Advertisement

Advertisement

News, Views and Careers for All of Higher Education

An Inappropriate Illness

Twenty years ago I was hospitalized for acute mania and diagnosed with bipolar disorder, a mental illness once called manic depression. It’s the result of an abnormal brain chemistry that arbitrarily turns up and down the volume, so to speak, of one’s emotions. The disorder can be controlled with medication, in my case mainly depakote, a prophylactic against manic episodes; and lamictal, an anti-depressant.

I decided early on that I would regard the illness as something I had, like a clubfoot, and not part of who I was. I also decided to acknowledge the illness openly in situations where to do otherwise would be to hide it away as something shameful. I did this despite the fact that my initial experience with the stigma attached to mental illness was a profound shock. My employer fired me (and was careless enough not even to hide his reason). Friends, thinking that my life was over, fell away. Even my family was less than supportive.

Nevertheless, thanks to the fidelity of a few close friends and the lack of an alternative — one simply cannot fold a bad deal in life as one does a bad deal in poker — I persevered. I started on my doctorate, completed it in five years, was hired as a tenure-track professor, published a successful first book, and received tenure a year early. Indeed, I was so successful during the first decade after my diagnosis that it was easy to regard the diagnosis as more theoretical than real. For most of that period I thought of myself as asymptomatic. I didn’t see a psychiatrist and took no medication.

A serious hypomanic episode nine years ago jolted me back to reality. In a hypomanic episode, a person remains functional and can even seem brilliantly charismatic, but those close to her or him know something is wrong. Left untreated, a hypomanic episode can lead to full-blown mania amounting to a complete break with reality. The experience forced me to acknowledge that I could never be like other people, that I would have to own, really own, the fact of my bipolar disorder. I have taken medication, seen a psychiatrist, and visited a therapist regularly ever since.

My department has a new chair, and a couple of days ago I sent him a memorandum similar to one I’ve given every incoming chair for the past nine years. The memo gives an overview of bipolar disorder, details the symptomology, and lays out a suggested course of action to pursue if he ever has concerns that I might be having a manic episode:

  • Approach me, outline your concerns, and ask for an explanation.
  • If, after talking with me, you think it warranted, make sure that I call my therapist or psychiatrist.
  • If I fail to do so, that is a bad sign, and you should ask me to go to the emergency room. My policy in such instances is to suspend judgment and do as told. This has actually happened on three occasions and in each case I complied.
  • If I don’t go to the emergency room, that means I’m psychotic, and you should treat it as a medical emergency — call EMT [Emergency Medical Technicians] and have me taken to the ER by force if necessary. This has never occurred and I don’t expect it to, but it’s a theoretical possibility that has to be taken into consideration.

For potential hypomanic and depressive episodes, the first and second steps should suffice. If you still have concerns, contact one or the other of these people in the following order....

I then supplied complete contact information for my therapist (a clinical psychologist) and psychiatrist.

People often think that because I’m so up front about having bipolar disorder, that being candid about the illness must be an easy thing for me to do. In fact, it scares me. I’m up front about it only because I’m convinced that candor is better than the alternative. Being open with my colleagues, for example, populates the department with observers who have a decent chance of identifying unusual behavior as an artifact of the illness rather than erroneously attributing it to something else: simple high spirits instead of hypomania, for example. It enables me to ask for help when necessary without having to explain the illness from scratch. And it gives me a chance to combat, in a small way, the stigma that still attaches to mental illness. If a professor protected by tenure cannot summon the modest courage required for such an act, I do not know who can.

Because it’s a biochemical illness, no different than any other chronic ailment, and because my department has a long track record of being supportive, one might wonder why I feel any trepidation about discussing bipolar disorder. After all, aren’t the groves of the academy a place of unusual enlightenment, free of the prejudice one might find in other walks of life?

Well, no, not exactly. In the academy, nearly everyone knows better than to talk or act as if I ought to be chained up in an attic, but people have their own way of reflecting the age-old stigma concerning mental illness:

It’s inappropriate.

Sure, Grimsley can’t help having manic depression, but does he have to talk about it?

I first encountered this perspective about 10 years ago when a friendly senior colleague urged me to keep quiet about the illness. He had been around the academy long enough to fear that two things might happen. First, he worried people within my university would be publicly supportive but would privately tell one another, “He’s bonkers, you know.” Second, he feared that it would cripple my chances of ever landing a position elsewhere were I inclined to apply. “His books and teaching are solid, his letters of recommendation strong. But did you know he’s nuts?”

Of course, “bonkers” and “nuts” probably would not be the terms they would use. Academics are nothing if not clever in conveying their prejudices. And in this instance they could use my very candor against me. Such openness is inappropriate. He doesn’t show a sense of proper boundaries.

I was once told exactly this by a committee chair who was upset with me because he thought I had gone around him on a certain matter. I’ve since come to see that, on the merits, he was right and I was wrong, but at the time his anger baffled me. Trying to explain his strong reaction, my colleague blurted, “You might think you can just be informal and talk to anyone you want, but it isn’t like that. You might think you can give people a memo about your bipolar disorder and it’ll do some good, but it won’t. That’s not how people are.” The last two sentences were such a non sequitur and so forcefully expressed — particularly by a historian I have always respected, then and since — that I realized that in his anger he had said something he deeply felt but ordinarily would have kept to himself, or at least away from me.

(And in fact he was wrong. When I did have a second manic episode, in 1999, my department chair and other colleagues came through for me like champs.)

On another occasion, I became interested in the idea of writing an article about the various explanations advanced for the sometimes erratic behavior and fiercesome speech of Union general William T. Sherman. One biographer posits that he suffered from narcissistic personality disorder; another implies that he had bipolar disorder. Most reject any explanation based on psychopathology, however, because they suppose that no one with a serious mental illness could function sufficiently to rise very far in life, and certainly not to command the principal army that won the Civil War.

I approached an editor about such an article and he was enthusiastic — except for the part where I said I wanted to draw upon my own experience with bipolar disorder to help interpret the evidence.

Nowadays it is not unusual for historians to “place themselves in the narrative,” as it’s called — to acknowledge the personal roots of their perspective and so reject the misleading “god trick” of objectivity. But no way was this editor going to accept an article from me that did that. Not about a mental illness. It was, he conveyed, inappropriate.

A few years later I heard a scholar give a public lecture on visual literacy in which the fact of his badly impaired eyesight figured prominently. The audience of academics was wowed. This deployment of a physical disability, apparently, was not inappropriate.

I will give one final example. Because I am so up front about having bipolar disorder, I am occasionally approached by instructors and students, both graduate and undergraduate, who have been diagnosed with a mood disorder. Some look for advice and reassurance. Others just want to talk.

One told me the story of what had happened to her when she was an adjunct professor teaching a course at another university. She had to miss several days because of a bout with clinical depression. When she returned, her students, with whom she had a good rapport, were very concerned and wanted to know what had happened to her. She told them. They did fine with the information (I have discovered the same to be true when I discuss the illness with my own students), but her dean did not. He called her into his office, explained at length that her disclosure was inappropriate, and did not renew her contract.

Mark Grimsley is an associate professor of history at Ohio State University, where he specializes in military history. He is the author of several books, including The Hard Hand of War: Union Military Policy Toward Southern Civilians, 1861-1865, which received the Lincoln Prize in 1996. He has won three teaching awards, including the Ohio State Alumni Distinguished Teaching Award, the university’s highest award for excellence in the classroom.

Got something to say?


Want it on paper? Print this page.
Know someone who’d be interested? Forward this story.
Want to stay informed? Sign up for free daily news e-mail.

Advertisement

Comments

Do you feel that you are apologizing for having an illness?

Dr. Grimsley:Like you, I am bipolar, but unlike you, the disease has been extremely detrimental to my life as an employee. I was a very good student, have very good credentials, and have followed my therapeutic instructions very closely. I feel that revealing the illness to a potential or actual employer puts me in the category of someone who is misunderstood and considered “loony", and that failing to reveal it puts me in the the category of someone who is recognized as being aberrant. (The most common reason attributed to my behavior is seemingly drugs, especially cocaine and marijuana) I don’t like feeling that I"m constantly apologizing for myself, and yet I feel that I am going to be stigmatized regardless of my disclosure or non-disclosure. I want to feel that I’ve triumphed over the disease and yet, as I enter my 42nd year, I am unemployed, with two seemingly useless graduate degrees. I don’t know if I’m even making this clear but how do you respond to what I’m saying? Can I feel that I’m a successful bipolar, or can I take steps to make myself feel that I’m supporting myself and not wasting a very good education? By the way, my condition has seemingly helped my job performance with my patrons when I have obtained work in my field, which is as an Academic Librarian—my verbal ability, memory, and talkative nature seem to improve my performance. What are your thoughts about this?

Scott

Scott, at 8:10 am EST on February 24, 2008

BP and university employment

I was recently diagnosed with Bipolar II and before that was drinking and often inappropriate behaviors including sexual comments to students, agitation, etc. and often did not remember it... I am currently on medical leave getting treatment via psychiatrist, meds, therapy but the social equity officer at my university has students and people reporting back to her and I am being watched closely by her and threats of dismissal due to the disability. I am a work in progress and my psychiatrist and therapist think I can go back to work full time to my tenured position but I am fearful and feel I am being scrutinized and she is giving students more rights than me and overlooking my rights due to this psychiatric disability. I have been there 12 years and have been promoted and tenured and extremely positive relationships with colleagues and students except problems with the bipolar. What should I do? I am considering seeking an attorney and advise before returning full time. My dean and dept chair and human resources have been supportive but this new social equity officer just continues with her documentation and threats that if anymore behavior occurs, she wants me dismissed. WHAT CAN I DO?

C, Associate Professor, at 8:20 pm EST on March 8, 2008

Thank you, Dr. Grimsley

I also work at a university, but as a staff member and not as a faculty member. I congratulate you, Dr. Grimsley, for talking openly with your colleagues and supervisors about bipolar disorder. I believe that by doing this, we are slowly eroding the stigma, even if it is a daunting emotional task. I am a professional with a great job and a wonderful boss. Most of my colleagues know I am bipolar and my boss does as well. I am a very high-functioning employee and I find that people, including my boss, the dean of the school I work at it, are extremely supportive. Too often we read about bipolar people in the crime section of the newspaper. Instead, the people that we touch (and we would be surprised if we knew how many) realize that bipolar disorder is suffered by many “normal” people who are trying their hardest to contribute to society. Best wishes to you and good luck.

Carin, at 5:15 pm EDT on April 21, 2008

BP students vs. BP faculty/staff

As an undergraduate student, I registered with my campus Disability Support Services. This allowed me to miss classes and receive accommodations without my professors necessarily knowing what my disability was. I did find that my professors were very supportive as well. I think it depends on who you tell. I, as all bipolar people have had, have had several bad experiences telling people, but I still try to tell people IF they seem reasonable and able to handle the information in a positive manner. I usually wait a bit and get a sense of that person before I tell them.

Carin, at 5:15 pm EDT on April 21, 2008

Thanks

I think it is so screwed up that your colleagues said your illness was “inappropriate” yet so many people, especially doctors and professors get fired for having a depressive episode or manic episode. That convalutedness scares me because I was diagnosed with bipolar 1 disorder and am 23 and do not have a stable enough job or enough power to tell even an even coworker about my disorder.

Jim, Thanks, at 2:40 pm EDT on May 2, 2008

I think your compliance with your doctors and your self-awareness of your illness are exceptional. I wish my family member who is BP would take her meds... Life is hell for the family members of an unmedicated BP.

Phil, at 6:20 pm EDT on May 2, 2008

Replies

There have been a number of comments posted since my last look on this discussion thread. I’ll try to respond to each of them:

Scott and C: My impression is that, in order to receive protection under the Americans with Disabilities Act and other relevant laws, one must disclose the illness to an employer. The legal aspects of this are something I wish I knew more about, though, and I’m not sure I’m in a position to offer good counsel about it. I *would* suggest documenting all relevant interactions with an employer or on the job. For instance, if the social equity officer at C’s institution is documenting C’s performance on the job, C ought to be maintaining detailed documentation, too. I’d also suggest talking to the dean, dept. chair, and human resources about obtaining reasonable accommodation for the disorder. It seems to me that this would be an instance in which an attorney who specializes in employment law would be helpful, though you might keep the attorney in the background, so to speak: an adviser to you but not an advocate in direct contact with the institution. To do otherwise might bring the institution’s legal affairs office into the picture and polarize the situation.

Carin: I think you were wise to register with Disability Support Services. I’ve found that many students think of “disability” only in terms of a learning or physical disability, and thereby completely overlook the course you’ve taken.

Jim: Except in a very few instances, I’ve never had anyone say, is so many words, anything negative about my having bipolar disorder or disclosing the fact of having it. As I indicate in the article, these appraisals are occasionally articulated in more subtle ways. *However*, as the article also notes, many people have been supportive of me, and I hope this is something you won’t overlook. There are many good people out there who are more than willing to help if given a chance.

Phil — Most people I know do take their medications conscientiously, so I’m not at all exceptional in that regard. However, medical non-compliance is still a significant issue with some people, and I’m sorry your family member has chosen that path.

One last item: I’ve always made a point of saying, “I have bipolar disorder” rather than “I am bipolar.” The latter formulation makes it sound as if it’s fundamental to who I am, rather than simply an illness to be dealt with. The distinction may or may not be helpful to others, but I’ve found it’s been helpful to me.

Mark Grimsley, Associate Professor of History at Ohio State University, at 1:35 pm EDT on May 3, 2008

“inaappropriate” response

As an undergraduate I was diagnosed with bipolar disorder when I was a sophmore. I was a psychology major and the next term, after being diagnosed, I took statistics and my professor was a psychologist and worked as a clinical psychologist and did research in personality. When I was taking his class it was a time when I was in a depressive episode and I thought during class him and other students were behaving negatively to me because they thought something was wrong. So I went to his office, after a few classes of enduring this, and told him “I just want to tell you that I am bipolar and am going through a depressive episode and that I feel from your behavior toward me you are affected by my behavior.” He basically said he did not know what I was talking about. Then he said people with bipolar grow up to live happy and productive lives. He did not ask me about my feelings, how I was doing and I did not come away with any new information which could have helped me in class. I continued seeing the negative behaviors towards me during class, people would stair at me, cry (including the professor) and GTFl, and it was all very traumatizing to me.

Mike, “inappropriate” response, at 4:40 pm EDT on May 3, 2008

Mike —

— it sounds a bit as if both of you were feeling misunderstood. You were experiencing symptoms that, in turn, made you feel as if your professor and fellow students were behaving negatively toward you. You approached your professor about this; it sounds as if he was not aware of any such negative dynamic. That sometimes happens: Just because my words and actions have an impact on someone, doesn’t mean I intend them to have that impact. And vice versa: just because I don’t intend to create a certain impact, there may be an impact nonetheless.

It sounds as if the professor was trying to be reassuring — that people with bipolar disorder could lead happy and productive lives, which in itself is true enough — while overlooking the actual concerns that brought you to him; i.e., a sense that your symptoms were producing a negative response from him and your fellow students.

Sometimes even people well grounded in psychology can be taken off guard and aren’t able to help in the way one would expect — in this case to focus on your feelings and perceptions, which I think is the conversation you would have preferred. For that reason, sometimes a person in your situation has to be very clear about what is wanted and needed from the conversation. But it was *not* inappropriate for you to share your concerns with him.

Mark Grimsley, Associate Professor of History at Ohio State University, at 6:45 am EDT on May 7, 2008

Bi Polar II and my life upside down

Why can’t the school be sportive. My dr. dose not want me to disclose do to just this kind of nightmare. I realized I nedded to go to the Dr. and get my meds adjusted but take a less inteence role in the summer to reruce the stress. I got the job and then because My school said my SPED position is no different then a bus PARA I would not be able to do the other job if they could not put me with the SPED kids I am during the year. I was proactive in realizing the different in my work load and then slapped in the face for it at a ctr office meeting. Then they threated my new contract if I was not cured lol by Aug. It is like a death sentence in education. I do the right thing and they punish me for it. I only just a few months realized this issue. my mental state and by the way I was awarded by the same school dist i the same breath I was both written up and my summer job taken from me. Then they wanted my med records. I do not know what to do disclosing seems dicey and give them fuel but it would explain my mistakes that got me written up I am so frustrated and I love working with kids that learn differently its the adults that think antiquated that tick me off.

deb, SPED PARA at public school, at 6:00 am EDT on June 10, 2008

faculty v. students

Strangely, it seems that the author, despite his illness and administrative challenges was never escorted off campus the way students are if they admit to anything approaching dangerous behavior. I wonder where all the assistant deans are now.

I am going to do you all a favor and not tell you my views on whether he should have told people about his problems. But, I think we can all see that faculty is treated with a lot more respect than students

Larry, at 5:45 am EDT on September 26, 2006

Larry, Feel Free to Let Me Know

Hi Larry,

Feel free to let me know via private email your views about the appropriateness, or lack thereof, of whether I ought to have told people about my illness. After twenty years I have pretty settled views on the subject, but I am always glad to hear other perspectives.

I appreciate that your main point is to aver that faculty are treated better than students in these situations. I’m not in a position to judge authoritatively either for or against your appraisal: my angle of vision is necessarily confined to what I have seen with my own eyes or have been told by instructors and students. But just for the record, I have so far never exhibited “anything approaching dangerous behavior” in my own struggle with bipolar disorder.

In 1999, for example, my colleagues — well, one of them anyway — became aware I was in trouble because I had a hunch I was “decompensating” into a manic episode and thought I should go to the ER. For obvious reasons I didn’t want to drive myself, so I called a colleague to pick me up at home (this happened during the summer) and drive me there, which she did. The ER staff ran some tests, determined that my litihium level was within a therapeutic range, discovered by talking to me that I had things going on in my life at the time which might lead a normal person to exhibit the symptoms I reported, asked if I thought I was a danger to myself or others (I didn’t think so), and released me.

Twelve hours later another person in my life, not a colleague, felt my original hunch was right and took me a second time to the ER, with the same outcome as the first time.

The colleague that originally took me to the ER then had me stay overnight with her and her partner on the theory that it might be safer to have people around me. While there the decompensation became complete, I asked them to call for the EMTs, and was transported, for a third time, to the same ER, which finally concluded that gee, maybe I was actually manic after all.

I was hospitalized for two weeks while being placed on a new regimen of medication based on depakote, not lithium, which plainly had proved ineffective for me. During that time at least five colleagues visited me, including my department chair. Two colleagues drove me to and from off campus appointments with my therapist.

Incidentally, it was a fluke that led to so many visits to the ER. Everything would have much more straightforward had my psychiatrist, who had hospital privileges, been available to evaluate me and authorize my admission. The ER staff function mainly as gatekeepers, not honest brokers, and their job is to keep people out of the hospital if practicable.

Bottom line No. 1: Nobody at any time thought I was exhibiting dangerous behavior.

Bottom line No. 2: My colleagues were terrific, but they were able to be terrific only because I gave them the opportunity. Things would probably have worked out very badly if I had previously chosen to keep the fact of my illness to myself.

Mark Grimsley, Professor at Ohio State University, at 9:04 am EDT on September 26, 2006

Thank you for this moving and timely article. Those who work in the mental health field sometimes (often) despair of the ground-in stigma against persons with mental illness, which, as you clearly show, is not limited to those who are uneducated. Even physicians have been known (frequently, I’m sad to say) to treat physical illness differently in persons who are or are not diagnosed with a psychiatric disorder. (It’s all in your head, etc.)

marya, at 7:05 am EDT on September 26, 2006

Thanks

Just a note to say thanks for such a forthright account of what it’s like to live with mental illness. As someone who shares your diagnosis and your determination not to live down to its stereotypes, I admire your candor. Teaching in a large public community college, I learned early on that many students — especially the bright ones, it seems — have first-hand experience with mental illness in its many forms and iterations. You didn’t say much about how your experiences have influenced your teaching life, and I would be interested to know your perspective on that. In my case, I believe (or perhaps need to believe) that my experiences have made me a more compassionate, perceptive instructor. On rare occasion, I have shared my story (at a high level) with particular colleagues and an occasional student who battle the same demon. I don’t, however, feel compelled or comfortable making it a centerpiece of my personal introduction to a new person or situation. As the old saying goes, “different strokes for different folks,” and again, I thoroughly enjoyed reading your candid account. All the best to you.

CC Trench Warrior, English faculty, at 7:05 am EDT on September 26, 2006

How slippery, the slope?

I’m glad the author has such understanding superiors. As well as all the other special classes in academia, too numerous to name.

And what is going to happen, when average, regular schlubs who have to pay full-price for higher-ed decide that they should be a special class? Will the entire system collapse? And what about the 75% of the U.S. population that have not, and will not, enroll in higher-ed?

Oh. The schlubs already have declared themselves a special class. They’ve decided to cut their financial support for public higher-ed. Never mind.

L.L., at 7:40 am EDT on September 26, 2006

I found many parallels between Mark Grimsley’s experience with mental illness and my own as a Type I (juvenile) diabetic. I have found that my colleagues and students are far more comfortable with my being upfront about it—say, if I have a “low” in class and have to eat some candy—than if I tried to hide it or acted embarrassed about having to accommodate the disease. Furthermore, as someone with family members who have had mental illness, I suspect Mark G’s candor does a great deal to educate many people who are afraid of mental illness, and for that I salute his efforts.

Thomas Dukes, at 7:40 am EDT on September 26, 2006

Mr. Grimsley, Well, my view of appropriate is thus: anything that is shared with a doctor should not be shared in the workplace. Your mental health is your business. You seem to have made an informed decision to tell your colleagues about your problems which worked out for the best. My guess is that you are either very lucky, or so talented that your school will put up with anything.

Unfortunately, students who have been as forthcoming as you have suffered when they made similar disclosures. Indeed, some deans have gone so far as to attempt to question students who helped to aid fellow students in the same way that your colleagues aided you. While you and I might not think that you are dangerous, many deans would take exception to your characterization.

Now, I do respect the mature way you are going about things. Indeed, even if I come from a culture that is less than sympathetic toward mental illness, you seem to be productive, and you seem to be a good role model for others. Unfortunately, all too often people use such illnesses as a crutch for laziness.

Larry, at 7:50 am EDT on September 26, 2006

Bravo!

I can only imagine that if a couple of key professors whom I had in graduate school had taken their mental illness half as seriously as Professor Grimsely then many of us would have had more salutary graduate school experiences.

Such courage and honesty save more than the individual, they help students and the whole department.

Moreover, if the law (ADA) does not already protect individuals with mental illness, and I think it does, then it should and all people, including those who do not have “diagnosis,” should advocate for such change. In academia especially, where individual members are not simply cogs in a machine, we need all the talent we can possibly obtain.

Anonymous, at 8:25 am EDT on September 26, 2006

Policy and Moral Practice

Your practice of unveiling the ‘invisible disability’ can be considered both humane and a necessary moral stance for acadamia. Federal policy on disability includes mental illness and both ADA and 504 work to prevent discrimination in the workforce, however, there is noticeable gap between policy and practice. Public dialogue is the way to bridge this gap and remove the superstitions that prevent understanding of the human condition. When we finally create a society that accepts difference as the norm,it will be because informed people have led the way. Your footsteps are among those who lead us all toward a better life. Thank you.

Pamela, Graduate Student/Instructor at University of MO- STL, at 9:31 am EDT on September 26, 2006

Larry,

Try to think for a moment about a physical disability in comparison—would you still believe the information should not be shared? Let me give some examples: —A hearing disability requiring your students and collegues to face you when speaking so you can read lips —A vision disability requiring large text or a reader to help with grading or the use of oral exams —Post-polio syndrom limiting the use of shoulder muscles and thus the blackboard —MS which can cause you to sweat profusely even in cold rooms—A seizure disorder controlled by medication but which can rarely result in seizures at the workplace

Should all these people, in your opinion, be refused accomodations that would enable them to be inspiring teachers and productive researchers because you don’t think medical information should be shared in the workplace? I would certainly hope not. And I can not imagine how being bipolar is different from these sorts of things.

ML, at 10:00 am EDT on September 26, 2006

Hypomania

I sympathize. Currently a sucessful faculty member, years ago I had a terrible hypomanic episode in the military. At the time I was a sergeant, but wound up a buck private a few months later. At the time, I thought I’d been screwed unjustly. Years later, with greater insight, I thought it was all my fault. Now, I’m aware that chemistry also played a role, and hypomania was at least partly the cause.

At the time, I’d never even heard of bipolar disorder or hypomania.

Working as a counselor in the 80s, I let a psychiatrist place me on Lithium. On it though, I was so blissed out and apathetic, even when counseling suicidal patients, that I quickly went off of it.

Currently, I take only an antidepressant, Desyrel, which seems to keep me stable. I guess I must have a bit of the hypomania left because I’ve been very productive in terms of publications.

I think I’d agree that it’s not generally a good idea to bring this up at work. Because I’m also an AA member, I think that following their anonymity rule, which exists partly to prevent stigmatization, is a good idea.

HMBPD, at 10:20 am EDT on September 26, 2006

Coming Out

Your compelling story resonates with my experiences with nurses, students and faculty members. “Coming out” about mental illness is challenging. Reactions can vary so much. I wrote a book called “Leave No Nurse Behind: Nurses Working with disAbilities". One chapter is written by a nurse who is bipolar. She shares similar struggles and decisions related to “coming out” to fellow students, professors and colleagues. I teach nursing and founded the nonprofit resource www.ExceptionalNurse.com for nurses with disabilities. Daily, I hear from students and nurses with mental health issues. Your article will become an important part of my response to nurses in the future.Thanks so much for your honesty and courage.

Donna Maheady, Adjunct Assitant Professor at Florida Atlantic University Christine E. Lynn College of Nursing, at 10:20 am EDT on September 26, 2006

Successful despite illness

Thank your for your honesty. As someone with ADHD, and coming from a family with a history of depression, etc., it’s good to read about your success in living a positive, productive life. We need to hear more stories like yours.Vicki, BA, mom of 3, and returning student of Journalism.

Vicki McCollum, at 10:20 am EDT on September 26, 2006

response to ML

ML, I did not say that anyone should be refused accommodation. However, when a person is mentally ill in a profession that requires someone to use their mind particularly sensitive issues are raised regarding just whether any such accommodation can be made. In particular, a colorable argument can be made that the requirement of participating in department politics and planning makes it impossible for someone with illness that manifests itself from time to time to actually participate in the same way that his non-disabled clients would. Now, the author seems to have shown that it his case it is possible (if one believes everything he says.) But, because these conditions manifest themselves in different ways, I don’t know if one can say for sure that everyone with his condition would so effortlessly glide into such a setting.

I should also note that many positions of trust (which don’t seem to include academics) don’t really make allowances for disabilities. Sure, it would be nice to have blind prosecutors and defense attorneys, but the fact is: people need to see evidence. (There are blind lawyers: e.g. one was on the Tax Court and one is on a state Supreme Court.) Likewise, people whose lives hang in the balance might not be willing to make the same accommodations that the ADA requires of large entities.

Larry, at 10:25 am EDT on September 26, 2006

You Touched A Nerve

I have been reading this daily news publication for over a year and, based on the number of responses, it is obvious that this topic has touched a nerve. My father was bipolar and the only treatment at the time was Thorizine, which turned him into a zombie. We have come a long way in the treatment of mental illness, now we need to come just as far in our treatment of those with mental illnesses.

Bob Cox, Ph.D. Candidate at Texas State University, at 10:40 am EDT on September 26, 2006

Nothing wrong with that...

I believe that it may be more dangerous to keep one’s special needs secret, especially if it could become a danger to oneself or others. One’s co-workers and administrators should be aware of things such as bipolar disorder, as discussed in this article, so that they may be able to help identify when a problem may be near, or to have appropriate considerations. For example, someone with epilepsy should make their disorder known so people may be careful around them with such things as flashing lights.

As a student, I find it helpful to make it known that I have a hearing disability. It was especially helpful in a foreign language class, in which my teacher wrote words on the board and made hand gestures so that I was able to understand her when I couldn’t understand what she was saying, since it is hard for me to discern between different consonants.

I also make sure my friends, coach, peers, etc. know about my being hearing impaired so that they understand when I have to ask them to repeat what they say. It’s also helpful when just hanging out with people and watching movies or television, because my friends know that I need captions.

The only problem or difference with being open about a mental disorder (rather than a physical disorder) is the fact that people have a stigma. People think that people with a mental disorder are, well, mental. However, this article helps prove that such problems don’t necessarily mean one has a lesser mental capacity.

Anyone with any disorder is no less capable of doing anything, we just have a different way of coping in order to do it.

Jessie, Student at Villa Julie College, at 11:00 am EDT on September 26, 2006

BEACON of HOPE

Your story is a beacon of light and hope, illustrating personal responsibility, the responsiveness of your environment, effectiveness of good treatment providers and protocols, respect for self and the respect of others in living with and managing an illness so maligned by the media and so misunderstood by the public, but one that can be managed the same as other disorders (diabetes/epilepsy). Thank you for sharing for stories and offering hope and high expectations for individuals with mental illness and those who love, live, know and work with them.

am smith, at 11:20 am EDT on September 26, 2006

Thank you for writing (and publishing) this. As someone who works (untenured) in the academic world who has several invisible disabilities (mental illnesses among them), I certainly appreciate Prof. Grimsley’s candor — and the bravery it took to exhibit.

Invisible disabilities are all around us, but often go unrecognized and remain stigmatized (even in the “perceptive” and “sensitive” worlds of academia) partly because of their invisibility. People so rarely become aware of them that they underestimate their prevalence (sometimes thinking that invisible disabilities aren’t real disabilities) and never have their (often wildly inaccurate) perceptions challenged. By just being visible, Prof. Grimsley is chipping (perhaps slowly, but still) away at that calcified double-bind. That he can do it from within the system as a tenured professor merely means he wields a larger chisel.

Academic Librarian, at 11:30 am EDT on September 26, 2006

Prejudice and Practicality

I find it very impressive how you have managed to deal with your chronic physical illness. There will always be people who are uncomfortable with other people’s issues, but you seem to be one of those people who approach your situation with a refreshing practicality. People who work on upper floors of office buildings are responsible for letting their floor warden know if they will need help evacuating in an emergency. I do not see you as someone who is expecting “special” treatment or giving “too much information”. You give practical information about your physical illness to those around you that might need it.

kh, at 12:20 pm EDT on September 26, 2006

Evidence, please!

Larry, You write: “Unfortunately, all too often people use such illnesses as a crutch for laziness.” What evidence have you for this claim? Is it your personal observations? If so, how would you have good information since these are INVISIBLE disabilities and beyond your observation? If you have actual, empirical evidence please provide it. I’m not attacking you, it’s just that, unfortunately, all too often people use their ignorance about mental illness as a crutch and make intellectually lazy statements about the topic.

I. M. Skeptical, at 12:20 pm EDT on September 26, 2006

How BP Affects My Teaching

CC Trench Warrior was curious about how having bipolar disorder influenced my teaching. From the standpoint of dealing with students, it has made me pretty strong-minded about insisting that students must take responsibility for their medical problems and/or disabilities, whether learning, physical, or mental.

Every year or so I get an email from one student or another averring that they have missed five weeks of class because they were depressed, and would I please accommodate them in this way or that. I always decline. I tell them about my own condition and outline the steps they ought to have taken — for instance, to have made me aware of the problem when it first arose. Some students may be shamming, but I suspect many are for real. It’s the latter that concern me. It’s too easy to use this, or any disorder, as a crutch, and I think that’s fatal. I won’t give a student reason to think s/he can do so successfully.

As to how it affects my teaching directly, I would say that the hypomanic side of the disorder has “educated” me, so to speak, in creativity. Unlike some creative people with bipolar disorder who feel the “highs” are indispensable to their productivity, I dislike hypomanic episodes. I never forget that I am at war with an illness that will not rest until it has killed me, either by causing me to fly into a psychotic manic episode where my judgment becomes fatally impaired; or by driving me into a depression so low I commit suicide.

That said in order to set aside any hint of romanticizing the illness, it remains the case that during hypomanic periods I have a heightened ability to think in fresh ways, and with a surprising degree of clarity. Like others with the disorder, I am able to relate seemingly unrelated things, to see connections others have missed, and this informs both my scholarship and the way I explain material in the classroom.

For instance, I have come to suspect that many students who choose to take courses in military history, my area of specialization, do so because at some level they are trying to learn about the warrior ethos, not so much in the overt military sense as in the covert, Jungian sense of the concept. I have begun to experiment, tentatively but persistently, with how I can teach the warrior ethos not just in terms of lecturing about it, but of making it a component of the course requirements. In this short space I cannot elaborate further, but those with the time and inclination can track the development of my thinking on my blog, to which you can link via my signature, below. You’ll want to look at the “Combat as Metaphor” category, especially two multi-part posts entitled “Shadow Warriors” and “A Good Day to Die.”

Mark Grimsley, Professor at Ohio State University, at 12:20 pm EDT on September 26, 2006

It may be that the sometimes necessary pre-occupation with self, a pre-occupation necessary to keeping some bi-polar patients asymptomatic, is what some persons find inappropriate. The Puritanical impulse is not forgiving of self-disclosure.

MK, at 12:55 pm EDT on September 26, 2006

How refreshing and encouraging! As an ABD with a bp-spectrum thing, it is very valuable to see examples of successful management of mental illness within an academic context.

I think those who have drawn the analogy between mental illness and hearing disabilities or diabetes are correct about the importance of disclosure. Disclosure of medical conditions is not TMI when the purpose of the disclosure is to educate those around you about how it effects not just you, but them. Not to long ago this wasn’t an issue because there were few effective ways to treat mental illnesses. The pharmaceutical revolution in psychiatry generally attracts attention because many people who may not necessarily need medication have been taking the new pills. What is missed is how this revolution has enabled many people to remain within their families, careers, and communities. This transformation means that now the accomodations the latter group require have to be taught. And while saying “I think you’re acting a bit strange” may not seem collegial, as far as accomodations go, it’s pretty cheap.

Paris, at 3:50 pm EDT on September 26, 2006

BP as a crutch

Mark, I appreciate much of what you’ve shared here. As a tenured faculty member with bipolar disorder, I’ve also been fairly open with both colleagues and students. But I have to disagree with some of your comments about (not) using the illness as a crutch. My BP is rapid cycling, and is accompanied by chronic migraines and fibromyalgia (a three-fer, you might say). I literally cannot know from day to day how I will feel, and often have to cancel or skip meetings (I try not to cancel class, but sometimes that, too, is unavoidable). Do I use my illness as a crutch? I don’t know. But I am perhaps more sympathetic to students who miss class because of invisible illnesses, even as I try to direct them to develop the necssary support systems.

L, Univ. of Missouri-Columbia, at 3:51 pm EDT on September 26, 2006

Upon reflection, “crutch” is a poor choice of phrase on my part because it’s a bad metaphor. People seldom use crutches unless they really need them.

What I mean to say is that there is a temptation — and I say this because it is a temptation I have experienced — to use a disability as an excuse when the actual explanation lies elsewhere. The judge of which is in fact the case should be the person herself. It’s really not at all fair to make these evaluations about other people.

For instance, on very rare occasions I have had to cancel class because of the disorder — I had to do so one day last spring because my biochemistry was telling me to be anxious, despite any logical reason to be, and despite my best efforts I felt too faint to drive safely to campus. That’s a valid decision; in fact, any other would have been irresponsible. But if I were to cancel class because I just didn’t feel like it that day — in the ordinary sense of “didn’t feel like it” — that would be using the disorder as an excuse.

L. mentions having bipolar disorder in rapid cycling form, which is an order of magnitude more difficult to manage than anything I have to deal with. Given that reality, it is just plain inevitable that L. would sometimes have to miss meetings or cancel class.

The question for both of us in such circumstances is this: Given that we know our medical condition, have we done as much as we can to address it responsibly? Are we taking our medication, seeing our psychiatrist, etc.? Have we been proactive about making sure that if we can’t handle a given meeting or class, that our share of the work is covered?

My decision to be open about bipolar disorder has made it relatively easy for me to take proper steps in this regard. I recall one day when I was chairing an important search committee and my committee and I were vetting a finalist for the position who was visiting campus. I was present, but quietly made sure that two committee members knew I was clinically depressed and would likely not be as animated or as quick-minded as the situation required. Consequently, they took a more forward-leaning stance that day and were able to relieve me of much of the weight.

Mark Grimsley, Professor at Ohio State University, at 6:30 pm EDT on September 26, 2006

BP and the crutch

I have to say I’m happy to see the subject of one using their illness as a crutch. Having Bipolar Disorder I have found myself on crutches. It’s a rather easy thing to do. This is aggravated by the fact that as part of the treatment one is advised to be aware of their limitations and at the same time told not to let illness limit them. Truth is, a balance is needed, as I have also fallen into the trap of overcompensating for my limitations. This is equally dangerous since at best it can cause some irritation and at worse induce a manic episode. As for the original discussion of informing those of your disorder, again, this is a matter of personal judgment. From my own experiences, if you feel that you can trust someone about your illness, any illness, they should speak to that someone. Otherwise, silence may not be such a bad idea. Giving this information to the wrong people can be just as dangerous as keeping it from the right people. Unfortunately, they are those who will act inappropriately, either out of fear, or even worse, out of personal gain.

Joseph Rabb, BP and the crutch at Oakland University, at 6:30 pm EDT on September 26, 2006

Your approach to this disease is an inspiration, and I am just full of admiration for the way you have handled things. By giving your colleagues such specific information about your symptoms and the appropriate responses, you’ve empowered them to do the right thing. I know I’d REALLY appreciate this as a colleague. There is no more helpless feeling than watching a colleague who is exhibiting “strange” behavior and not knowing what action, if any, to take. I do think, though, that it must be much easier to “come out” to your colleagues after you have published as successful book, performed well in the classroom, and earned their respect as a teacher and scholar. Then there is a much greater probability that they will put your disease in proper perspective, seeing it as one component of a whole person. New T-T faculty with the disease would have a much greater dilemma in deciding whether to be open.

Rebecca, at 10:00 am EDT on September 27, 2006

Actually, Rebecca, my colleagues knew about the disorder before I got tenure, because my decision to be wholly up front about the illness dates back to 1986, when I was first diagnosed. Indeed, since I got my PhD here at Ohio State and — thanks to the strength of its military history program — received the opportunity to compete in the nationwide search for the position I now hold, a number of faculty knew I had bipolar disorder when they voted to hire me.

Mark Grimsley, Professor at Ohio State University, at 3:50 pm EDT on September 27, 2006

Thanks for your honesty, Mark

Mark, I, too, applaud your candor and appreciate how much courage it sometimes takes just to be honest.

I have struggled with clinical depression for at least 25 of my 40-something years. Even in high school, I knew I was probably depressed, but I wanted to be a teacher, and I was terrified that if I ever admitted to anyone that I had a “mental problem,” as my father would say, I would never be able to get a job in the academic world. However, during my first teaching job, at a small high school, the coping strategies that had gotten me through college and graduate school (like scheduling all of my classes on Monday-Wednesday-Friday so I could sleep all day on Tuesdays and Thursdays) could no longer get me through the weeks. I crashed and spent three weeks in a psychiatric hospital.

I have not had a “major” depressive episode since then, though there are always highs and lows. I have been to therapy, and I take antidepressants daily and probably will for the rest of my life.

At all of the schools and at the university where I now teach, my supervisors and colleagues have been aware of my illness; I have always found them to be caring, supportive, and understanding. While I do not announce it indiscriminately to my classes, I have had the opportunity to share my history over the years with students who were also struggling with depression, and I do believe it helped them to see that someone they actually knew had been where they were and survived.

I also have a moderate hearing impairment that requires me to wear hearing aids in both ears. Because my hearing aids are not obvious, most people do not know that I have a hearing impairment unless I tell them. This is something I do share with my classes, since I want students to understand why I sometimes do not understand them if they do not speak loudly or clearly enough. I think this has helped more than one student with a hearing impairment feel less self-conscious in my class.

In addition to being clinically depressed and hearing impaired, I am also one of only two or three gay instructors at my small Bible-belt university. While this certainly is not information I announce to my classes, it also is not something I hide. I left teaching in the public schools because I felt I could not be open with students who might be struggling with questions about their own orientation, and I have had the opportunity to talk with many students since moving to the university.

The reason I wanted to be a teacher in the first place was that I wanted to make a difference in my students’ lives. I know that some people are naturally more private than others and not as comfortable sharing personal information, but that is just part of who I am, as a person and as an instructor. I have always believed that the most important part of my job is to teach by example; I think sometimes students just need to know that other people have experienced the same things they are going through.

L., at 10:15 pm EDT on September 27, 2006

Thanks, L

. . . and thanks to everyone for a wonderfully honest and constructive exchange. I’ve found it very heartening. In addition to the comments here, I’ve received quite a few private emails from people in academe who are struggling with a mood disorder or an analagous illness. Some of the messages have moved me to tears.

It seems plainer than ever that academe, while probably more enlightened than society at large, is still an environment in which people like me are vulnerable to stigma and may indeed encounter real flak from peers, supervisors and other administrators. I am sorry to have this suspicion confirmed. I can only say that on balance, I am glad of my personal choice to be candid about the disorder; I am proud of my department and colleagues, who really do show the profession at its best; and I am more interested than ever in working toward eradicating the stigma and ignorance that still attach to mental or biochemical illnesses.

Mark Grimsley, Associate Professor of History at Ohio State University, at 8:40 am EDT on September 28, 2006

BiPolar Disorder

It was many years ago that I was a doctoral student at the University of Michigan. At that time, one usually learned the hard way to be circumspect about everything. EVERYTHING.

Perhaps things have changed over the years. In the business world,it’s probably wise to be equally circumspect about everything. The advantage of being in the business arena is that there are so many options of how one works. I found that having my own boutique is a good fit for a depression disorder. For 3 years I’ve been successfully symptom free thanks to meds and studying Buddhism. This is the longest stretch I’ve had w/o depression. My hunch is that w/o the flexibility of having my own business I couldn’t have dealt with the depression or succeeded when it wasn’t managed so well.

Good luck.

Jane Genova, President at Genova Writing Services, at 3:10 pm EDT on September 28, 2006

Thank you Mark for sharing your story. I am not bipolar but was engaged to someone that was. Your candor and positive action in getting help is what struck me as I have read most people with this illness hide from it and continue suffering for years. Taking the medication is not enough and it seems you have employed the help of your colleagues, family and friends and have done it in non demeaning way. I know from experience how important it is for others to recognize the signs of depression and mania so they can get their loved ones the help they need. Unfortunately I was not educated enough about this illness at the time and my relationship suffered because of this illness. I hope others here with this illness see this as a prime example on how to get the help they need.

Adnor, Finally an approach that makes sense, at 3:50 pm EDT on September 28, 2006

“They have papers on me downtown...”

I struggled with the demons of bipolar disorder undiagnosed until I was 44. My career is full of the sparkling successes and bridge-burning crashes of this disease. Once I was finally diagnosed and beginning medication, I was upfront with my employer and co-workers about it. After all, I was working for an organization that served people with developmental disabilities, and felt I would receive real understanding. I was wrong. After a stint in the hospital, my boss stayed on top of my every action. He threatened progressive discipline, critical at every corner. Rather than fight the uphill battle, I found another job (and when I left, my boss spread the word that he didn’t think I could do it). So far, I’m enjoying success, but I’m wondering about heading down that same open road about my ‘disability.’ Eventually, I’ll probably let my coworkers and supervisor know. I think the more people with mental illnesses are open the more the stigma will decrease.My family and friends know about the time I was carted off and locked up in our county mental health facility after a psychotic episode and suicide attempt. I always laugh to dispell their worries. After all, I say, they have papers on me downtown...

Bonnie West, at 8:50 pm EDT on September 28, 2006

Our mindset must be changed

My employer was abused by a non-compliant BP ex-husband years ago, and so maintains a violent prejudice against hiring anyone with the disorder. As the spouse of a BP person, I resent this, and when the company hired a wonderful new employee recently, whom I discovered to be BP, I recommended to that person that they NEVER admit to the disorder, unless circumstances made denial impossible. Frankly, if the public were to think of these disorders as neurochemical illnesses and not “mental” illnesses (which they are NOT) we might make a start in the right direction!

Meryl Biszick, at 11:15 am EDT on September 29, 2006

Too scared for disclosure

hello, I am a twenty-something undergraduate student living in Toronto and although I am very much inspired by this story I am unable to see my own disclosure as having the same or any benefits for me. I have had a very difficult time being able to explain hospitalizations to my profs even with dr’s notes. I am a philosopher major and there is a certain prejudice that reason and all that is rational is held in the highest esteem. If I disclose the fact that I have an illness that makes me downright irrational at times, I do not foresee getting any respect from fellow students or profs. In fact, I attempted to disclose my illness (B.P) to my profs two years ago and two of them wouldn’t even let me speak and said they did not want to know my personal business and that I would be treated with the same accomodations as any other student. On professor failed me, however I petitioned it and won. however, with this kind of experience, how am I to believe disclosure like this would be beneficial to me in any way? It seems I am left to suffer in silence and let my illness determine my academic success.-Sarah

Sarah, student, at 9:30 pm EDT on September 29, 2006

Personality Disorders More Common in Academia

As a mild bipolar, I do want to editorialize that I think that the biggest problem in academia is undiagnosed personality disorders, not bipolar folks.

We all know the narcissists who preen, bully, and dominate. All too often, academia rewards them because they manifest the image of the successful academic, at least the cultrual stereotype. Frequently their work is hollow and essentially worthless but it has the surface shape of success. Sometimes academia rewards this.

Oh, and then there are the borderlines. There are many of these because academia often protects them. We had a woman in one department who imagined that every man in our department was sexually harrassing her, and often imagined the particulars out of whole cloth. Nothing could have been further from the truth. A combination of tolerance, feminism, and recognition that scholars need to be idiosyncratic somehow insulates these people.

Possibly, the unforgiving nature of the tenure system (up or out) means that we don’t look too closely at destructive colleagues (below the tenure line) if they are “productive” and can manage to stand in front of a class and not keel over. After tenure, the myth is that they are untouchable— and they act as if this were true very frequently.

I even worked with a management professor (our chair) whom I know (I worked in mental health for ten years) had an antisocial personality.

There should be an EAP for untreated personality disordered faculty with forgiving policies for those who need treatment if they agree to it.

HMBPD, Personality Disorders Biggest Problem in Academia, at 9:35 am EDT on September 30, 2006

Mr. Grimsley, I want to thank you for writing this article. I never inform anyone of my bipolar illness and the only friends that know about it are friends that I had during manic episodes in my late teens. Those manic episodes still haunt me. I feel as though I may enter a social or work setting with someone who knew me when I had those episodes. (I live in an area where everyone knows everyone.) Being in my late twenties, I sometimes feel as though my generation is not as accepting as one would expect. Your article inspires me to view my illness differently. I hope in the future I can be as comfortable and open as you appear to be. Thank you

M, at 9:35 am EDT on September 30, 2006

I’m Overwhelmed (in a Good Way)

I’m overwhelmed and very gratified by the discussion this article has generated, and I’m thankful to Inside Higher Ed for the opportunity. . . . I didn’t realize that comments were continuing to flow in until I stumbled upon the latest batch just now.

I’m appalled by the numbers of you who report having experienced prejudice and even abuse from people in the workplace, especially in academe. My own more fortunate experiences notwithstanding, I had a hunch that this was a besetting sin of academe, and much of my reason for constructing the article as I did was to challenge the academy to emulate the same enlightened standard as my department.

In addition to the online comments, I have received about ten private emails, most of which are quite touching. Nearly all of them underscore a perception that a stigma still attaches to mental illness in our profession and that disclosure is often very problematic.

Being in a position where I can be candid about the disorder, I hope that in a small way I can chip away at this stigma. At best, it reflects an inexcusable ignorance of the realities of mental illnesses, most of which, like any physical malady, responds well to treatment. At worst, the stigma reflects a heartlessness that, frankly, fills me with anger. It is a form of bullying and I despise bullies above all things.

Please feel free to contact me by private email if you have stories you would like to share in confidence, or if you would simply like the chance for dialogue. My email address is grimsley dot 1 at osu dot edu

Mark Grimsley, Associate Professor of History at Ohio State University, at 7:25 am EDT on October 1, 2006

Thanks for sharing your story

There can be such a disconnect between the attitudes about mental illnesses vs the physical. Now that I am a bit older and wiser, I too have been more forthcoming with everyone in my life.Most folks are supportive, and there are a few folks who still think the mentally ill belong either in a snake pit, or simply aren’t working hard enough to overcome the personal weakness.I have found a lot of support which I would never have embraced the past. If kept my past and illness a big mystery. My openness about my direction helped someone find that link that keeps them in any frame for those I see

Selena Johnson, at 7:30 am EDT on October 1, 2006

I try and do the same

I have been diagnosed with both BiP II and borderline personality disorder. I’m finally on the right medication, but because of the time and experimentation it’s taken to get to the right meds, I’ve shared information about my illness with my supervisors over the years. I have never had a negative experience with telling them. Funny thing is that a number of them will then tell me a family member also has the BiP diagnosis. I usually don’t tell people about the BPD because people seem more familiar with BiP. But I haven’t been afraid of telling people about either problem if they are curious about them. I think education is the only way to ever get rid of the stigma that mental illnesses have in our culture.

Rosy, at 9:00 pm EDT on October 4, 2006

What do I do?

Hi,

I lost my last job, and am about to lose this one, due too BD. I have three graduate degrees, good teaching evals, and am well published. I am out of mental health benefits from this lousy insurance. What do I do? Where do I go from here? Who am I if I cannot find a job in my discipline? I can’t afford therapy, with no psychiatric insurance anymore.

Maria, Assistant Professor, at 12:45 pm EDT on October 9, 2006

Selena and Rosy — Thanks for your comments. It sounds as if you’ve both had good experiences when you’ve disclosed about Bipolar Disorder. I have a hunch Selena may be wise to be more circumspect about Borderline Personality Disorder. From what I understand of BPD, though its origins are different from BD, it too is manageable through medication and therapy. But there are degrees of prejudice toward various mental illnesses, and regrettably, the stigma against BPD is probably greater than BD.

Like Rosy, whenever I talk about Bipolar Disorder, I invariably hear from people who either have the disorder themselves or know someone who does. They’re always glad to see someone be forthright about the disorder. It makes them feel less alone if they have BD or gives them hope for the friend or family member who does.

Maria — I am not sure what I can do to help, but I would certainly be willing to hear more of your situation if you’d like to email me. I can be reached at grimsley DOT 1 AT osu DOT edu

Mark Grimsley, Professor at Ohio State University, at 10:55 pm EDT on October 9, 2006

KUDOS!

Kind Sir: KUDOS to you for being so forthcoming to others about your BP disorder! I too *have* BP but I *am* not defined as a person by it. Like you, I also am very forthcoming with my disorder and take every opportunity to talk about it (when appropriate) so that I may help educate others and thereby (hopefully) destigmatize it. I have found that the reaction of others is a reflection ON THEM, not me. Positive and supportive reactions come from people who ARE positive and supportive. Negatively judgmental and cruel reactions come from people who ARE judgmental and cruel. At all times I maintain a healthy sense of humor, sharing that the BP diagnosis I received in 1997 was the best thing that ever happened to me because it not only answered a lot of questions about my behavior, but fortunately forced me into a position to take more responsibility for my own life, not to mention that I was finally able to exorcise many codepenency demons and other debilitating self-perceptions during intensive psychotherapy. A combination of psychotherapy and meds goes a long way to maintain a more stable inner reality and I am blessed to have these tools, as well as my wicked sense of humor and keen mind — to be a voice in breaking down the myths about BP and other similar disorders. Wars are not won on the battlefield — they are won in the hearts and minds of people and this is why I will continue to seek open dialogue with others, to educate and illuminate. If enough of *us* did this, the stigma attached to these kinds of disorders would very soon become a thing of the past. Keep talking about it, and above all, keep hope alive in your heart!

Abundant Blessings always and in all ways! Kimberly Polley-CarterAngier, North Carolina

“Those without boundaries, do not respect the boundaries of others.”

KIM POLLEY-CARTER, at 6:35 pm EDT on October 11, 2006

Need help for my Son

Thanks a lot for your article. My family is in crisis right now because my oldest son has been diagnosed with BP. I remember September 2004 when he was admitted to college and hoped to become a neurologist. Then just this past September, when he should be preparing for his junior year, on the first day of classes, we got a call that he had been admitted to the hospital. I would never forget seeing him in that condition and feeling so helpless as a parent. I later was told he had a manic episode and I have since started educating myself on this horrible mental illness. We have been crying since. Things have been very dificult. I would appreciate it if you would kindly email me so I can ask you a few questions about career path and medication.

Thanks so much for taking time to read my email. I look forward to hearing from you.

Best Regards,Tessa

Tessa, at 5:15 am EST on December 12, 2006

Hi Tessa

I would be very glad to talk with you about my experiences with managing bipolar disorder. Please feel free to email me at grimsley DOT 1 AT osu DOT edu

If for some reason your email bounces (I have a pretty aggressive spam filter), try profgrimsley AT gmail DOT com

Bipolar disorder is a serious illness, but in most cases the hypomanic and manic side of it can be controlled quite well, typically through lithium or depakote. The main instances where I’ve seen difficulties in managing the “highs” are in people who are “rapid cyclng” — that is, they have four or more episodes in a given year.

The much more common reason for continued trouble with manic episodes is noncompliance with medication. In terms of what has come under my own observation, this is especially true for young people like your son, who very much want to be “normal” — as if anyone is really normal — and who therefore either ignore the disorder or treat it as something they can handle with sufficient will power. That, of course, does not work.

Support from one’s family and friends is the best medicine I can think of for people with a mood disorder, because it gives them the encouragement they need to mobilize all the resources available to combat the illness and to realize that they can still have the potential to live just as successfully as they would if they did not have the illness. If your son still wants to be a neurologist, that remains an achievable goal.

Mark Grimsley, Professor at Ohio State University, at 2:20 pm EST on December 12, 2006

Advertisement

 Jobs Related to An Inappropriate Illness

or search for jobs directly.

Workforce Education Instructor (PL)
Eastern Kentucky University

Eastern Kentucky University, located in Richmond, Madison County, Kentucky near the Heart of the Bluegrass, is a ... see job

Nurse Practitioner FNP/ANP
Hofstra University

Hofstra University is seeking a 9 month full time FNP/ANP for the Hofstra University Health and Wellness Center. A nurse ... see job

Social Work Community Faculty: Spring 2009
University of Minnesota, Twin Cities

The University of Minnesota is a premier employer and a talent magnet attracting leading faculty and staff from around the ... see job

Developmental Math Adjunct Faculty Pool
Howard Community College

HCC is seeking instructors to be included in a pool for potential openings in Developmental Math. Courses include: * MATH-060 ... see job

Assistant Professor of Counseling Psychology
College of Staten Island

Full-time tenure track position as Assistant Professor of Counseling Psychology see job

Nanoelectronic Facility — Triangle National Lithography Center Director
NC State University

Join the Pack! A community with nearly 8,000 faculty and staff, and 30,000 students. NC State is one of the largest employers ... see job

Physiology Faculty
Ross University

Ross University School of Medicine, located on the beautiful Caribbean island of Dominica in the West Indies, invites ... see job

Assistant Women’s Basketball Coach
Bridgewater State College, MA

BSC is one of the largest and most exciting centers for higher education in the commonwealth. Here in our idyllic setting, ... see job

Assistant Master Technical Instructor in Vocational Nursing
University of Texas, Brownsville

The Instructor is responsible for classroom and clinical instruction of Vocational Nursing Students at all levels. Current ... see job

Student Judicial Officer
Metropolitan State College of Denver

Urban College with 21,000 students at the base of Rocky Mountain, in Colorado. see job