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Insomnia is common in bipolar disorder. Sleep changes (which can be insomnia or hypersomnia [oversleeping]) are noted in the symptoms of major depressive disorder, which is part of bipolar disorder. In fact, I would wager that without medication, every person with bipolar disorder would have sleep problems. In my case, I have insomnia with my bipolar disorder and have had it for three years. But last night, I was lucky. Last night I managed to sleep almost eight hours (interrupted, but still). So, why don't I feel any better?
I think about diagnosis a lot—mostly because I live with undiagnosed mental illnesses. Even as a child, I never received any diagnosis for the struggles I faced, and, as an adult, all my diagnoses are self-diagnosed. I know there’s a lot of stigma attached to self-diagnosis, but I want to discuss self-diagnosis, being undiagnosed with mental illness, and their roles in recovery.
Self-care is beyond a popular buzzword; it is an essential practice that needs to be treated as more than just a trend. Self-care must be part of that process as we learn how to be kinder to ourselves and ultimately love who we are. In fact, self-care has taught me so much.
It's hard to deny exercise's many positive effects on the body, and going outdoors and getting into nature is a great way to refresh your mind. Combining the two and heading outside to go hiking could be the perfect solution if you want to improve your physical and mental fitness together at the same time.
A few weeks ago, I told my therapist that I would not have been able to get sober without using cannabis. She chuckled, gave me a funny look, and asked if I thought cannabis use equaled sobriety. Caught off guard, I couldn't help but wonder if she had a point. Were my years of sobriety erased? Did I need to go back to day one? Can I use cannabis and still call myself sober? 
Every individual will have a unique experience with verbal abuse recovery. Each situation is different, resulting in a personalized journey for healing that requires changing tools and strategies. However, navigating which methods to use during your recovery process can be overwhelming. It can help to have various coping strategies in abuse recovery.
I have a tool in my toolbox for schizoaffective disorder that I haven’t written about before. The tool is earplugs.
I have nonbinary gender insecurity. In America, there are two genders. There are two sexes. It is not common knowledge that sex and gender are different and that there are multiple sexes. When I applied for jobs, I was asked about my gender and given two options: male or female. I didn't even have the option I needed to answer an optional question. I wasn't sure if they meant to ask about my sex or my gender. I was forced to choose or decline.
An area of my anxiety that has been difficult to overcome has been productivity anxiety. Since I was young, I've held myself to high standards that I've found unreachable. When I was younger, these standards meant getting good grades and succeeding in school. As I got older, these standards extended to every other area of life. The problem with constantly chasing standards like this is that they get bigger, higher, and seemingly less realistic, to the point that trying to get there becomes a source of stress and anxiety. In my experience, this has looked like the need to be constantly productive. But the anxiety I experience about productivity means it always feels like what I do is never enough.
I tend to be much more transparent and vulnerable online than I am in daily face-to-face interactions. When someone I know in real life inquires about my fitness or nutrition habits (because, to the surprise of no one, this is a body-conscious culture), I notice my cheeks start to flush, and I choose the vaguest answer possible. That reaction strikes me as curious, though. Why am I still embarrassed about my eating disorder after all these years?

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Claire
Good heavens, we may have been friends with the same person. I befriended a woman about 3 years ago when we first moved to this new town. At first, I thought she was sophisticated and well-bread, but the incessant complaining, finding fault, nitpicking, promising to appear somewhere and then cancel due to a myriad of issues; headaches, sleeplessness, mood, anxiety, and other issues....Every social media post is cryptic and always a put-down of the food, the area she lives in, and people in general. I finally had it after she said she needed medical insurance as a retiree and wanted a part-time gig with insurance benefits. She gets the interview, then rants that they didn't call her back ASAP to start onboarding. Then she onboards and is eligible for insurance in 30 days. She simply fails to return to the job. No call. No text. No email, nothing. Worst of all, my husband works there and the upper management barbed him on the new hire and her no-show, no call, no communication. I asked her what happened. She states, "Nope. not for me. too many red flags." "I" 'm just going to focus on my dogs and my weight." I wanted to throw my phone across the room, I was so outraged. She literally couldn't care less how this action affected us. We look like a fool for giving her praises to the management team... I have since just stopped liking her posts or commenting. She used to attend our bible study on Wednesdays and claimed to like it. Now, she is no-show completely. I finally just had it. No more communication with her and life is better. I don't often give up on ppl but once I see where they're heading, it's just a no-win for either party. It's been a little over 3-4 weeks now and I feel just plain better to be away from it. No guilt on my end. I tried, but I am not going to drain my life energy for this person.
Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!