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Sex and Relationships

Love Rollercoaster: Dating with Bipolar Disorder

By Justin Clark, Nerve.com. Posted March 13, 2008.


It's easy to confuse love with mania -- the trouble is that love is fleeting. There's no cure for bipolar.
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At the end of my first date with Sara, she moved in with me.

You might think the date was extraordinary. It wasn't. We'd gone to a Hollywood hamburger stand and gabbed about bands and writers for four hours. Until that night, we'd only spoken on the phone a few times. It didn't matter. By the time the ice in my soda had melted, I'd fallen in love.

Sara was twenty-seven, and what people used to call a wag: smart, quick-witted, encyclopedic. She could recount every failed Everest expedition in mesmerizing detail -- the sort of a talent I would expect of a rock climber, not someone who'd never gone camping. I kept wondering why no one had snapped her up. Then I found out.

"There's something you should know about me," she said, a couple of hours into the date. "I hope it doesn't scare you off."

Panicked thoughts raced through my mind. A jealous ex? An STD? I tried to remember if I'd sipped from her drink.

"I'm bipolar," she said.

"Good," I replied.

This was the odd humor Sara and I had already established, but I wasn't entirely joking. I'd had several close bipolar friends, and had once been in a long-term relationship with a bipolar woman, Nyla, whom I still consider the smartest person I'd ever met. From a distance, I'd seen how much energy it took Nyla to keep her episodes under control: weekly doctor's visits, blood tests, complicated regimens of medications.

And yet for all their problems, my bipolar buddies had always kept things interesting. Take my friend Jerome, hired one summer to drive a van full of rich and annoying European teenagers across the country. Somewhere in the Midwest, without telling the kids or his employer or anyone else where he was going, he simply got out at a gas station and walked away. "I was bored," he told me. Irresponsible, yes, but hilarious.

I didn't hear Sara's story until later, but it didn't have many funny parts. Her condition was rooted in a childhood depression that began when her father died suddenly of stomach cancer. At eighteen, she enrolled in the Ivy League university she'd dreamt of attending since childhood, and within a semester, was incapacitated by depression; she dropped out and returned to L.A. Suicide attempts followed. Then came her diagnosis, and years of experimenting with different psychiatric drugs until her doctors found the magic combination. Sidelined for years, she was finally looking forward again: doing PR for a record label and working part-time toward her bachelor's degree.

How could you not admire such a person? When I looked at Sara, I felt inspiration, not pity. And even though I'm not the type to plunge quickly into relationships, I was convinced I was in love. I invited her back to my place. Aside from a quick trip to clean out her studio apartment a few weeks later, she never went home.

"Of the two of us," I told her as we lay happily in bed, "I must be the crazier one."

Nine months later I stood over her pale, unconscious body, frantically dialing 911 for the first time in my life.

You could compile an entire book of quotes comparing love to madness. But of all the psychological issues in the DSM-IV, only one really resembles the experience of love. "An illness that is unique in conferring advantage and pleasure," writes Dr. Kay Jamison in one of the most famous memoirs of bipolar illness, An Unquiet Mind. It's easy to confuse love with mania, Jamison says. The trouble is that love is fleeting. There's no cure for bipolar.

The popular caricature of the disease -- people swinging rapidly between happiness and sadness -- isn't the whole story. Most of us may have been unhappy enough at one time or another to recognize a fit of depression, but the other half of the disease (the mania that leads to everything from religious fervor to shopaholism to insatiable libido) is much harder to fathom. For instance, hypomania, which is a mild form of mania characterized by enviable productivity, can lead to what is called a "mixed state," in which the bipolar individual is both miserable and energetic enough to do something about it. Before L had found an effective combination of meds, she drove halfway across the country in a mixed state, buying expensive clothes and jewelry for herself, with the goal of committing suicide when she reached California. Fortunately, her mania dissipated before she made it there.

Like such behavior, love is nonsensical. All relationships suffer from irrationality, which is why they can be particularly susceptible to the ups and downs of bipolar. The most obvious problem is the wild swings in libido: one week your partner wants sex all the time -- maybe too often -- and the next they've got the sexual impulses of a Buddhist monk. With both Nyla and Sara, I never knew what sort of response my advances would receive. And after sex, when I thought we'd both enjoyed ourselves, sometimes S would burst into tears. "What's wrong?" I'd whisper, to which she'd cryptically reply, "I feel overwhelmed."

Sara's life was a constant battle against entropy. While most of us are bored by too much routine, Sara was obsessive about hers, and as her boyfriend, I found myself joining her in it. I, who have never liked TV, started watching hours of it with her every night. Infatuated with cleaning products, Sara taught me the joys of repetitive household maintenance. It took her all day to clean the bathroom, and when she was done, she would begin all over again. "It's better than watching TV, isn't it?" she'd say, as if these predictable tasks were the only options.


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Justin Clark has written for L.A. Weekly, Psychology Today and Black Book.

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Relationships with the mentally ill
Posted by: partisan on Mar 13, 2008 1:59 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I have been in a domestic partner relationship with a woman half my age for eight years who spent 12 years diagnosed with bipolar disorder until another doctor diagnosed her with borderline personality disorder (BPD). This doctor was connected with a university noted for work in the area of this particular disorder.

A study of the NHI website, and the DSM IV, a knowledge of the patient's history, and an intimate daily observation of her behaviors, as well as people who had bipolar and other patients that had BPD, convinced me that the BPD diagnosis was unquestionably correct.

My partner matched the BPD diagnosis almost perfectly, yet misdiagnosis seems to be quite common. The therapy that is effective for one disorder is not as affective for the other. While Borderline Personality disorder is not widely known, and not always recognized by therapists, it is more common that bipolar or schizophrenia. The National Institute of Health says that BPD affects 2% of the population, and these are mostly women.

My partner's parents distanced themselves from her when she left their home for college, and prior to her relationship with me, all of the friends she managed to retain for any length of time also suffered from some form of mental illness. Pretty, intelligent, talented, she easily attracted men, but her moods and behaviors doomed the relationships to short terms.

"...the entire essence of her existence. In the end, I simply wanted there to be more."

I understand. Many who suffer from mental illness do define themselves by their illness and for those of us who do not, living with those who do can be very difficult. Perhaps impossibly so.

I must admit that when I was much younger - in my mid-thirties as she is, there was no way in hell I'd been able to put up with the stress of a companion's mood changes for very long. Do I stick with my BPD partner because as an old rooster I like having a young chick on my arm and in my bed? Many people think so. But I'm of an age when, after a long deadly marriage, I now much prefer a nice balance of solitude, and casual relationships. Prior to me my partner had no stable relationship and she was in and out of therapy and hospitals.

So why have I hung with this turbulent relationship for eight years? Well, l'm not going to stop war, end world poverty, or find a cure for cancer, but I can help a kind, decent, intelligent person who happens to have a brain disorder to be stable. From that I derive satisfaction, and that is reward enough that I no longer need more, even though I also might want "there to be more."

Several people out of every hundred suffer some sort of mental illness. It has been my observation that these people need love, kindness, friendship, and understanding far more than most of us, and are far less likely to get it.

Give them what you can: a smile, a word, a patient ear, some of your time. But understand, they don't want your advice, they just want you to listen. And if you find yourself living with such a person, be patient, be gentle, be kind. And good luck.

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» Noble sentiments - but Posted by: Ignatz deFyre
» RE: Noble sentiments - but Posted by: partisan
» Lucky bastard Posted by: pangolin
Important article.
Posted by: talkville on Mar 13, 2008 4:44 AM   
Current rating: 5    [1 = poor; 5 = excellent]
Loving, under any circumstances, in this completely mediatized and 'privatized', commodified society we are living in, is difficult; darn near impossible sometimes!

It is highly important to remove the 'negative spin' and stigma attached to BPD as well as any of the plethora of 'dis-orders' enumerated, categorized, defined and inserted into our social realm. These are matters of degree and severity affecting ALL of us, some individuals more than others, they are part of the human conditions in a particular society and each one of us, to some degree or another, can exhibit tendencies, physical, mental and emotional, in a 'bi-polar' or any other directions.

It is an unfortunate thing that so many individuals placed into these categories are considered in the category of "illness". Many times, it is precisely individuals described in these ways who articulate incisive and poignant and very fundamental truths about our social living arrangements and who are the most sensitive to them. In a strange way, sometimes they can be considered the most 'healthy', if one listens closely and carefully.

As in all our social relations, all it takes is effort and a will to understanding -- and alas! these are in drastically short supply in vast sectors of this inward-directed and identity focused society of ours. Perhaps the real problem is not with those individuals with BPD or whatever; perhaps one must look in the 'healthy' majorities for answers?

So, loving is possible. Period.

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Loving the mentally ill
Posted by: Quest on Mar 13, 2008 4:56 AM   
Current rating: 5    [1 = poor; 5 = excellent]
I appreciate articles like this in some ways. But sometimes I wish there were more articles that had happier endings when it came to the recounting of living with people with Bipolar Disorder. They do exist. I've lived with my husband for almost 8 years, five of those married. I had strings of unsuccessful relationships in my life before I was diagnosed and treated following a major breakdown when I turned 30. Repeated hospitalizations and then a stint in a Day Treatment program which was the best thing that could have ever happened to me. I learned ways to cope with my illness there and managing it that medication could never do for me. I'm also meds-free for 8 years, but am not completely anti-pharmaceutical. I believe individuals need to do what works for them and keep educating themselves about their condition and symptoms and how to treat them but I'm a huge proponent of therapy. Specifically cognitive and Dialectical behavioral therapies which help one change their thinking and behavior patterns to better cope with symptoms and feelings.

Anyway, I'm still not the easiest person to live with. I'm still legally disabled and live on Social Security but I have a rich life filled with activities, healthy pursuits, a spiritual life that feeds my essence and supportive, wonderful friends and a support group that I assist in moderating for high functioning Bipolars who are also practicing pagans.

My husband and I had a tough first few years together once I moved in until we developed our own way to cope with my mini meltdowns when they happen. He knows when it would be time to call my therapist or the hospital. He knows the warning signs to look for and he and my family and closest friends are in touch and well equipped to do what's needed if I become too ill to make my own decisions. My family has seen m at my worst, my husband and some friends have only heard the stories.

But we are happy, we have found ways for the relationship to work within the parameters of what i don't consider an illnes any longer but that is a post for another time.

Thank you for a frank article! Perhaps I should write one of my own sometime from my perspective.

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HappyAsImGoingToGet
Posted by: HappyAsImGoingToBe on Mar 13, 2008 10:43 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Two comments: For a brilliant inside look at what it's like to have bipolar disorder, read The Looney Bin Trip by Kate Millett. It's brilliant.

Second, re the epilepsy drug used for bi-polar; if it's Tegretol, which I've taken for 20 years, it's by no means a misprescribed drug. I've had major depression all my life, and Tegretol has been a life saver.

Also, third. It really does help to be in a relationship with a person who has your same brain disorder. You understand each other intuitively and give each other the necessary slack or reassurance when it's needed. My wife and I are both major depressives, and we've been married for 37 years. It's the happiest marriage of anyone we know. It helps to know exactly what the other person is going through.

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» RE: HappyAsImGoingToGet Posted by: meeneecat
» RE: HappyAsImGoingToGet Posted by: aethr
Never Again
Posted by: Libertine on Mar 13, 2008 11:54 AM   
Current rating: 3    [1 = poor; 5 = excellent]
I once had a bipolar lover and I'll never do it again.

She was terrific in bed, which is why I put up with her for so long, but she created chaos in every other aspect of my life, including running up my credit cards to the point where I had to declare bankruptcy.

There's no sex so great as to put up with the kind of havoc she wrought in my life ever again.

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Bipolar in Love & Marriage etc.
Posted by: pamphyila on Mar 13, 2008 3:05 PM   
Current rating: 5    [1 = poor; 5 = excellent]
As a bp (bipolar) woman myself, I have to comment on the article, & to an extent, the comments -
(1)Crazy women are usually great in bed

(2)Enjoying them that way & then abandoning them when the going gets tough isn't anything to be proud of.

(4) That said - bp isn't an excuse for reckless & irresponsible behavior. I see a lot of what is called bp actually gross emotional immaturity and/or the result of addiction. A bp has to try to be more balanced than a normie.

(5) BP happiness is possible - but sometimes it's not what you would wish. Stress makes bp worse & you have to realize that you need a quieter life - & resign yourself to taking drugs which do have side effects, like weight gain.

(6) The mental health care sys. in the USA stinks, and most of the care is DIY. That's why David Oliver & his info are so valuable! To get well, you have to be an extremely well-informed consumer and very assertive about how the medicines prescribed affect you. (Too often bps go off meds because they don't like the effects. But it's not all or nothing.) It is rather like being a diabetic who has to monitor levels all the time. You also have to go to therapy to deal with the problems of living with a chronic disorder.

(7) I, too had "relationships" that capitalized on my "up" sexuality & petered out during my downs. But that was gross physical passion, not LOVE. Now very happily married, after years of therapy and trying everything under the sun to achieve balance, I finally found a man who truly LOVES me & is willing to cope with the downs as well as the highs, and accept the total me. In my experience, too few modern men are very loving and giving. Historically there always have been stories of crazy women who dragged men down (see Of Human Bondage) & bp doesn't have to be the cause. But there is also an Irish tale of how a "madwoman" was restored to sanity by the passion of her love - & that can happen to - if there is a willingness on both sides! Lots of overly emotional behavior is born of a desperation, a terrible loneliness & pain. Nothing assuages that like true warmth & affection & loyalty.

(8) For a truer picture of people struggling with bp - go to Web MD's Bipolar Support Group to see what it's like when folks are WORKING on healing & coping. And to those struggling to achieve balance - Courage. I do think it can be done.

(9) Bp is a brain or neurological disorder, with a physical basis. The more we learn about the human brain, the more we will be able to deal with its plasticity. Pharmacology and mental health is still in its infancy - so don't expect mere pills to work miracle - just yet.

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madhouse
Posted by: HANGTRAITORS on Mar 13, 2008 8:23 PM   
Current rating: 1    [1 = poor; 5 = excellent]
drink fluoridated water .. and snort chemtrails for good mental health

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» RE: madhouse.....hahaha! Posted by: codeye
Tragedy and other outcomes
Posted by: DaBear on Mar 13, 2008 8:53 PM   
Current rating: 5    [1 = poor; 5 = excellent]
Brilliant piece, Justin.

For me the tragedy in this is the consequence of the medical/problem model of Bipolar. Sara is at home in the hospital and not outside of it. I see this all the time in fellow bipolars who intimately embrace the medical/problem model.

My wife has been with me for eighteen years. She has a love-hate relationship with the BP ride. For a long time is was more the hate aspect, for both of us. We were only able to discover the love part when we switched from the medical "illness" model to the adaptive/advantage model (See Tom Wootton and Thom Hartmann)

I fully agree with the comment by Weird Cake who says there are only stories of the craziness or the tragedy because they sell. Our story will never sell. In a market addicted culture, that's a tragedy because no one will ever be exposed to the reality of other outcomes.

Family grounds us biopolars and it also can kill us. But the nature of the adaptive/advantage model is that we learn to recognize our wiring and what it does and how it cycles and moves. The medical model always framed me as "ill" "disordered" to the point where I could see nothing else. Life was meds and side effects and the sadness of my wife. I was suicidal and only the birth of my first child could bring me back from the brink of the vortex down that dark alley. I stopped being suicidal when we switched models and I had to begin seeing myself as a real whole person, not sick, but wired a certain way through an adaptive gene, for the first time ever. I had to get to know my potential for excess and the warning signs, so did my wife. We had to learn a new vocabulary and reinvent our relationship to support this system. Meds are still a part, although they're not the typical big pharma kinds, and the reality is no insurance covers any of it. Putting the disorder into order has made a huge difference. The gift of being bipolar is that you know life and death intimately, you live as a warrior, a samurai and you constantly have to choose to live and be mindful always. This gives us a different sight, a different consciousness than a lot of people. Problems don't go away and neither do the excesses, but they have an infrastructure now for mediation and resolution rather than suicide and hospitals. Does my wife still curse bipolar? Sure, there are those times. But in her words, "The level of creativity and adaptability in a bipolar person vastly exceeds that of 'normal' people. When you learn to see their gift, the ride is higher quality and not as bad as it once was."

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Need Advice
Posted by: Gravitas on Mar 14, 2008 8:50 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Wow! What a timely article for me. A few weeks ago, I dated a film director I suspect is bi-polar!(There are private things I know about him I won't reveal). I REALLY liked him! I thought things were going well, but on the second date, I accidentally threw up on him. (Don't ask, it just happened and was beyond my control!) It was like something turned a switch off on him. He left in a hurry, and never returned my e-mails. I was really concerned he somehow thought that is the way I felt about him. I have also read that bi=polars react differently to facial expressions. Unfortunately, my facial reactions often express the mini hassels and negatives in my life, my true self is never read in my face. So I could never convince him I care that way.

I would like to at least be his friend. My question is, should I try to pursue friendship, drop him an e-mail every so often and try to convince him I care very much as a human being (it is him that no longer has any interest in a relationship!) Or, would that just stress him out further? I don't want to do anything to cause him angst. Suggestions?

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Finding out the hard way
Posted by: nfamous on Mar 14, 2008 8:56 AM   
Current rating: 5    [1 = poor; 5 = excellent]
At least Sara was honest about her condition from the get-go. Most people with manageable mental illnesses don't even tell the person they are involved with. I know I don't because why turn someone off right away when you don't even know if you're really compatible?

I told my ex-best friend that I was bipolar last night for the third of fourth time and I think he finally gets that I'm not kidding. I manage it well and keep a positive realist attitude without medication. I do occasionally take St. John's wort. Anyway my ex-best friend was taken aback and immediately started describing someone else he knew like that and what a pain they were. What a fucking asshole to say that to me!!! Now you understand why he's my ex-best friend.

It's hard for bipolar people to trust anyone because your social life seems to be the same mistakes over and over again, regardless of how hard you try to avoid the same pitfalls. Some people make your condition even worse and I know how to recognize those and avoid them at all costs. I don't have to be happy all the time. I'm tired of so-called normal people that expect that. They aren't happy all the time. I think they think we are weak for not being able to just mentally snap out of our depression when it hits. That is sad because you don't ask someone with cancer to just snap out of their cancer.

In the end you do have to be yourself, just realizing that your normal self might be a bit much for someone not used to that. I temper what I say and do sometimes but I never fake my moods anymore to appear "normal" to others. I am everything that I am. I don't hate it. I embrace it and use it to live my life to its fullest. If others want to call me a wimp because they think I'm copping out to a fake disease, so be it. Walk a mile in a man's shoes.

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Not give up and know that the right person for you is not always where your at!
Posted by: skyblizzer on Mar 23, 2008 9:02 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Me and David met online via a dating site (BlackWhiteKiss) and we kept in touch by chatting and phone calls.He's from New York and I'm from Nevada.Everytime we talk we make each other so happy. We just had this feeling about each other from the first time we chatted that it was meant to be.

It's an unexplainable feeling.We just both knew we did'nt want anyone else.We are going to be getting married this year.We entered a contest to win a free wedding and hope we'll be the lucky couple chosen.My advice to others is to not give up and know that the right person for you is not always where your at,sometimes you have to go outside of your area to find your soulmate.

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