2. If there’s an easier way to do something, do it the easy way.
Wednesday, December 9, 2009
Surviving the Ups and Downs of the Holidays
2. If there’s an easier way to do something, do it the easy way.
Monday, November 9, 2009
Coming to Terms with the Diagnosis of Bipolar Disorder
There were times that I would go out late at night driving as fast as I could on extremely hilly, gravel country roads. While going 80 miles an hour or more I would turn off the car lights, open the car door and put my foot out the open door. I know, it sounds crazy doesn’t it? Well, let me tell you--I felt crazy!
For years I couldn’t explain the roaring engine I felt within my mind. I couldn’t explain some of the erratic and strange behaviors I had. I couldn’t explain and felt extremely shameful about the sometimes hyper sexuality phases of mania. Honestly, there were periods of time I could not account for- they were like black outs. I remember recalling those feelings now as the “swirly whirly” times. I felt high like someone who had taken a “boat load” of drugs. Focusing was difficult. Yet, other times (I suppose at just the “right time” of a manic phase or maybe hypo-manic phase) I could focus and get more work done in four or five days of working solid with no sleep than most folks could get done in four or five weeks!
While I never truly had a depressed episode until the big “crash and burn” event, I did have episodes of extreme irritability during which I needed lots of sleep. So I would be awake for days with little sleep; working at an intensely hyper-creative rate, escaping at times by driving around very late at night. Then I would sleep for an extended period of time and feel “low.” During this time I would feel more melancholy, or reflective and mellow. But this phase of my mood swings would be for a very short time…and at times both of these moods happened at the same time!
Prior to being diagnosed I was certain that not only was there something wrong with me, but that I was a bad person. I saw myself as a weak person because I couldn’t control myself. My self-esteem had slipped as low as the pits of hell. I was so ashamed of this “dark side,” yet no matter how hard I tried I couldn’t change it. At times the only thing that would work to manage these out-of-control episodes was acting out in some shameful way so that regret and shame would bring my mood down.
So, when the doctor told me there was a name for all this unwanted, crazy behavior, I was so relieved! To top it off, there was medicine that would help me! Words don’t even begin to express the relief that I felt. Maybe that’s why I am surprised that there are so many people who have been diagnosed as being bipolar that not only struggle with coming to terms with the diagnosis, but actually refuse to believe it.
While finding out I was bipolar was a relief; I’ve come to meet many others whose diagnosis was anything but relief. It seems that so many who hear the word “bipolar” from their doctor contend that they are not bipolar, spending months and sometimes years trying to “prove” to others that they are not. Or they might simply refuse to take their medicine, believing somehow that they can “will” themselves out of the diagnosis. I’ve met countless people who have struggled greatly with accepting their diagnosis only to have spent years with more pain, frustration, broken relationships, missed opportunities, rage, hospital stays and all the other havoc that the disorder brings. They fight to prove that there is nothing wrong with them! Yet, they know in their heart that “something” is wrong, but refuse to believe or accept that what is wrong has to do with their brain chemistry.
Why? Most likely because of the stigma of having such a diagnosis. The stigma so often includes the idea that people with mental illness have character flaws and are “weak” mentally, etc. Most likely because most of us like to think we can control our thoughts and actions. Most likely because many times when you are bipolar you believe that everyone just doesn’t get what the issue is and you are convinced that everyone else needs the help.
So people refuse to come to terms with the diagnosis of bipolar. Yet, in refusing to do so they end up suffering even longer with all of the effects of the disease: losing their job, developing addictions to alcohol, drugs and sex (of course, this is just a few of the addictions), continually having relationship issues and many times loss of friends, broken marriages, emotionally hurting their children because of mood swings, inability to cope, and rage… the list could go on and on!
Maybe you are a person who is struggling with being bipolar, or maybe you don’t even believe you are and yet your doctor and everyone else around you are trying to convince you and encourage you to “get help.” Well, I’d love to offer some suggestions to possibly help you in coming to terms with your diagnosis:
- Understand that being diagnosed as bipolar is not a death sentence. In other words, Or maybe I should say, you don’t have to die from being bipolar! In other words, there’s a chance if left untreated you will die from it…if you become suicidal it will be because you have not received treatment or refused to take medicine, etc.
- Of all the mental illnesses, bipolar is the most treatable! Now, that’s cause for hope!
- Trust me-you may not believe you have issues that come with being bipolar and un-medicated, but everyone around you most likely knows it and experiences the pain. Start trusting them. Most of them probably love you deeply… and why would they want to hurt you by trying to get you help?
- If your doctor has misdiagnosed you, then the medicine isn’t going to work in the long run and you’ll continue to have the problems that you have been having.
- Be honest with yourself about the issues that are going on in your life instead of being defensive about the issues.
- You can’t overcome this by “sheer will” anymore than you overcome a brain tumor by “sheer will!” This is an issue with your brain chemistry and it is NOT an issue about your character, morality, inner strength, spirituality or faith.
- You are NOT a bad person because you are bipolar; but you most likely have some bad behaviors that are hurting you and the people around you if you are refusing to receive treatment.
- If you don’t come to terms with the diagnosis and receive treatment, you are not going to be able to become all of who you have the potential to be in life. You will be holding yourself back and it will not be anyone else’s issue other than your own! And along the way you will most likely hurt those you love.
- You don’t want the stigma of the disorder? Well, the only way to change that is to start changing how YOU think about it first! In fact, as you recover and come to terms with it, people around you will see the changes and begin to change how they think about it. If you come to terms with it and begin the recovery, it’s likely that most people won’t even know you have the disorder unless you tell them. BUT, if you won’t come to terms with it, fight the recovery and don’t take your meds or work through your issues with a counselor, EVERYONE around you will know that you have something that is wrong! (You’re only fooling yourself if you think otherwise!)
- Choose to believe the people around you that love you. They have nothing to gain from your diagnosis of bipolar disorder except to see you recover from that which is robbing you of life. Choose to stop being defensive as they try to help you. Choose to let them help you. And thank God that they haven’t stopped loving you so much that they continue to “hang in there” with you and haven’t become another one of your broken relationships!
- You don’t have to let “bipolar” become who you are. You don’t have to become your diagnosis. There is a lot more to you than simply being “bipolar.” Don’t let it define you!
- You don’t have to be a victim of the disorder. Choose to be a victor over it. Choose to “push through” and live in spite of it!
- Choose to live!
- Let people help you; when you get better you can help others.
- Accountability for your behavior is good.
Are someone who had difficulties coming to term with your diagnosis. But, now have come to terms with it. What helped you in coming to terms with it? (I encourage you to post a comment- so that those who might be struggling with it yet- might also see what helped you.)
If you are struggling with accepting your diagnosis what do you believe is the reason? Or what is a question(s) that you would like to ask please post a comment.
Folks let’s get a dialog with one another here on the Fresh Hope blog.
Gripped by Grace,
Pastor Brad Hoefs
Friday, May 8, 2009
Creativity, Medicine and You!
Patty Duke’s book entitled “A Brilliant Madness” has an entire chapter focusing on the link between creativity and bipolar disorder. And I guess in some strange way I’ve always considered myself blessed to be bipolar. See, if I had to bear a cross in life I’d rather it be bipolar disorder than so many other things. To have bipolar disorder puts me and you in a very special group of people who are considered creative and/or brilliant!
For example the following musicians suffered bipolar disorder (Dr. Kay Redfield Jamison, pg. 203, A Brilliant Madness): George Frederic Handel, Robert Schumann, Hugo Wolf, Hector Berlioz and Gustav Mahler. They were all very different in personality but all shared this disorder in common. Others such as Lord Byron, Edgar Allan Poe, Anne Sexton and Virginia Wolf and Vincent van Gogh all whom were most likely bipolar have made brilliant contributions to society. Such great leaders as Winston Churchill and Abraham Lincoln are just a few of the great leaders of history that also were most likely bipolar.
At the risk of sounding grandiose (which without medicine I can do well…lol), I choose to look at having bipolar disorder as being part of a group who are special and uniquely gifted to offer their creativity to the world. Certainly I know with it comes difficult things and issues that are painful, but I also choose to see the “upside” of it.
Over the years I’ve heard of a lot of people who begin taking medicine for their mood disorder and they begin to feel sluggish and tired. Frankly, they miss the highs! After all hypo-mania and mania can be a lot “fun” but also very damaging, but there’s a BIG cost to the “fun” of the highs. And the truth is that when we were manic or hypo-manic we could get a lot of things started (and sometimes even finished) and we were usually extremely creative.
I’ve heard that Handel locked himself in a room and wrote the Messiah with little to no sleep and extremely focused on writing the music. (This may be folklore- I’m not sure this is a fact) But, he was DRIVEN. He is always listed in the group of famous historical people who most likely had bipolar disorder. It would seem that he was not able to stop his brain with the creative flow of music to rest and maybe even to eat! I suspect he was in a creative manic high. But look what came out of it!
So, many of us like to argue the point that we are so much more creative when those “highs” came that “they” are “worth the cost”. But rather than looking at it that way, maybe we should be asking the question: If Handel had taken medicine for his bipolar disorder would we have ended up with the music of the “Messiah”? I believe the answer is yes! If he had had medicine to take we would have ended up with the Messiah and probably even more beautiful music from Handel. And his life would have been even more fulfilling and peaceful!
Yes, I know that that is very speculative. But, based upon my personal experience I believe it is true. I believe it because of what I have experienced with taking medicine for the last 14 years. What I have experienced is the ability to be highly creative and yet maintain balance and focus instead of a very driven chaotic creativeness. I experience a peaceful orderly ability to be creative and to follow through with the creativeness. I believe that I have not lost my creativity, but instead have gained the ability to be even more creative and enjoy it along the way!
One of things that many of us say initially after taking medicine is that we “miss the highs”. The other thing that many of us say is that we don’t like feeling sluggish and we no longer feel creative. So, just in case you are feeling that way right now, please give it time. Stay on your medicine. Work with your doctor in getting the right combination of medicine to stabilize your mood. Give your body time to adjust. Sooner or later your body and moods will begin to “settle in”. And sooner or later you will be creative again- and full of life - but in a new and healthy way!
Don’t give up! I’m living proof that it is possible!
Please post your comments and questions about your own journey of recovery. Let’s start a dialog!
Friday, March 13, 2009
Life is Worth the Living! by Pastor Bradley Hoefs
Not long ago my wife and I went to see Bill Gaither (http://www.gaither.com) and his friends in concert. It was good! The last song they sang was “Because He Lives”… and while they sang suddenly a phrase of the song “stood out” to me as never before: “and life is worth the living just because He lives.” Boy, is that true! But, it’s ever so hard to even remotely believe much less do when you are experiencing the deepest darkest crevasses of depression.
Chances are if you are reading this blog you might be in that deep dark hole of the blackest black; that hole that clutches you and surrounds with nothing but dread, fear, anxiety and hopelessness. You might just might be struggling with even living today much less believing that life is worth living! And the love of those who love you causes not even the faintest emotion within you. You feel lifeless, numb to anything but dread. Feeling as though someone has pushed you down into the cesspool of life and you can’t breathe. And those around you keep saying, “get up, pull-up your boot straps!”
I know, I’ve been there. I’ve been at that point where I was curled up in the fetal position hiding in the closet with the lights out rocking back and forth with nothing else other that hot tears flowing down my cheeks. I know, I’ve been there. I was sure I couldn’t go on. Just to keep breathing was all I could do. I couldn’t think. I couldn’t believe. I couldn’t hope. I was stuck… stuck in dread…stuck in fear. No matter how hard I tried to “believe again” it didn’t help. I just need the faith of mustard seed of hope and I didn’t even have that. The days were dark and the nights were even darker and longer. There were no “boot-straps to pull-up”.
Life? Live? Keep going on? Yes! Why? Because He lives! Because He loves you. Because He is there with you. Because He feels your pain. Because He forgives you. Because He is in the business of working something good out of something so bad. Because even walking through this “valley of the shadow of death” is worth walking through. See, when you are going through hell don’t stop!
Today all you may be able to do is breathe. And if that is all you can do then just do that. If today you can just keep putting one foot in front of the other in spite of everything- just do that. Just do what you can do today. Take your medicine. Take a walk. Call a friend. Cry out to God. Watch these videos I’ve posted here. Today, just let Him love you. And as you take “just a step” day by day it will get better. Day by day “living life” will return. Day by day the darkness will subside. Day by day hope will return. And day by day life will be worth the living just because He lives!
He knows you. He loves you. He’s with you. And He is for you!
Pastor Brad Hoefs
Feel Alone in Your Struggle? Support Matters!
How alone do you feel? Do you have other people in your life that are going through similar things who can relate to you and help you in your shared journey?
It seems t that many of us spend too much of our lives feeling alone and isolated with our struggles. For whatever reason, we end up believing that our struggles are so unique that we are the “exception.” And for those of us who have mood disorders, it’s even more so! Because of the very nature of depression or mania, we end up isolating ourselves and feeling even more alone in our lives! So, we end up suffering all alone in silence way too long, trying to figure it out ourselves. That’s why having a support system is so important.
A support system made up of others who are experiencing or have experienced the same things is a key to understanding ourselves and a key to our recovery. When you and I know that there is someone who has “been there” and can assure us that things will get better, it gives us hope. There are times when someone else can give us insight into dealing with our mood disorder just by telling about their own journey.
For many years I didn’t seek out any type of support. I figured I could handle it myself. Plus, I was sure that I was unique in my struggles. Also, I had a lot of shame about my private behaviors and my thinking that kept me from wanting anyone else to know. And pride kept me from wanting to expose my struggles. So, while my pride and shame kept me from seeking out others who might understand, my bipolar disorder continued to worsen and wreak havoc in my life.
While I had no idea exactly what my struggle was, I felt as though I was living with a monster within that I couldn’t control and that it was my own fault or flaw! And I was certain that I didn’t want to open up about it to anyone for fear that they would conclude that I was weak (or had a character flaw) and couldn’t control my thoughts and behavior. And little did I know that by not seeking out others who could understand and help, I was just making things worse for myself and those that loved me. My stubbornness, shame and pride were all getting in the way of me overcoming my struggles. In the meantime, I just kept getting sicker. My mood swings became more and more dramatic and I was hurting those around me by my rapid cycling between my highs and lows and-at times-mixed moods. That is, until a major bipolar episode that was filled with shame and hurt that left me so broken that finding that support system was a necessity.
How about you? If you don’t have a support system, why not? Do you have any idea of how much help others who have gone through or are going through what you are going through can be to you?
Maybe you’ve experienced what I’ve experienced through a healthy and helpful support group; support and care! If so, post a comment here. It just might encourage someone to summon up the courage to go to that group to help them in a journey to wellness and wholeness… a discovery of fresh hope!
Bipolar? There is HOPE!
It was my second appointment with the Doctor. By now I had been to several group meetings. After hearing some of the crazy things that others had done who were bipolar I began to start wondering if I was possibly bipolar. So, I asked her, “Do you think I’m maybe bipolar?”
And she responded with firm, “Yes, of course you are.” And then she smiled.
And I responded by asking, “Why didn’t you tell me that the last time I was here?”
And she said, “Because you never shut-up long enough for me to talk!”
And I thought to myself, “I did NOT talk that much lady!”
See, after a very public and extremely painful manic episode that landed me a lot of trouble and the deepest depression, a doctor friend, believing she was helping me, had put me on an anti-depressant for the several months prior to my arriving at the hospital for out-patient treatment. By the time I got to the hospital in Michigan I was ready to run the place! I figured that I could do it better than they were doing it!
I was in rare form. I was in the crisis of my life and yet I was ready to take on the world! Welcome to the world of bipolar disorder. A world of roller coaster rides of ups and downs and sometimes ups and downs at the same time. It had been world of non-stop thoughts, exaggerated sense of superman-self and a dark world of bizarre behaviors.
I was so relieved. It explained so much. For, some had suggested that maybe it was nothing more than sin. Others wondered if it might be a personality disorder. But for me there was relief. There was a reason for this chaotic dark world of behavior that I had no explanation for that had left me feeling hopeless many nights. It meant that the “monster” that felt like lived inside of me was no longer going to get to control me. There now were reasons, not excuses, but reasons for the bizarre behaviors that had caused not only me, but the ones I love the so MUCH pain.
So, I simply couldn’t understand my wife’s tears when I told her. Why wasn’t she happy? She knew all too well what it meant. She knew the struggle all too well. She knew there were some very long and dark days ahead. And she was right.
As the next few weeks unfolded and the medicine began to stabilize my mood, reality began to be real again. The more reality got real; the more pain I began to feel. And I began to grieve. I grieved about what I had done and the people I had hurt. I grieved about having to live as someone with a mental illness. I grieved about what it meant for the future. Grief gave way to regret and the regret gave way to hopelessness. How could anything good come from what had happened? How could I move forward? How could I have hope? After all, the medicine made me feel bland and lifeless. So, why even bother to have hope?
Life as it was- was over. Back at home were two children and a wife that been hurt deeply. Back at home was a church that had been hurt along with leaders who had already asked me to resign before me even knowing what was really wrong. And there I was some 600 miles away in a motel room weeping. I was lonely, afraid and hopeless with no clue of how to move forward. I didn’t want to die but I wanted the peace of being dead.
Well, that was some thirteen years ago. That was then, this is now. And I have more hope than I’ve ever had before. It’s been a long journey to this point of fresh hope, but it has been worth it. And that’s the reason for this blog. To give you hope if you too are one who is possibly on the same journey. I’m hoping to offer up fresh hope to those of you who are bipolar. I’ll share my journey in this blog and together we can begin a dialog about getting up and choosing to live each day with hope.
Maybe today you are at a point of hopelessness or at best a point of lifeless indifference because of your medicine. Have hope my friend. The best is yet to come. Yes, THE BEST is yet to come!
Pastor Brad Hoefs