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RE: Coping With Anger - 1/19/2009 3:38:17 PM   
aravain


Posts: 1211
Joined: 8/26/2008
Status: offline 		Seroquel made me gain 60 lbs in two months...and no, I'm not kidding, and I was eating less and exercising more than I ever had...

Risperdal... there was a reason why my psychiatrist did not want to prescribe it for me... some interaction with symptoms from another illness (or a medication for one). That was a while back, though... I don't remember.

The reason I'm on Lamictal only is because it's the only medication (out of the many I've taken, now) that did not cause adverse side effects, or exacerbated current problem. Since I was switching psychiatrists so soon she decided to let me start new treatment in addition to the lamictal with the new psychiatrist.

I take my meds every night at midnight. If I forget or forgot I take them as soon as I wake up.

(in reply to DesFIP)
Profile   Post #: 21
RE: Coping With Anger - 1/19/2009 6:04:55 PM   
DavanKael


Posts: 3072
Joined: 10/6/2007
Status: offline 		I've not read all of the replies here but my initial impressions are:
1) Your bipolar issues do not seem well-managed
2) Proper medication (And, this often takes folks a long time to 'tweak'; be very clear with your psychiatrist about what you've used and the results) with therapy as an adjunct
3) Don't use a GP for meds; this is a complex case and needs to be treated by an expert
4) With the counselor or therapist you use, same thing, if possible: you want a specialist in bipolar, someone with in-patient experience will likely be an asset to you.
Best wishes,
  Davan

_____________________________

May you live as long as you wish & love as long as you live
-Robert A Heinlein

It's about the person & the bond,not the bondage
-Me

Waiting is

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(in reply to DesFIP)
Profile   Post #: 22
RE: Coping With Anger - 1/19/2009 6:44:56 PM   
aravain


Posts: 1211
Joined: 8/26/2008
Status: offline
quote:

ORIGINAL: DavanKael

I've not read all of the replies here but my initial impressions are:
1) Your bipolar issues do not seem well-managed
2) Proper medication (And, this often takes folks a long time to 'tweak'; be very clear with your psychiatrist about what you've used and the results) with therapy as an adjunct
3) Don't use a GP for meds; this is a complex case and needs to be treated by an expert
4) With the counselor or therapist you use, same thing, if possible: you want a specialist in bipolar, someone with in-patient experience will likely be an asset to you.
Best wishes,
Davan


1. Quite the opposite, it's leaps and bounds better than it was.
2, 3 + 4. Doing so (and trying to find it). Currently I'm between psychiatrists because I've changed locations and medical insurance. One on one therapy is not an option to me unless I would like to drop out of school entirely *just* for that reason because it makes me (literally) unable to function the day before, the day of, and the day after a session (This was the reason why my first one-on-one psychologist got rid of me as a patient, and the second suggested that I start therapy once I no longer have the stressful situation of school after seeing him for almost a year). I should mention that it's for reasons completely unrelated to my disorder. It's a long story and I'm not interested in discussing it, really.

(in reply to DavanKael)
Profile   Post #: 23
RE: Coping With Anger - 1/19/2009 7:27:18 PM   
DavanKael


Posts: 3072
Joined: 10/6/2007
Status: offline
quote:

ORIGINAL: aravain

quote:

ORIGINAL: DavanKael

I've not read all of the replies here but my initial impressions are:
1) Your bipolar issues do not seem well-managed
2) Proper medication (And, this often takes folks a long time to 'tweak'; be very clear with your psychiatrist about what you've used and the results) with therapy as an adjunct
3) Don't use a GP for meds; this is a complex case and needs to be treated by an expert
4) With the counselor or therapist you use, same thing, if possible: you want a specialist in bipolar, someone with in-patient experience will likely be an asset to you.
Best wishes,
Davan


1. Quite the opposite, it's leaps and bounds better than it was.
2, 3 + 4. Doing so (and trying to find it). Currently I'm between psychiatrists because I've changed locations and medical insurance. One on one therapy is not an option to me unless I would like to drop out of school entirely *just* for that reason because it makes me (literally) unable to function the day before, the day of, and the day after a session (This was the reason why my first one-on-one psychologist got rid of me as a patient, and the second suggested that I start therapy once I no longer have the stressful situation of school after seeing him for almost a year). I should mention that it's for reasons completely unrelated to my disorder. It's a long story and I'm not interested in discussing it, really.



It can be much better and still poorly managed; bipolar disorder has a wide range of presentations.  My saying it is poorly managed is not a reflection of you or your efforts but rather a statement about the symptomatology of the illness. 
Certainly no reason for you to discuss anything that you don't wish to discuss.  I don't know what about the sessions debilitated you so much.  It could have been a poor fit, it could have been too much too fast, it could have been any number of things.  With the black-outs/fugue states, though, I'd seriously consider a brief (Less than a month) hospitalization as a general idea (Disclaimer: speaking in genral as I do not have specifics) as I view that as a point of lack of safety (Potential for danger to self/others). 
The state that you are in likely has a psychological association.  If you call them, they should be able to give you a referral.  You may also be eligible for pro bono counseling.  Your school may be able to help with referrals or you can call hospitals and/or counseling centers to get more information. 
Best wishes,
  Davan

_____________________________

May you live as long as you wish & love as long as you live
-Robert A Heinlein

It's about the person & the bond,not the bondage
-Me

Waiting is

170NZ (Aka:Sex God Du Jour) pts

Jesus,I've ALWAYS been a deviant
-Leadership527,Jeff

(in reply to aravain)
Profile   Post #: 24
RE: Coping With Anger - 1/20/2009 6:40:46 PM   
DesFIP


Posts: 25191
Joined: 11/25/2007
From: Apple County NY
Status: offline
quote:

ORIGINAL: aravain

Seroquel made me gain 60 lbs in two months...and no, I'm not kidding, and I was eating less and exercising more than I ever had...

Risperdal... there was a reason why my psychiatrist did not want to prescribe it for me... some interaction with symptoms from another illness (or a medication for one). That was a while back, though... I don't remember.

The reason I'm on Lamictal only is because it's the only medication (out of the many I've taken, now) that did not cause adverse side effects, or exacerbated current problem. Since I was switching psychiatrists so soon she decided to let me start new treatment in addition to the lamictal with the new psychiatrist.

I take my meds every night at midnight. If I forget or forgot I take them as soon as I wake up.



Ouch! She found the Risperdal caused the weight gain, but the Seroquel hasn't.
You're taking the Lamictal once a day only? What about splitting the dose and taking it twice a day.
Does it make you very drowsy, is that why the midnight dosage? Because it doesn't really last more than 8 hours effectively with her. She takes it morning and late afternoon. But needs an anti anxiety to go to sleep. However Benedryl works in a pinch for that also.

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(in reply to aravain)
Profile   Post #: 25
RE: Coping With Anger - 1/20/2009 7:20:02 PM   
aravain


Posts: 1211
Joined: 8/26/2008
Status: offline 		The midnight dosage is because it's the only time I remember to take it  Currently I take three capsules once a day at a pretty high dose and I don't notice it not working throughout the day (though on medications that are 'extended release' I DO actually feel the difference when it 'releases' more medication). I'm not sure that's normal, since it takes such a long time to build up in the system (6 weeks before it's even considered effective and therapeutic) and to break down (again, 6 weeks) that even missing a dose, or taking it late, shouldn't really affect you too much as long as you take the next dose on time... or so said my doctor.

Seroquel was one of the (four) first medications I was put on. They then scaled back the others and left me on ONLY Seroquel. My weight gain got worse (supposedly one of the others was blocking the weight gain originally).

I'm kinda a medical anomaly when it comes to medications of all types, in general. My primary doctor once remarked that he wished he was still researching because I would have been a perfect subject XD (he researched medications and their effects on various systems way back when).

(in reply to DesFIP)
Profile   Post #: 26
RE: Coping With Anger - 1/21/2009 8:06:41 AM   
ALAstella


Posts: 253
Joined: 12/3/2008
Status: offline 		I guess I come in here with a somewhat different approach as this doesn't involve any medication but is part of my theory and methodology which is taught as standard in the theatre workshops I provide via my theatre and charity to the homeless.

The Ahriman-Lucifer Axis is that part of the theory coming from anthropososophy, or the 'spiritual science' of Croatian philosopher Rudolf Steiner. The Axis is basically the polarity of evil, for evil has both positive and negative characteristics.

Lucifer is social or mass evil whereas Ahriman is evil found in human evolution.

Lucifer appeals to pride and offers the delusion of divinity but when challenged can change to its polar positive qualities of creativity and spirituality.

Ahriman causes someone to deny their own divinity and to live purely in the sexual, physical and material world but when challenged can change to its polar positive qualities of intellectuality and technology.

If you care to examine the root causes of anger (and resentment) you will find in many cases it comes from either pride or fear and can be challenged by learning and physical activity. But then again both anger and resentment have positive and negative 'polar' characteristics, anger can also be passion, and resentment can also be determination or drive.

It's worth understanding that the mind can be far more powerful than drugs or medication. This doesn't mean that those people who are prescribed medication are weak or should stop taking medication, for most such medication is prescribed for a reason, but we use this argument when it comes to recreational drugs and alcohol.

Learning about your triggers and understanding what triggers your anger is also a necessary step to take, as well as learning how to channel the energy and need for expression from your anger into more positive ways of using energy and personal self-expresion.

A good way to channel that energy is to do something physical, go for a walk, take up sports, go for a work out at the gym, clean your home, also cycling, swimming, take the dog for a long walk. Other ways include drama, acting, singing, playing a musical instrument, doing something creative.

Learning to let things go helps. Not much more puts a strain on your heart and cardiovascular system than anger, not even alcohol or cigarettes, and feeling anger and resentment lets all sorts of horrible enzymes and stuff into your bloodstream, you sweat more, and it's always good to develop a certain amount of emotional detachment.

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When you don't understand the reason why, that's love.

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(in reply to aravain)
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RE: Coping With Anger - 1/22/2009 7:54:46 PM   
BLGirl


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Joined: 10/17/2008
Status: offline
quote:

ORIGINAL: aravain

I'm interested in any methods that other people have with coping with their anger.

As a person with bi-polar (I believe the distinction between being a 'bi-polar person' or a 'person with bi-polar disorder' is important) disorder, I have certain triggers that set me off into a zone so red I don't think anything else has any other color. I don't usually get physically violent, but when I do I usually go through a 'blackout' where I do not remember the violence, or what caused the original anger (very frustrating). In general usual techniques of calming one-self (i.e. light meditation, light pain, leaving the situation, etc.) do not work with these cycle-induced (manic) angers. Likewise, all cognitive-behavioral techniques that I've tried (both under a doctor's orders as well as researched and on my own) typically make it worse (I'm interesting in that the disorder seems to affect emotion without cause of thought, so when I'm trying to 'reframe' or similar it's already too late to be appropriate, especially since the thought is CAUSED by the emotion, and not the other way around as is the case with most people).

Since my manic phases are the most dangerous for me, it's usually a good thing to get out of them as fast as possible, and the only way I know how to, for sure, is by depressing myself and hoping that I cycle again. Otherwise I stew and get angrier and angrier and more prone to violence. Of course, this is still not the most, uh, optimal choice since then I've purposefully broken any consistent baseline I'd been at.

So what methods work for you? What methods might you suggest?



I cycle quite a bit too, and I hate it. My anger, no rage can be overwhelming and I feel as though I might burst. It helps me to envision breaking things, for instance, I see myself with a ball bat, breaking apart a picnic table. It doesn't necessarily make me less angry, but it is an outlet of sorts. Another is BDSM; Daddy helps in that area. He knows how to pull me out of this funk with the right amount of pain and physical restraint.
In addition, I currently take Welbutrin and maintain my salt intake. The sodium helps maintain mood levels and likely prevents lows that are too, low. The rage is a real issue, although I have never acted out violently, I often feel as though I could.
Mine isn't about suicidal ideology, it is more a feeling of hopelessness and not wanting to exist; not of wanting to die. Also, about the side effects if meds; when on Zoloft a few years ago I gained 50 pounds in less than six months!
 
Maddeningly,
BLGirl

(in reply to aravain)
Profile   Post #: 28
RE: Coping With Anger - 1/23/2009 11:51:53 AM   
CallMePatches


Posts: 18
Joined: 1/13/2009
Status: offline 		I'm not bi-polar. I thought I was with all the ups and downs that have hit me but I tested negative for it.
When something really pisses me off I seperate myself from it. I can look at it like it's happening to someone else. I can see myself standing there saying "Well damn. That's pretty dicked up." I look at things later.
I should warn that doing this a lot will tend to leak into other parts of your life. Sometimes that can be good and other times not so hot.  It's great for any kind of crisis though....well in my opinion.

(in reply to aravain)
Profile   Post #: 29
RE: Coping With Anger - 1/23/2009 2:18:27 PM   
Aneirin


Posts: 6121
Joined: 3/18/2006
From: Tamaris
Status: offline 		It has been suggested that I am bi polar, also my natal chart suggests I will display a demeanour that would make people believe I am bi polar, I even believed it myself once, but no, I think not, I have variations of mood and emotion, which is just me I suppose, my character. But anger that emotion I know very well, for I suffer anger more than anything else, but anger turned inward, self criticism through to self destruction. I recognising this fact that the emotion of anger is my undoing I have sought to find out what can be done about it, how to stop the emotion or at least know it's coming. Research suggests there is plenty of help available for those that anger outwards, anger management or such, but little or nothing for anger turned inward.

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(in reply to CallMePatches)
Profile   Post #: 30
RE: Coping With Anger - 2/14/2009 5:57:41 AM   
Aneirin


Posts: 6121
Joined: 3/18/2006
From: Tamaris
Status: offline 		A late reply perhaps, but may I direct you to the following website ;

McMan's Depression and Bipolar Web

AT LAST a guy who GETS IT !!!

Have fun.


_____________________________

Everything we are is the result of what we have thought, the mind is everything, what we think, we become - Guatama Buddha

Conservatism is distrust of people tempered by fear - William Gladstone

(in reply to aravain)
Profile   Post #: 31
RE: Coping With Anger - 2/14/2009 8:41:30 AM   
came4U


Posts: 3572
Joined: 1/23/2007
From: London, Ontario
Status: offline 		Angry, unpredictable men turn me on.

thanks for the wanking fodder Termy .

(in reply to Aneirin)
Profile   Post #: 32
RE: Coping With Anger - 2/17/2009 7:27:50 PM   
blackwinterbyrd


Posts: 112
Joined: 9/4/2006
Status: offline 		Run.

thats all I got. 

(in reply to came4U)
Profile   Post #: 33
RE: Coping With Anger - 2/17/2009 7:40:12 PM   
TheHeretic


Posts: 19100
Joined: 3/25/2007
From: California, USA
Status: offline
quote:

ORIGINAL: aravain

I'm interested in any methods that other people have with coping with their anger.




       First off, dump the psycho-babble diagnosis.  It is an excuse.  Say that you lose your temper and do things that are wrong.  Accept personal responsibility for every bit of it.  That will start you on a long and difficult journey.

      It also comes in pill form, but the constant drooling might be a turn-off to potential partners.

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If you lose one sense, your other senses are enhanced.
That's why people with no sense of humor have such an inflated sense of self-importance.


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RE: Coping With Anger - 2/18/2009 5:43:06 AM   
DesFIP


Posts: 25191
Joined: 11/25/2007
From: Apple County NY
Status: offline
quote:

ORIGINAL: TheHeretic
First off, dump the psycho-babble diagnosis.  It is an excuse.  Say that you lose your temper and do things that are wrong.


Except it isn't.
Someone who flips into rage, does things without knowing they are doing them, and doesn't know they have done them when they do return to their normal self isn't someone who is choosing to lose their temper and act inappropriately.

And just because you don't know anyone with this disorder, doesn't mean it doesn't exist.

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RE: Coping With Anger - 2/18/2009 6:32:40 AM   
TheHeretic


Posts: 19100
Joined: 3/25/2007
From: California, USA
Status: offline
quote:

ORIGINAL: DesFIP
And just because you don't know anyone with this disorder, doesn't mean it doesn't exist.


      Quite the assumption on your part, Des...

       An individuals beliefs about how and why blackout rages occur carries a lot of weight when it comes to overcoming them.

     

_____________________________

If you lose one sense, your other senses are enhanced.
That's why people with no sense of humor have such an inflated sense of self-importance.


(in reply to DesFIP)
Profile   Post #: 36
RE: Coping With Anger - 2/18/2009 7:10:20 AM   
starshineowned


Posts: 1551
Joined: 4/19/2005
From: Texas
Status: offline 		Greetings..

As a rational person my natural response to would be that anger response is of choice. I know however, that this is not the case with persons who have anger/rage issues in conjunction with mental diagnosis's. My youngest who is ADHD has off the wall..out of the blue..no rational cause to such anger/rage behaviors. Currently he is only treated for the ADHD because so many of these diagnosis's have manifestations that overlap. Unfortunately he is at a age, in conjunction with delayed development in other area's results in him being unable to understand use of coping techniques, search for triggers, or follow through if by chance he did understand the reasoning or the trigger.

It is extremely trying, tiring, and frustrating on him and anyone around him. It makes it harder because being rational parents we attempt to apply normaltive corrections for said bad behaviors (nothing to do with his learning/comprehension/focus issues) but he is completely non responsive to the whole action/consequences of life that most of us live by. The impulses lead to action with no conscious thought or reason as to applying "good or bad". To him..it is simply I must do.

Hell I don't even think there are any exact triggers to his obvious facial/expression changes to angry ones with without warning actual outbursts..mostly hitting or destruction of objects. One day he could simply do what he is asked with no issue at all, and the next become extremely angry about being asked to do the very same thing..to points sometimes he just stands, balls up his fists and shakes. This may even be in response to something that he himself has stated he likes to do. How irrational is that?

Now that I've told my story for clarification..about the only thing I can suggest aravain is continue to work with your psychiatrist and different drug treatment combinations as well as don't settle for just one diagnosis due to the fact that many do have over lapping issues, and you may just not be reaching a diagnosis with treatment yet that is being masked by another one. This is where we are currently as the ADHD has often other behavior problems and must be as controlled as possible before we can continue the search and state..this Isn't a ADHD related problem..help.

I will add in the short term maybe you can find a short mantra that you can get out quickly and repeditively to yourself, and while doing this as a quick focus..have a small notepad and pen and start trying to write the current situation, and your current reaction to it. Not long sentences but short descriptives..Joe..Loud..Annoying..Mind Racing..etc. Something to give you an indication of later when you've reached calm that you can look at the scribble and maybe determine the causitive and try to avoid it or atleast start a thinking process of how to better handle it.

Good Luck to You

starshine

< Message edited by starshineowned -- 2/18/2009 7:33:37 AM >

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RE: Coping With Anger - 2/26/2009 3:02:34 AM   
DeathinRevelry


Posts: 33
Joined: 1/26/2009
Status: offline 		I was diagnosed with bi-polar when I was 17, and I'm very familiar with that anger that you mention. There are times that I'm just a teeny step away from a killing rage for absolutely no discernible reason at all. Obviously, it was a major concern of mine once I became a parent, and while I've learned how to (sometimes) stave them off, I've gotten much better at handling them when they arise.
 
First off, I do my best to get into a neutral space, with nobody around me. I tell those close to me (son, pet, etc) that I'm having a very bad day and in a black mood, since I need them to tread rather lightly and be forgiving if I start yelling over very minor things that ordinarily wouldn't upset me so much. I'm lucky in that I can usually either pull myself back down or push myself through to the other side of it before I get violent, but on the few times I've realized I wasn't able to do so, I sent everyone out of the house and essentially locked myself in my room until I was safe to be around again. I'm very auditory, so music will often help move me through that particular phase of my swing a little faster, and I've found that getting lost in dancing tends to catapult me through the anger to the manic energy if nothing else works.
 
For staving it off, I've discovered that my swings are exacerbated by sleep deprivation. I tend to be a night owl, and when I don't pay attention to the time before I have to go to work the next day, I'm pretty well setting myself up for a swing. Diet sometimes plays a minor part in it, as does socialization (either too much or too little, both can be toxic for me). I'd say one of the biggest things is simply to do your best to learn about yourself- maybe try keeping a journal or ask a good friend whom you trust to tell you if they spot anything off. A friend of mine had really good results with biofeedback as well, so there's lots of options out there.
 
Keep doing your best to maintain, and hopefully between medication, therapy and self-study, you'll be able to find your personal keys to spending more and more time on that baseline, with just the occasional swings to deal with.

_____________________________

We raise bloody hands to the sky and scream, not from fear, but from joy... The cathartic moment when we plunge our hands into the hot blood of our enemies and there is no civilized thought to stop us from dancing on their graves - Laurell K Hamilton

(in reply to aravain)
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RE: Coping With Anger - 2/26/2009 8:29:15 AM   
Termyn8or


Posts: 18681
Joined: 11/12/2005
Status: offline 		fr

Perhaps not every last word but I have been reading with interest.

A trigger.

Interesting, when is a trigger not a trigger ? Technically it always is, but if there is no ammo in the gun, if the safety is on, or your finger isn't on it, it's not so much of a trigger as it is not going to function.

Yes, the trigger analogy might be quite apt. It is too late once the bullet leaves the barrel. In the beginning is the time to break the cycle. Easy ? Hell no. Plus the world is generally a pain in the ass. It is hard to walk out my front door and deal with people, I find many ignorant stupid people out there, there are all types. Those who will risk the lives of dozens of people on the highway to save a few seconds of their precious time, and those are the OK ones. Others actually seem to thrive on controversy, and sometimes those people are poison.

Thing is, when you go out there, are YOU looking for controversy ? People do it unconciously it seems. When you are already predisposed to anger, anything is a hair trigger, someone not using a turn signal could be considered a justifiable reason for the destruction of all human life on this planet. A lightbulb burning out could justify burning the house down. Anything goes. The analogy stands, because bullets do not have eyes. They go where you send them. However if you are not the bullet, the trigger means nothing.

And came4, enjoy the wanking, but realize that you would not want me around the way I used to be. You might learn to hate me, and even worse you might learn to love me. At that point anytime we're apart and the phone rings you would wonder if I got myself killed, or wound up in jail somewhere. Not to mention the literally close to a million dollars over the years it took for lawyers and all this, to keep my ass out of the sling. Getting off that merry go round was one of the best things I ever did in life.

And to this day, decades later, sometimes I wonder if there isn't someone still out there pissed at me, waiting for some very cold revenge. Live that for awhile and you might think long and hard before going off on a tantrum or whatever one wishes to call it.

And I can't blame booze. I just about quit booze because well, it is like loading and taking the safety off. I am the bullet. But what I did I still did. Others drank and didn't do it. The booze didn't put anything there that wasn't there in the first place, and it also can't take it away. Drugs are about the same, and that's why I offer this perspective, because permenent solutions rarely come in a bottle.

Well, just like the Iraq war, exit strategy can be problematic. Even if it can't be done quickly, I urge everyone to become medication free if it is at all possible. If it takes a weaning process, moving, a change of jobs or even say a divorce, it is better to not have to go to the drugstore to live.

Best wishes and good luck to everyone. I think we need it.

T

(in reply to DeathinRevelry)
Profile   Post #: 39
RE: Coping With Anger - 2/26/2009 8:39:28 AM   
came4U


Posts: 3572
Joined: 1/23/2007
From: London, Ontario
Status: offline
quote:

And came4, enjoy the wanking, but realize that you would not want me around the way I used to be.


Well, hey.  Didn't say I would give you my address and have YOU show up when you feel nutty enough to explode...lol, I'd show up when the anger is just the right porrige temperature and before you start breaking shit.  I'm crazy, but not THAT crazy. LOL

There is just something so hot about the honesty of fits of anger, how you cannot disguise nuffin.  Some women (or men) run when two men fight, I'm the type that jumps in the middle and takes me chances.  Stay long enough to absorb and suck up all that testesterone like a carpet munching crack whore...then on my merry way.


(in reply to Termyn8or)
Profile   Post #: 40
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