
Fourteen years ago, my mind was racing with thoughts I could barely keep up with. I felt elated and ennervated by turns, exhausted but sleepless. I got an almost superhuman amount of things done and felt highly competent. I made bold decisions like going out fishing at 2 AM. Hours later, my mood would crash and I would struggle to get out of bed.
I figured I had a sleep disorder — how otherwise would I not be able to sleep at night? A coworker of mine suggested I go to a psychiatrist for my sleep disorder, knowing something I didn’t. And when I went to the psychiatrist, I discovered that my sleep disorder was actually a mood disorder, something that had not occurred to me. I was diagnosed with bipolar II.
Bipolar II is a subtype of bipolar disorder with hypomania instead of full mania. This is why my thoughts raced, my sleep waned, why I made rash decisions at 2 AM that nonetheless did not totally disrupt my life. Hypomania, as the name implies, is not as strong as full-blown mania with its disruptive, life-changing decisions. The depression is just as deep in Bipolar II, and one cannot have the hypomania without depression.
I had a decision to make — do I admit to having this diagnosis? Do I take medications that will stabilize my moods? That sounds like an easy decision — why would I not? Because admitting one has a mental illness is a shock to the system. I am not normal, I am mentally ill. Admitting there is a problem changes one’s perception of oneself. Especially when, before, I thought that I was just an exceptional human being who could do many things well.
I accepted the diagnosis and have been on a long journey of understanding myself within the framework of mental illness. I have had great luck controlling the moods with medication, which requires honesty about my moods, and vigilance toward any trends that could presage an episode. I have had to be honest with myself about the hypomania, because hypomania is exhilarating and affirming and fun. The price I pay for hypomania is, however, depression, and my depressions run deep.
Who I am after my diagnosis is someone a lot more careful. I do not drink with my meds. I get eight hours or more of sleep a night, going to bed early. I reduce the stress in my life, knowing it can trigger an episode. I say ‘no’ to overwork and to late night events. I do not run with impulse, knowing that it could be a sign of a hypomanic episode. I live a calmer life now that I am treated for the mood swings.
I miss the hypomania at times. I feel like I was a more interesting person back then. The highs gave me a certain edgy charisma. I was self-assured, dynamic, accomplished — as long as I wasn’t too high, as long as I wasn’t brought low by depression. Those, however, were big “ifs”, as I often was brought low by depression.
Choosing to believe my diagnosis changed my life in ways I still have to deal with sometimes. But I feel like I am more of an adult for doing it. I take care of myself and I don’t burden others with my mood swings. I am more responsible for myself. And this has changed me for the better.








