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Spotting Mood Triggers

By Ask the Expert Patient, Health Guide Monday, February 18, 2008
Stardust writes:“I'm really enjoying your series on mindfulness. I'm having trouble discovering my triggers.  Can you describe what it is like to discover something that is a trigger for depression or hypomania??  I just don't quite get it.”Okay, some quick backgroun...
When Events Spin Out of Control - Is Life Still Manageable?
2/18/08 9:30pm
Is the wrong picture up here, or am I losing it?  No reply needed.  John, the email you sent me regarding this subject helped me.  This share post was something I could really understand and employ in my quest to use mindfulness and identify my triggers.  I'm really getting it now.  I have to say the last paragraph of this sharepost summed it all up, and says it all, "So part of what I need to work on is to pick up when I start to feel myself losing control, and then figure out what to do. This is what mindfulness and identifying mood triggers is all about. As you can see, Stardust, I'm still learning. "  Thanks once again for all your help, John.
John McManamy, Health Guide
2/18/08 11:27pm

Hi, Stardust. Very glad you got a lot out of this. Your email to me helped me tremendously. It really got me thinking, and when I started writing this I came up with things that hadn't even occurred to me, so this was a learning experience to me.Big Smile

 

To all readers: Please be encouraged to write me, though because of my workload I can't guarantee a considered reply. But as you can see from Stardust, I do consider your input absolutely vital to what I do. I'm just an ivory tower scribbler otherwise. I only wish there were more of me to give you the attention you deserve.

 

You can post me publicly in my blog and Ask the Expert Patient Feature and you can also contact me privately by clicking the appropriate links on this site.

Anonymous
Terry
2/20/08 1:00pm
I'm familiar with mindfulness through a course I took and practiced.  It was very useful, showing me how to relax, and how to be aware of my surroundings without having them even interrupt my thoughts of feelings, and also how to be more aware of how I eat, so that I enjoy it more and can eat less when I pay attention.  I need to keep at it, because I backslide into depression, anger or compulsive buying, and I can see how it helps.  I have a question, however.  A friend of mine seems to exhibit mania, in the form of pressured speech on a regular basis, (it is sometimes hard to understand her at all unless she repeats things) and recently exhibited about a week or two of almost euphoric happiness, before reverting to her usual less-than-happy state.  She didn't understand why she was so happy, nor why it went away.  Should I mention anything to her? about mania? It's possible she is aware of it anyway, and although I'd like to be helpful to her, I'm wary of calling her attention to something she'd rather not have people know. 
John McManamy, Health Guide
3/ 1/08 2:19am
hi, Terry. Very good question. Let me think this one through.
2/21/08 4:19am
Thank you for your insightful artical in response to Stardust.  I found it mirrored my exact feeling I have as bipolar.  It's helpful to know those triggers.  I'm a little worried, because I'm exhibiting symptoms of lack of sleep and extremely talkative.  Things are starting to be more positive, but you know how that rollercoaster rides.  It will dip at an extreme level.  All I can do is watch and try to steer it in the right direction.  These are all encompassing feelings, and it's hard to know if anything will work. 
John McManamy, Health Guide
3/ 1/08 2:27am
Hi, Rose. You are going through a very terrifying period. That feeling of losing control is the worst in the world. You might want to talk to your pdoc about bumping up your doses temporarily. Another thing to do is take a sick day and devote it to a quiet time out. With this illness, we often have to drop everything and take tine out. I'm fortunate in this regard, as I work from home. But I do not hesitate to set things aside when I feel I need to. This works for me. I cannot guarantee it will work for you, but it is something to consider.
2/25/08 10:47am

I just had to chime in a little bit, I have been in a course through my therapist to recognize symptoms and I can do so pretty often, NOT all the time though, but can do, however.....I CAN"T stop the coming of the changes....no matter what....i've tried all the coping skills, all the postive thinking, all the yoga, all the meditation, drawing, music, journaling,etc.....but what are we to DO when we recognize them???I mean really I want to so badly thwart these rapid cycling moods and esp the mixed stages and can feel them coming but nothing seems to stop them....why is that???is it possible TO stop them??? I know recognizing is a BIG IMPORTANT Thing but does that stop the transitions that take place......perhaps i just am not comprehending, seems i do that a lot lately, or perhaps i just am not utilizing the right methods or something but i absolutely positively can NOT stop the mood swings even when i feel them internally or others like my so supportive husband recognizes them.....what is one to do then???your intense knowledge would soooooo help me out here.....the training DID help me recognize, but can't do a darn thing about it when they come full force, even when utilizing skills i've been taught and i do utilize them a lot.......is it possible that they aren't stoppable and that you are just trying to make us AWARE of the coming??? I am confused, but lately that's nothing new it seems....here i sit with a masters degree (and a 4.0 on it at that) and can't seem to get control of the rapid rapid changes that come at me, yet i try so very very hard.....

HELP if you know of anything i should be doing....or aren't doing....or anything.....your knowledge is needed.....

thanks for this post so much!! (PS meds are adjusted and i take religiously and have tried other kinds so know it isn't that i'm not on right meds for the ones i'm on DO help somewhat, just not sure anyting can completely stop this spiral back and forth, more like a whirlwind really)
ctrygirl

John McManamy, Health Guide
3/ 1/08 2:30am
hi, Ctry Girl. hang on. This will be my next Ask the Expert patient piece.
3/ 1/08 7:56am
THANK YOU THANK YOU THANK YOU!!!!
3/ 1/08 10:16pm
Hey, ctrygirl, my latest Ask the Expert Patient Post is up. I lead with Rose's post (see above), then spend the rest of the piece on you. Please feel free to follow-up and let's keep the dialogue going.
2/29/08 12:00pm

John, I enjoyed the "nuts and bolts" information of this post very much!  If we are "high functioning", and most of us are, we (I) tend to throw everything we know into one big junk drawer.  Then when I need a tool to fix something I'm digging and scrambling, frustrated to the point that I just dump out everything into the floor and sit and cry.

 

Okay, yes, that metaphor was to show that we have to remember what particular triggers come up and what to we have on hand to manage them.  I have a very bad habit of wanting to watch late night TV, take my meds late, then get up early with my daughter for school.  After a few days of this and I'm online shopping, talking on the phone, chain-smoking, and on-line shopping.  Then CRAAASSSHHHH!!!!

 

Then it's on the couch for a few weeks with a pillow on my head giving death threats to anyone who bothers me.  It all started with staying up an hour too late at night and taking meds too late.

 

I am an information junkie so I have dozens of books on mood disorders, including John's.  Some are very technical, some are memoirs.  I have underlined and commented on many passages with dates of reading.  These are my favorite tools to help me identify triggers when I start ignoring that little voice in my head that I'm not sleeping enough, eating right, smoking too much, procrastinating paying the bills or housekeeping.

 

Angie

John McManamy, Health Guide
3/ 1/08 2:33am
Hi, Angie. This sounds very much like me. Are you sure you're not me? Speaking of which - it's 11:32 PM. The cat is sleeping on my bed and I need to join him.
3/ 6/08 9:38am

Ha!  How about this?  I know I'm flirting with disaster when I have the trifecta of 

1couple of cats asleep on me,

2 along with my laptop watching Dane Cook cartoons, and

3 The Daily Show with Jon Stewart on tv.

 

I could record this stuff, yes.  But, the hyperbole of night makes everything funnier. --A

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By Ask the Expert Patient, Health Guide— Last Modified: 09/03/11, First Published: 02/18/08