Use PEA for Bipolar Episodes

Hi,

How’s it going?

Well, it’s Springtime, and actually, a lot of people do much better in Springtime and Summer than they do in Winter, because of being in the natural sunlight.

Really! There have even been scientific studies to prove this. They say that people with bipolar disorder have less episodes in Spring and Summer than in Winter – you can check it out.

Speaking of bipolar episodes, that brings up today’s topic, which is what I call PEA – which stands for Post Episode Analysis.

PEA is one of the ways I used to start to figure out what went wrong with my mom during various bipolar episodes.

Here’s how it works:

You take an episode and then you look back and analyze every single thing that you can see and think of as to why it occurred.

You ask questions like:

Who was the doctor? (and were they good or bad)
Was medication taken? (and did it work or not)
Did your loved one see the doctor regularly?
Did your loved one go to therapy?
Were there any external triggers?
Were there changes in diet, exercise or routine?
Were they sleeping too little (or too much)?

You look for everything big and small.  After you have the list, you start to look at what you think the problem was and then moving forward you work to correct it with your loved one.

Let me give you an example. About a year ago, my mom started to go into an episode but she and I caught it. I did do my PEA and discovered the following:

-She cut way back on her therapy
-She stopped exercising
-She missed church several times
-She started eating sugary foods
-She was going to bed really late
-She was getting up around the same time
each day (which meant she was losing sleep)
.
But after I did this PEA and a lot of thinking, it was clear why my mom went into the episode.

I have found, that in virtually every case, there is a cause to an episode and it’s not like a lottery like some people would like to believe.

I mean there is a cause and an effect to every episode, which you can find through “hindsight” by using the PEA.

You can find that your loved one does things that lead to an episode. It may be several simple things or one big thing. But there are things done that trigger most (all) episodes I have seen and/or heard about.

NOTE: I am NOT a doctor, therapist or “professional” in any way and this information is not to diagnose, treat or cure any disease.

When I ask questions like I am telling you to ask yourselves in the PEA, the cause of the episode becomes clear.

BUT I should warn you, many times you have to dig for the cause or causes. Your loved one may not even be aware of what was done.

In the case with my mom that I spoke about, she didn’t even realize that she was doing several things that would potentially trigger an episode.

When you look at small things like “eating sugary food” you may think, “that’s such a simple thing, how does that create an episode?”

Well it’s not just that one simple thing, it’s that combined with other simple things that creates a bigger effect. Like 1 + 1 + 1 + 1 should equal 4 but it really turns out to equal 10 because the sum of the parts is greater than the whole.

I hope that makes sense?

What do I mean? Well let’s say my mom discovers she can’t eat sugary foods, has to go to bed before 10 pm, take her medication, has to see her doctors, and has to go to church each week to stay stable.

Now to some, that might not make sense. You probably can’t find medical studies that say these concepts are important. BUT, for my mom, she has done her own experiments and found it is important so she has to stick to it even though it doesn’t make 100% sense as to why that’s true (for her).

Meaning we might not be able to know exactly why a combination of certain things leads to stability (or why different combinations work for different people) but we do know it does so we just have to go along with it.

Also, NOTE- with whatever my mom is doing, medication is 100% the foundation of her stability.

In every PEA I ran, my mom was always taking her medication. BUT, she can run into problems even if she is taking her medication but not doing the other things.

That’s why I say in my courses/systems that medication is SO crucial to stability with bipolar disorder.

SUPPORTING AN ADULT WITH BIPOLAR DISORDER?
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http://www.bipolarsupporter.com/report11

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http://www.bipolarparenting.com

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http://www.survivebipolar.net

It’s kind of strange to me that when I asked my dad in like 2005 if he ever had thought about why all my mom’s episodes occurred, he had said, “Not really…they just do.”

I guess the economist in me strives to figure out patterns and formulas for why something occurs.

That’s what got me started on developing the Post Episode Analysis, or PEA, to use after a bipolar episode.

It’s best if you can sit down with your loved one after their episode is over, and look back over to see what happened, what went wrong. This way, you can try to avoid the same things happening again.

You may be surprised that many times doctors are quick to dismiss many of the “little things” you may find that cause episodes, because they are only focused on medication (which is VERY important, and you know I believe that, but so are these other things).

Try using the PEA approach BEFORE your loved one has another episode.

Base it on their last episode, and maybe you can use it to avoid another episode!

What do you think about this idea?

  1. Hi David,

    I think you are right on the money, and makes me believe there is some detective in you as well. I am going to print a copy and give to my daughter in law (who is extremely curious) and see where it takes her.

  2. Very True! I do the same thing for my husband. But never had an organized way to do it. But, I have to be careful to think I can control all his episodes by watching the “triggers”. Sometimes they are going to happen even when everything else is in place. Otherwise we could “cure” bipolar!

  3. Hi David,
    I think that the PEA idea is right on target. Bipolars need to deveople a routine and a set of normalizing behaviors that help to maintain stabilty and positive mood. When the routine and set of behaviors are disrupted it is usnally a sign that an episode is coming. Helping the bipolar individual identify when their routine is changing and how it is affecting their behavior is a challenge. The Bipolar supporter is very important and helpful in this area. Keeping a daily log of your loved ones behavior and using the PEA after an episode will surely help to monitor and maintain a bipolars stable mental health. I also agree that the right medication is a VERY IMPORTANT part of the plan.

  4. ALL my full-blown manic episodes happened because of a variety of STRESS. This is something BEYOND my control. Although I’ve taken my meds religiously BEFORE the start of a hypomania, the STRESS takes over, and I start to exhibit the symptoms of an episode.

    For example, now. I’m in the middle of mixed-episode, so my psychiatrist increased my antipsychotics. I’m STILL hyper. They don’t seem to be helping. The major STRESS right now is finaancial. I have NEVER been this poor, and trying to stay on top of my bills is a heart-wrenching and anxiety-producing stress. I also am in the middle of a lawsuit to get some money out of a con man. A woman is coming tomorrow, who may be interested in renting my spare room – which would be a blessing.

    I’m doing some pretty strange things, here. I drove a few miles out of my way yesterday to the grocery, not remembering it wasn’t the day the groceries are 5% off. Boy, did I feel STUPID. I stopped by a friend’s house for “tea and sympathy,” and she made me stop beating myself up over such an insignificant occurrence. Sometimes, I’m my own worst enemy, where anxiety attacks and being hyper are concerned. I’ve just taken an extra Valium to calm my nerves, but am all out right now. I’m going to try and convince my psychiatrist, when I see her this afternoon, to re-evaluate my condition, and prescribe more Valium. It’s just that little “up-tick” that does the trick!!

    Once the STRESS has totally taken over, there’s no turning back – a hypomania WILL/CAN turn into a manic episode. Right now, I’m waiting for the other shoe to drop. I AM trying to combat it; but it is such an insidious disorder, that it creeps up on you, and you’re taken like a whirlpool into the vortex, and then you’re caught. Please pray for me…

    BIG HUGS to all bipolar survivors and those who love us. May God bless you real good. I pray for my country.

  5. I think your idea is a great one and will definately try it. I have not yet what triggers my daughters hypomania/manic episodes except that it has hit the past two years as soon as the weather turns nice! I guess maybe she is in sort of a depression and the nice weather pulls her out, which that part is great, she has so much more energy and is hyper even though she is also on ADHD medicine. She does take her medicine everyday I make sure of that and she doesn’t have a problem taking it, she realizes she needs it. But last year and this year she broke it off with her boyfriend around the same time, and starts hanging out with ppl that I would prefer she doesn’t, spends all of her money and bounces her checkbook and by about August last year was fine, didn’t crash into a depression or anything but the hypomania calmed. She it starting therapy this month at her own request which I think is positive – but I never saw this coming on and not sure how to stop it when the weather changes and that is the only trigger I can see!

  6. Sorry to hear you’re struggling at the moment Suzanne.Hope you can overcome it as you’re such a tower of strength and help to others.
    Will pray for you.

  7. Davo;
    We react to 0ur environment…
    The “medications” I advise ALL to slowly wean off all of them.
    ALL who do well are NOT “medicated.”
    ALL Science PROVES ALL “psychiatric” “treatments” CAUSe Brain Damage. To the Frontal Lobe (where the Soul resides, REASIONING…), The Hippicampus (SPEACH, JOINS THE lEFT & rIGHT…), or is it hipocampus, & the Cerebruim (HIGHER THOUGHT). Damage to these areas is KNOWN & PROVEN to CAUSE ALL the behaviours losted in “psychiatrys” SELF written EVER CHANGING Bible, the DSM.
    FACTS DON’T CHANGE, WHY THEN THE DSM?
    NB:
    IF YOU STOP “MEDICATIONS” QUICKLY AS ALL DO WHEN THEY ARE REALEASED, & THE “ISTS” KNOW THIS.
    YOU WILL HAVE A WHITHDRAWAL EFFECT, WORSE THAN WHY YOU WHERE PUT ON THE PROVEN TOXIC CHEMICAL COCKTAILS IN THE 1ST PLACE.
    THE GENOCIDAL CULT, WHICH CALLS ITSSEL PSYCHIATRY, THEY LOVE THIS & STATE IT IS “PROOF YOU NEED THE MEDICATION/S FOR THE REST OF YOUR LIFE.”
    Which is BS, you have such a reaction only when you do not taper off.
    Sadly it seems my Mind will not return…

  8. Suzanne;
    Vallium is KNOWN to be ADDICTIVE:
    The More Val you take, the More you NEED for the same effect.
    Hence it is NOT working.
    The “Amtipsychotics” Well they ALL do for me the exact oppisite the PUSHER, “psychiatrist” tells me they do.
    Alos “antipsychotics” are PROVEN via Medical Science, & ALL other Science to Produce ALL Described in their DSM.
    AS I have found in my near 9 Years…

  9. Troy,

    You have million posts on here about a global conspiracy, how I am a tool of drug companies, etc. Can you detail exactly what
    you think someone with bipolar disorder should do?

    I have written you numerous times to spell out your plan but you never write a plan. All I see if
    what I just wrote.

    Dave

  10. DAVE, PEA is a great idea. Last year, after my boyfriend was discharged from hospital following a big manic episode we talked about it from time to time, when he wanted to, as a sort of therapy. He did not remember much that happened during the episode from the amusing parts of hypomania to the scary parts. Bad things had happened to trigger the episode. At first he got very creative, then over-religious. When he believed that he was God’s special ambassador on earth and all health authorities were in league with the devil trying to prevent his mission, he stopped taking his meds. A year later, he is still not quite restored to the fun-loving man he was before the episode. His meds were changed and adjusted and for the first time he has been taking zyprexa. We are not sure if this is the right drug for him, as it has some unpleasant side effects: weight gain, low libido, and much longer depressive episodes. It could also be that he has not yet fully recovered, as last year’s episode had “knocked the stuffing out of him.” He has been in this depression for a month now, after the stress of moving house (though by choice) and the anniversary of hospitalisation. The anniversary of leaving hospital is coming up – maybe this will help. I only hope and pray that he does not start drinking again (something he might do when he is depressed). When he is down he wants a lot of time alone and, as we don’t live together and we don’t see each other every day, I don’t know what he eats or drinks when I’m not with him.

    TROY, I am not a health professional of any sort, but I have seen what happened to my boyfriend when he stopped taking his meds. The bipolar demon totally took over and the episode was no more fun for him as it was for anyone around him. The doctors may not have found the precise cocktail which is right for him – it takes time. If he had not got help that time and gone to the psych ward, he would most likely be dead now. He was at the point of taking some extremely dangerous risks.

    SUZANNE, all the best of luck with your lodger. Lodgers arent easy to find here, maybe it’s better where you live. I have one now, who is not much company as he’s always out, but is a great help just being there on paper. The last one, before I moved, spent all the rent money, did a runner and left me with big bills. He came back in the middle of an episode looking 10 years older than before. My boyfriend spoke to his psych about him, but no one could help him, as he was only a lodger and we didn’t even know who his doctor was or any details. He left town and no-one knows where he is now. My situation improved all round since I moved house 3 months ago. I will pray for you to get a good lodger and come out of your mixed episode.

  11. To NIGHTLADY and ANITA: Thanks for the good wishes and prayers. I saw my NP today, and she ordered extra Klonopin, as taking Valium WITH Klonopin, is dangerous. I have lost two more pounds since last week, and she’s afraid I’m on a downward spiral. She wants me to drink shakes, but I’m lactose intolerant, though I LOVE Klondike bars!! I DO eat; it’s just that the stress I’m under always presents as weight loss.

    She wants me to get an HIV test, as I have unprotected sex. I haven’t done ANYTHING in over six MONTHS, but she’s grabbing at straws as to my sudden weight loss. I will call the Health Dept. tomorrow, and find out when they do their free screening. I KNOW it’s not that; but if she’s that concerned, I’ll do it for HER…

    It’s nice to know there are some lovely ladies on Dave’s Supporter Blog!!

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