My life with bipolar—what it's really like to live with a severe mental health disorder

I was 20 years old when I first heard the word "bipolar." I was in a sterile, white room: a room with stained walls and cold, metal chairs. There were marks on the floor. Scuffs and crumbs and wisps of unswept hair. But that didn't bother me. Not really. What bothered me was my new diagnosis.
Bipolar.
I wasn't sad or depressed, I was bipolar.
I'd be lying if I said I accepted my new label with grace. I mean, I started taking medication. Depakote. I went to therapy, as my psychiatrist suggested, and I attempted to make progress. I really, really tried. But I didn't believe I was sick, or at least not as sick as they were telling me, and after a few months, I stopped taking my meds — something which, over the last 16 years, I have done time and time again. But it didn't end well. It never ends well. And during my "withdrawal," my body began reacting.
Within days, I was exuberant, elated, and happy. I was working more and sleeping less. I was talkative. Very talkative. I text dozens of friends, friends who I hadn't spoken to in years, and I was confident. Hypomania was setting in. I also pitched hundreds of story ideas. I wrote more articles than I can count. Oh, and I dyed my hair. Over the span of a week, I sported three different shades. But I was seeing things. Hearing voices. The walls had eyes. My world was closing in. And I was drinking to manage. To deal. To cope.
I was also suicidal. When I am manic, I am always suicidal.
But why then did I stop my pills? Why did I put myself and my wellbeing at risk? Because I have a mental health disorder. Specifically, I live with bipolar disorder, and one of the symptoms of my illness is impulsivity. Mania and hypomania is marked by reckless decisions. And stopping my pills? That was brash and careless. It was negligent and thoughtless, and it was reckless. It was textbook bipolar behavior.
But mania and hypomania aren't the only manifestations of my illness. Bipolar disorder is a serious mental health disorder, one that affects 2.3 million Americans, and in order to be diagnosed with this condition, one must experience elation and sadness. Those with bipolar experience manic highs and depressive lows—and I would know.
While my most recent swing was up, I have spent many days down. My depressive episodes are frequent, dark and morose.
You see, when I am depressed, I am discouraged and despondent, helpless and hopeless, and I feel numb. I am suffocated by a curtain I cannot see. I am stuck behind a wall which does not exist, and I am tethered to a pole by an imaginary rope.
I run laps like a caged animal. I beg for someone—anyone—to throw me a bone.
When I am depressed, I miss deadlines and lack motivation: To work. To parent. To run, read, or shower.
When I am depressed, I want to be alone. I need to be alone. Seeing people being and breathing is too painful. Watching others live their life hurts. And when I am depressed I feel guilty for thinking these things. For feeling these things. Everything becomes a chore.
"Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental disorder that causes unusual shifts in mood, energy, activity levels, concentration, and the ability to carry out day-to-day tasks," the National Institute of Mental Health writes. Those living with bipolar "experience periods of unusually intense emotion, changes in sleep patterns and activity levels, and uncharacteristic behaviors — often without recognizing their likely harmful or undesirable effects."
Of course, as with any illness, the symptoms of bipolar vary from person to person and patient to patient; however, those living with bipolar will experience periods of depression, mania and/or hypomania.
"Mania and hypomania are two distinct types of episodes," the Mayo Clinic explains, "but they have the same symptoms, [including but not limited to feeling] abnormally upbeat, jumpy or wired; [having] increased activity, energy or agitation [and/or an] exaggerated sense of well-being and self-confidence (euphoria); [experiencing a] decreased need for sleep... [and engaging in] poor decision-making."
Those with depression will experience feelings of numbness, sadness, tearfulness, hopelessness, and helplessness. They may experience weight loss or weight gain, and depression can exacerbate feelings of worthlessness and guilt. Fatigue and a general loss of motivation and energy can also occur.
The good news is most days I am stable. I am balanced. Thanks to therapy and medication, I am living somewhere "in between." Most days I wake feeling fine. I am able to parent. To work. To function. I am a good employee. A caring wife. A loving mother, and an (overly invested) friend. I can also roll with the punches. I don't cry over cold coffee or breakdown when I spill milk. I also don't drink. I am able to keep the manic demons at bay. Plus, I know how to manage my illness when I am not. I run. I rest. I speak with my therapist more frequently. If necessary, I ask my psychiatrist to adjust my meds, and I implement my crisis intervention plan, a document which includes tangible steps I can take if and when I am feeling manic or depressed.
But being well isn't easy. It takes patience and hard work. It also takes a little faith and a whole lot of luck, but it is worth it.
I am worth it.
If you or someone you know is struggling, know this: You are not alone. There is help. There is hope. For more information about bipolar disorder and/or resources about substance abuse or other mental health disorders, call the visit SAMHSA's website or call the National Helpline at 1-800-662-HELP (4357).- What does bipolar disorder look like? This photographer will tell you ... ›
- What one woman with bipolar disorder wants you to know about ... ›
- Kim Kardashian West has released her first public statement about ... ›
- Psychiatrist lists 5 signs your depression is likely bipolar - Upworthy ›
12 non-threatening leadership strategies for women
We mustn't hurt a man's feelings.
Men and the feels.
Note: This an excerpt is from Sarah Cooper's book, How to Be Successful Without Hurting Men's Feelings.
In this fast-paced business world, female leaders need to make sure they're not perceived as pushy, aggressive, or competent.
One way to do that is to alter your leadership style to account for the fragile male ego.
Should men accept powerful women and not feel threatened by them? Yes. Is that asking too much?
IS IT?
Sorry, I didn't mean to get aggressive there. Anyhoo, here are twelve non-threatening leadership strategies for women.
Encourage.
With permission from Sarah Cooper.
When setting a deadline, ask your coworker what he thinks of doing something, instead of just asking him to get it done. This makes him feel less like you're telling him what to do and more like you care about his opinions.
Sharing ideas.
With permission from Sarah Cooper.
When sharing your ideas, overconfidence is a killer. You don't want your male coworkers to think you're getting all uppity. Instead, downplay your ideas as just "thinking out loud," "throwing something out there," or sharing something "dumb," "random," or "crazy."
Email requests.
With permission from Sarah Cooper.
Pepper your emails with exclamation marks and emojis so you don't come across as too clear or direct. Your lack of efficient communication will make you seem more approachable.
Idea sharing.
With permission from Sarah Cooper.
If a male coworker steals your idea in a meeting, thank him for it. Give him kudos for how he explained your idea so clearly. And let's face it, no one might've ever heard it if he hadn't repeated it.
Sexism.
With permission from Sarah Cooper.
When you hear a sexist comment, the awkward laugh is key. Practice your awkward laugh at home, with your friends and family, and in the mirror. Make sure you sound truly delighted even as your soul is dying inside.
Mansplain.
With permission from Sarah Cooper.
Men love explaining things. But when he's explaining something and you already know that, it might be tempting to say, "I already know that." Instead, have him explain it to you over and over again. It will make him feel useful and will give you some time to think about how to avoid him in the future.
Mistakes.
With permission from Sarah Cooper.
Pointing out a mistake is always risky so it's important to always apologize for noticing the mistake and then make sure that no one thinks you're too sure about it. People will appreciate your "hey what do I know?!" sensibilities.
Promotions.
With permission from Sarah Cooper.
Asking your manager for a promotion could make you seem power- hungry, opportunistic, and transparent. Instead, ask a male coworker to vouch for you. Have your coworker tell your manager you'd be great for the role even though you don't really want it. This will make you more likely to actually get that promotion.
Rude.
With permission from Sarah Cooper.
Sometimes not everyone is properly introduced at the start of a meeting. Don't take it personally even if it happens to you all the time, and certainly don't stop the meeting from moving forward to introduce yourself. Sending a quick note afterward is the best way to introduce yourself without seeming too self-important.
Interruptions.
With permission from Sarah Cooper.
When you get interrupted, you might be tempted to just continue talking or even ask if you can finish what you were saying. This is treacherous territory. Instead, simply stop talking. The path of least resistance is silence.
Collaboration.
With permission from Sarah Cooper.
When collaborating with a man, type using only one finger. Skill and speed are very off-putting.
Disagreements.
With permission from Sarah Cooper.
When all else fails, wear a mustache so everyone sees you as more man-like. This will cancel out any need to change your leadership style. In fact, you may even get a quick promotion!
In conclusion...
With permission from Sarah Cooper.
Many women have discovered the secret power of non-threatening leadership. We call it a "secret power" because no one else actually knows about it. We keep our power hidden within ourselves so that it doesn't frighten and intimidate others. That's what makes us the true unsung heroes of the corporate world.
About the Author: Sarah Cooper
Sarah Cooper is a writer, comedian, and author of 100 Tricks to Appear Smart in Meetings. Her new book, How to Be Successful Without Hurting Men's Feelings, is out now.
The comedic book cover.
With permission from Sarah Cooper.
A satirical take on what it's like to be a woman in the workplace, Cooper draws from her experience as a former executive in the world of tech (she's a former Googler and Yahooer). You can get the book here.
This article was originally published on March 25, 2019.