When we wrote Bipolar Disorder for Dummies, we wanted to avoid ruffling any feathers, despite the fact that the “Dummies” series encourages the use of “irreverent humor.” In the spirit of remaining sensitive to our readers, we chose to refer to people with bipolar disorder as “people who have bipolar disorder” rather than “people who are bipolar.”

My wife and I recently had a discussion about this. She prefers telling people that she “is bipolar” for three reasons:

  • It’s shorter.
  • She identifies with the disorder, feeling as though it’s a part of who she is; for example, she’s bipolar just like she’s a red head. Saying she’s bipolar doesn’t mean that’s all she is any more than saying she’s a red head means that being a red head is the sum total of who she is.
  • Having bipolar isn’t like having a cold – it’s not likely to go away anytime soon.

We began to wonder why this issue arises with bipolar disorder, but not with other illnesses, like cancer and diabetes. As is often pointed out by the “have bipolar” camp, a person would never say “I am cancer” or “I am diabetes,” so saying “I am bipolar” seems ridiculous… at least from their perspective.

As we compared different illnesses and conditions, however, we soon realized that the English language has no consistent way of referring to the fact that you have a medical condition. In the case of diabetes, for example, you can be diabetic or have diabetes without being diabetes. Likewise, you can have a peanut allergy or be allergic to peanuts without being an allergy. In these cases and other similar ones, the English language provides both a noun and adjective form, so you don’t end up being the disease you have.

The word “bipolar” is unique in that it functions as both a noun (short for bipolar disorder) and an adjective. As a result, both expressions I have bipolar disorder and I am bipolar are equally correct, linguistically speaking. Therefore, saying “So and so is bipolar” should be no more stigmatizing than saying “So and so is diabetic” or “I’m allergic to wheat.” You’re simply using an adjective to describe a condition you have.

I’ve seen plenty of heated discussions sparked by the mere fact that someone said or wrote that someone was bipolar rather than had bipolar, and the more I think about it, the more I wonder whether this is a real issue or something that we’ve chosen to make an issue. What do you think? When you tell people about bipolar, do you tend to say that you or someone you know is bipolar or has bipolar?

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