husband tries to make me write down what are the pros and cons of different cities, what attracts us to them. As a result, I sit for hours on different forums, make lists, think about how we will arrange our life, calculate the budget for different countries of the world. There is also a manic passion for travel, but after preparation, we usually implement these plans. And many years ago, in a fit of mania, I bought an apartment - with a mortgage, with hellish payments. Then it took a long time to resolve this situation, but, fortunately, everything worked out well. nine0003

My husband began to chart my mood. I also manage it, and we check the results so that they are objective. Quarrels due to the fact that the husband takes on the role of the elder often arise in the manic phase (never in depression). Then I become very suspicious, any attempts at control cause rage. But now the husband has learned from experience, so he does not react to attempts to unleash a conflict. With obvious attacks of rage and auto-aggression, he uses holding therapy (long strong hugs. - Note ed. ). We have seen this in autistic children, this is how their parents influence them.

When I'm depressed, he doesn't comfort me because it's pointless, but he tries to give reasonable arguments that this period has always ended and this time will also pass soon. We look at mood charts for the past months, discuss the duration of the attacks: two weeks have already passed and, judging by past experience, it should get better in a couple of weeks.

Such support from the husband helps in many ways. When I was being treated by two doctors, taking all the medicines, I didn’t have such support, everything was very bad. Over time, I stopped disappearing from home in a manic state and inflicting serious injuries on myself. All my super-ideas remain on paper in the form of graphs and tables, I don’t even have time to start putting them into practice, so that later I don’t have to deal with the consequences with the whole family. nine0003

Alisa, 27 years old

Biologist

To be honest, I don't always find understanding from my healthy environment, I often faced condemnation, devaluation of problems. But from a person who has a similar experience, you won’t hear “don’t invent”, “you can’t feel so bad”, “take a walk and it will pass”.

It just so happens that my best friend also suffers from bipolar disorder. I did not look for support in specialized communities where patients communicate, we met by chance. My friend is much older, he has much more life experience, and he was able to become a real mentor for me. Not once did his actions worsen my condition - I hope that he can say the same about me. nine0003

When I'm on the rise, I feel uncomfortable when he tries to slow me down and reduce my passions. But as soon as this state passes and I again take a sober look at the situation, each time I thank him for trying to stop the revelry and disgrace. My friend himself is currently not being treated, but he never imposed his position on me, and when I turn to doctors, he supports me in this.

I told the doctor about this source of support - he is all for it. Before meeting a friend, I had suicidal attempts, but during the entire time of our communication I never tried to say goodbye to life. When you know that there is a person who will understand everything and share warmth (while even my own family repels me), that there is a place where you can come in any condition and where they will accept me without unnecessary questions and teachings, this is a source of great strength. and hope. nine0003

When I was expecting my second child, I was depressed. My husband did not yet fully understand the features of the disease and did not want to admit obvious things - this added problems, and my emotional state became extremely difficult. It seems that only thanks to the participation of my friend, I did not do anything to myself and successfully endured the pregnancy. The child was named after him.

Sergey, 49 years old

Freelancer

At the height of the depression, I was looking for any available support and ended up in an online group of anonymous debtors (people who have taken on large loans). One of the participants drew attention to my condition and said that I urgently need medical help. Despite the fact that she lives in the USA, we began to communicate regularly via Skype. Olga literally brought me to the hospital and helped me prepare for the treatment. nine0003

Americans are a pragmatic people, many young and healthy people have folders with wills and instructions in case of their death. They also approach mental difficulties calmly and thoroughly. It is common practice for the patient to draw up detailed instructions in advance. In the United States, there is a practice of issuing Treatment Agreements for people with mental illness (Treatment Contract). This document is needed so that family, friends and doctors recognize the symptoms of deterioration in time and take into account your experience and wishes in the treatment. Typically, such a document contains: a list of trusted people; signs of a normal state; signs of an approaching episode; symptoms of mania and depression; actions that trusted people should take to help a person get better and keep him from destructive acts; plan of action in case of an emergency (for example, a suicide attempt). who and what will be done in case of his hospitalization, so that he can be treated without anxiety for household chores. nine0003

In a period of severe depression, there is a struggle inside a person between the craving for death and the desire to live - and many external things can outweigh in one direction or another. Every clue is important to help you get out. It is very difficult for one to cope with all this.

I madly didn’t want to go to the hospital and wouldn’t have made up my mind myself, until the last I hoped that somehow everything would go away on its own. But under the supervision of a friend, I drew up a preparation plan: warn the customer at work, arrange to look after my cats. Reported to her about every step. But then he could no longer simply “escape” [from hospitalization], because he felt obliged to both her and the doctor. During depression, one's own life has no value, but the people dear to me, the promises made to them, do. nine0003

At the most difficult moment, Olga became my “outer brain”, which told me what to do when I didn’t understand anything myself. After I was discharged from the hospital, I turned to four friends for support. Usually we call each other once a week, I tell what my condition is. It is important not only to chat online, but also to hear the voice, you can understand a lot from it. Friends immediately pay attention, if I suddenly disappear and stop calling, then something is wrong.

I think it is possible to find such a person if you set yourself such a goal. Take a closer look at people in support groups, religious or other communities - those who understand what compassion and mutual assistance are. This must be an internally mature person, ready to take responsibility for you in a difficult situation. If this person has similar problems, then he will better understand your experiences. For this reason, relatives are far from always suitable: they themselves can panic, seeing how bad you feel, choke you with their anxiety, overprotection. nine0003

It is necessary to establish the frequency of communication and observe it. And of course, in no case should you parasitize on someone else's kindness. The support system works when you yourself take responsibility for your life, and do not outweigh it completely on another.

Anna and Valeriya, 21 years old

Students

Anna: After a major depressive episode four years ago that almost ended in a suicide attempt, I started looking for information on [support]. I managed to find a guide in English for relatives and friends on how to behave with such a person. I have sent this list to all my friends so that they have an idea of ​​what is happening to me. For the past few years, Lera has been monitoring my emotional state on a daily basis, and if, in her opinion, it goes beyond the norm, she tells me about it. Lera just asks every day how I'm doing, and if she sees that I'm reacting strangely, she wonders if something happened. At first, it was very difficult, because, in principle, I did not like to regularly share personal experiences. But by regularly receiving feedback, I can imagine the dynamics: do the pills help, how long do the side effects last, does the depressive phase go into a moderate and severe degree, do I lose my critical thinking during hypomania. nine0003

Valeria: We gradually established a very trusting relationship. Anya studied the topic of bipolar disorder up and down, and I read the articles that she sent me. The diagnosis did not change anything for me, because it remained the same. After that, we already discussed some formalities (for example, who to call in case of an emergency).

Anna: I asked Lera to watch for hypomanic manifestations in which I lose an adequate assessment of my actions: impulsive night walks, alcohol begin. nine0003

Valeria: My friend is a very responsible and conscious girl who takes care of herself, her health and her wallet. Before buying something expensive, she asks for my advice - and then we are already sorting out the situation. We can entrust accounts to each other and not worry. I also know where and to whom to run in cases of exacerbation.

Anna: I react badly to prohibitions and reminders of illness. Yes, I periodically have to turn to relatives for help, change treatment or take long breaks, but I expect mutual respect so that they don’t look at me through the prism of the disease. nine0095 When the mood is unstable, harsh phrases like “the disease speaks in you”, “these are not your real emotions” cause persistent rejection, even when they are true. The line between accepting a loved one's illness and identifying him with a diagnosis for healthy people is extremely thin. Therefore, those who were able to grope it deserve great respect.

Anna: In the last year, I go to see the doctor with my parents. When the doctor notices that I may not be able to do it alone, she duplicates the instructions and advice for them. I, in turn, am a friend. The doctor has repeatedly emphasized that the change of episodes is more noticeable from the outside. nine0003

Valeria: We don't have any kind of hierarchy in relationships, so there is no pressure when one makes decisions for another. This is not eating each other's emotional resources, but complementing and supporting.

Anna: The main danger in a relationship with a person with a serious illness is to fall into codependency. This format is equally bad for both the "controller" and the "subordinate". Unfortunately, I have been in such relationships before. It is worth maintaining mutual respect and treating each other as equals. Illness should not dominate a relationship. In difficult episodes, it temporarily comes to the fore, but you should always remember that you are not a disease. nine0003

Anna: I have memory problems: I don't remember some episodes. In such cases, I can ask Lera for help. If you remember the last weeks, then these are regular reminders to call the doctor. In mixed episodes, this becomes an acute problem, because I can suddenly change my mind or forget. Against the backdrop of a severe episode, I may develop psychosis, and this is the most dangerous thing in the disease. Thanks to our format, I manage to avoid such exacerbations almost always.

The advantages of observation from a loved one are an early response and the fact that he knows the patient's usual behavior very well and can notice even small changes. The main disadvantage is that normal friendly communication risks turning into constant monitoring of symptoms. Not every mentally healthy person is able to remain within the boundaries of reason. nine0003

It is important to agree in advance, before an attack, what is an undoubted sign of a worsening condition (for example, persistent insomnia), and what you do not need to pay special attention to (for example, loud indignation at something that you do not like). In a difficult situation, often a loved one begins to behave not as an equal, but as a “healthy” and “knowledgeable”. Not all relationships stand this test.

There is also a variant of "buddy" (when two people with mental disorders look after each other. - Note ed. ) - it is good precisely because it is the true request of the patient and more equal relations without mixing roles. But I don't know the buddy support system.

To choose a person you can rely on in a critical situation, take a closer look at your surroundings. Above all, a high level of trust is needed. Your assistant should be open to nonjudgmental and open dialogue and at the same time emotionally stable and resistant to stress.

Support is essential for every person - very often we as mental health professionals need it. And with bipolar disorder, this problem is especially acute. At the initial stages, those closest to you often ignore the presence of the disease, and friends advise you to either "pull yourself together" or, conversely, "relax", sometimes with the help of alcohol. When it becomes obvious to everyone that the “condition” will not go away on its own, urgent hospitalization is already required. The saved patient receives the "stigma". nine0003

Psychiatrists then make it the responsibility of the uninitiated next of kin (parent or spouse) to monitor any changes in the patient, and they really try to do so. At the level of "laughing out loud - hypomania has begun, upset - depression." As a result, psychiatrists begin to treat quite normal human emotions based on complaints from relatives... and the circle closes.

For this to change, mental health literacy must play a major role. Relatives, in order to be able to help, need to understand well what is happening with a loved one. In many, including state clinics, groups for training relatives either already exist or are being created. nine0003

The support of loved ones in case of emergency is especially important. In deep depression or mania, a person is not able to independently control his behavior, this decision is made by relatives, sometimes without his consent. In the case of bipolar disorder, this should be the last option when all others have been exhausted.

How to understand that a man wants to leave, how to understand that a man is in love, how to understand that a man is not the same as on a first date, to understand that a man is not suitable | Chita.ru

Psychologist named 7 signs that you're in a relationship with a loser

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The common idea of ​​an ideal partner is a charismatic man, smart, self-sufficient, with a sense of humor and necessarily self-confident. Many women idealize their men, and when faced with their personal insecurities, they plunge into complete disappointment. Sometimes men's insecurities go so far as to make a woman's life simply unbearable next to such a partner. Wday.ru figured out this issue together with psychologist Anna Sukhova. nine0095

Anna Sukhova — psychologist, hypnologist, psychodiagnostician, NLP specialist, founder of the "Freedom from Anxiety" school. Author and presenter of a special workshop at Moscow State University "Psychological assistance to organizations and coaching."

According to the expert, total control over any of your actions in online life, be it likes, messages, network connections - all this creates grounds for a showdown. A man provokes you so that you make excuses and prove loyalty and devotion to him. And in the next proceedings, he unconsciously receives an additional portion of attention from you. nine0003

- Endless confirmation of the sincerity of your feelings is required. No matter how close you are, an insecure man will find out again and again: “When will you leave me?”, “And soon will you leave me?”, “Do you love me?”. "I feel like you don't love me!" - such provocations confuse a woman. On the one hand, she proves her love again and again, and on the other hand, she is already irritated by everything that happens, the psychologist explains.

- This is a special form of control over your life. Your communication at work constantly makes him think badly of you. Even if you never gave him a reason to. An insecure man in each of your colleagues will see a reason for jealousy and your “skillful lies,” says Anna Sukhova. nine0003

According to the expert, at this point a man may try to limit your freedom in any way. It's one thing if you don't work and are fully supported by your partner. Another, more difficult case is where you provide for yourself, and your insecure man next to you is constantly trying to control and guide you into "prudence in dealing with money."

The psychologist believes that in this way a man tries to find and anticipate all possible potential difficulties with you. Find out your irreconcilable contradictions and define your personal psychological boundaries. Therefore, excessive complaints about the former make your insecure man conclude that you can be treated just as badly. Be careful in your confessions. The easiest way is a neutral and unemotional attitude to the past, with a statement of the facts of your biography (and then, if required). An impressionable man should be completely spared unnecessary details. nine0003

By the way, if you are already solving problems with the current one, and you are still dreaming about the former, we know what these dreams are talking about.

— This is how a man tries to understand the degree of your attachment and involvement to him. And constantly finds out your life plans and strategies. Are you planning a pregnancy? Are you ready to solve a joint housing issue, combine capital or mortgage with debts? When and how do you plan to raise children? A million questions about the future, which requires your undeniable participation and inclusion in the situation right now. That is, you do not live calmly in the present, but constantly report on how and what will happen next, - the psychologist explains the overly obsessive interest in future plans. nine0003

Did you get to work, left it, did you get on the subway, who are you talking to, why is it taking so long? Why do you need fitness and yoga? “What do you need a new skirt for?” and “Why go to a beautician if everything is fine with you?” And “Your psychologist teaches you nonsense, and live with your own head!” - with such statements, the partner tries to control all your interaction with the outside world. And it is desirable to deprive you of this world, then it will become calmer.

Everything would be easier if it was possible to say for sure from the first or second meeting that this guy should be avoided. It turns out that there are signs by which you can predict the unsuccessful outcome of a relationship. nine0003

On average, in a woman's life there are 2-8 romances before marriage, and not all of them end at least decently - without broken hearts, tears and sticking to the figure of a failed boyfriend for years. The expert advises to carefully listen to your feelings on the first three dates. It’s normal to worry before and during them, because you want to make a good impression.

— It is really difficult to distinguish anxiety from excitement at the first meetings. But the excitement passes by the 2nd or 3rd meeting. If even after the 2nd or 3rd meeting a state of tension, awkwardness, fear persists, then it is worth listening to yourself more carefully. Women, as a rule, have better intuition, and they can quickly feel that something is wrong, says psychologist Irina Mamaeva .

The expert describes it as a feeling that time passes very slowly and on a date you seem to have to make an effort to continue communication, there may be a breakdown and loss of energy. As if there is a feeling that you are being watched, like a guinea pig: they track your words and actions, evaluate your behavior.

Pay attention to how your companion formulates meeting proposals.

— It is a bad sign if a man confronts you with a fact without asking for an opinion — he initially drives you into his rigid framework. “You won’t refuse me,” - here the person again leaves you no choice. And he makes it clear that if you refuse, he will be offended. Thus, you are driven into a sense of guilt, - the specialist comments on the situation. nine0003

In a normal relationship, a person offers his own version of the evening, while he is ready to accept your option. If you refuse, he reacts calmly. He will not require you to cancel all your plans and adjust to him.

Even a relationship with the most beautiful man in the world needs constant work.


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