I wake up at the same time every single day. It is 6 a.m. The birds sing outside my single-paned window, and my partner sleeps beside me. I close my eyes and work to will myself back to sleep: It would be nice to sleep until 8 a.m., maybe even 9 a.m. But I get frustrated and I get anxious and soon I have made my way to the kitchen where I make myself strong coffee and sit in front of my laptop.

But I’m forgetting something. It’s important, I’m sure of it.

I sip my coffee, turn on my laptop, and remember: My pills.

I cannot forget to take my pills. Disastrous things happen. Things I try to forget and things that keep me up at night. It’s never easy living with bipolar disorder but the medication keeps me stable, most of the time, and that is invaluable in and of itself.

In their must-read book, Loving Someone with Bipolar Disorder: Understanding and Helping Your Partner, authors Julie A. Fast and John D. Preston, PsyD, provide a wealth of information on how readers can support their partners with managing their illness. Each chapter features practical and wise ideas on better understanding bipolar disorder and working together to identify problems, triggers and effective solutions.

One of these tips is creating comprehensive lists of behaviors and activities that minimize symptoms and those that don’t. It can be tough to know how to help your partner, and sometimes, naturally, your own frustration, confusion and anger may get in the way.

Plus, some of the behaviors and activities that work may not be intuitive or automatic for you, especially if you’re stuck in old patterns. In fact, according to Fast and Preston, you may be surprised to learn that “bipolar disorder often doesn’t respond to traditional problem-solving behaviors.”

In the late 1990s and continuing on into the past decade, bipolar disorder started being diagnosed more and more in children. This became a problem only because the criteria for bipolar disorder in children have never been firmly established. Researchers developed their own set of criteria which contradicted the official diagnostic criteria for the disorder. The research criteria basically did away with the need for a manic or hypomanic episode, and instead replaced it with irritability and anger.

Coincidentally, a few pharmaceutical companies also released a set of medications — called atypical antipsychotics — which can be used to treat certain symptoms of bipolar disorder.

Doctors started diagnosing bipolar disorder in children with a looser set of criteria, and felt more at ease prescribing a treatment for it because these new medications had become available.

This set of circumstances led to a reported 40-fold increase in the past decade of bipolar disorder diagnoses in children. This suggests a pretty obvious problem in the diagnostic criteria, since nothing has changed so much in the past decade to offer a reasonable explanation for this sort of increase.

Bipolar disorder is a serious mental illness that impacts millions of people around the world.

We’re pleased to …

“When you have bipolar disorder, it can often feel like you’re at the mercy of your emotional states — like you’re the passenger in the car, just along for the ride,” writes Sheri Van Dijk, MSW, in The Dialectical Behavior Therapy Skills Workbook for Bipolar Disorder. But “this doesn’t have to be the case.”

In the book, Van Dijk shares how individuals with bipolar disorder can learn to act — rather than react and make smart decisions. (I personally think these insights and advice are valuable for all readers, regardless of whether you struggle with bipolar disorder.)

This isn’t the blog post I planned to write. I might get to that one eventually; it’s still kicking around in my head and I still know what I want to say. But this one — I needed to make a couple of stops on the way home, and I didn’t, because I had to race back to the laptop. The words kept wanting out. When you’re a writer, that’s how you know you’re on to something.

While I was out driving around, this old song, “Hold On,” by Kansas, came on the radio station. I grew up — in Kansas, poetically enough — listening to Kansas and Styx and Rush and Van Halen and Peter Frampton, and yes, even Rick Springfield.¹

But here are the opening lyrics to the song:

Look in the mirror and tell me
Just what you see
What have the years of your life
Taught you to be?
Innocence dyin’ in so many ways
Things that you dream of are lost
Lost in the haze

Most people, somehow or another, are tormented — whether by cruel others or the workings of their own cruel minds — throughout adolescence.

Lucky me: I got both.

1. I have a soft spot for Rick Springfield. Try not to mock me. He’s 62 and he’s still smokin’ hot, and he can still sing, and he was the cause of some happy memories from my teens. [↩]

Shame on The Cash Store for firing Sean Reilly because he had bipolar disorder.

After being a model employee for the parent company of The Cash Store, Cottonwood Financial, he asked for some time off in order to deal with his bipolar disorder after having worked for the company for about 6 months. They denied his request, and then fired him shortly thereafter. Reilly was up-front about his disorder before he was even hired, although there’s no requirement to tell a potential employer about any medical condition you may have — including bipolar disorder.

Judge Edward Shea of the US District Court for Eastern Washington agreed with Reilly that he was fired for his bipolar disorder — not for the half-dozen different rationales Cottonwood Financial had given. The judge said such rationales were merely a pretext for their discrimination.

Nobody doubts the benefits of exercise for physical health.

What isn’t as widely known or discussed is how essential moderate exercise is to our mental well-being. I created an online survey which sought to find out what health strategies helped people who have experienced an episode of depression or anxiety to bounce back from setbacks. I took a holistic approach, and asked people to evaluate the effectiveness of strategies such as exercise, good rest, good nutrition, emotional support from family, friends, and support groups, fulfilling work, hobbies, charity work, as well as traditional approaches like psychological counseling and medication. In all, over 60 strategies were evaluated, and 4,080 respondents were asked to rate those they had tried. Exercise was in the top three.

Research shows that a 30-minute brisk walk (or equivalent) significantly improves your mood after 2, 4, 8, and 12 hours compared to those who don’t exercise (Mayo Clinic, 2008). Exercise also boosts energy, confidence, and sexual desirability (American Fitness, 19 (6), 32-36).

We can’t control the slings and arrows that come our way on a daily basis, but we can control our daily habits. Incorporating moderate exercise into our day can inoculate us from the prolonged effects of a setback.

Why does the Treatment Advocacy Center (TAC) misrepresent psychological research?

For instance, in its post on its website titled, “STUDY: Manic Symptoms Linked to Specific Criminal Acts,” the unattributed and undated article suggests that a new study was released that demonstrated a causal link between manic symptoms, and well, specific criminal acts.

But when I read the study, and compared it with what was in the article on the TAC website, I saw a complete misunderstanding (or misrepresentation, whether intentional or not) of the new study.

It now makes me question the validity of any information published by the Treatment Advocacy Center on their website, because it appears their bias — to drive home the mistaken idea that mental illness = increased risk of violence — affects their ability to even deliver research news objectively.

I love it when you get hit over the head with your own words.

Today I read a meaningful email by someone who had read my book. She said it was the passage on page 120 to 121 that provided the epiphany moment she needed to seek help for her mood disorder.

I was curious to see what was on these pages, so I got a copy out and read this…

Consider these alarming statistics:

* By 2020, behavioral health disorders will surpass all physical diseases as a major cause of disability worldwide.

* Of the more than 6 million people served by state mental health authorities across the nation, only 21 percent are employed.

* More than half of adolescents in the United States who fail to complete high school have a diagnosable psychiatric disorder.

* Between 2009 and 2011 states cumulatively cut more than $1.8 billion from their budgets for services for children and adults living with mental illness.

* In 2009, there were an estimated 45.1 million adults aged 18 or older in the United States with any mental illness in the past year. This represents 19.9 percent of all adults in the U.S.

*Serious mental illnesses cost society $193.2 billion in lost earnings per year.

* The annual total estimated societal cost of substance abuse in the U.S. is $510 billion.

* In 2008, an estimated 9.8 million adults aged 18 and older in the U.S. has a serious mental illness.

With our economy still in the toilet, states and federal government threaten to cut even more dollars in mental health funding, which would result in less or no access to mental health treatment and services for countless Americans. Ultimately the cuts steal the one thing that keeps those of us struggling with chronic mood disorders alive: hope.

Today is National Depression Screening Day, so it’s time for your annual depression checkup. Are you depressed? Or are you skirting the threshold of depression, feeling low on energy and taking little pleasure out of life?

You don’t need to make an appointment or go see someone in person in order to find out the answer to these questions. Since 1995, Psych Central has offered an online interactive depression test that gives you an instant result. While nobody can diagnose a mental disorder online, it can give you a quick sense of whether it’s something to be concerned about and make an appointment with a mental health professional to examine further.

The quick depression test is just 8 questions and is an accurate screening measure for depression. It takes most people less than a minute to complete. The longer 18-question depression quiz is the oldest one online and is a more thorough screen for depressive symptoms. It’s a little more accurate, and most people complete it in under 3 minutes.