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Bipolar Disorder

NIMH » Bipolar Disorder

I am born in a culture where some disorders or say diseases are foreign, that is the African culture. A culture that teaches you to be tough regardless of your gender. You cannot begin to cry or whine about some things lest you become a weakling. So conditions like depression, baby blues are branded ‘white man’s’ diseases.

The first time I got to know about the Bipolar disorder, mark you! this is when I was already at university when we were studying about drug interactions in pharmacology. My entire existence was amazed or for lack of a better word shocked.

Bipolar disorder also known as manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania) and lows (depression). When one becomes depressed, they feel sad or hopeless and lose interest or pleasure in most activities. When the mood shifts to mania (emotional highs), they feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly.

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Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any.

Although bipolar disorder is a lifelong condition, one can manage their mood swings and other symptoms by following a treatment plan as prescribed by their doctor. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

Symptoms

Manic episodes may include symptoms like high energy, reduced need for sleep and loss of touch with reality. Depressive episodes may include symptoms like low energy, low motivation and loss of interest in the daily activities. Mood episodes can last days to months at a time and may also be associated with suicidal thoughts.

In terms of experience, this is what we tend to see among such people;

Mood: mood swings, elevated mood, sadness, anger, anxiety, general discontent, apathy, apprehension, euphoria, guilt, hopelessness, loss of interest, or loss of interest or pleasure in activities.

Behavioral: irritability, risk-taking behaviors, disorganised behavior, aggression, agitation, crying, excess desire for sex, hyperactivity, impulsivity, restlessness, or self-harm.

Psychological: depression, manic episode, agitated depression, or paranoia

Cognitive: unwanted thoughts, delusion, lack of concentration, racing thoughts, slowness in activity, or false belief of superiority

Weight: weight gain or weight loss

Sleep: difficulty falling asleep or excess sleepiness

Also common: fatigue or pressure of speech

Treatment

Bipolar disorder is treated with three main classes of medication: mood stabilizers, antipsychotics, and antidepressants. In summary, treatment entails a combination of at least one mood-stabilizing drug and/or atypical antipsychotic, plus psychotherapy.

Bipolar diet

In addition to the medications given, it is important to manage mood episodes with healthy lifestyle habits. Did you also know that certain foods and dietary supplements can play a role in helping or hindering people with bipolar disorder?

Please note that there is no specific bipolar diet, nevertheless, it is important to make wise dietary choices that will help maintain good nutrition and facilitate a healthy living. Here are some of the foods you may want to avoid.

1. Caffeine

“Stimulants can trigger mania and should be avoided. Caffeine is an underappreciated trigger and can also impair sleep and sleep deprivation is a notorious trigger for mood swings and mania.

2. Alcohol

Alcohol and bipolar disorder make such a bad combination. Alcohol can negatively affect bipolar mood swings and may also interact negatively with medication such as lithium which is a common medication given to persons with the bipolar disorder.

3. Sugar

Eating a diet that is high sugar can make it harder to control weight and obesity and make some medications that are given less effective.

Some healthier options one can adopt

  • Instead of potato chips or fries, munch on fresh vegetables in a savory dip.
  • Swap that sweet pastry for a slice of whole-grain bread.
  • Instead of a fourth or fifth cup of coffee, make yourself a cup of herbal tea.
  • Craving for a fast-food burger and fries? Try a fresh salad instead.
  • Swap a fried main course for steamed entrée.

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Pass this information to someone who may need it and be a promoter of healthier living through informed choice of living.

Lifestyle

Life lived is a choice made

While having a heated conversation with a friend of mine days ago (I really don’t recall what we were talking about) he asked me something that got my mind racing.

Is there a time you are not okay Lutgard? You are always smiling, do you get annoyed?”

Now at that moment I went mute like for 30 seconds, my mind racing in reverse thinking of the many times I do get annoyed in a single day. (Of course they are there)
Who doesn’t get annoyed or disappointed any way?
To quickly rub off the awkward silence, I reminded him of times he had witnessed my temper flare.
We laughed and he said ‘I know but this doesn’t take a lot of time and you are already teething (Oh yes! he said teething)

I need to confess this was a decision I made to keep smiling always no matter what is going on, and how life is messed up in that moment.

I remember making this decision sometime when I was at rock bottom. Times when I believed my world was falling apart. (I say believed because looking back it was the natural course of life happening)
This is a time I would lock myself in my house and cry myself to sleep, didn’t want or didn’t have the energy to talk to God or anyone but continually wished things would miraculously be different, and guess what they never did. Or maybe they did and I was too grief stricken to even notice.

So when I was tired of being tired, I stood up, dusted myself and walked back to reality. (Do you remember that famous story in the bible about the prodigal son, who came to his senses and went back home? I was that boy at that moment.) I made some hard but important decisions and among them was, I cannot have time to get annoyed. Its too much work you can agree with me right?
Again I need to be clear here, I am not saying you will not get angry, disappointed, discouraged name it; of course you will but the degree of effect will be significantly different.

Pete Greig in his book, GOD ON MUTE says that it is very important to pray for the ‘stupid’ things too like getting that space in the parking lot rather than seeking God for only the big shots like getting that job slot. In that way we learn to be grateful for the tinniest of things happening around us.

Now someone will ask me how easy is this for a mother who has just lost her pregnancy in the 8th month or at birth, a girl who has been abused countless times by his own father, you can name the worst case scenario.
I will tell you, I don’t how this will happen for this case other than praying for God’s grace but I will tell you for sure that when you deliberately choose something and pray for strength it happens almost unconsciously.

When my dad passed even after hoping the lord would listen and answer my (our) prayer to heal him and let him live to walk me down the aisle, he chose to answer with a sweet No.
I had reasons to throw my happiness away, question God why He wouldn’t answer my prayer (according to my will of course) but I chose to be thankful for the manner in which he died.

Life is a bitch I will tell you but God is good.
But the most important lesson of all I have learnt is the way life is lived is a decision made…..