Mental Health Awareness Month: My TMIpolar Blog

My 2008 bipolar diagnosis suddenly made sense of all the weirdnesses floating around in my head: plunging depressions, paranoias, social anxieties, impulsive behaviors, suicidal ideation, big ideas without consequences alarms, racing thoughts, abject terror in social situations (I once had a full-on panic attack when I opened a party invitation that came in the mail) (remember getting party invitations in the mail?) …

Newly armed with a name for the collective demons I faced, I started fighting back (or at least trying to manage my world) with everything I had at my disposal—which at the beginning wasn't much because my doctor didn’t think I needed medication. So I launched into a homemade cocktail of deep breaths, internal pep talks, more-informed behaviors and decisions, reading everything I could find, looking for a new doctor who might have more powerful (i.e., pharmaceutical) tools for me to use … and the expectation that I might at any moment need to just retreat to the safety of my condo in the sky to regroup and start again the next day.

I also became self-aware enough to start being embarrassed by things I did in public … mostly bouncing around as though I were on fire, being so down I’d no-show at events I promised to attend, and in more than one instance literally running away when someone tried to introduce me to a friend.
So I did what any self-respecting writer would do: I turned to social media to start explaining myself and apologizing for being so damn weird. And to my surprise, I almost immediately started getting understanding, support … and thanks from people in similar situations for being so open about my mental illness and the challenges it brought me.

Eventually someone suggested that I start a blog to document my thoughts, feelings, experiences, and the highs and lows of my journey. So I launched TMIpolar (get it? It’s BI polar but I overshare so it’s TMI polar, which I will go to my grave thinking is one of my most clever linguistic inventions) and backfilled it with everything I’d posted and started filling it with my new adventures.

There is also a book in the works, but the prospect of organizing my thoughts into something approaching legitimate book form is so overwhelming that you shouldn’t start looking for it in bookstores until 2095.

In a weird way to think this is unfortunate, I unfortunately have been so stable in the last few years that I haven’t had much to post about any noteworthy ups and downs of my personal journey. But I’ve aggregated all my Mental Health Awareness Month essays along with other essays/thoughts/reviews/etc on the blog for my own—along with anyone else’s—reference.

 
So check it out and even bookmark it if you want. I’ve spent ridiculous amounts of time organizing things by keywords for your perusing convenience. And I hope it helps (or at the very least entertains) you if you find you need it.

 
Here’s the link for your clicking convenience: TMIpolar.blogspot.com 

Mental Health Awareness Month: NAMI

The National Alliance On Mental Illness (NAMI) is a nationwide organization that provides informational and emotional support for the caregivers who work to keep people with mental illnesses on track and stable—or at the very least it lets the caregivers know they're not alone.

The organization has 1,000 state and local affiliates across all 50 states, Washington, D.C., and Puerto Rico. To keep it accessible to everyone who needs it, NAMI is funded through pharmaceutical company donations, individual donors, sponsorships and grants.

My parents found a lifeline in NAMI when I was diagnosed as bipolar over a decade ago. Now my mom—a retired teacher, so this is totally in her wheelhouse—has taught classes to help NAMI members better manage the situations they face and has undergone formal training to be a group meeting leader. I'm so thankful for everything my parents and my sister's family have done to support me in my bipolar adventures. NAMI has helped them help me manage my life with a considerable degree of success and relative normalcy.

If you’re interested in learning more or finding a NAMI group to attend, please visit nami.org.

Books: Lethal Passage

Erik Larson—perhaps best known for writing Devil in the White City—has a penchant for picking historical topics you didn’t realize you were dying to know more about, researching them to a granular level and then crafting in-the-weeds narratives that can test the patience of even his most ardent fans.
I’m saying this with more respect than exasperation; I recently—and eagerly—completed my second readings of both Devil in the White City and his Dead Wake (which I highly recommend) knowing full well there would be sections that would make my eyes glaze over. He crafts a great narrative and leaves you feeling smarter page after page, but I think we can all agree that his works can sometimes be … a lot.

 
Case in point: Lethal Passage examines the confluence of economic, legal, cultural, social and historic events leading to a bullied child with limited financial means acquiring a specific gun and shooting students and teachers at a relatively wealthy private school in 1988.

The premise didn’t sound like it could support a book of Lethal Passage’s heft, and though the topic doesn’t really interest me, I was curious to see what Larson did with his research and his gift for narrative to fill the book’s 300+ pages.

And boy, did my mind wander as I slogged through it.

 
I kept telling myself if he were recounting the note-by-note process of Stephen Sondheim, Hugh Wheeler and Hal Prince bringing Sweeney Todd from concept to Broadway, I’d be hanging onto every word. So if you’re fascinated by Old West history and mythology, Hollywood cowboys and gangsters, the noble birth and jarring radicalization of the NRA, the political ebbs and flows of the ATF’s powers and purposes, and the perennial legal absurdities that make it nearly effortless for anyone to buy a firearm, this is totally your book.

 
Granted, all of the above puts deep, nuanced context behind young Nicholas Elliott’s conditioning to think shooting classmates was his best course of action in response to bullying, his access to enough information to help him make an informed decision about which gun he thought was best for the job—and the best local retailer for buying it without issue—and his relationships with the adults he could trust to help him purchase the gun and modify it to operate with enhanced efficiency.

 
But hoo-boy.

 
Interspersed between his bloated history/context essays, Larson does cover how low-income-single-mom Nicholas was at an expensive private school and why he was probably the victim of bullying. He also recounts the history of the gun store, its owners and its place in the local gun-rights zeitgeist. And he introduces us to the students and faculty who will eventually live and die in the shooting spree.
Those stories alone are compelling, and as is his usual format he masterfully triangulates them from separate stories into a singular cohesive narrative. But that information would barely add up to qualify as a beach-read novella.

 
So he piles on the contexts and backstories and anecdotes and historical coincidences and nearly everything else he can come up with to flesh out his base premise.

 
As I said earlier: I don’t have a ton of innate fascination with Lethal Passage’s broader topic and themes. But I’ve read all of Larson’s books (except for his most recent, The Demon of Unrest) so I wasn’t going to let this one slip through the cracks.

 
I can honestly report I almost quit out of boredom multiple times, but I’m not at all suggesting you will. I’m more relieved than glad I can say I finished it. And while I don’t NOT recommend it, I think it’s fair to say it has a very limited, very specific audience … and if you think that audience is you, by all means give it a read.

Mental Health Awareness Month: An Unquiet Mind

An Unquiet Mind: A Memoir of Moods and Madness by Kay Redfield Jamison is a fearlessly, brutally honest 1995 memoir examining the exhilarating highs and soul-crushing lows of bipolar disorder (which was clinically called manic-depressive illness during the events of this book) from the perspective of a psychiatrist trapped in the disease. Her frank and intimately personal insights bring bipolar disorder’s cycles of terror, elation and crushing, abject despair into stark and sometimes heartbreaking clarity.

The book was recommended to me soon after I was diagnosed as bipolar in 2008, and it grabbed me on every level—from its smart writing to the recognizable, relatable, almost comforting details of its narrative—and I all but literally didn’t put the book down until I’d finished it.

I have an indelible memory of reading it on the Red Line EL train home from work one night in Chicago, and a man who’d clearly seen me reading it made sure we made eye contact as he stood up to leave and then he patted me reassuringly on the shoulder as he got off at the Sheridan stop. That encounter—a direct extension of this book—made me literally weep the rest of the way home as I was coming to grips with the label “mentally ill” and discovering the signs I’d never thought to notice until then that I wasn’t alone … and realizing that everywhere I go I’d never be alone.

If you are or love someone who is bipolar—or struggling with any mental illness—this book will make you weep, give you hope and quite possibly change your life.

Mental Health Awareness Month: Next to Normal

Next to Normal—a searing, brilliant, Pulitzer-winning rock opera examining the lives of a family whose mother is desperately struggling with bipolar depression—changed the voice of Broadway and broadened the scope of what theater can do when it opened in 2008. The show beautifully captures the swings between the ridiculous highs and the soul-crushing lows the disease brings to those of us living in its fogs and terrors ... and to the selfless teams of people who care for us.

I’m fortunate enough to have seen the original production, very soon after I’d been diagnosed as bipolar and had found myself caught in a rather terrifying struggle to wrap my confused, exhausted brain around the fact that mental illness was no longer a mysterious entity in other people’s lives; it was MY life, and I had no idea how to manage it or what potential and very real horrors to expect from it.

The musical is rough to experience from any perspective, but seeing it for the first time tore me apart ... and then put me back together with its closing anthem, “Light,” which features an almost casually placed lyric that is at once devastating and hopeful and never fails to sneak up on me and emotionally gut me even though I know it’s coming: “The price of love is loss / but still we pay / we love anyway.”

I've been invited to be the Bipolar Person in Residence and talk to the casts and audiences of Next to Normal productions at three theaters over the last decade. And while I hope it was helpful for the actors as they rehearsed and found their characters' realities, it was extremely helpful for me to have an opportunity to articulate the swings and uncertainties and terrors of living with a mental illness—both so I could explain any weirdness I've personally exhibited and to help the actors help their audiences better understand these realities.

While every bipolar mind is different and therefore every moment of Next to Normal doesn't exactly mirror my experiences, every note and every word of the show is brilliant and hits brilliantly close to home. And that closing anthem—sung by the characters not to each other but to the audience and to the present and to the future—encapsulates the struggles and hopes I live with every day in astute prose and powerful, emotional, wall-of-sound vocals:

Day after day,

We'll find the will to find our way.

Knowing that the darkest skies

Will someday see the sun.

When our long night is done,

There will be light.

Mental Health Awareness Month: Tardive Dyskenesia

As if mental illness itself weren’t embarrassing and exhausting enough—and as if the spectrum of side effects from psych meds weren’t even more embarrassing and exhausting—along comes tardive dyskenesia. 

Aside from sounding like an antebellum flowering vine, tardive dyskenesia is also a range of involuntary, repetitive neuromuscular movements of the tongue, lips, face, torso and extremities that occur in people treated with long-term antipsychotics and other dopamine-receptor-blocking medications. If you’ve ever stood or sat near me for an extended period of time, you’ve no doubt seen the full compendium of symptoms: grimacing, lip chewing and pursing, heavy blinking, face touching (and I deserve seven gold medals for fighting back the compulsion to touch my face 75 times a minute in the Coronavirus Olympics), arm swinging, leg hitting, rocking, fidgeting, shaking, and—oddest of all—being on tiptoe whenever I’m sitting down. I continue to cringe every time I see video footage of me talking or singing with my lower jaw weirdly askew. My foot also pulses on the gas pedal when I drive, and a number of people have told me it almost makes them carsick when they ride with me.

I’m rather lucky in that my flailing and wiggling are more embarrassing than physically problematic, but about 20% of the population living with the disorder literally can’t function; it can prevent them from walking, eating and even breathing.

And as a point of clarification, these symptoms are the opposite of those from Parkinson’s Disease. People with Parkinson's have difficulty moving, whereas people with tardive dyskenesia have difficulty not moving.

Tardive dyskenesia symptoms can lessen, change or even go away over time after a person stops taking neuroleptic medications, though more often than not they’re permanent. My symptoms have noticeably changed over the last decade, but I’ve traded making alarming sucking sounds on my lips for making an entire room tremble from my violently shaking legs.

There are many medications that can be used to manage the symptoms to varying degrees. After five-plus years of needless misery, I successfully weaned myself off the anticonvulsant Gabapentin, which did or didn't work depending on the way the wind blew and the leg trembled. It also tended to make me drowsy and sometimes even confused, which makes me especially surprised that it’s used recreationally—under the totally lame street name Gabbies—for its supposed euphoric effects that I absolutely NEVER experienced.

I’m currently on an experiment with Amantadine, which started life as an antiviral for treating and preventing influenza A and soon showed promise in treating movement disorders—both on the Parkinson’s and tardive-dyskenesia ends of the spectrum. Used to enhance dopamine release in the brain, it (of course) comes with a barrage of side effects I’m currently drowning in, most frustratingly insomnia and increased orthostatic hypotension, a tendency to get dizzy and nearly (or on rare occasions completeky) black out when I stand up. After putting me through some truly miserable ramping-up side effects, Amantadine initially showed some promise in controlling my shaking and wiggling. But I lately seem to be back where I started. So the jury’s still out on my future with the drug. 

One more thing: You may have seen the commercials for the prohibitively expensive tardive dyskenesia medications Ingrezza and Austedo … the commercials where they call tardive dyskenesia “TD” like it’s some cool brand of earphones or energy drink. Dear Ingrezza-makers Neurocrine Biosciences and Austedo-makers Teva Pharmaceuticals: I’ve had tardive dyskenesia for over a decade. I’ve been seeing psychiatrists and neurologists about it for over a decade. I’ve read everything I could read about it for over a decade. I’ve been on medications for it for over a decade. And NOBODY outside of medical publications and pharmacy websites calls it TD. STOP TRYING TO MAKE TD HAPPEN.

Mental Health Awareness Month: Psychotropics

Aside from being an objectively cool band name for people with mental illnesses, psychotropics is an umbrella term for the classes of drugs used to treat mental disorders and control moods, behaviors, thoughts or perceptions.

There are five categories (and multiple subcategories) of psychotropic medications: antidepressants, anti-anxiety medications, stimulants, antipsychotics and mood stabilizers. And like many of my fellow mental-illness travelers, I’ve tried damn near all of them.

Here’s a brief rundown:

ANTIDEPRESSANTS, as you might surmise, are used to treat a range of depression symptoms. They include:

• Selective serotonin reuptake inhibitors (SSRIs), which steadily increase the amount of serotonin in your brain. Serotonin is a powerful neurotransmitter that regulates things like mood, sleep, blood clotting and even bowel movements. (Aren’t you glad you know that last part?)
• Selective norepinephrine reuptake inhibitors (SNRIs), which gradually increase the amount of norepinephrine in your brain. Norepinephrine makes you feel awake and alert. After over a decade of trial and error, my doctor finally landed on the SNRI Fetzima as my magic bullet, and aside from a blackout-go-boom-get-concussion on the tile floor a few days after I started it, it’s been a complete game-changer for me.
• Bupropion, which promotes important brain activity and can be used to treat seasonal affective disorder (SAD) or to help people quit smoking.

Antidepressants come with a range of frustrating side effects, including drowsiness, insomnia (how fun to have both!), constipation (more poop stuff!), weight gain, sexual issues, tremors and dry mouth.


ANTI-ANXIETY MEDICATIONS are used to treat panic attacks, phobias, generalized anxiety, and various anxiety-related symptoms.

This class of psychotropics includes beta blockers that help treat the physical symptoms of anxiety, including increased heartbeat, nausea, sweating and trembling.

Because they typically cause drowsiness, some tranquilizers and sleep medications are also used to treat anxiety and insomnia. These tend to be prescribed for only a short time to prevent dependency.

These drugs’ side effects can include nausea, blurry vision, headaches, confusion, fatigue and graphic nightmares. And oh, have I had some doozy graphic nightmares on my find-the-right-psychotropics journey.


STIMULANTS help manage unorganized behavior by improving concentration and providing a general sense of calm. They’re often prescribed for people with attention deficit hyperactivity disorder (ADHD).

Their most notable side effects include insomnia, decreased appetite and weight loss.


ANTIPSYCHOTICS help manage psychosis, which separates people’s perceptions from reality and drowns them in delusions or hallucinations.

Antipsychotics can help people with psychosis think more clearly, feel calmer, sleep better and communicate more effectively. They’re also used to treat ADHD, depression, post-traumatic stress disorder, obsessive-compulsive disorder and eating disorders.

Their side effects are primarily drowsiness, upset stomach, increased appetite and weight gain.


MOOD STABILIZERS help regulate extreme emotions. They may rob you of feeling the extreme excitement or extreme sadness that everyone experiences—which is my case—but they help manage massive bipolar swings and extreme mood swings, which is a tradeoff I’m happy to live with.

I regularly experience all their usual side effects: drowsiness, weight gain, dizziness, tremors, blurry vision and occasional confusion. I’m especially unhappy with the weight gain, but thanks to an effective mood stabilizer (in my case, the relatively common drug Lamotrigine) I can consistently and reliably participate in everyday living. Even though I have to have a damn Santa tummy to do it.


THE SIDE EFFECTS OF THESE MEDICATIONS can be powerful and overwhelming. There’s one set of side effects that present when you’re ramping up a dosage, there’s another set of side effects that come with daily use of a drug, and there’s another (often excruciating) set of side effects that come with weaning off a drug. Which is why I’ll never understand the mindset that some people get where they decide they feel fine and they’re just gonna stop taking their meds.