Bipolar: The Diagnosis I Never Expected

Medically Reviewed by Brunilda Nazario, MD on April 23, 2017
3 min read

In 2003, I was admitted to a psychiatric hospital because I was having thoughts of suicide, delusions, and depression. I was diagnosed with bipolar disorder. Even with that list of symptoms, the diagnosis surprised me. Before I walked through the emergency room doors that day, I would have said there was nothing wrong with me. I had no idea what mental illness looked like.

I grew up in a middle-class family. My father was a truck driver and my mom was a homemaker. We weren’t rich, but we were stable and owned a house in the suburbs. We had two cars, health insurance, and I even had braces. We were stereotypical blue collar, and I was raised to believe that anything bad that happens to a man could be resolved by rubbing mud on it.

While I’m exaggerating, there was an expectation in my family that I behave a certain way. I was raised to be reliable, calm, and respectful -- all qualities that are hard for someone with depression or mania to achieve.

When I didn’t live up to the standards my parents set, they punished me. The sicker I got, the more I was punished. The more I was punished, the more isolated I felt. And, of course, since I wasn’t being treated for the underlying condition, I continued to get sicker.

I thought about suicide every single day. I never realized that was unusual because it was never discussed. I just assumed everyone thought this way. When I finally decided to end my life, it was uneventful in my mind. Thankfully, someone took notice of the signs and asked me, point blank, if I was considering killing myself.

I had no reason to lie, so I answered yes. She immediately said that I needed to come with her to a hospital. This surprised me. I looked right at her and said, “Why? I’m not sick. Sick people go to hospitals.”

I remember the first question I asked the hospital psychiatrist when I was told that I have bipolar disorder: I asked him how he knew. He told me I had the classic symptoms and that he was surprised no one had noticed it before.

I wasn’t surprised, though. Who, in my life, could possibly have known I was suffering from some sort of mental health issue? None of us had never been informed about mental illness -- we understood it to be violence, frothing at the mouth, and low intelligence. I wasn’t violent, and I was very intelligent. I even had a job. To our limited understanding, mentally ill people couldn’t work. So certainly I couldn’t be mentally ill.

Of course, after the diagnosis, I learned a lot about mental illness, about bipolar disorder, and about myself. I had to relearn how to think and build myself back up. I had to adjust to medication side effects, and I had to face demons I didn’t know I had. Most importantly, I had to take responsibility for behaviors that, while not exactly my fault, weren’t anyone else’s fault, either.

It’s been a hard journey and a traumatic one. And it’s taken an incredible amount of time. The distance between diagnosis and recovery is measured in years, not weeks or months.

Today, after putting in the hard work to understand my bipolar disorder and understand myself, I’ve become an expert in my own recovery, which means that now I can spend more time living my life than thinking about bipolar disorder.