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Bi Polar Disorder and Anger – A Raging Lunatic Tells All – Jodie Sand

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BIPOLAR DISORDER & ANGER: A RAGING LUNATIC TELLS ALL

My rage is like an old-school boombox with fresh D batteries. I carry it around with me but the music isn’t a catchy melody. When it explodes from the speakers, it’s static that grates on the nerves. It makes zero sense.

Sometimes, a stranger will invoke my wrath. But more often than not, my temper is directed at the people who I love the most or spend a lot of time with. It has cost me friendships, romantic relationships, jobs, loyalties and a marriage.

Taylor Swift’s Blank Space lyrics come to mind:

Wait the worst is yet to come, oh no
Screaming, crying, perfect storm
I can make all the tables turn
Rose gardens filled with thorns
Keep you second guessing like
“Oh my God, who is she?”

IT’S OK TO BE ANGRY

I’m not saying anger is inherently bad. My mom used to quote scripture about it: “Be angry and do not sin,” she advised (Ephesians 4:26). Popular psychology agrees about positive and negative methods to express your anger. I’ve been rightfully furious with disrespectful children, disloyal lovers, an ex-husband, friends and my family. But the volume and violence it feeds are shameful.

I spit eff-bombs and insults like an over-chewed piece of gum until my voice is hoarse. I’ve pushed, scratched and even thrown a series of punches at a man who gutted me with lies. Was my anger justified? Yes! Were the intensity of my anger and the cutting nature of my serrated words necessary. No!

Rage isn’t an emotion that shows up on lists of common bipolar disorder symptoms. Mood swings from suicidal depression to euphoric mania are the hallmarks of this tricky mental illness. In my case, these moods seem to be the key to the swells of emotions like stormy seas.

The hopelessness of depression makes me examine my life for toxicity and search for the root of my agony. I remember the people who I’ve loved who have gouged my broken heart. The bosses and coworkers who have sucked away my marrow. The comments from family who mean well but hack away at my façade of confidence and wellness. The friends who don’t call. The children who forget to do their chores.

This is the blame game I play. The blues don’t mellow me. They feed my festering rage until anger spews from my mouth like acidic vomit.

My episodes of mania are no kinder. The false happiness of mania euphoria waxes and wanes, sometimes all in the same day. My grandiosity and endless energy and the rapid speech and big ideas are exhausting. I’m too tired to sleep. Suddenly my tongue is forked. My patience is gone and my temper flares with righteous indignation. The blame game begins again.

PSYCHOTIC DELUSIONS

Psychosis is “a serious mental illness characterized by defective or lost contact with reality, often with hallucinations or delusions” (Merriam-Webster). In my anger, I’m psychotic. I’m paranoid at 3 a.m. when my meds fail me and rest is elusive.

I tell myself: No one cares. Everyone sees me for the fraud I am. Life is unfair. Everyone is out to step on me on their way to something better. I can’t convince myself otherwise. I’m raging. Is my life punctuated with trauma or am I the source of the drama? I wonder.

Bipolar disorder is the result of a chemical imbalance in the brain. “For those who have anger stemming from bipolar disorder, it can range from mild to wild,” according to MentalHealth.net (source). Mine is a wild ride.

While the bipolar community can’t seem to agree about whether or not anger is a symptom of bipolar disorder, they do agree about how to get help.

KNOW YOURSELF

Identify your anger triggers. Certain topics of conversation, events, activities and even personalities or people may initiate irritability or rage. Be mindful when you begin to get upset and then limit or control exposure to those things.

When you do find yourself in a sticky spot, politely disengage. Resist the urge to be embarrassed. Tactfully end the conversation, hang up the phone with a pre-planned excuse or graciously excuse yourself and walk away. Don’t be shy about setting boundaries. You’ll really be embarrassed if your anger dominates the situation.

The second part of knowing yourself is identifying and engaging in activities or visiting places that calm and bring serenity. Make a list of your triggers and strategies to alleviate them.

Home is my haven and oasis. An afternoon of solitude is often where I find the most peace. Harnessing your bipolar disorder is not a mind-over-matter problem to be solved. Along with schizophrenia, bipolar disorder is the most dangerous mental health problem. If you suspect that you are bipolar or a diagnosis has been confirmed, you need medication!

CONSULT YOUR HEALTHCARE PROFESSIONALS

Bipolar disorder presents a very real risk of suicide. Don’t try to convince yourself that you won’t get that bad or you’ll know when to ask for help. Trust me; you won’t! You’ll also endanger yourself, your reputation, and other people if your behavior becomes reckless or impulsive.

If you’re taking lithium for your bipolar disorder and you notice irritability or aggression, talk to your doctor. These are not common symptoms of this mood stabilizer, but patients who are prescribed lithium have reported increased irritability, according to Healthline.com (source).

No matter what you’ve been prescribed to treat your bipolar disorder, don’t change or stop taking your medication without consulting your doctor. Unmonitored med tweaks can trigger dangerous depressive or manic episodes.

Even when you feel like your illness is well-controlled on medication, do yourself a favor and see a mental health therapist. A counselor can employ Cognitive Behavioral Therapy (CBT) to help. CBT is “psychotherapy that combines cognitive therapy with behavior therapy by identifying faulty or maladaptive patterns of thinking, emotional response, or behavior and substituting them with desirable patterns of thinking, emotional response, or behavior” (Merriam-Webster). Anger management classes may also be helpful if group therapy is your jam.

Don’t forget the French proverb: “Anger is a bad counselor” (source).

SOURCES

https://www.merriam-webster.com/dictionary/psychosis
https://www.mentalhelp.net/bipolar/and-anger/
https://www.healthline.com/health/bipolar-disorder/bipolar-anger#is-anger-a-side-effect-ofmedication
https://www.merriam-webster.com/dictionary/cognitive%20behavioral%20therapy
https://www.quotes.net/quote/40350

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About the Author: Jodie is a chronic illness and mental health blogger who battles fibromyalgia, bipolar disorder I, Irritable Bowel Syndrome (IBS) and gastroparesis every day. Her primary focus is fibromyalgia but her mental well-being her and gastrointestinal issues influence the way she deals with her chronic illness. She created CutTheChronic.com after job loss revealed she is no longer employable in a traditional way. Jodie is a former reporter and marketing professional with a degree in journalism. Reflecting on her skills, training and passions pointed her toward blogging as her next career move. Jodie finds writing extremely therapeutic as she searches for answers and hope for herself and other chronic illness sufferers. Means to living a better life reveal themselves in the process and inform her posts. She is fleshing out her blog with a body of posts that are educational, research-focused, inspirational, instructional, honest, raw and humorous. Jodie finds joy and strength in her husband Trevor and their blended family of three children. Her three loud and goofy hound dogs and a personality-packed flock of seven ducks provide levity. She’s a documentary junkie, novel reader (when she has time), car camper, stand up paddle boarder, yoga dabbler and runner. She’s also a foodie with a passion for home cooking. She is writing a low FODMAP cookbook to help her make peace with her IBS and gastroparesis and share with her readers. You can find her at her website Cut The Chronic.

Six Tips to Relieve School Stress – Just Call Me Jess

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The new school year is right around the corner and almost everyone is excited! Yes summer break is coming to an end, but the year will be filled with new opportunities to learn and make new friends…for most. For some, the new school year can be stressful! There is school supplies, new environment, new teachers/professors, stress if there is difficulty learning or reading and the list goes on!

Luckily, I have been there done that, when it comes to the stress associated with school. My anxiety would increase as the time got closer and would skyrocket the day before, “is my outfit right”, “what if I didn’t prepare enough”, “what if no one talks to me and I don’t make any friends”, and etc. As I would sit to take a test, I would begin to panic and often have to go outside of the classroom to catch my breath. Eventually, I began taking my classes outside and away from other classmates.

Stress is your body’s response to a challenge or demand. When you do not address the stress, it can begin to affect many aspects of your life, body and mind. Stress can often cause bodily effects such as headaches, insomnia, muscle tension, over eating or loss of appetite, and body aches. It can emotional cause you to have anxiety, lose focus, lack motivation, be easily frustrated or irritated, or even become depressed. When you are stressed you are more likely to use substances to cope, have angry outbursts, isolate yourself and have a decrease in participation in activities you once found pleasurable.

Throughout my experiences with stress, I learned many tips and tricks to decrease stress and rationalize my thoughts.

  1. Identify Your Stressor. If you walk into school/class and you begin to tense or you begin to have negative emotions identify where that comes from. Stressors can be anything and frankly that’s what makes them hard to identify. This is why it is important to have an effective self care and mindfulness routine so that you can identify your body’s responses to outside stimuli. Your body and mind will tell you that “this is not a safe place” or a “this is not comforting”.  Is it the subject, teacher or assignment you forgot to do? Once you identify the stressor it is easier to…
  2. Eliminate the Stressor. School can be a stressor in and of itself. The pressure to do well and achieve adequate grades will stress you out! Now add, family pressures, obligations, work, friends, relationships, bills, assignments, deadlines, extracurriculars…have I caused your heart rate to increase yet? Unfortunately some stressors we cannot eliminate but for the things we can impact, find alternatives.
  3. Breathing Techniques. I know, how cliche’! But seriously, taking slow breaths in and out will allow oxygen to get to the brain, your heart rate to slow and relaxes your body. Breathing in for 10 seconds, holding, and releasing for 10 seconds will allow you to make better decisions and become in tune with your body and what it needs.
  4. Exercise.The benefits of exercise are endless! Exercising is a mindfulness technique used to reduce stress, develop a healthy lifestyle and allow excess energy to be released. A simple 30 minute workout could reduce your stress and allow you to think clearly about decisions and what you need to do to have a successful day (this is why it is normally recommended in the mornings).
  5. Take A Mental Health Day. The brain is the most important organ in the body and yet we care for it the least. Stress can lead to many physical symptoms but also mental symptoms. I often see patients that have developed Anxiety Disorder or Major Depressive Disorder due to stress. How? If you continuously stress about your grades in school to the extent that you sacrifice your sleep or rarely eat you will get physically sick. You will also (eventually) burn out, lash out, fall out due to stress, lack of sleep and poor diet. Now there are no social supports, because you have isolated or pushed them away due to your emotional response to stress and you are not succeeding in school because you have burned out and fell out due to exhaustion. What is not advertised in school is taking time to care for your mental health. You will not give your best self if you are not caring for yourself.
  6. Seek Help. Speak to your teachers, counselor, family and friends about what is going on and how they can support you. I often suggest  individuals disclose their stressors to their support system in hopes that they can help combat them. If the stressor is one you cannot avoid, develop a plan with your support system so that they know how to be there for you during that time. If you need to be told to rest, eat, sleep, bathe, meditate, journal, listen to music, etc. let them know that. They cannot help you unless you tell them.

Good luck on your new school year! I know it will be everything you wish for and then some. Remember to implement these tips and stay positive!

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Hi I am Jessica, founder of Just Call Me Jess, a mental health blog that seeks to reduce stigma by normalizing the conversation surrounding it. I am a Licensed Master Level Social Worker with experience working with adults with severe, persistent mental illnesses and substance use.

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