Exploring the Differences Between Being Medicated and Unmedicated in Bipolar II: A Personal Journey

Living with bipolar II can be complicated, with its unique blend of hypomania and depression. For many with this condition, finding the right balance—between being medicated and unmedicated—can be a lifelong quest. Here, I share my personal experience, highlighting the challenges and benefits of both states.

Hypomania: The Up-and-Downs

Hypomania often begins with a surge of energy and productivity. It feels wonderful at first, but the intensity can quickly spiral. Obsessive thoughts and sleep deprivation become significant issues. Stress, even minor, can exacerbate these symptoms, making it difficult to focus, sleep, eat, and handle daily tasks. Anxiety also takes a toll, further complicating the experience. Often, this euphoria is followed by a crash into depression. Depression in bipolar II can be particularly severe, making every task feel unmanageable. Even necessities like taking a shower become daunting endeavors.

The Importance of Medication

For years, I struggled to find the right medication. Initially, I was misdiagnosed with severe depression and social anxiety. The social anxiety was correct, but it was common for others to overlook the possibility of bipolar II. Once I found the right medication, life felt more manageable, but the highs and lows—although present—weren’t as extreme. The idea of being “medicated bipolar II” is not perfect. Sometimes, medication can make a person feel indifferent or detached, and the risk of suicide can increase. This shows why the right balance (or no medication at all) can be challenging to achieve.

The Pros and Cons of Being Unmedicated

Being unmedicated can feel like losing a sense of self. When medication isn’t managing symptoms effectively, it’s difficult to navigate life’s challenges. I found that being unmedicated bipolar II was often more distressing and disruptive than not being medicated at all. Some days, just getting out of bed seemed impossible, and the shame of not being able to function weighed me down heavily. Financial and social consequences of being unmedicated can be significant, further impacting mental health and well-being.

Life with Proper Medication and Support

Luckily, my story has a positive turnaround. With the help of a competent and caring psychiatrist, I found a medication regimen with minimal side effects that controls my mood swings effectively. However, medication alone isn’t the complete solution. My journey also involves therapy, consistent treatment, and a holistic approach, including maintaining a balanced schedule and engaging in regular exercise.

Now that I have a robust support system, consistency in my treatment approach, and a better understanding of my triggers, life is more manageable. While I still experience mood variations, they are not as extreme or long-lasting as they used to be. On my worst days, I feel more content than many people do, and I even have a job I love and a supportive network of friends. The key takeaway is that finding the right balance, whether through medication or other methods, is crucial for improving one's quality of life.