Is this the only fashionable way to admit to depression?!

Topics: Someone who has experienced mental illness

There has been a splash in the press this week about Bipolar Disorder, because of the brave step made by Catherine Zeta-Jones in disclosing she has Bipolar II. Like many interesting news items, I shared the story on Facebook, and this question (above) was one of the reactions from a good friend of mine.

I'm not surprised. I used to think the same myself. And that was when I thought I suffered with (just) depression. When I was diagnosed in November last year with Bipolar II, I had never even heard of it. And, because I was hypomanic, I initially refused to believe it. I even doubted it because of the amount of celebrity stories and press coverage. I thought: 'this is a fad, why are psychiatrists suddenly all making this diagnosis?'

I had heard of 'manic depression', and I knew it to be a serious mental illness. In fact, I understood it to be totally separate from depression (a neurosis) by its more unusual (psychotic) symptoms. When I worked for Rethink (then the NSF) as a Housing Project Officer, I worked with several people whose lives were seriously blighted by Bipolar I Disorder. 

More recently, I'd watched Stephen Fry's documentary and read about other noted sufferers, like Carrie Fisher and Ronnie O'Sullivan. I still didn't associate it with myself though. I didn't know that many of my character traits, and those of my close family (like my brother), overlap quite neatly with hypomanic symptoms, such as irritability, impatience and gregariousness.

I said 'just' depression earlier with some irony, because actually the depressions I've experienced have been far more painful, lengthy and disruptive to my life, than the hypomania I experienced last year. Granted I got into some trouble at work, but at least I could go to work and enjoy my job. When I was seriously depressed the year before I couldn't work for about 4 months and spent a month of that in hospital. My confidence was totally shattered. In complete contrast, when high, I was incredibly good and efficient at my job, although this did spill over into distractible and slightly disruptive behaviour after a while.

This is the main thing that I think people (understandably) misunderstand about Bipolar II Disorder. Firstly, that it is different to Bipolar I, which I think (as 'manic depression') is a little better understood. Secondly, that it is the depressions that are the most prominent part of the disorder.  As I read today in an online article: "One of the things people often overlook because manias and hypomanias are splashy, is that most patients with bipolar disorder spend their lives depressed," says Dr. Martin Evers, an outpatient psychiatrist. "The tragedy of the disorder is the depression. A lot of days of your life are lost."

I really hope that today's press coverage, which has been sensitive and informative, will enlighten more people. 

Comments

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1. At 04:41 PM on 01 June 2011 john katon wrote:

Zeta Jones

Brave? no, stupid ? yes. Ive been in the entertainment buisness for over twenty years,(stage Mangement) and for this woman to make a statement like that is irresposible. perhaps they will make a film with some sequels to it? She also a very rich woman which means the finance is there to help her recover, if and only if her statement is true. average Jack and Jill have to rely on an antiquated out of date, understaffed and underfunded health system in the UK. I lived for a short while in Islington in a care home and there was a very famous film star (cannot mention name) who led a campaign to have it closed down. Guess what? she was successfull. Thanks to that "person" we all had to move to substandard accomodation.Celebretees should button their lips.
2. At 10:42 PM on 17 April 2011 Louisa wrote:

medication

Hi Heidi I can't see any mention of her not being on meds, all the searches I found are just people commenting on the story and saying 'she will be given medication'. But of course we have no idea what medication that is, or whether she takes it. I think the link with anti-depressants and people flipping into hypomania is a very complex one. My doctor says the current theory is that it only occurs in vulnerable individuals. Also that there are no studies yet that adequately address the issue of the relationship between more antidepressants and more bipolar disorder.
3. At 07:15 PM on 15 April 2011 heidi wrote:

the fact she has no meds

i think is dreadful that it can be printed on the bbc website that she is medication less and receiving talk therapies .... It therefore means that talk therapies... are obviously .... considered better for highs and lows than medication. Also ...i. don't think this is good for all the millions that have been shoved on meds and antidepressants and they have caused lack of sleep and have triggered ... further depressive eposiodes in the form of manic / even phycotic eposiodes .... when the patients weren't even sucidal .... at the start .. but defin were after the meds ...This case i think raises a lot of issues about the treatment of mental illnesses and are we being treated properly ... and should thousands of pateints on meds be weened off there drugs ... after being trained how to manage ... there bi polar

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