Writing My Book and Speaking Out Loud

Writing My Book. Speaking Out Loud. Stock images of laptop with notepad and pens and auditorium with podium.

I’m Writing

This morning I had a productive and encouraging book coaching session with Aaron J. Smith of AaronJSmithWriter.com. With his help, I’m rewriting my previously self-published work, Blogging for Bipolar Mental Health.

The current working title of the revised memoir is Bipolar Thoughts (or My Bipolar Thoughts – which do you prefer?).

Today we worked on my introductory piece, “My Mental Health Journey,” which chronicles my story of living with depression and bipolar disorder from age eighteen to now. This 5300-word narrative combines and expands on my previously written long-form pieces.

Following the narrative, I’ve organized my writing into sections containing short form pieces which convey my thoughts. The section themes are: Bipolar Thoughts, Write with Purpose, Advocate, and Caretake.

Organizing my short form content into these sections overwhelmed me. But, I chipped away at it over time and got it done.

When I first published my book, I cut and pasted content from my blog. Though I knew it was duplicative and needed rewriting, I found the prospect of a major overhaul daunting, overwhelming, paralyzing.

Aaron has been a HUGE help in breaking down the tasks at hand.

My next step (my homework before our next session) is to write a compelling conclusion to “My Mental Health Journey” about why my story matters to me and how it matters to share it with you, my readers.

After that, we will edit the short pieces.

Public Speaking Gig

Writing the conclusion to my “My Mental Health Journey” will have to wait until next week, for this Friday I was invited to speak at a downtown Los Angeles high school mental health assembly.

My first public speaking gig as an individual independent of any major health non-profit!

The speech is scheduled to be 25-minutes long. That’s a LONG speech! I’ve spoken for NAMI Orange County (NAMIOC.org) and for the International Bipolar Foundation (IBPF.org), but never by myself in front of an auditorium and never for 25-minutes straight.

Assuming the principal’s approval pending a background check, I’ll be hard at work this week on the speech. My plan is to repurpose “My Mental Health Journey” into speaking points.

Knowing that doing so will be stressful and overstimulating, likely triggering hypomanic symptoms, I made a reservation at a nearby hotel the night before the speech.

At first, I thought of asking a friend if I could stay with her the night before the event, then I realized that doing so would overstimulate and exhaust me even more.

Socializing gets me going in a bad way. I ramp up. I get overexcited, anxious, irritable. I speak faster, filling the air with more and more words. My thoughts race. I can’t concentrate. My mind stops, free falls, unable to find what it’s looking for. It’s exhausting.

The night and early morning before I speak, I need no distractions or stressors. Not only must I avoid social stressors, I must avoid the stress of driving in Los Angeles gridlock. I need peace and quiet.

Wish me luck! I welcome your prayers and positive energy as I prepare for the speech.

Small Steps

Small Steps. Me & My Dad.
Never too early to learn good oral hygiene (I was probably teething)

Progress sometimes comes in small steps. This weekend I walked the dog with my husband, which meant I stepped away from my computer and actually went outside.

Beautiful outside. Weather warm. Sky clear. Saddleback Mountain gorgeous, every nook and cranny visible as if I could reach out and touch it.

Honestly, I find it hard to overcome inertia, to get up and get out. But when I do so, when I go outside, I benefit. My mood improves. My spirit lightens. Both my physical and mental health reap gains.

Sunday I even ran a car-load of stuff to Goodwill, including my father’s old clothes. My father died a year ago next week, and I’ve been holding onto his old clothes since then.

To remember him, I’ve kept his flannel shirts. Wearing his flannel shirts, I feel enveloped in the warmth of his love, like I’m getting a big hug from him.

When we were little, he’d call us over for big bear hugs, but there was nothing rough in his hugs. Just love. Protective love. The big loving protective hugs of a father for his daughters.

My eyes are tearing up now. Good tears. I was loved. I loved my dad. He loved us dearly and deeply.

I Will Not Cry Now

pixelated family tree

To avoid feeling overwhelmed and hold back the tears due to loss, stress and worry, I’ve started delving into my ancestry online.

My therapist reframed what I was doing as focusing, rather than avoidance. She thought it was healthy.

Now that my father has passed away and my mother’s health has faltered, I’m really, really sad. I miss them both.

My father is gone. My mother is still with us, but I miss speaking with her, playing word games with her, walking with her, taking her out for lunch.

The pain at times overwhelms me. I don’t want to fall into bipolar depression, hypomania, or mood cycling.

To stave off the pain, I click through the family tree, digging further and further back.

Hate when hit dead ends, especially when it comes to my mother’s beloved Irish grandmother with whom she lived when she attended college.

Michael Pipich Guest Post: Are You Just Depressed or Is It the Onset of Bipolar Disorder?

Are You Just Depressed or Is It the Onset of Bipolar Disorder_

This guest post hits close to home. For twenty-one years, from ages eighteen to thirty-nine, I was diagnosed with chronic depression (dysthymia). I’d tell doctors that I was at least cyclothymic, for I my over-productive workaholism led to cyclical depressive crashes. Finally, at thirty-nine years old, I was diagnosed bipolar II. — Kitt

Are You Just Depressed or Is It the Onset of Bipolar Disorder?

Michael G. Pipich, MS, LMFT

About two-thirds of people with bipolar disorder are misdiagnosed with other mental health problems before bipolar is discovered.[1] Among those individuals, a significant majority are given a diagnosis of major depression. Most people with a major depressive disorder that is unrelated to bipolar disorder (typically known as non-bipolar depression or unipolar depression) can be treated safely and effectively with a combination of antidepressant medications and psychotherapy. But when people with undetected bipolar are treated this way, a host of mental health problems can occur, making the underlying bipolar condition much worse.

It’s understandable that someone may not immediately be given the bipolar diagnosis if their first mood swing begins in a depression mood zone. This seems particularly true of people who have bipolar II disorder. And sometimes, there may be more than one depressive episode before a manic or hypomanic episode happens in a person with bipolar.

If you’re wondering about whether you may have depression or the beginning of bipolar, there are some keys to keep in mind when seeking treatment.

First of all, when assessing if your depression is a part of bipolar, know that bipolar disorder has distinct genetic foundations. In other words, it runs in families and is passed through family genes. So if you suspect that any family members may have had bipolar disorder, it’s important to inform your doctor or therapist when entering treatment. If the information is available, a thorough family mental health history can really support a proper bipolar diagnosis. Unfortunately, such information isn’t always asked for, so be prepared to volunteer all that you know during an evaluation or treatment session.

Next, your personal history of mood swings should be explored. If you’ve had severe ups and downs during childhood or adolescence, these may be more than the common tumult of growing up. They may instead be early expressions of bipolar disorder. It’s especially important to review periods of hyperactivity, bouts of unexplained rage, self-harm, or suicidal thoughts or actions that could have occurred at any time in life. There certainly may be other explanations for these, such as early life trauma or severe loss and grief experienced during these formative years. But if explosive behaviors or deep depression occurred at different times, especially with little or no provocation, it can point to underlying bipolar disorder.

Usually, most people with bipolar who seek treatment on their own are currently or recently depressed, or are experiencing consequences of untreated bipolar disorder. Any history of mania or hypomania is less obvious, however. And often, bipolar patients will either not understand manic symptoms or will avoid discussion about them. If you have had at least one occurrence in your life of intense euphoria, excitability, unexplained energy and creativity, avoidance of sleep, or impulsive behaviors, inform your treatment professional. But also bear in mind that mania and hypomania may be marked by intense periods of irritability and agitation, know as dysphoria. This is in contrast to the euphoria that most people think about with bipolar mania. Often a dysphoric type of manic or hypomanic episode can be mistaken for the kind of agitation seen in major depression. This can mislead the course of treatment to focus only on depression, while missing the full bipolar condition.

This brings us to the most important part of knowing whether you have depression or bipolar onset. According to the Diagnostic and Statistical Manual of Mental Disorders (5th edition), if a patient is given an antidepressant medication, and it produces manic symptoms, the person is then diagnosed with bipolar disorder.[2] While this is a very clear indication of bipolar, how the mania surfaces in the individual may take different forms. For example, a person in a depression mood zone can improve early in the treatment, and as a result, may not show manic symptoms right away. Any slight improvement may provide a hopeful sign that treatment is working, but when the person starts to get worse because of emerging mania—especially if it’s dysphoric—the unwitting response may be to apply more antidepressant medication. Now we have some real problems.

So, if at some point in your treatment, an antidepressant medication makes you feel more agitated, more irritable, more aggressive, or you start to experience hyperactivity or greater impulsivity, tell your treatment professional right away. This could be the start of a manic episode that is revealing a previously undiagnosed bipolar disorder. Even more importantly, any increase in suicidal thoughts or possible psychotic symptoms, such as hallucinations, should be reported immediately, as these can be life-threatening. Any antidepressants will either likely be eliminated at this point, or possibly paired with a mood stabilizing or antipsychotic drug to keep a lid on mania.

With bipolar finally recognized, bipolar medications can be introduced to decrease manic-type symptoms, while keeping depression in check. Alongside medications, it’s important to have therapy focus on the unique challenges facing people with bipolar disorder. Major depression is frequently considered an acute condition because it often can resolve in time, so medications may be discontinued at some point, along with a shorter overall approach to therapy. But bipolar disorder is a lifelong condition. Even though its symptoms can come and go in episodes, the genetic nature of the condition means the bipolar patient will need continuing care through the lifespan.


[1] Hirschfeld R. M., Lewis, L., & Vornik, L. A. (2003). Perceptions and impact of bipolar disorder: How far have we really come? Results of the National Depressive and Manic-Depressive Association 200 survey of individuals with bipolar disorder. Journal of Clinical Psychiatry, 64(2), 161–174.

[2] American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author, 128-130.


Owning Bipolar: How Patients and Families Can Take Control of Bipolar Disorder by Michael G. Pipich, MS, LMFT. Foreword by Joseph Shrand, MD.

Michael G. Pipich, MS, LMFT is a psychotherapist and author of Owning Bipolar: How Patients and Families Can Take Control of Bipolar Disorder, (Citadel Press, Sept 2018). He practices in Denver, Colorado, and can be reached at MichaelPipich.com.

Press Contact: Janet Appel Public Relations
205 West 54 Street, New York, New York 10019
212-258-2413