Hey. I have type two bipolar and have been improving since I was diagnosed in 2011 but right now I’ve hit a crater. I’m more depressed than I have been in literal years. Do you have any advice? Or just...I don’t know anything
a) Medication update. If you are medicated, as time goes by your body ingests medications differently and you might require a different dose. When did things start getting worse?
b) Track your moods so you can get a better handle on this and notice patterns. My depression always spikes at night. My anxiety always spikes before I leave my house. Can you keep some sort of log?
c) Reach out to friends and family if you can and open a dialogue about how you’re feeling. It might be excruciatingly awkward at first. But it’s good to have people who are aware of your symptoms and there for you. Worst case scenario? Somebody buys you a pity lunch. Don’t forget the guac.
d) Support groups/group therapy. NAMI and DBSA have free support groups depending on where you are (if you’re in the US). You might have a local mental health center with group therapy. Nothing compares to being surrounded by people who understand because they’re going through the same things you are. I wouldn’t know anything about Bipolar Disorder without stories from others. It puts things in perspective.
e) Handy list of self care activities. So when I was at the height of my depression I felt bad constantly and I felt like I was constantly running away from my intrusive thoughts, poor self talk, self harm thoughts, and ruminating thoughts moment by moment. So when I felt the urge to interrupt a thought, I would have a mental list of activities I would just do automatically. You can train yourself to be more mindful with activities when you feel bad. This is called behavioral activation. Making tea, taking a walk, playing with the cat, text a friend, read a book, play a specific feel good song, etc. These can be personal to you.
f) New hobbies. You might have to force yourself to try at first. Exercise, thrift stores, reading, and cooking are some of mine. Get into a routine. Read before bed. Go to thrift stores on Saturday. Structure is crucial in depression.
g) Set goals. Whether it’s employment or creative or just self fulfillment goals, you need to have something you’re working towards to keep your mind active. This can be whatever you want it to be.
h) Mantras. When I was at the height of my depression, I used mantras to self soothe and eliminate my ruminating thoughts and intrusive thoughts, as well as redirect my activities. When your brain gives you a terrible thought, you have to challenge it and when you challenge it, you’ll get so good at it that the negative thoughts won’t hit as hard. They can be as strange or personal as you want. “I don’t want to think about my trauma, I want to think about the Sumatran tigers at the zoo.” “I don’t want to hurt myself, I want to make a cup of tea.” “I’m just going to sketch out a new project and start on it and everything will be okay.” “I’m feeling tired right now but Thursday is my day off and I’m going to get a great start on the project on Thursday.” “I am a nice person and I deserve to be happy.” “I’m a good person and I’m not capable of being as bad as my intrusive thoughts say I am.” You have to keep repeating it.
i) Therapy. This is obvious. If you can afford it, go.
Don’t beat yourself up if your recovery is going really slow. When you’re deep in the pit of depression, it’s hard to get out. But establishing good self talk habits, getting your meds straight, setting goals, and investing in hobbies are some good steps to take. Hope this helps.