Sick: definition:
1. afflicted with ill health or disease; ailing.
2. affected with nausea; inclined to vomit.
3. deeply affected with some unpleasant feeling, as of sorrow, disgust, or boredom: sick at heart; to be sick of parties.
4. mentally, morally, or emotionally deranged, corrupt, or unsound:
a sick mind; wild statements that made him seem sick.
Being sick in actual terms to most of us simply means being unwell. But for the purposes of this post, for me it means being cognitively impaired (unable to think!) in some fashion. As the title says: I can’t think, therefore I am sick!
Day to day I am able to function, but I find myself functioning ‘slower’ than I remember myself doing when I was younger. (I remember a vibrant, outspoken, cocky, self-assured, ‘I can take on the world’ 20 year old who thought she had the world at her feet, ready for the conquering.)
Now, I just seem to think slower, take longer to recall information, forget things/conversations/events/promises altogether, take longer to make a decision and just simply seem to operate slower altogether across all spheres of my life. I notice it, others might not. It annoys the hell out of me, especially the recalling of information. (Ever have the feeling that something is on the ‘tip of your tongue’, a word, phrase, an event… just out of reach of your working memory.. yep, that’s me too…)
The medical profession have, for years, understood that cognitive impairment goes hand in hand with psychiatric disorders such as schizophrenia and Alzheimer’s. It is only in the last few years that the idea of lasting cognitive impairment in those of us struggling with bipolar disorder is being given any weight.
We all know that during spells of mania or depression that cognitive impairment is part and parcel of our dysfunction/spell. But lasting cognitive impairment even in euthymic/stable individuals is a new train of thought for the medical profession. I don’t for the life of me see why it took so long for neurologists to even think this. As someone who struggles with bipolar I could have told you I had some sort of deficit.; but no one asked!!?
Unlike patients who are schizophrenic, those of us with bipolar do not have to deal with IQ deficits, but we do have to deal with difficulties in attention span as well as short and long term memory difficulties, – at least I do. I can recall events from twenty years ago with a crisp clarity, but ask me to recall an event that happened two months ago and I will ask you what month that was?
Bipolar disorder/illness is really the ‘poor relation’ among psychiatric illnesses. We are the ones whose ‘illness’ appears not to matter as much as others, whose symptoms are not worthy of being studied or not studied as much, and despite being on the WHO’s radar in sixth place in the top ten causes of disability worldwide in the 15 – 44 year age group, it is only now that neurological/psychiatric studies into the long term effect of bipolar illness on memory/cognitive functions are taking place.
There is no doubt that some of the medications from the myriad of meds out there can actually exacerbate the problem of memory loss/recall and perhaps it is for this reason that we have been left behind in the field of long-term studies. It’s been seen as a ‘med thing’ and not a ‘symptom thing’. Or perhaps it is because depression of any kind has for so many years been brushed under the carpet and ignored as were/are the people struggling with it. Any sort of medical treatment is expensive. Specialist treatment by expert professionals is even more so, so perhaps it is a matter of cost that hardly enough study has been conducted into the side effects/symptoms of long term depression. It has been ‘bean-counted’ and we have come up as disposable or not worth the risk – until now.
At least the sands appear to be shifting. At least now, more research is being done – it’s better late than never I suppose. And it’s not too late for me. I have a tendency to write myself off – hey, that’s a symptom of my bipolar, but I’m not dead yet and until that happens there is always hope – an anticipation that things will improve for those of us struggling with bipolar and an expectation that better medications will appear and more studies will be done so that one day, perhaps, we can be symptom free – completely- for the rest of our lives. Now wouldn’t that be wonderful?