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Wise Elder
Member Since Apr 2015
Location: US
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#1
What has helped you manage your bipolar the most? Meds? Therapy? A combination of the two? Something else?
__________________ Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1700 mg & 100-2 PRN,. 1.5 mg clonazepam., 50 mg Seroquel |
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Anonymous41462, buddha1too, Soupe du jour, Uykulu
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AutumnW0lf
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#2
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Willingness to let go of mania. That helped the most. Close observation of your episodes. Management of the episodes and prevention of them, physically, mentally, emotionally, but first and foremost, that willingness was needed. Management: - Always, always sleep enough, use pills if needed to sleep enough, absolute first priority (My first ever episode came when I skipped a night's sleep, I skipped it as part of a plan, not due to mood) - Eat properly and regularly - Regular, healthy routine during the day - Slow down physical movements - Slow down mental stuff too, stop doing anything that causes extra mental stimulation, even go lie down if needed, don't even go outside - Recognising and CBT-like fixing of thoughts and beliefs that could lead to episode/deepening of episode Now it's just back to the dysthymia I had before the bipolar developed. That's no fun, trying to solve that too. |
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buddha1too, mssweatypalms, Soupe du jour
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*Beth*, Soupe du jour
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Grand Magnate
Member Since Feb 2014
Location: USA
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#3
Yeah thanks for this I think I’ve been having a manic episode for like a week.
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Alive99, buddha1too, Soupe du jour, Uykulu
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Elder
Member Since Jun 2015
Location: Czechia
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#4
Definitely a combination of both medications and therapy. Truly. Also, it was important that I cut my drinking way way down. I don't think many people find solid stability when overusing recreational substances. Or for some, using them period! And that includes cannabis.
Alive99 mentions a couple very important things to learn and implement from therapy. Also important is developing more insight into the beginnings of episodes, which is sometimes hard, but with practice improves. Catching them quick is important since allowing full-blown episodes is not only painful or dangerous, but may eventually cause the kindling effect. |
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buddha1too
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buddha1too
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#5
For me, it's mostly meds and support from my family and friends. I know I always complain about my family and friends not understanding me, but knowing that I can lean on them if all else fails gives me strength. Therapy is not a typical option here so I haven't tried it. I just follow my psychiatrist's advice and try to manage things on my own. I was in quite a mess my first few years, but little by little, I learned how to see signs of going up or going down and how to deal with them. I read a lot of things about bipolar disorder online, but this is the first time I actually joined some forums after more than 10 years. I've never really talked to other people with bipolar disorder in person.
Oh, and another thing that helps me a lot is my teaching job. I always try to be stable for my students. Of course, it's my main source of income, but I also care a lot about them and about doing my job well. |
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buddha1too, Soupe du jour
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Alive99
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Monster on the Hill
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#6
Specifically, an IOP I was in when I was 17-18 with very strange at first views. They had a doc and he took an aggressive a pproach with meds. Then the counselors were awesome. It was kinda cult-ish. They had their own philosophy and they wrote a book. So a combo of meds and therapy,, but a very specific doctor and specific program. I haven't found any helpful treatment providers outside of that IOP.
__________________ If any chord that I could strum Make me feel less like a man I'd slam my fingers in the doorway And shatter all the bones So I could never strum again |
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buddha1too, Soupe du jour, Uykulu
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catches the flowers
Member Since Jul 2019
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#7
Medication, hands down. After that, therapy...but when things get really rough therapy only goes so far. Meds, however, can really help put me back on my feet.
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buddha1too, Soupe du jour, Uykulu
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Member Since Dec 2016
Location: Texas
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#8
I really have to credit meds as well. Mania makes me much to reckless for my job; I really couldn't have kept things going for my family if it weren't for the meds that brought me out and keep me out of manic episodes. Therapy helps some with other issues, but there's not a lot it can do to put a stop to a manic episode.
__________________ BD 1; Abilify, Wellbutrin |
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*Beth*, buddha1too, Uykulu
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*Beth*
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#9
Medication.
Being very very aware of how much sleep I'm getting and adjusting meds as needed to get enough sleep because lack thereof is my biggest trigger. Minimizing stress. I only work 4 days a week now and this has been enormously helpful. I'm also in a less stressful work environment than I have been in the past. Psychodynamic therapy for a couple of years which turned into a kind of trauma therapy. It was very painful at the time, but later on I realized that it was very helpful. I feel like I have put that kind of the trauma I had experienced behind me. More to work on, though! The therapy I'm in now. Super chill compared to the last one, fantastic therapist, I had started seeing her for anxiety, but she has been very helpful with other issues. Being far more aware of my moods, and their causes, than when I was young. __________________ Bipolar 1 Lamictal: 400 mg Latuda: 60mg Klonopin: 1 mg Propranolol: 10 mg Zoloft: 100 mg Temazepam: 15 mg Zyprexa 5-10mg prn (for Central Pain Syndrome: methadone 20 mg; for chronic back pain: meloxicam 15 mg; for migraines: prochlorperazine prn) |
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buddha1too, Uykulu
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*Beth*
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Legendary Wise Elder
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#10
My family support is the main one that’s helped me out these last 10 years. Also I give huge credit to this treatment center I was in from 2007-2009 for saving my life.
Therapy is either hit or miss for me. The one I had from 2011-2015 was bad. The one I had from 2015-2018 I got along with and was ok. Then the last one was younger and my hormones were out of control so I kinda had a crush on her and with tele health appointments she wasn’t the greatest. But she did help me out a lot regarding my transition by giving me the diagnosis and the name of my doctor. So I give her a lot of credit for that. The next therapist, we’ll see. Meds mainly my Geodon is what’s been helping me. __________________ Ridin' with Biden |
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Uykulu
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#11
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*Beth*, Anonymous41462, Soupe du jour, Uykulu
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#12
Meds ,theraphy ,my family and my friend's support, sleeping on time,having meal on time.not drinking,time, maybe prays
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*Beth*, Anonymous41462
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Member Since Apr 2021
Location: Oklahoma
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#13
Having a routine, going to bed and getting up at the same time has helped me the most
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Anonymous41462
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Magnate
Member Since Jun 2016
Location: U.S.
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#14
Medication, therapy, sleep hygiene, support system.
__________________ Bipolar 1 Disorder, Unspecified Anxiety Disorder |
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Anonymous41462
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Magnate
Member Since Jan 2013
Location: Midwest
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#15
Meds first dbt second wish i had dbt 20 years ago. It has helped me a lot. But psychosis needs meds.
__________________ Son: 14, 12/15/2009 R.I.P. Daughter: 20 Diagnosis: Bipolar with Psychosis. Latuda 100 mgs. |
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Anonymous41462
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Legendary Wise Elder
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#16
Meds, therapy, good sleep, exercise, healthy diet, self care, family and friends support
Sent from my iPhone using Tapatalk __________________ R.I.P mom 8/6/55-1/15/16 “All the darkness in the world cannot extinguish the light of a single candle.” -St. Francis of Assisi
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Anonymous41462
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Legendary Wise Elder
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#17
Medication and inner work I’d have to say. I’ve invested in programs and workshops and webinars that build up my mind and mindset. I also have what I call my “dream team” of medical professionals, therapist and mindset coaches to support me.
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Anonymous41462
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#18
one of the main things for me was getting away from my family and accepting that they didn't want any part in my journey. it was them who wouldn't let me have meds, them who wouldn't let me go to therapy, them who constantly stigmatised me, them who told me I was worthless.. once I was on my own and was able to do those things, it got easier to manage because I was making my own decisions about my own treatment
I can say that I don't think therapy's helped me much, but maybe that's because I've had 9 diffrent ones, and I've not been with any of them that long (usually they tell me I'm too much) I like journalling. been doing it on and off for years and it's great to get your feelings out their and it's also good to look back on when you're having a bad day.. like you got through this before, you can do it again the hospital's defenetly helped me, I can say here and now, that if it wasn't for their care and their support
Possible trigger:
that's how bad it got at one stage, I remember even being blessed by a priest lithium has helped me a lot too. I oe a lot to that particular medication |
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Anonymous41462, Uykulu
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#19
A question came up for me: Would regularly practicing rational reasoning help with controlling episodes more easily?
I know utilising reasoning helped me personally a lot with them but I don't know if intentional, explicit practice can contribute. I don't know, I no longer have episodes but maybe someone else can look into this so I'm putting this out there. |
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Anonymous41462
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catches the flowers
Member Since Jul 2019
Location: Downtown Vibes, California
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#20
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No. By the very nature of the disorder I lose my ability to be rational (unless I'm on the proper meds). __________________ |
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Anonymous41462
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