Bipolar: Recommendations for Home

Reader’s Question

Hello. I am currently on disability for bipolar disorder. I’ve been off work for four years, and I have a real problem with bringing structure into my life. I also have a sleep disorder, which (I think) might be reasonably managed with some structure, exercise, and diet. I just don’t know where to begin. My mind is like a sieve and I can’t seem to retain any of my good intentions for long. The meds I am taking seem to exacerbate this problem, but they are here to stay. I am not currently seeing a therapist as I can not afford one, just paying the bills is about all I can do. Fortunately, I can go to the VA hospital for my psychiatric meds, but the counseling side of there services are woefully lacking. I’m pretty much on my own as far as family and friends also. Family is too far away for regular day to day contact. My live-in boyfriend’s solution is the drill sergeant approach. Sorry, but that wouldn’t fly even without my disorder. Are there any resources for people just spinning in the wind who would like to touch ground on a regular basis?

Our Consulting Clinical Psychologist’s Reply

As you describe, one of the major social issues with Bipolar Disorder is “wheel-spinning” — lots of action and activity but little movement or accomplishment. The key is often support and structure. For support, there are hundreds of discussion groups, blogs, and information sites on the internet about Bipolar Disorder. Tips, tricks of the trade, and effective strategies are often discussed. I’d recommend continued contact with the VA and even though their counseling services may be limited, I’d still participate. The “counseling experience” is often as beneficial as the counseling — it’s a structured responsibility, a social exercise, educational, and helps keep your social interaction skills healthy.

In the home, it’s helpful to structure your day with a schedule. Make a group of index cards with chores and activities you’d like to accomplish — then separate them as to the time required: 30 minutes, 1 hour, 2 hour, 4 hour and 6+ hours. Each day pick a few and accomplish that task. Productivity is directly related to organization and you’ll feel better about your day if you accomplish something. Recognize that with Bipolar Disorder, even with medications, some days will be better than others. On a bad day, select a few 30-minute items. On a good day, a couple of 30 minute then a two-hour, etc. Keep in mind that “researching” or “discussion group” can be two internet activities that have time requirements.

In Bipolar Disorder, trying to organize your thoughts is like herding cats. While we can’t get them to line up, we can try to keep them moving in a desired direction.

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