TW: This blog post mentions suicide. If you are having thoughts of self-harm please contact 911 (or your local emergency services) or the National Suicide Prevention Hotline 1-800-273-8255 (in the USA).
I didn’t start off having suicidal thoughts. It started with nightmares. Vivid, intense nightmares about dying and I would wake up feeling horrible inside. This went on for years until it progressed to daydreams about dying. I would have random images or scenarios pop into my head of things that could cause my death.
I knew intuitively that my mind was suffering with my bipolar disorder and it was trying to find a way out, but I didn’t realize the full implications of what I was experiencing. I didn’t recognize the danger these thoughts posed to my safety.
When this first started I recoiled from the thoughts and images. I felt anxiety and fear when I would have them. But as the years went on and my disorder grew worse I started having thoughts like, “your husband would be so much happier if you were dead and he could find a better wife,” or “your children would be so much better off if they had a better mom who wasn’t sick.”
I didn’t tell anyone about the thoughts I was having because I was so embarrassed and ashamed of them. It made me feel crazy and I didn’t want anyone to know how broken I really was. So, I hid them and suffered alone.
Then in 2008 I had a breakdown. I was hospitalized three times in three different hospitals in two states. During that time I finally gave in to the thoughts that had been plaguing me and made two attempts on my life. I don’t remember much of what happened because during one of my hospitalizations the doctors performed a full course of twelve electroconvulsive therapy treatments and I lost most of my memory from those months.
It took years for my husband to talk to me about what happened because it had been so traumatic for him–he was the one to stop me both times.
When I was finally released from my third hospitalization I had an experience that changed everything. One sunny morning a few weeks later I was watching my children play. My daughter was 4 and my son was 2. I was looking at my daughter and had a very clear thought come into my mind, “if you ever succeed in ending your life it will ruin hers. Your daughter will believe it was her fault and she will spend the rest of her life blaming herself.” I was shocked! I had come to thoroughly believe the lies my mind had told me, that my children would be better off if I was gone.
As soon as I had the thought, I knew it was true, she would believe it was her fault and it would ruin her life. That day I made the commitment that I would survive for my children.
If that was the best I could do, I would do it.
I loved them more than my own life and I would do anything for them.
From that point on I decided that I would not let the thoughts of death or suicide stay in my mind unchallenged. I would ask for help if I was having those thoughts and not let myself feel shame or embarrassment anymore.
This was the first time in over a decade after my diagnosis that I truly, proactively, took responsibility for my mind. I thought I had before. I had diligently gone to psychiatric appointments and tried to take my medication, but I didn’t feel like I had any control over my mind. I felt for years like my bipolar disorder was in the driver’s seat and I was just along for the ride. But I now realized that I couldn’t let my bipolar be in charge anymore: it was trying to kill me and I wasn’t going to let it.
When you have bipolar disorder, it feels like there are so many things working against you. You have a disorder that really is all in your head. When you have those horrible, intrusive thoughts while you are floundering in the dark heaviness of depression, it is so easy to believe they are true because they correlate with what you are feeling.
I didn’t understand that I shouldn’t believe every thought that came into my mind. I didn’t know that it was possible to separate myself from my thoughts and challenge them.
With bipolar disorder it is embarrassing, discouraging, and yes, unfair, to keep making mistakes or poor decisions because of the mood cycles, especially mania, and then have to deal with the consequences for your decisions. Each time you give into impulses that are bad or make decisions based on irrational thoughts it’s humiliating to have to deal with the aftermath. This naturally results in feeling insecure and makes it easy to believe that everyone would be better off without you.
It can also feel like your life is not worth living because you spend so mucheffort just trying to manage your disorder and don’t feel like you have anything to offer beyond that.
The wonderful thing is that:
- you can learn to separate yourself from your thoughts, decide which ones to believe and dismiss the bad ones,
- you can learn to manage your disorder so that you don’t keep making the same mistakes and poor decisions, and;
- you absolutely have so much to offer because you have infinite value and purpose well beyond your disorder.
It is possible to learn to manage your bipolar well and live a healthy, balanced, productive life.
The first step is to create a Mental Health Emergency Response Plan (ERP). An ERP will help you to take responsibility for your mood cycles so that you lessen the impact on you and your family and shorten the duration of the cycle. One very important piece of your plan will be your Emergency Response Team.
If you are having thoughts of self-harm or death decide who you will talk to or what you will do when you have those thoughts. This was a really important piece for me. It was important to have someone to talk to when I was having intrusive, negative thoughts because there were times when it was too much for me to manage on my own.
Think of those thoughts like having an intruder in your home that wants to harm you. If that happened you would call for help, you wouldn’t allow that threat to remain unchallenged. Do not allow those thoughts to stay in your mind. Identify them and challenge them. This is something that is especially important to discuss with your therapist. Create a plan ahead of time so that you will know what to do when it happens.
Second, you need to develop a self-care plan that helps you begin to effectively treat your bipolar disorder. There are several important tools that will help.
- Finding effective medication/supplements
- Proactively seeking treatment with a good therapist
- Learning to practice mindfulness meditation–this is an especially important tool for identifying and challenging intrusive thoughts
- Additional self-care tools like yoga, exercise and simplifying your life.
- If you would like additional guidance on how to effectively manage your bipolar disorder you can join the monthly membership program that guides you through the steps & tools necessary to manage your bipolar disorder well. For more information click here.
Finally, seek support from others who understand what you’re going through. Having bipolar disorder can be very lonely and isolating. It is hard to not feel broken and flawed. Seeking positive, encouraging support from others who are struggling with the same disorder will lighten your load and lift you up. You’ll gain strength to live well while managing your disorder. For moms with bipolar disorder you can join my free Facebook group Bipolar Moms Learning to Live Well.
If you have thoughts of harming yourself or thoughts of dying, please reach out for help. Life with bipolar disorder can feel hard and overwhelming. Your mind might tell you that everyone would be better off if you weren’t here, BUT THAT IS A LIE! Challenge those thoughts. DO NOT BELIEVE THEM!
You are irreplaceable. You can manage your bipolar disorder well and live a healthy, balanced, productive life.
There is hope and there is help!
If you are having thoughts of self-harm please contact 911 (or your local emergency services) or the National Suicide Prevention Hotline 1-800-273-8255 (in the USA).