When a diagnosis is a blessing


Yesterday was Thanksgiving in Canada. It’s never been one of my favourite holidays.

While I look forward to celebrating family and good food, in my mind, it’s also the symbol that summer is really and truly over.  Ahead lies a grey and dreary landscape as the trees lose their leaves and plants in the garden wither and fade, awakening to dark mornings and driving home from work in the dusk.

I prepare myself to put my head down and soldier through until the snow falls and brightens the landscape again.

This year, especially, I found myself mourning the summer that seemed to fly by unusually fast. Even though summer temperatures continued into September, which should have made summer seem longer, it feels like the time passed in a blur—in large part because my job became extremely busy, with long days and even some weekend work.  Luckily, it’s work I love — strategic communications on public health issues— and much of the past month’s work focused on a health issue that matters greatly to me: mental health.

Maybe that’s why, as I took a moment this weekend — as I do each year — to look within and around me to give thanks for the country I live in, free from instability and conflict, the house I own, the job I have, the family and friends I love,  a new one popped into my head.

I’m thankful for a diagnosis of bipolar II.

It’s been 18 months since I received this diagnosis.  I’m not grateful, not in the least, that I have this mental illness. I’m grateful that I’m no longer slashing my way through a thicket of brambles, thorns and vines in my head, feeling lost and disorientated.

I remember the relief I felt when the psychiatrist delivered that news. Finally having a reason for how I felt lifted a weight off my chest.  When he told me bipolar II could be managed, that I would feel better, that he would help me … for the first time in a long time, I felt hopeful.

I don’t have a handle on this illness yet, not fully. Sometimes that frustrates me. It’s a process, learning how to manage bipolar II—learning how to identify the warning signs that depression or hypomania are about to rear their heads and course-correct as much as possible. 

But I am learning. I got through the intensity of the past month at work without a flight into hypomania, as had often happened pre-diagnosis when I immersed myself in something I loved, and the subsequent crash into depression.

Medication, therapy, lifestyle changes (such as following routines for sleep, eating and physical activity), monitoring and tracking symptoms and triggers, meditation and making time for creative outlets — these are some of the ways I kept the illness in check, this time.

I know I won’t always be so successful. But I’m hopeful that episodes of depression and hypomania will become less frequent or, at least, less disruptive to my life, as I continue to get better at managing this illness. It’s hard work: constant attention and vigilance. It won’t be easy. But I believe it’s possible to live a full and good life with bipolar II— thanks to having a diagnosis.   

Photo by Cheryl Smith

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