I had a big bipolar mania episode two years ago. I'm still recovering. I told my psychiatrist that the medications were like putting a bucket under the Huka Falls. The Huka Falls is a powerful waterfall in Taupo, New Zealand that could fill an Olympic sized swimming pool in sections. You can hear the roar before you see it. The intensity and energy of emotions being released that had been shut down with PTSD was so powerful that it was a huge challenge to try to harness.
I have finally started trauma therapy at the age of 46 after suffering PTSD since I was a child and untreated bipolar disorder since my teens. I was misdiagnosed with 'treatment resistant depression' and in my twenties I was started on antidepressants which can (and did) trigger mania. Yet I still went incorrectly diagnosed until my forties. This journey for me has had a lot of suffering. I have had some extremely painful experiences physically, but the psychological pain has far outweighed extreme physical pain (that morphine hardly took the edge off).
Recently, news of teenager Noa Pothoven's death has been circulating on social media. Noa suffered from PTSD and anorexia after sexual trauma. The English-speaking media misrepresented the cause of her death, saying it was 'legal euthanasia,' which was not true. Pro-euthanasia campaigners jumped on this story. Noa died after refusing to eat or drink. She described her suffering from trauma as 'I breathe but I am no longer alive.'
I can understand that, as I felt like I have 'died' from sexual trauma as a child and again as an adult. The reason I legally changed my name was because my former name became a trauma trigger - I would have flashbacks re-experiencing trauma when anyone said my former name. Changing my name was part of trying to survive. Up until the effects of the adult sexual trauma, I had been surviving by 'shutting down' - the childhood form of PTSD. Plus avoiding. Then it morphed into something very complex with the co-morbid mania and depressive episodes of bipolar 1 disorder.
There is currently a euthanasia debate in New Zealand and I have found it to be very triggering. I have been tearful and withdrawn and dissociating. I know the reasons why it is triggering for me. One of the reasons is connected to the death of a beloved pet cat, Tommy who was severely injured in an accident at the time I was sexually abused as a child. The vet said he would suffer in extreme pain for the rest of his life if we tried to keep him alive. I am still processing that loss, but now as an adult, I would have still chosen euthanasia for a pet with the extent of injuries that Tommy had. I have written a book (still editing it) called Pet Purpose and these are some of the central themes - suffering and loss and trying to survive with trauma and bipolar disorder.
I do not see the topic of euthanasia as black and white. I have been grateful for that option when pets have suffered terribly at the end of their lives. To me, it would have been cruelty to let my pets die a 'natural' death when they were suffering so much.
People have asked for it as a compassionate choice for humans, so I am not opposed to giving them that choice for certain situations. There are valid concerns for the vulnerable but I do not see it as being compulsory. Noa was refused euthanasia and told to complete her trauma therapy and wait until she was an adult. Noa felt she could not wait that long.
Every day, I make a choice to stay alive. Part of staying alive is finding meaning in life (and religion does not give me that meaning - it is another trigger - for example people telling me I needed demons cast out of me and that I would go to hell if I killed myself). It takes courage to live with bipolar disorder and PTSD. Bipolar disorder and PTSD both have a much higher suicide risk than the general population.
Recently I painted a self-portrait - my first since I was a teenager. I called it Painting Courage. I chose a selfie where I had a convincing smile as a reference photo. I can mask a lot of the time. I can smile and people think I'm fine. I can usually mask that I have invisible disabilities and that I am still processing a lot of pain.
For me, painting semi-realistically takes courage too. Lately, I have been doing that as I have been having trauma therapy. It was a very long process to be finally approved for therapy. I continue to hope that things will improve.
I intend to get back to completing my book, but I feel afraid and anxious at times about publishing it because the themes are very personal. Even though I have changed the story-line, the essence and emotions of my story are still in there. But for a while there, writing the book was one thing that gave me a sense of purpose. My wanting to help people understand some of what it is like to suffer from bipolar and PTSD. To try to survive.
Xanthe finds creative expression including writing and painting to be therapeutic and helps her to manage her diagnoses of bipolar disorder and post-traumatic stress disorder (PTSD).