Bipolar Blog

In Part I of this series, I highlighted the challenge of returning to work with bipolar disorder and provided some practical advice on how to smooth the transition back to work after experiencing a major mood episode. In this second part of the series, I provide some more in-depth information and recommendations on obtaining additional assistance with your back-to-work efforts:

• Bipolar can get worse or better: Don’t add even more stress to your situation by assuming that your condition is progressive and will get worse—this isn’t universally the case. With the right treatment and some good fortune, situations can and often do improve.
• Brains change: We sometimes have the idea that adult brains have stopped developing and changing—but that is not true. The brain changes throughout life—with or without Bipolar Disorder. But this of course means that medication needs and symptoms can all change over time as well.
• Stay in touch with your doctor: Returning to work can expose you to additional stressors and triggers, which can lead to more frequent or severe episodes, but medication can make a big difference. During the transition, your doctor may need to monitor the situation more closely and be prepared to make necessary adjustments to your meds. If the doc isn’t willing to consider changes, consider getting another opinion.
• Stay in touch with your therapist: If you have a therapist on your treatment team, he or she will be an important resource for you right now. Digging through the problems that are going on related to work and generating some solutions to those problems—running the gamut from things you can change to changing work situations and if so to what kind of alternative work—is an important part of the ongoing management of bipolar disorder.
• Consult a vocational therapist: Even if you already have a general therapist working for you, consult a vocational therapist who specializes in helping people deal with work-related issues and accommodations. Most states have some form of vocational training and rehabilitation services. You may need to be receiving services from your state Department of Mental Health or through Social Security Disability to qualify. Disability income, health care, and other supports should be available to people with mental illness in all states, but it is managed differently in different places.If you prefer private resources, you could consider working with a private vocational counselor. Vocational counselors may be accessible through a local or community college.

Tip: As an added bonus, obtaining vocational therapy can actually make it easier to obtain disability benefits later if you are unable to work. It proves that “you’ve tried everything,” and may even provide you with an additional advocate (your vocational therapist) who can testify that yes, you have tried everything.

• Get more help from NAMI: The National Alliance on Mental Illness is an advocacy organization and they may have a local chapter in your area; you can search for local chapters at State/Local NAMI. Connecting with people there may help you to access services in your local area.

Remember to try to tackle this in small pieces—one task at a time—it won’t all get fixed at once—but as long as you are talking to people and reaching out you are still in the game.

This is the first part of a two- or perhaps three-part series on how to smooth the transition back to work after a severe mood episode.

Many people with bipolar disorder are able to successfully return to work once they’re on an effective treatment regimen, which typically includes one or more medications. In Bipolar Disorder For Dummies, however, we recommend that you avoid stressors and mood triggers – and returning to work, especially a demanding job, can be loaded with stressors and triggers. In this article, we offer some suggestions on how to ease the transition back to work. (more…)

I’m currently trying to track down a Social Security disability attorney who has experience filing for people who have bipolar disorder. (They’re like cops - there’s never one around when you need one.) I plan on interviewing the attorney and posting a Q&A here on strategies and tips. Here are some of the questions I plan on asking: (more…)

An intense period of mania or depression can make you feel like you’ve been hit by a truck. You may feel exhausted. You may be unable to concentrate or remember certain details. You may become intolerant of colleagues and others you must deal with on the job. Your family life is also very likely to be chaotic and stressful.

Unfortunately, if you can walk into your local Social Security office, talk to the receptionist, and complete the paperwork, the Social Security Administration is likely to conclude that you don’t qualify for Social Security disability benefits. (In a previous post, “Are You Disabled?” Joe, my co-author, points out just how difficult the Social Security Administration makes it to qualify for disability.) (more…)

My wife feels disabled. She used to teach junior high school Spanish full time for over $60,000 per year. She can no longer work as a full-time teacher, because the stress triggers mania. Believe me, she tried several times to return to teaching, and each time she experienced a serious breakdown. (more…)

The question of whether to disclose one’s bipolar disorder to an employer often causes anxiety for the person with the illness. Of course, it shouldn’t be that way. If you were ill with cancer or suffered some physical disability, you would probably disclose it without reservation, but with a mental illness, people often fear the very real possibility of being stigmatized. (more…)

Recently, Jeff posted a comment on ”Quit Your High-Stress Job?” asking for advice and support related to his situation. Because work is such a common problem area for people with bipolar disorder, I encourage you to read that article and the interesting discussion that it has generated, including my response.

In Bipolar Disorder For Dummies, we talk quite a bit about stressors and triggers—people or situations that can cause enough emotional or psychological duress to push you into a mood episode. We encourage you to identify and then avoid your stressors and triggers as much as possible, but that begs the question of what to do in complicated situations. What if your stressor is a six-figure job or your spouse of 15 years?

(more…)