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GTR


Member

Posted Tue May 18th, 2010 1:31pm Post subject: Coping Strategies

I know this has probably been a subject many times before because we all want ways with which to cope with the extremities of our conditions. First the boring bit though (c'mon, can't have fun from the very start). I've never been a fan of medication and in hindsight I'm glad I never took it back in the old days. This is basically why I came up with coping strategies, and while they work for me I can't guarantee they'll work for you because everyone is different.

When hypomanic or manic:

Ah the joy! Ok, lets face it, it feels fantastic and I suspect its responsible for some of the most creative things we've seen in the world but it can lead to some bad decisions which haunt us afterwards. I find that limits are essential at this time, including isolating yourself, because this reduces the stimulus you have to work with and so you're unlikely to do something you'll feel really bad about later.

If you honestly don't want to isolate yourself then only go out with someone who you trust and is aware of your situation. Try to get them to come to you rather than going out to meet them, or be in constant communication via text etc till your with them and they will generally be an anchor for you.

When in the dark depths:

This one's simple. DON'T BE ALONE. This is the best solution, because what it does is introduce distraction technique. We are social creatures, regardless of what we may think, and just being in the company of people can help. Having someone occasionally ask if you're alright in a friendly way is surprisingly therapeutic. Being included is important, you don't have to contribute. As stated in the manic section above try to get communication between yourself and someone else when going from one place to another by yourself as it this can be one of the highest risk times.

Distraction is possibly the most significant thing I can think of and can take many forms. Essentially what you need is something that will connect with your core self and engage the base emotions, either happiness or anger are best.

For example, I'm fiercely defensive of my friends, they know I will do anything for them, so if I'm in a bad place all one of them has to do is say they need advice etc on a problem and I won't look at my own stuff because I'll be focused on what their needs are, thus distracted from my own issues.

Another way I have is having films or programmes I'll watch, the vast majority are comedys because laughter is very powerful, it tends to distract you from the way you feel (I guess this is another way in which Stephen Fry helps, we find his stuff funny otherwise we wouldn't be on this forum would we?). Personally I find Pixar films and The Muppets work, but anything you find simply amusing helps.

As I said in the introduction, I don't know if this will work for others and you'll have to tailor things to your own personality.

I can't think of anything clever to say so I'll be quiet

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katysara


Moderator

Posted Tue May 18th, 2010 5:22pm Post subject: Coping Strategies

I find I need all of those techniques on top of my medication, and i am on a lot of medication...

KSx

I am an administrator on this site.

"Having a great intellect is no path to being happy."
~ Stephen Fry

See my website: www.katysaraculling.com

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tito


Member *

Posted Tue May 18th, 2010 7:58pm Post subject: Coping Strategies

katysara said:
I find I need all of those techniques on top of my medication, and i am on a lot of medication...

KSx

DITTO!

Apart from the social thing. I find socialising makes me more stressed and depressed. I recover better when left alone.

There are different types of bipolar and we are all different anyway.

My unmedicated self is really very ill. And I've tried various coping mechanisms over 26 years. They sadly don't do that much for me.

If I was brave enough to give you an example of what goes on in my mind when unmedicated, you'd see my point!

My daughter's psyche said last year that some people are just so hardwired to severe and chronic depressive states that medication is the only option.

I wish the stigma re: meds would go.

I don't get stigma for having asthma medication so why is it there like pills for mental illness are wrong in some way?

If it weren't for medication over the years I wouldn't be here and that's that.

It actually should be irrelevant whether someone is more stable by coping mechanisms or medication, the end result is the important thing.

And this is one of those times when I could kick myself again for being a reticent person. I could explain more clearly why none medication is not an option for some of us if I weren't.

My daughter, (22) also bipolar, has been told to expect to be medicated for life as she too is unbelievably ill without it. Coping mechanisms, which she tried her damndest (correct spelling?)at, didn't help her one jot.

My son discovered her firmly laid suicide plans just in time. After she had been following the self help, daily exercise etc route.

In closing I say whatever your way is: coping mechanisms, pills, which will depend on you, your type of illness, it's severity, are all fine and valid.

I will put my brave boots on though and say that I hear voices, like a radio playing in the background, hallucinate crawling insects and fluttering scuttling animals and smell things, fire mainly, which aren't there.

These are a great deal worse when I'm unmedicated. My daughter has the same hallucinations.

(On the hearing voices front, the first year we moved into our present house I'd accidentally switched on a radio which I was storing in my wardrobe. when I put some ironing away. My husband was away fishing at the time. For two days I just thought the 'hearing voices thing' was really taking me over. When he got back he said he said 'Can you hear voices?' I panicked, briefly, thinking 'He's gone mad!' and then I thought 'Hang on............'
He got the radio from the wardrobe and switched it off.)


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Vampyros


Member

Posted Wed May 19th, 2010 9:14am Post subject: Coping Strategies

Being alone when manic, OK during the actual episodes but once I run out of things to do on a long lonely night I inevitably crash to a low - then still alone now in danger terratory.

I worried about medication removing the "highs" because yes I loved them but also knew how dangerous they were.

First few days on lithium felt numb, but eventually I got back to writing my book and designing web site. I was still me, the creativity was still there just not in a manic way.

I truly believe to stay alive I need to be medicated. But if coping strategies work for you then thats great - like mentioned before we are all different and as long as we stay safe the method is not so important.

Vx

I think my multiple personalities have multiple personalities - makes for quite a party.

"Books and friends should be few but good."

"It is better to be in chains with friends , than to be in a garden with strangers." -Persian Proverb
"Don't be dismayed at goodbyes. A farewell is before you can meet again. And meeting again after a moment or a lifetime is certain for those who are friends." - Richard Bach

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Slinki


Member

Posted Wed May 19th, 2010 11:26pm Post subject: Coping Strategies

I was more dangerous to myself but particularly others when I was on meds. In hindsight its easy to say I got the wrong ones, my community care ended too soon, or a whole load of other things.

Bottom line is that BP is responsible for a large part of both my sucsesses and failures, its part of who I am. Over the years I have used many coping strategies from isolation, self harm and excessive social drinking in the early student days (NOT recomended), to the ones I use now; projects, hobbies, extra work shifts, excersise, fresh organic produce (home grown its cheeper), meditation, some isolation and anything else that takes my fancy! When I'm up the projects choose me, when I'm down I have to force mayself on a task.

The thing with projects as opposed to hobbies is that you should set a deadline and stick to it, and don't switch projects half way through. Once one project is comming towards its end I need to have another one lined up, and another in reserve e.g. for the last two years I have nearly got round to building a chicken run, I always ran out of steam before starting it, but its there to do incase I need it. And when you don't set a dead line and / or switch tasks you end up with a half decorated kitchen, lounge and stairs for at least 12 months (and counting).

In many ways I wish I could have got on with meds from the start and led a comparitavly normal life to the 15 year on and off whirl-wind I have been caught up in, but then I would be a different person with probably less extreeme experiences which have moulded who I am and how I function now.

If meds work for you thats great! For me I will never be comfortable with the idea, but only due to bad personal experiences of Lithium and Seroxat.

GTR has said the magic word "Muppets" at the start of the thred. I know its been out there in web land for a while but anyone needing a quick pick me up shoud watch "The Muppets do Bohemian Rhapsody" still one of the funniest things ever, but then I am a huge Animal fan!

If it works for you, use it.

Take care all,

Slinki xx


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ruthy


Member

Posted Wed Jun 9th, 2010 6:03pm Post subject: Coping Strategies

I find that the secret is early intervention. If you can detect which way you are going before you go too far it is half the battle. I find that before I go high I get a kind of nervous twitch and I notice that I start wringing my hands a lot. That's when I need to go to a quiet place and meditate with a cup of chamomile tea. Talking to friends and explaining that I think I'm on a high safeguards me from doing anything stupid.
When I start to feel down for no reason at all I need to go outside and get some fresh air and exercise. Talking is a good idea too even though my instinct tells me I need to crawl into bed and wait for death. Whatever state I'm about to go into I have to fight it tooth and nail, knowing the ultimate state I will find myself in if I don't.


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greentree


Member

Posted Wed Jun 9th, 2010 7:42pm Post subject: Coping Strategies

Am not bipolar (unipolar instead - tra la...) and i always find there's a battle between what i FEEL like doing or WANT to do when i'm ill, and what i probably SHOULD be doing to help.
For example, i know that going for a walk generally is a good idea, but it's the last thing i either have the energy for or want to do at the time. Don't want to eat, but again, probably should.
Don't want to see/talk to people, but again, probably should.....

I find tiredness has a bearing on how my mood is, and if i'm not tired, i get on with my PhD cos that's a good distraction from the circular thoughts buzzing around....
And i do jigsaws like a mad thing as well - they help.
And gardening.

No sig.

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Vampyros


Member

Posted Thu Jun 24th, 2010 5:56am Post subject: Coping Strategies

Ruthy and Greentree - ditto on both your posts, agree and feel the same about both.

I am doing a couple of courses and my book and it I am well and not tired have plenty of distractions - middle of the night when I cannot sleep sometimes too lethargic to do anything and then they are long and lonely nights.

Vx

I think my multiple personalities have multiple personalities - makes for quite a party.

"Books and friends should be few but good."

"It is better to be in chains with friends , than to be in a garden with strangers." -Persian Proverb
"Don't be dismayed at goodbyes. A farewell is before you can meet again. And meeting again after a moment or a lifetime is certain for those who are friends." - Richard Bach

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greentree


Member

Posted Thu Jun 24th, 2010 8:46am Post subject: Coping Strategies

Crap, crap crap.....
why do i drink.....
it's never a good idea.

I would list this as NOT a coping strategy.

No sig.

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Vampyros


Member

Posted Thu Jun 24th, 2010 6:57pm Post subject: Coping Strategies

Totally agree GT
Vx

I think my multiple personalities have multiple personalities - makes for quite a party.

"Books and friends should be few but good."

"It is better to be in chains with friends , than to be in a garden with strangers." -Persian Proverb
"Don't be dismayed at goodbyes. A farewell is before you can meet again. And meeting again after a moment or a lifetime is certain for those who are friends." - Richard Bach

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tracey mitchell


Member

Posted Mon Jul 19th, 2010 10:54pm Post subject: Coping Strategies

best way to cope/control bipolar that iv found i dont think is going to be a popular strategie... i got a mass on my thyroid ... since which the bipolar is a shallow echo of what it was... down side the highs are also a shallow echo siiiigh


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Vampyros


Member

Posted Tue Jul 20th, 2010 3:57am Post subject: Coping Strategies

Had my share of distraction therapy, works but not sure I would recommend it.

Vx

I think my multiple personalities have multiple personalities - makes for quite a party.

"Books and friends should be few but good."

"It is better to be in chains with friends , than to be in a garden with strangers." -Persian Proverb
"Don't be dismayed at goodbyes. A farewell is before you can meet again. And meeting again after a moment or a lifetime is certain for those who are friends." - Richard Bach

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