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I have bipolar disorder and I'm exhausted. How long do I have to keep a constant check on everything I say and do? I take my medication correctly, I see a psychologist and a psychiatrist, and yet…

Guadalupe Morales Cano
Guadalupe Morales Cano
Director
Fundación Mundo Bipolar

It is crucial that we begin with some fundamental, non-negotiable principles. No one "is bipolar." To state something like that is to stigmatize oneself and therefore discriminate against oneself. A health problem does not define a person; it is not the essence of that person . It is a circumstance, "an accident," as Aristotle postulated. We ourselves must be the first to fight against stigma and discrimination. Words matter a great deal, especially in this context. To say, "we are bipolar," is the first step in identifying our identity with a medical condition. We could say, "I have a mental health problem," or "I have bipolar disorder," for example. But we will never be an illness!

That said, in my opinion, it's primarily about getting to know yourself well, with the help of the therapeutic team and reliable information. Having an excellent relationship with your therapeutic team is essential. If communication isn't good, or you don't have time to explain what's happening to you or ask all your questions, consider changing your approach. You have the right to do so. The focus should be on recovery . This generally means: "Living as well as possible, with or without symptoms." It's not just a medical issue; it's about developing strategies to have a purpose, to give meaning to your life (beyond simply feeling well). It's about having reasons to get up every day, recognizing that there are many facets of our lives that we need to develop and fulfill: financial independence, housing, education, rights, rewarding activities, and so on. And what I consider fundamental: a social network, emotional support, and shared interests.

Autogestion GAM

Mutual support groups in the field of mental health

I highly recommend connecting with others who have been through the same thing. I'm referring to peers. Mutual support groups , associations, and informal support networks are a very powerful tool. It's possible to have a good life. Take good care of your sleep, manage your stress, lead a healthy lifestyle, and don't stop exercising. In this last sense, walking is part of your recovery process. And above all, try not to pathologize any discomfort you experience. All human beings go through difficult times. Stigma and discrimination, as you know, are an added burden that can be worse than the health problem itself. Fight against it, first and foremost, by not seeing yourself as "sick"; we are people, citizens, not patients.

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Raquel Rivero Corihuela
Raquel Rivero Corihuela
Clinical psychologist at the Bipolar Disorder Unit (UBIP) of the Nuestra Señora de La Paz Clinic in Madrid
Orden Hospitalaria de San Juan de Dios. Provincia de España
Guadalupe Morales Cano
Guadalupe Morales Cano
Director
Fundación Mundo Bipolar