When you have a serious mental illness like bipolar disorder, navigating relationships can be difficult. Not only is it difficult to overcome the self-limiting factors those with bipolar disorder may place on themselves, but it’s difficult to get over the limitations that may externally be placed on a person with bipolar disorder. These are challenges that can feel impossible to overcome but people with bipolar disorder can have social and intimate relationships, and what’s more, doing so can even improve their mental health.
In 1997 I was a happy person. I had recently moved to a new city with my then-boyfriend, gotten a little distance from my family, and started attending university. I was working toward a bachelor’s of computer science. It was challenging, but I was handling it and feeling uplifted by the challenge.
I was used to a roller-coaster of moods through my earlier teenage years, but I thought that turbulence was behind me. I had no idea anything was brewing in my brain.
Unfortunately, by the end of 1998, my mental health had reached its breaking point. I had slid, little by little, into the vortex of a severe depression. By that time I was wishing for death every day, could barely get out of bed, and had turned to self-harm for some small measure of relief. I had no idea why these things were happening to me as nothing notable had preceded them, but they were obviously happening — brutally.
Having a mental illness can change your life. Major depressive disorder, bipolar disorder, or any other mental illness can alter the way you live every day. While this can certainly be hard, perhaps even more difficult is a diagnosis of two or more mental illnesses.
Having more than one medical illness is known as a comorbid condition. Unfortunately, comorbid mental illnesses are more common than most people think.
Comorbidity in Major Depression
The most common comorbidity with major depression is an anxiety condition. The comorbidity rate can be up to 60%. It’s so prevalent that the appearance of one disorder is often considered a predisposing factor for the other. Approximately 5-9% of the general adult population has an anxiety and depression diagnosis.
Patients with major depressive disorder also have higher rates of psychotic disorders and suicidal risk. Those with a higher suicide risk may have a higher risk of anxiety or psychotic disorder. Continue reading How to Deal With Multiple Mental Illnesses
There are multiple types of bipolar disorder — a disorder known as an affective or mood disorder. The three main types are: bipolar disorder type I, bipolar disorder type II and cyclothymia. Also, there are certain additional “specifiers” that denote particular types of symptoms seen in each bipolar mood.
Bipolar disorder appears evenly in men and women. Women, however, are more likely to be diagnosed with bipolar disorder type II. Women are also more likely to experience mixed episodes (see below) and a “rapid cycling” version of the illness where the person experiences more than four mood episodes per year.
Bipolar Disorder Type I
Bipolar disorder type I is what people tend to think of when they imagine bipolar disorder (previously known as manic depression). It is made of up a very elevated mood known as “mania” and a very low mood called “depression.”
A person with bipolar disorder type I experiences these moods episodically. He or she may experience a manic episode for two months followed by a three-month depression followed by a symptom-free period (known as euthymia). Continue reading How Do I Know What Kind of Bipolar I Have?