Depression & Bipolar Disorder: 8 Tips for Maximizing Therapy

Maximize Talk Therapy: 8 Ideas
Maximize Talk Therapy: 8 Ideas

I live with bipolar disorder.  I was diagnosed at 18-years old after years of fighting symptoms that included intermittent depressive bouts, extreme insomnia (due to hypomania), and crying spells.  The catalyst for my diagnosis was a friend’s suicide (you can see more of my diagnosis story here in this short documentary MSNBC filmed).  In addition to bipolar disorder, I live with polycystic ovarian syndrome (diagnosed at 19), myasthenia gravis (a neuromuscular autoimmune disease at 24), asthma (24), and psoriasis (30). Overall, (for me) living with bipolar disorder has become more manageable.  (Of course, when multiple illnesses are acting up at the same time, excruciating pain is be a trigger.)  Things aren’t perfect but they are better.  One of the best tools I’ve found in fighting stress and managing mood disorders (depression or bipolar disorder) is talk therapy.

8 Tips for Maximizing Talk Therapy:

No. 1–Be persistent:  Finding the right therapist can take time.  If you really don’t like someone, I would not give up. It can take a while to find the right person.  (Unfortunately, the caveat here is that sometimes we have fewer choices because of insurance companies, laws, and other factors.  Check out this article from everyday HEALTH, “6 Cheap Ways to Get Mental Health Care.)

No. 2–Make a list:  I get more out of therapy when I make a list of things I want to talk about beforehand.  Especially when I have a lot going on in my life, (so like most of the time), my thoughts wander.  In the past, when I didn’t make lists, I walked away from sessions and thought, “Oh I wish I brought this up!  Forgot about that…”

No. 3–Set goals:  What do you want out of therapy?  Is it a concrete diagnosis?  Is it coping tools for dealing with work and school?  Strategies for dealing with confrontation and advice on relationships?  Do you have a trauma from the past that you need to address?  Goals can change over time as we change.  It’s important to re-evaluate goals periodically.

No. 4–Do Mood Charts:  If you have bipolar disorder (or think you might have it), I highly recommend doing mood charts as I blogged about here in “3 Tips for Making Mood Charts Work.”  One of the pitfalls in living with bipolar disorder is that during a depressive episode, it can feel like we’ve been depressed “forever” even though that’s not true.  Moreover, people with bipolar disorder are more likely to seek help when they are feeling depressed and not when they are feeling manic.  This often leads to people with bipolar disorder being misdiagnosed for years as having (unipolar) depression.

example of a Mood Chart
example of a Mood Chart; 99¢ Mood Tracker App on iTunes

A mood chart gives us perspective during depression because it helps us remember periods of stability, mania (or hypomania for those with bipolar 2), and mixed states (both depression and mania/hypomania).  You can find a variety of charts online.  Depending on the chart, you can track your moods using numbers, colors, and words.

No. 5–Bring a list of medications:  The most tedious aspect of therapy was being handed the clipboard before the appointment when I was asked to list all the medications I’m on, how many times I took them, and what dosage.  Seriously:  I have five illnesses and I still don’t know how to pronounce the two medications I take for my psoriasis!  Now, I bring a spreadsheet of all my medications.  I also bring this spreadsheet to all other medical appointments.  I update it whenever I have a new appointment.

No. 6–Try web therapy:  I do not recommend online therapy (Skype, V-see) if you have a new therapist.  However, there are times when it’s appropriate.  Web therapy is ideal for people who can’t leave the house (whether that’s due to the inertia of depression or other illnesses), have physical disabilities, lack of transportation, or autoimmune reasons.  Where I live, winter is six months of the year.  Because of the myasthenia, coughing and sneezing people are a threat to me.  I’m constantly avoiding germs.  During flu season, I see my therapist online.  My therapist has known me for years so she can read changes in my vocal inflection and subtle body language signs.

No. 7–Bring documents of your medical history:  If you’re just starting therapy or have switched therapists, this is really helpful. Have a record of past and current symptoms and if applicable, any medications or hospitalizations.

No. 8–Coordinate information between therapist and psychiatrist:  There is a difference between therapists and psychiatrists.  Therapy is the shorter version of the word, psychotherapy.  While a therapist can talk to you about your problems, he/she cannot prescribe medications.  By contrast, psychiatrists can prescribe medications in addition to providing talk therapy.  A psychiatrist has an MD degree (Doctor of Medicine) or DO (Doctor of Osteopathy).  (To read more on the differences between therapists and psychiatrists, click here.)

RESOURCES

Psychology Today database (US. and Canada) You can find a detailed listing of therapists, psychiatrists, and counselors anywhere in the United States and parts of Canada

Good Therapy-Canada

BACP-Find a Therapist (UK)

Good Therapy-Psychotherapy Practitioner Directory (Australia)

BONUS: For more on this subject, download your free Depression Tool Kit by signing up here at www.fashionablyillgift.com.  The kit comes with a map of the top 10 tricks for getting stuff done when you’re depressed + 4 Scripts for explaining your situation to loved ones, professors, and employers.

–Your Stylist, Jessica Gimeno

 

JessicaGimeno

Hi, I have five illnesses--bipolar disorder, myasthenia gravis (neuromuscular autoimmune disease), polycystic ovarian syndrome, asthma, and psoriasis. Most of the organs in my body are affected. I'm dedicated to being a stylist for sick women. As someone who has experienced changes in my appearance due to my 12 meds (including Prednisone), I know how hard it can be when your face and body change overnight. (In fact, because of treatment, between 2008 to 2010, I went from a size 0 to a size 10. While I lost the weight, there are permanent changes in my face and body, which I've grown to appreciate.) My blog will also help women deal with other issues like surviving chronic pain and fatigue. Healthy people can also use this blog as a window into what life with illness is like. Let this website be a place where we can draw strength from each other despite our illnesses and find solutions to our everyday challenges!

4 thoughts on “Depression & Bipolar Disorder: 8 Tips for Maximizing Therapy

  • November 3, 2015 at 10:06 pm
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    It is interesting how these types of things are becoming more common in our culture today. As the issue is becoming more prominent, I think it becomes imperative to know how and when to contact a psychotherapist, so thank you for your detailed article. I agree that it is important to keep looking until you find one that you truly connect to, I will keep this in mind for my daughter. Thank you!

    Reply
  • March 31, 2016 at 1:36 pm
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    I like all of this. I really like the plan to make a list. When I first started going, I would just get caught up talking about one thing but none of that was part of the issue as why I am in there in the first place. I also really like the mood chart and that may be something I start doing. Thanks for sharing!

    Reply
    • March 31, 2016 at 2:04 pm
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      Dear Meagan, Thanks for your comments. It’s really easy to get caught up in one train of thought. I hope you find the mood charts helpful. Not that you need it but I wanted to share with you — I have this thing called the free Depression Tool Kit, which anyone can get by subscribing to my newsletter at http://www.fashionablyillgift.com. I expound on some of the things I talked about in my TEDx Talk. It comes with the Top 10 strategies for getting stuff done when you’re depressed + 4 Scripts for explaining your depression (or bipolar disorder) to employers, professors, and loved ones. –xoxo, Jessica

      Reply

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