Madness, by Marya Hornbacher, is one of the few personal accounts of bipolar disorder I’ve read that covers the escalating unfolding of the disorder from such an early age (4 years old) to the present. The book covers just about every aspect of the struggle with bipolar disorder – early failures to diagnose it, misdiagnosis, clueless and competent psychiatrists and therapists, stressors, triggers, the tendency to self-medicate, hospitalizations, hyper-sexuality, the terrible side effects of many of the medications used to treat depression and mania, bipolar and career, alcoholism, self-mutilation, relationship dynamics, lack of insight (not realizing when a manic episode is settling in), and the highly productive and invigorating hypomanias that often convince those with bipolar disorder that nothing’s wrong. Her narrative functions almost like a textbook case study of bipolar disorder.

Madness has a solid chronological structure that leads the reader through the escalating and exhausting mood cycles Hornbacher experienced. She is a highly skilled writer who keeps the narrative progressing at a quick pace while revealing dazzling insights about the disorder, about people, and about life in general along the way.

What I found particularly helpful about the book is Hornbacher’s descriptions of how her mood episodes began so seemingly innocent enough. One day, life seems to be just fine and then over the course of several days, weeks, or months becomes wonderful – everything is clicking and Hornbacher’s energy and joy seduces all those around her – and then, just as suddenly, her world crashes in on her. People who haven’t experienced this, don’t know what it’s like. They wonder why people with bipolar disorder can’t tell when their moods are cycling or why a loved one didn’t step in sooner. I think Horbacher’s accounts can help people gain a better understanding.

As co-author of Bipolar Disorder For Dummies and as someone who’s “married to bipolar,” I could relate to just about everything in Madness. Hornbacher does an incredible job of taking the reader on the roller coaster ride that is bipolar disorder, revealing the wreckage that bipolar leaves in its wake, and filling those who battle it in their own lives with an appreciation of the positive aspects of the disorder and hope for a better future.

Order your copy of Madness: A Bipolar Life on Amazon.com.

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