This is a story about Kim and Kanye...

This is not a story about Kim and Kanye. I don't know anybody called Kim and Kanye. I wrote the title of this essay and the little introductory line because apparently it was newsworthy that somebody wrote something on Instagram. Anyway, I realised that I haven't written much about bipolar recently.

I have a diagnosis of bipolar, but I don't particularly have any symptoms which are bothering me. I've been unmedicated for years and yet I'm fully functional. This is not to say that I think anyone who does use medication to help them with their bipolar is wrong to do so, but it doesn't work for me.

I sure as hell have a mood disorder. I'm suicidally depressed a lot of the time, but I also have periods of extremely high productivity. Sure, I'm very good at managing my condition, such that my friends and colleagues don't really know I've got a major mental health problem, but it doesn't mean it's not causing me any difficulties, despite appearing symptom-free.

I suppose the main problem I'm dealing with is the risk to my life. Being suicidal so often is pretty dangerous, and it's landed me in hospital - in intensive care and high dependency wards - a whole bunch of times. Still, I don't want to be medicated. If I die, I die. I'd rather not have the side-effects of powerful psychiatric medications.

Did I mention how functional I am?

Until I'm not.

I can cruise along just fine for very long periods of time, but then I crash. I always crash. Crashing is inevitable.

I don't think medication is the solution to the crashes. "Mood stabilisers" do not do what they claim to be able to. In fact, "mood stabilisers" can be highly destabilising, as I've found many times from bitter and unpleasant experience.

Certainly, anti-depressants are destabilising, always pushing me manic or at least hypomanic. I want them - obviously - because it's so horrible to be suicidally depressed all the time, but I know they're too destabilising and will cause my life to become chaotic and unmanageable.

So, I struggle along with commonly available mind-altering substances, like alcohol, which is a dreadful substance but I've become very experienced with using it to limp along through life.

I'm persevering with so-called "clean living" where I use a number of techniques to achieve more mood stability, naturally. I keep very strict bedtimes. I keep very strict meal times. I eat a balanced diet. I exercise. I limit my alcohol intake. I avoid all drugs and medications. It seems to be a winning formula. Also, money. Having plenty of money, a low-stress job and secure housing, are all very important pieces of the puzzle. If any one single thing is wrong, it throws my world into chaos and instability; it makes me unwell.

It's pretty dull really, the current story of me and my bipolar. Things are kinda under control and the things I'm doing to keep myself stable are - by design - super boring.

Tags: #bipolar