Sunday, February 8, 2015

Back to Work




For reasons I'll explain in a post somewhere down the road, back in 2012 I felt forced to suspend my involvement with Facing the Demon.  Prior to that moment, while I sometimes congratulated myself on having what I termed the "modest courage" to speak publicly about my bipolar disorder, in reality I considered myself--thanks to academic tenure--as pretty much bullet proof.  I sympathized with readers who had fears about what might happen if they disclosed that they also had the disorder, and even more with those who reported having those fears realized.  But I didn't think I myself was vulnerable.  Turns out I was dramatically wrong and, for a comparatively brief but traumatic period, scared out of my wits.


Although that experience is now two years in my rear view mirror, a potential re-occurrence is now a fact of life I may have to live with for years if not forever.  And the potential price is arguably more than any prudent person would risk.  And yet, and yet....


In recent months I've had three experiences which have reminded me that, whatever the risks, my candor about bipolar disorder has helped people, that the moral responsibility I have long felt to make this foray into mental health advocacy has not abated, and that if I abandon this task I will forever be a different man than the man I want to be.  I'm just not willing to be that man.


So, taking a deep breath, here I go.


Let me tell you about those three experiences.  The first was an outgrowth of an after dinner talk I gave at the Ohio Academy of History back in autumn 2009.  On my c.v. it appears as "Robert E. Lee and U. S. Grant in Public and Private Memory," but I published it on this blog under the title "Facing Facts."  A person present in the audience recalled the talk and when it transpired that his wife, who was also in academe, had been diagnosed with bipolar disorder, he wrote to ask if I had made any special arrangements with, say, Human Resources to get my disorder on record as a disability, which under both state and federal law it is.  The theory was that if the institution formally acknowledged the illness as a legal disability it would debar the unscrupulous or just plain ignorant from placing her career at risk.  In point of fact I've never pursued such an initiative, save to create an informal agreement with my department's director of scheduling to schedule my classes in the afternoon, my occasional depressions being worst during the mornings.  Consequently I didn't have any dramatic advice to offer, but I got the impression that the sheer fact of my candor was in some measure reassuring.


The second was a student who heard me report to one of my classes that I have bipolar disorder, a practice I've maintained for years on the theory--or more precisely the reality--that in a class of 100 students statistically at least one of them has been or will be diagnosed with bipolar disorder.  And of course several more will be diagnosed with similar disorders, such as clinical depression; or deal with friends and family members who have biochemically based mood disorders.  I don't just spring this on them out of the clear blue sky.  Instead I wait for a pedagogically appropriate moment--in my US history survey course the 19th century "discovery of the asylum" provides an obvious opening. In this instance, the student had been diagnosed with clinical depression but, like many young people who perceive the diagnosis as a de facto exile from the "normal" world, resisted taking his prescribed medication.  The student told me that he had found my blog and encountered the entry entitled "My Favorite Clausewitz Quote," which makes a concise case that it is folly for anyone with a mood disorder not to exploit every possible resource to combat it.  Convinced, he began to take his medications.


The third was a simple conversation with a student, who had also heard me speak of bipolar disorder, that eased her mind and steadied her about her own recent diagnosis.


So there you have it.  As I've said elsewhere, the ethical reasoning that nudges me to stay the course is aretaic--that is to say, driven by character rather than any moral imperative.  This kind of reasoning doesn't say that everyone has to be public about the disorder.  It just means that I do.  It's that still, small, insistent voice, and it's time for me to heed it once again.



Saturday, January 7, 2012

Outsmarting the Bad Guys

My various Wordpress blogs have been plagued with malicious script, and what with the demands of work and life I haven't yet found time to address the issue decisively.

Luckily, it dawned on me that I could redirect Facing the Demon to its original home--the place you've just landed.

Tuesday, December 15, 2009

A New Home

I've received enough feedback about this blog to decide that it's worth further investment. So I've purchased a domain name, "facingthedemon.org," and transferred this blog to a Wordpress platform. To those without a technical background this means little, except that the new platform is a lot more versatile than this one. When you visit it, you'll see what I mean.

Here's the new address.

I've been encouraged by the people who've joined this site through Google Friend Connect. I've installed the same widget on the new blog, so please come over and join up again. I'd sure appreciate it.

Sunday, December 13, 2009

Mood Watch - 48

For a couple of years I kept track, intermittently, of my shifts of mood in a series of numbered posts entitled "Mood Watch." All in all I composed forty-seven of these, the most recent one dated April 3, 2008. I've decided it's a habit I ought to resume, partly because it has intrinsic value and partly because, well, it gives me something to post about on a regular basis. I have some "major" posts in mind to publish but obviously, amid the press of other business, I haven't had time to get to them.

Bipolar Disorder varies from one person to another according to individual biochemistry, life style, the level of support received, and temperament (I think people have a temperament that is independent of, though inflected by, their biochemistry). Some people with the disorder have to deal mainly with the manic side: the "highs." I struggle mainly with the depressive side: the "lows." In classic terms, depressions take the form of mainly of lethargy and a sense of worthlessness. The last time I felt this way was in the spring of this year. It lasted for a couple of weeks and was pretty awful.

Since then, however, I've had periods of energy and lethargy but without the other criteria associated with bipolar disorder. Typically I'll have a period of a week to ten days in which I can't sleep for more than three or four hours at a time, and when I wake up I'm wide awake immediately. At such times I'm on guard against an incipient hypomanic episode. I look for things like heightened creativity, inflated self esteem, a temptation to take on new projects, an inability to focus on a single task because of a desire to head off on tangents, and so on. But I don't find them. In everything except sleep I function normally. Even then, I take enough naps that in any 24-hour period I get around seven hours of sleep, which for me is a normal amount. I just can't get them all at once.

When such periods end I quickly dip into a period when, try as I might, I can't get enough sleep. I don't feel despondent, or worthless, I don't lose interest in things that ordinarily give me pleasure, and I don't lose my appetite. I just can't seem to wake up. These periods typically last about four days, seldom more than that. Their onset is abrupt. They also lift abruptly. Last week was such a period. Until last Sunday (the 6th) I felt fine. Sunday evening, though, I went to bed early, and Monday I felt as drowsy as if I hadn't slept at all. It was the same thing Tuesday. And Wednesday. And Thursday. And Friday.

The only other feature I noticed this time was a kind a vague anxiety. I didn't feel like being around people -- though at least in this instance, I didn't mind talking on the phone. I tended to stay away from email, blogging, and so on. I could say that's simply because I'm tired but it felt like something more, as if I connected these activities with something unpleasant.

Saturday I still didn't feel quite myself, but I managed to get up and about and generally had a pretty good day. The one residual effect is a sense of discouragement. I lost a week of productivity. I can't afford that. This is particularly acute in the case of my professional research and writing. It's really devastating in that department. All the same, the worst thing one can do in such situations is dwell upon it. I try to regard these periods as no different than a physical malady like the flu.

Saturday, November 14, 2009

Family to Family



I'll be speaking at a NAMI Family to Family class on Monday evening. This video tells a bit about the Family to Family program--a 12 week educational course for families of people with mental illnesses.

Sunday, November 8, 2009

Depression: One in Six

About One in Six Americans Report History of Depression
Income, marital status, gender all appear to play a role

by Brett W. Pelham

WASHINGTON, D.C. -- The Gallup-Healthways Well-Being Index reveals that 17% of respondents -- or about 40 million American adults -- report having been diagnosed with depression. The results are from more than 250,000 interviews conducted in 2009 as part of the Gallup-Healthways Well-Being Index.

Full story from Gallup.com

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