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• W4285490226 abstract "Patients who have manic or hypomanic episodes often report that they have some abilities that they do not possess in non-manic states. I personally have a substantial increase in speed of thinking, an ability to think at a much higher abstraction level then when I am in a neutral or depressive state, and a tremendous increase in creativity. When mentioning these increased cognitive abilities to my caregivers, however, they are sometimes quick to refute my belief that I do possess such abilities. With nothing but the best intentions, they fear that I might be experiencing a manic or hypomanic episode and instantly seek to persuade me that, although I believe I possess increased cognitive abilities, I do not actually possess them. This instant refutation of my abilities leaves me feeling alienated, misunderstood, and obstinate.Another approach to people in manic or hypomanic states, and the approach I have come to endorse, would be to simply acknowledge my point of view without trying to change it. This acknowledgment of my beliefs tends to increase my willingness to cooperate, thereby creating an opportunity for my caregivers and I to start working towards our common goal of me refraining from making unsustainable lifestyle choices. For my caregivers, me not making unsustainable lifestyle choices is a clear incentive. They know that a healthy lifestyle with enough sleep, a healthy diet, and regular physical exercise contributes to my recovery. But manic patients, too, can be motivated to keep their lifestyle as healthy and sustainable as possible. When I find myself in a manic state, the desire to harness my perceived increased cognitive abilities instils me with an almost irresistible urge to work day and night without interruption. With some persuasion from capable caregivers, however, I usually manage to resist this urge. I know that “pulling an all-nighter” is an unsustainable lifestyle choice and that submitting to this inclination will actually impair my cognitive abilities and exacerbate my symptoms once my mania subsides.I do not claim that everyone experiencing a manic or hypomanic episode can muster such self-control, and, for some patients, there is a point when the last bit of self-restraint ultimately makes way for complete disinhibition. But it is precisely in this transition zone between self-control and submitting to manic or hypomanic urges that caregivers can make a difference. Not by challenging the beliefs of a patient, but by gently guiding them towards the common goal of making sustainable lifestyle choices. Patients who have manic or hypomanic episodes often report that they have some abilities that they do not possess in non-manic states. I personally have a substantial increase in speed of thinking, an ability to think at a much higher abstraction level then when I am in a neutral or depressive state, and a tremendous increase in creativity. When mentioning these increased cognitive abilities to my caregivers, however, they are sometimes quick to refute my belief that I do possess such abilities. With nothing but the best intentions, they fear that I might be experiencing a manic or hypomanic episode and instantly seek to persuade me that, although I believe I possess increased cognitive abilities, I do not actually possess them. This instant refutation of my abilities leaves me feeling alienated, misunderstood, and obstinate. Another approach to people in manic or hypomanic states, and the approach I have come to endorse, would be to simply acknowledge my point of view without trying to change it. This acknowledgment of my beliefs tends to increase my willingness to cooperate, thereby creating an opportunity for my caregivers and I to start working towards our common goal of me refraining from making unsustainable lifestyle choices. For my caregivers, me not making unsustainable lifestyle choices is a clear incentive. They know that a healthy lifestyle with enough sleep, a healthy diet, and regular physical exercise contributes to my recovery. But manic patients, too, can be motivated to keep their lifestyle as healthy and sustainable as possible. When I find myself in a manic state, the desire to harness my perceived increased cognitive abilities instils me with an almost irresistible urge to work day and night without interruption. With some persuasion from capable caregivers, however, I usually manage to resist this urge. I know that “pulling an all-nighter” is an unsustainable lifestyle choice and that submitting to this inclination will actually impair my cognitive abilities and exacerbate my symptoms once my mania subsides. I do not claim that everyone experiencing a manic or hypomanic episode can muster such self-control, and, for some patients, there is a point when the last bit of self-restraint ultimately makes way for complete disinhibition. But it is precisely in this transition zone between self-control and submitting to manic or hypomanic urges that caregivers can make a difference. Not by challenging the beliefs of a patient, but by gently guiding them towards the common goal of making sustainable lifestyle choices. I declare no competing interests." @default.
• W4285490226 created "2022-07-15" @default.
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• W4285490226 date "2022-08-01" @default.
• W4285490226 modified "2023-10-05" @default.
• W4285490226 title "Cultivating collaboration in mania" @default.
• W4285490226 doi "https://doi.org/10.1016/s2215-0366(22)00229-2" @default.
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