For the three of you that read my blog, you may or may not know that I am bipolar. The diagnosis is bipolar 2, although that is only because they haven't officially put bipolar 3 and bipolar 4 in the DSM yet. (Not kidding.) I was diagnosed with bipolar in 2008 when the world kind of collapsed around me and I couldn't even hold my job any longer. After playing around with some medication, I got on the right cocktail, which I have been on ever since. I also did talk therapy until about April 2009. It was a godsend.
Since 2009, I have worked REALLY HARD on my bipolar. I joined a support group for a while. Mostly, though, I have done a lot of work on things that support mental health and these have led me to a magical moment - living without medication!!
I decided to start tapering off of my medication before the wedding in preparation for getting pregnant. I, along with my psychiatrist, believe that even medications that are deemed "safe" during pregnancy do not belong anywhere near a developing fetus, and so I would not be on any of them while pregnant. I have no idea when we will start trying, if we ever do (children might be financially out of range for us), but I had to know what would happen if I were to be without meds before the issue came up. I had to experiment and have time to safely return to meds if things went wrong before we were committed to a pregnancy timeline.
It has been a tricky process. I have felt much better off my meds than I felt on them - and even Jason has noticed that I seem to be doing better without them than I was with them. On the other hand, I am more susceptible to the ill will of bipolar, so I am fighting the annoying impulsivity that it brings as well as a touch more tendency toward depression. But really, if I have to monitor myself a little more, it is so worth it not to have to fill prescriptions and see doctors and all that stuff. Not that I wouldn't return to it in a heartbeat if I needed it.....
How can I be without meds??? I really and truly believe that it is a combination of having "gotten my house in order" and following a certain lifestyle. First, I dealt with a lot of past garbage - a LOT of emotional stuff that had been weighing me down. Second, I resolved some things that were continuing to bother me - such as finally getting married, finally buying a house and finally getting to it on the whole grad school thing. Getting those items "dealt with" really, really moved me forward and I'm happy that they were "dealt with" in happy ways!!
The lifestyle change has been the biggest influence on my mental health and I recommend it to anyone who struggles not just with bipolar, but with any mental health issue:
1. Exercise - Research shows that exercise improves mental health and I can tell you that anecdotal evidence also supports this. As part of my regimen to cope with being bipolar, I have worked on various forms of exercise to figure out what works best. For me, it is anything involving the outdoors and anything mind/body. I do not enjoy the gym - to me it is sterile and I find it a little overwhelming. I have a really hard time with the gym smell - that combo of sweat and the spray to disinfect machines. Instead, I choose things that, like I said, are outdoors or mind/body related. This past winter I learned how to snowshoe (not that there's much to it, but still). Right now I'm loving an app on my phone that has me training for a 5K (couch to 5K) and I've found a yoga studio to make my home. When the gov't shutdown is over, I can learn how to use our 10,000 lakes in MN to canoe and kayak, both of which I love.
Exercise combines a few things that are essential to mental health. One, it gets all of the good chemicals going in the brain. Two, being outside is crazy important in order to get Vitamin D, which in our world these days we just don't get enough of, no matter how much fortified food we consume. Vitamin D is ESSENTIAL to our mental functioning and we can pretty much only get it from sunlight. This is why I try for as much outdoor activity as possible - when I soak up that Vitamin D, I feel sooooo good!
2. FOOD - The biggest and best change I ever made in my life was to my eating. When I can, which is not always possible if we're out of town or eating out, but in my home, I eat organic and whole foods. Removing the chemicals and pesticides from my diet has contributed to my mental health in ways I cannot describe. I actually feel BAD - like my emotions tank - when I eat food with artificial sweeteners or that is highly processed. One meal here or there I can handle, but if I consume too much in a row, I will become so emotional and irritable it is unbearable. Also, eating good, whole food provides me with nutrients that support bodily processes, which includes mental functioning. A lot of people who are dieting eat "diet food", which is filled with chemicals and artificial sweeteners, think they are doing well for their body, but it's just not good! I would much rather treat myself on occasion to a bite or piece of something involving natural food, even if it is a lot of calories, than to ice cream or jello that is "sugar-free" or "low-cal". I used to eat Skinny Cow products, for example.....my advice is don't do it!!!
3. SLEEP - Sleep is a vital component to our healthy functioning and it is essential to anyone who struggles with mental health. I now make sure that I am getting at least seven hours every night on a good routine. It is not something to sacrifice!
4. Choosing happiness - I have not had many models in my life of how to choose happiness. I have had models of people with regrets, people filled with "shoulds" who then "don't" and people who want to hide. My dad's favorite phrase was that life was a "shit sandwich". Really? cause it's not. Sometimes bad things happen - yes, yes they do - but often we are in control of what's going on and when we want different things, we can choose to change them. I choose things that make me happy, and not momentary happiness, but bigger happiness. I choose work that is gratifying and I have chosen grad school because work is no longer making me as happy as it once was and I need to continue to search for ways to be professionally fulfilled. I choose personal happiness by meeting new people and (hopefully) making new friends and working to strengthen my existing relationships, even if I have made mistakes in the past. In the every day, I will not be beaten by the little things, although sometimes they do beat me for a few minutes of tears ;) I refuse to let stress and circumstances rob me of the good life that I intend to have. Choosing happiness takes some work, but when you can be happy most days, in most minutes of most days, it is really, really worth it.
And so, here I am, almost med-free. I am healthier than I have ever been in my life. I work hard every day to make sure that my life is happy and meaningful. If I ever need to be back on medication, so be it. For today, I get to enjoy this freedom and this happiness. Happy 5th of July. I'm off to yoga.