Circadian Rhythms, Season Change and Bipolar Disorder

In southcentral Alaska, spring begins in April. For me, April is the cruelest month, bringing with it a violation of my circadian rhythms because of the sudden and dramatic return of the sun. April is the transition between the long, dark days of winter and the brilliant, long days of summer. It’s a period of adjustment, but for me that “adjustment” is rough and tumble, as the sunlight interrupts my sleep and completely turns my world upside down.

The instability usually begins in mid- to late March and continues into the first half of May. It is early February now, and, being a naturally anxious person, I begin to be afraid of what spring will bring.

I believe I am going into this spring strong and stable. I have help from my psychiatrist, my therapist, and, most of all, my husband and family. I am starting a new job, which can be stressful, but I believe this job will be enjoyable and less stress-inducing then my previous high-paying, high-pressure previous job.

I’m not sure if you too suffer from the season change and the disruption of your circadian rhythms, but I often wish I lived at the equator, where I sometimes think that the adjustment will be easier and less dramatic.

Here are some suggestions from my doctor that may help, as well as some things I have learned over the years:

  • Wear dark sunglasses and a baseball cap when the sun is shining bright
  • Try to avoid over-stimulation (for me, even the return of the spring songbirds can be irritating)
  • Make your house dark if possible beginning at 6 p.m. and don’t engage in outdoor activities after 6 p.m.
  • Use dark, opaque curtains
  • Have PRN medication at your disposal (I often increase my Seroquel as needed during these times)
  • As usual, don’t drink alcohol and limit your coffee
  • My doctor had a new one for me– take melatonin three hours before bed
  • Keep your sleep schedule exactly the same (don’t even change your wake-up time on the weekends)
  • Use your therapist to your advantage (I also call a free, anonymous counseling hotline as needed)
  • Avoid stress and your known triggers (if possible)
  • Keep your support system close and make sure they are aware of what’s happening (for example, it’s really important for me not to have my husband leave town for work during this time because it bumps me off my routine)
  • Keep a budget and give financial control to your partner or someone who is in your support system if you feel like you are starting to act impulsively
  • Be self-aware– watch out for those racing thoughts
  • Eat healthy and avoid too much sugar (sugar makes me go up and then crash)
  • I use essential oils, like melissa (lemon balm), lavender and Roman chamomile
  • Remember and practice your spirituality, if you are so inclined
  • Remember that spring can be hard for all bipolar people and that it is not your fault

I know we can never be “perfect” but maybe we can do our best to make it easier on ourselves through self-love, self-compassion and gentle self-care (like the ideas above) during our times of struggle.

 

 

An introduction– my history

This is a chapter (actually, the prologue, from my unpublished book, The Smartest Girl in the World). There is my history, and then there is the mythology of my history. Mon histoire. My story. You can’t extract the myth from the facts. They grow together, like the weed entangled with the peony. My history is incomplete without the mythology I wound around every single day, as each day ended, and my eyes closed, and my mind created its own story of the day. My mythology is what I felt, what I saw, what I thought I saw, what I felt like doing, but perhaps never did.

You can call it memory, or you can call it mythology. It could be the simple fact that a mentally ill memory is both true and false. That is the nature of it. After I became ill, illness grew like tree roots around the base of my brain. I can’t separate them. Illness added hyperbole; I remember flying when of course I never flew; I remember crouching when I never crouched; I remember being at war when I never fought.

My sister and my parents all say that I remember things from our childhood that nobody else does, that I confused books with reality, that I made situations up in my imagination. I think more likely it was that certain moments loomed large in my imagination, and as they grew in meaning, they rolled like the proverbial snowball, until they were so big they became my formative memories. I can’t help what I remember, and I can’t help what has since gathered so much meaning that I must write it.

It—my story—begins with my father. To my hungry little brain, he was my mentor, and he trained me to be a writer, and if not a writer, then he suffered me to think. My sister might laugh at this, at my grand-standing, at my self-absorption, at my seeing intellectual romance in the most meaningless of details, in a normal childhood, in a normal home. We are given one life, and in each life, I could craft ten thousand stories, and each story would only be as true as memory can make it. They are all lies, and they are all the truth. To my sister I would say there is a story for each of our given days, for each of our scars, for each of her tattoos, and as human beings, I could tell a fairy tale for each one, and in each one there would be truth to one and lies to another. Of the ten thousand threads that weave themselves through a life, this is just one, and I chose it because it is the one that holds me tightest. It is as true as any other thread, and because this is the thread of a crazy life, it is as crazy as I remember it.

Today, I am mentally ill. I am supposedly bipolar, type 1 but my current doctor thinks I am bipolar, type II. I’m given accommodations in my job and I take these amazing little pills that keep me alive. 100 years ago, on the other side of the world, I might have died of suicide in my twenties, alone, in a prison-like institution. 1000 years ago, when the Catholic Church was catholic in the West, I could have burned through a short life, filled with visions of God walking next to me, or appearing to me while I walked alone through the forest. People might have followed me, listening to me while God spoke through me, burning my mouth as I spoke. I could have been a saint. I could have been a heretic. 5000 years ago, here on the same dirt I stand in today, I may have been a shaman, a medicine woman, a caller of visions. Or I may have been a demon, exiled from the tribe, sent to die alone on the edge of the forest.

During my freshman year of college, at Georgetown University, I learned about memory, and a smattering about mental illness. There were about sixty students in psychology 101, in an old building that reminded me of a small castle. My professor taught us that our memory of every event is touched by the emotion we felt when the memory was made. When we are sad, we remember sad events. When we are happy, we remember happy things. Of course.

When I am sick, I’ve always been sick. I was born sick, I was sick in the womb. When I am well, I can’t imagine the feeling of being triggered by the same event that once made me crumble. When it is summer in Alaska, it’s almost impossible to paint the green sides of the mountains white, or to imagine the feeling of 30 below zero when the sun is warm and the air is full of the noise of insects.

 

 

Still, 18 Years Later, Searching for a Diagnosis

I was diagnosed when I was 21 years old with bipolar, type 1. I had experienced the extremes of mania and depression and because of my short exposure to abnormal psychology in Psych 101 at Georgetown University, I already had a feeling what the doctor would say when she said, with self-assurance, “you are bipolar, type I.” In the months before my diagnosis, I had spent hundreds of dollars on gourmet cookies to distribute among my friends, another several hundred dollars on flower bouquets to give out, and hours of speeding north on the highways north of my house in Anchorage, Alaska.

The manias, or hypomanias, would crash into severe episodes of depression, when I would cut myself on my arms, or even put a gun in my mouth, crying and desperate, until I would collapse on the clothes in my closet, worn out and exhausted.

But now, I haven’t had a manic or hypomanic episode in almost three years. My current doctor now thinks I am bipolar, type 2. I have these agitated depressive episodes where I feel panicked and convinced that I am a horrible person. The “episodes” last about an hour or two and they are almost always triggered by my fear that I will harm my relationship with my husband, or that is something is wrong in that arena.

Are you diagnosed bipolar but have these strange agitated depressive episodes? It feels like my mind is racing but I do not have pressured speech or all the features of a mixed episode. My doctor seems to think I primarily have anxiety. But I know that I have been bipolar my whole life.

What does bipolar feel like for you? Mine is ultra, ultra-rapid, over the course of a few hours or day or two, but not like the “traditional” bipolar of up and down over months.

 

 

 

The Bipolar Blog

It’s been nearly twenty years since I was diagnosed with bipolar disorder, type I. Later, I would also be diagnosed with generalized anxiety disorder. The bipolar diagnosis meant I would alternate between periods of manic episodes and depressive episodes, or through the horrific experience of a mixed episode, for a certain period of time. My bipolar is a little different, though; I have ultradian, or ultra-, ultra-rapid cycling. My cycles last an hour to multiple hours, sometimes running into each other, overlapping, casting me to and fro and back and forth through the episode.

Up until a couple of years ago, I would go through manic episodes that would send me spinning up into the clouds, when I would max out my credit cards, and have grandiose thoughts, even thinking I was as talented as Emily Dickinson, Virginia Woolf or even as wonderful as Jesus Christ.

This blog is here not just to tell my story, but also, by sharing my story, help any of my bipolar readers through their struggles.