Can You Heal Bipolar Disorder?

Can you heal bipolar disorder? I remember asking that question when I was first diagnosed back in 1998. I struggled with accepting my diagnosis because there was no tangible evidence of my disorder. No blood tests or brain scans, just a lot of ambiguous, hard to define symptoms that felt like character flaws and moral failings to me. 

Then one of my doctors compared my diagnosis to having diabetes. He asked me if I would be embarrassed if I was diagnosed with type one diabetes and I told him no because diabetes is a clearly defined and measurable physical problem that causes your body to be unable to regulate your blood sugar. The treatment is to monitor and balance your blood sugar so your body can function in a healthy way. 

My doctor then told me the same was true for having bipolar. My brain chemistry was unable to regulate itself properly and we needed to find the right medication to help it function in a healthy way.

At the time this comparison really helped me accept my diagnosis and I believed that I would find the right medication and eventually be able to live well with my bipolar. But it wasn’t true. I didn’t understand that the diagnosis of bipolar is not based on the cause, it is based on the symptoms. The generally accepted treatment doesn’t treat the cause, it treats the symptoms. 

Treating the symptoms of bipolar doesn’t help people to heal. At best it helps them manage the symptoms a little better, at worst it causes additional damage to the body and mind and creates new problems and diagnoses. So why are alternative treatments that aim to identify and treat the causes of bipolar symptoms considered taboo? 

Normalizing Suffering

Something that is especially discouraging in the online “support” communities for bipolar disorder is the insistence that no one discuss any treatment for bipolar other than psychotropic medications. Alternative treatments, no matter how well researched or validated, are off limits and called dangerous. The result is that the groups end up normalizing suffering with bipolar.

Over half of the posts in these groups are people asking for advice on what to do about the terrible side-effects they are experienceing from their medications–weight gain, insomnia, lost libido, etc. The other half are people talking about the horrible symptoms they are continuing to experience even on medication–excessive spending, hypersexuality, explosive rage, etc. 

People continuously lament medication related issues like drastic weight gain or “medication hangovers” that make it feel impossible to wake up in the morning. They also talk about not being able to work or maintain healthy relationships and share feelings of fear and despair at the prospect that their life may never get any better. 

The medication route often doesn’t provide long-term relief for people either. Recently in an online group someone asked how many times people in the group had been hospitalized–the results were staggering! Dozens of people responded with numerous hospitalizations and several had been hospitalized over twenty times! It was so disheartening to see how much everyone was suffering! 

Another question in an online group was how many mood-swings is it normal to have in a year. The responses were varied, but the people responding found it normal to continue to experience mood swings, even on medications. They have been convinced that this will be normal for them for the rest of their life. Why? 

If so many people are suffering with continued mood swings, side-effects, poor quality of life and hospitalizations, why is medication continually propped up as the only “effective” treatment for bipolar? Why are alternative treatments that seek to identify and treat the cause of the symptoms considered taboo?

Healing my Bipolar

I was diagnosed with bipolar in 1998 and for the first decade after my diagnosis I actively sought treatment with psychotropic medications, but I just got progressively worse. In 2008 I was hospitalized multiple times, experienced my first psychotic episodes, had electroconvulsive therapy done on me causing major memory loss and made multiple suicide attempts. I was actively seeking treatment and nothing was working.

In 2010 my doctor and I discovered an alternative treatment option that was well researched and had a surprisingly high success rate in helping people manage or eliminate the symptoms of their bipolar. With the help of my doctor and the company’s customer support I was able to titrate off of my medications and onto the micronutrient treatment. 

My doctor admitted to me during this process that he normally would not have even considered this treatment option. He told me that the only treatment option they were taught in medical school was psychotropic medication and all of the continuing education is funded by the pharmaceutical companies. The only reason he was even willing to consider this alternative treatment was because he could see how hard I was trying with medication and how much I was suffering. He had become as desperate to help me as I was.

A few months after I started on the new treatment I woke up one morning and felt like I was finally truly awake for the first time in over a decade. It took several years for my brain to fully heal, but during that time I was so much more stable on the micronutrients than I had ever been on medication so I stuck it out. I am so grateful that I did! 

Over the past 13 years I have gradually learned the other tools necessary to heal my mind, eliminating triggers and finally becoming mentally healthy and balanced for the first time in my adult life. That is why I was so excited to start my blog! I wanted to share what I had learned. I wanted to help people suffering with bipolar to learn how to actually heal and become mentally well.

When I first started my blog at the end of 2020 I was filled with hope and enthusiasm for sharing what I had learned. Imagine my surprise when I joined online support groups for bipolar and discovered that there seemed to be no interest in helping people to actually get well. The groups seemed designed to create a space for everyone to struggle together. These groups perpetuated the idea that the best anyone with bipolar could hope for was suffering well with their disorder.

Alternative Treatments are Taboo

I soon discovered in the groups that if you could commiserate with a person on how they were suffering, you were allowed to comment. If you had tips for how to cope with side-effects from medication, you were allowed to comment. If you had recommendations for other medications that might work better, you were allowed to comment. 

If, however, you suggested that there might be an alternative treatment that would help heal their brain and eliminate symptoms and side-effects, you were censored and kicked out of the group. Even simply answering questions from people asking if anyone managed their disorder without medication would result in being removed from the groups.

The problem is that for decades–as my doctor admitted to me–we have been told that the only viable treatment option for bipolar is medication. But why? Medications are not actually treating the cause of bipolar, they only treat the symptoms. 

Treating Only the Symptoms, Not the Cause

There are risks for not seeking to identify and treat the underlying causes of bipolar symptoms. To use another medical analogy, if you have strep throat but the doctor doesn’t treat the strep just the symptoms–giving you something for your sore throat and something for your fever–you might get some short-term relief but it increases your risk for additional issues. The untreated strep could progress and cause further serious infections and even damage your kidneys or heart.

Medication can have potential value in the short term to treat the serious symptoms of bipolar like psychosis and suicidality. This is similar to giving a patient with strep ibuprofen to help bring their fever down temporarily to give the antibiotic time to work on the underlying infection. But long-term if a person wants to actually heal, they need to treat the underlying causes of their illness. If you want to live well with bipolar you need to identify and treat the causes of your symptoms. 

Some of the suggested causes of bipolar disorder symptoms are nutrient deficiencies that cause the chemicals in the brain to be out of balance. Severe, unhealed trauma has been linked to the occurrence of bipolar symptoms in many people. Bipolar symptoms are also perpetuated by unhealthy thought and behavior patterns, unhealthy coping mechanisms like addiction and unhealthy boundaries. 

Long-term treatment that only addresses the symptoms of bipolar isn’t bringing relief and healing for most people, it is just prolonging and even compounding the suffering. People on medication long-term can also develop serious, permanent issues like tardive dyskinesia (TD), lowered immune system function, and damage to the liver or kidneys.

Healing Your Bipolar

It is possible to get to the bottom of what is causing your bipolar symptoms and heal. It will require a lifestyle change for your mind. This is why I created the Map to Wellness, to show you the way to healing.

Begin first, by learning to successfully manage your mood swings by creating a Mood Cycle Survival Guide. This will help you be proactive in managing your symptoms so you can lessen the impact they have on you and your family and shorten the duration of the mood cycle.

Second, identify what your brain needs to get healthy and balanced. There are organizations and doctors that are focused on helping people identify exactly what their body and brain need to function in a healthy, balanced way. Using a mood-tracking app will help you in this process to identify symptoms that can indicate specific deficiencies. This process takes some detective work, but it will be worth the effort as your brain begins to heal.

Third, working with a good, competent therapist is crucial. You need to identify and heal:

  • Trauma,
  • Unhealthy thought and behavior patterns,
  • Damaging coping mechanisms, and
  • Unhealthy boundaries.

This will take some time, so learn how to utilize therapy proactively and stick with it.

Fourth, develop a self-care routine that includes:

  • Mindfulness meditation,
  • Yoga,
  • Simple exercise,
  • Healthy, consistent sleep habits, and
  • Simplifying your life to eliminate unnecessary stressors.

Developing this self-care routine is a process. Learn and apply one tool at a time and you will eventually be able to create a lifestyle that will support you in living mentally and physically well.

Finally, seek support from others who are on the path to wellness with bipolar. It is important to have support and encouragement as you work on this life-style change for your mind. If you are a mom, or potential mom with bipolar join Bipolar Moms Learning to Live Well.

You can live a healthy, balanced, productive life with your bipolar disorder. There is hope and there is help! Are you tired of suffering and ready to live well with your bipolar? Get started on the Map to Wellness here!

What is Your Bipolar Treatment Plan?

treatment plan

What is your bipolar treatment plan? When I was initially diagnosed with bipolar the treatment plan my doctor gave me was to find the right combination of psychotropic medications. I actively pursued this treatment plan for over a decade but became progressively worse, culminating in multiple hospitalizations, electroconvulsive therapy–which caused memory loss and migraines–and multiple suicide attempts.

One of the most challenging issues with the generally accepted approach to treating bipolar disorder is that it does not treat the cause of bipolar, it treats the symptoms. This is because there is no consensus as to what causes bipolar. There are a number of theories, but none have been proven to be true for every person who displays the symptoms of the disorder. 

Bipolar is a disorder that is diagnosed based on mental and emotional symptoms. It is in many ways a subjective diagnosis with subjective criteria that can vary from person to person. 

Is Bipolar Like Diabetes?

Many people like to compare bipolar disorder to type one diabetes. I had a doctor use this comparison with me years ago to help me accept my diagnosis. It was easier to understand diabetes because it is a clearly defined physical disorder with measurable physical criteria and a universally accepted and generally effective treatment protocol.

When the comparison was first given to me I latched onto it because it was something concrete to help me understand something abstract. The comparison also helped my diagnosis feel more legitimate. It has been a helpful analogy over the years in some aspects. 

Yes…

I use this comparison with diabetes to help explain why mood and symptom tracking is so important with bipolar. When someone has diabetes they need to monitor their blood sugar on a regular basis to make sure they are proactive in keeping it in a safe range. 

Even though you cannot track your bipolar through blood levels it is helpful to track your symptoms and triggers. The more information you gather the more effective you can be in treating and managing your disorder.

It is also helpful to understand that even though you cannot measure the imbalance in your blood does not mean you are not experiencing a very real emotional and mental imbalance in your mind.

This comparison also helped me recognize the importance of having a plan to successfully manage my mood swings. A friend of mine who has diabetes told me once about the response plan she had for when her blood sugar was out of balance. It laid out a clear plan of action to manage her diabetes and what she and her loved ones would do if she was in a medical crisis. It saved her life on more than one occasion. 

I recognized the importance of developing a plan for managing my mood cycles successfully. I call it the Mood Cycle Survival Guide. Its purpose is to help me proactively manage my mood swings to:

  • lessen the impact of my mood cycles on me and my family and 
  • shorten the duration of the cycles.

…and No

The comparison to diabetes doesn’t work, however, when it comes to treatment plans. Diabetes has a clear, definable cause, and a consistent, generally effective treatment plan that addresses the underlying cause. The plan is the same for every person with diabetes–it doesn't change from person to person.

The generally accepted treatment plan for bipolar, however, is not clear, consistent or generally effective. This is because it does not address the cause of the disorder, only the symptoms. Psychiatrists play guess and check with medications in an attempt to manage symptoms. 

At best someone with bipolar disorder may find some relief from symptoms with the first try, but it is much more common to have to try a number of different medications over many years. 

Medications can become ineffective over time and  medications are considered effective if the symptoms are brought into a “manageable range”. If someone is unable to find medications that will help them manage the symptoms of their disorder they are considered to be “treatment resistant.”

Most medications come with side-effects. Side-effects can range from mild irritations like fatigue and brain fog to more serious issues like major weight gain, loss of libido, long term damage to vital organs and sometimes even suicidality. Many people develop additional physical or mental health issues as the result of prolonged use of psychotropic medications resulting in additional medications being prescribed.

The general consensus with bipolar treatment seems to be the goal of helping the patient learn to suffer well with their disorder. I believed that for years. I didn’t have anyone to tell me anything different. 

Creating My Own Treatment Plan

Beginning in 2010 I began to discover tools and resources that addressed the causes of my bipolar disorder. As I developed this new treatment plan my brain began to heal. 

Medication to Micronutrients

The first part of the plan was figuring out what my brain needed to function in a healthy balanced way. My doctor and I found a non-profit company in Canada called Truehope that developed a treatment to address a suspected underlying cause of bipolar symptoms in many people–micronutrient deficiency in the brain. 

With the help of my doctor and Truehope’s customer support I went through the challenging process of titrating off of my medications–with the horrible withdrawal symptoms–and transitioning to the micronutrients. It was rough for a few months, but I woke up one day and it felt like I was truly awake for the first time in over a decade.

It still took years for my brain to completely heal from the effects of long-term psychotropic medication use, but eventually my mind became healthy and balanced.

Proactive Therapy

The second part of the plan was therapy. I learned through study that it is common for people with bipolar to have experienced trauma. The more I researched the link the more I began to suspect that unhealed trauma was contributing to my mood swings. When I finally began to utilize therapy diligently I learned the role that:

  • unhealed trauma
  • unhealthy thought and behavior patterns, 
  • unhealthy coping mechanisms, and 
  • unhealthy boundaries 

played in triggering mood cycles. I also learned how to be proactive in utilizing therapy as a tool for healing. 

Some valuable tips that will help you get the most out of therapy as a tool to heal your bipolar are:

  • Find the right therapist for you.
  • Give your therapist something to work with–they are not mind readers.
  • Use therapy proactively, not reactively.
  • Focus on healing not blaming.
  • You get out of therapy what you put into it.
  • Therapy takes time, be patient with the process.

Over the years I have identified and resolved the triggers of mood cycles. It became easier to recognize trauma responses and anxiety for what they were and work with the therapist to heal. 

Mindfulness Meditation

The next part of the treatment plan was mindfulness meditation. When you have a mental illness your mind feels like your enemy. You feel like a victim to racing, intrusive, irrational thoughts and become unsure of reality, afraid to trust yourself. Mindfulness meditation enables you to become friends with your mind again and puts you back in the driver’s seat of your life.

Many people learn some basic mindfulness techniques in therapy or during hospitalizations but do not gain the full benefit of mindfulness practice because they lack true understanding of why it works and how to practice it effectively. 

This was the case for me for many years. I had learned a few mindfulness techniques that had some minor impact as a “coping skill” for managing episodes of anxiety. When I really understood what mindfulness was and how to utilize it effectively it stopped being just a coping skill. Mindfulness meditation is a powerful tool that can aid in healing your mind.

Self-care

The final element to the treatment plan was learning how to put together a self-care routine that aided healing and helped me maintain balanced mental and emotional health. The basic elements of self-care for bipolar include:

  • Exercise (keep it simple, easy and accessible)
  • Yoga
  • Healthy, consistent sleep habits
  • Good nutrition
  • Hygiene habits
  • Carefully evaluating and managing stressors

Why did I have to figure this out myself???

After over 10 years putting together my treatment plan and learning how to live a healthy, balanced, productive life with bipolar I began to wonder why I had to figure this out for myself? None of the pieces in my plan are really unique or mysterious, so why was I left to discover it on my own? This was the inspiration for starting my blog.

It shouldn’t have taken me over twenty years to learn how to live well with bipolar! I shouldn’t have been led to believe that the best I could expect from a life with bipolar was just suffering well. I should have been given a treatment plan to treat the causes of my bipolar, not just medication to manage the symptoms.

I created the Map to Wellness to teach the treatment plan I use so that you can learn how to live well with your bipolar, too! If you:

✔️commit to the path, 

✔️choose to take the steps, and 

✔️recommit yourself each day to continue the journey,

you can live a healthy, balanced, productive life with bipolar.

If you’re tired of being controlled by your disorder and are ready to live well, then let’s get started!