The End of Bipolar Depression Isolation

Last Updated: 18 Apr 2024
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For people with bipolar disorder, learning to be alone before you can really succeed can be dangerous if taken out of context.

A middle-aged woman with dark hair is at her front door opening it, trying to not let depression isolate her.
Getty Images (Stock photo posed by model)


I used to think that being alone was a strength. I grew up with the very 1980s and 1990s idea that we have to “learn to be alone in order to really be with another person.”

That might make sense if you are stable and life is going well.

For people with bipolar disorder, aloneness and learning to be by yourself before you can really succeed can be dangerous if taken out of context.

I have found that accepting people into my life when I am depressed is far more difficult than being alone. Depression makes me isolate. It makes me see the phone as an instrument of torture. It makes me turn to social media instead of reaching out to live human beings.

Reality Check: The Gap Between Perception and Truth

Many depression episodes are the personification of loneliness in that our brains tell us that being alone is all we deserve and that life is a lonely path we have to travel without support or love.

Does this sound familiar?:

I’m depressed. I need contact, but I can’t reach out. I’m lying in my bed watching another British mystery when there are three messages from friends on my phone. I have the thought, ‘No one cares about me which is why no one is calling me.’ I am destined to be alone — lying on a bed in a dark room instead of getting out in the world. This is my life and it’s horrible.

Good heavens, Julie! What is wrong with this picture?

Maybe you can spot the huge inconsistency between reality and what my brain is saying.

I have three messages on my phone from friends at the exact moment my brain is telling me that I have no friends and will be alone forever.

This isn’t loneliness. It is illness!

This is depression isolation.

Battling the Deceptive Narratives of Depression

My depressed brain isn’t a good reporter. It lies and tells me information that is in direct contrast to what is actually happening. This lack of insight is devastating as it means I listen to the brain instead of listening to the messages from my good friends.

My goal as I move into the next phase of my life is to let go of the idea that being alone is what I need. In reality, I need people and it’s time for me to answer the phone when they call.

When I’m stable, life moves forward with ease. I do answer my phone. I make plans. I don’t cry and worry and ruminate over my past. I isolate when depressed.

What We Can All Do When the Desire to Isolate Is Strong

1. Write down our signs of isolation and memorize the list. Here is mine:

  • Looking at the phone instead of answering it.
  • Never listening to voice messages as they are probably “giving me bad news.”
  • Going to social media instead of calling a friend.
  • Telling myself that this black hole of loneliness is my reality.
  • Binge watching British mysteries.
  • Telling people I’m fine when I talk and hanging up too soon if I am on the phone. Then I feel even more lonely at the missed opportunity to connect with someone.
  • Taking long baths.
  • Saying no to meeting people who want to see me.

I could go on, but you get the idea and maybe your list looks like mine.

What Happens Next?

2. Counteract the depression behaviors with behaviors that change the situation immediately.

  • Answering the phone no matter what I am feeling. Just press the answer button and say “hello” and let it go from there.
  • Telling others I’m struggling and that I need help from isolating.
  • Reminding myself that the list above is a sign that I am sick and not a sign there is something wrong with my life.
  • Setting up appointments I have to make so that I get out even when I am not feeling well.
  • Saying “yes” instead of saying “no” to everything .
  • Being nice to myself.
  • Turning off social media and talking to a live human being.

A large part of surviving a lonely depression mood swing is preparing ahead and being ready when it shows up.

My book Getting It Done When You’re Depressed helps a lot, but we have to have a plan in place so that we actually pick up the book when we are sick!

Ah, this is a complicated illness. We are complicated people due to our brains. This makes us amazing, but it can also make us ill.

If you are depressed right now, pat yourself on the back for reading this. You have already started the process of getting out of your depression by looking for help.

If you love someone with the illness who is isolating, create a plan on your own and then show it to the person when they are well. Go over and see the person— in person. Send a hand-written card that is not online. Slip a note under the door. Do something physical to show them that you are here when they are ready to come out of the fog of isolation. Put a plan in place to prevent the mood swing from going so far the next time.

The ’80s and ’90s were an interesting time. I did learn to be by myself as a woman. But this is separate. The answer to isolation is people.

My goal in life is to make sure my management skills are a few steps ahead of this illness. You can do the same.

Julie

PS: During my last isolating depression, I worked on my new book Hortensia and the Magical Brain: Poems for Kids with Bipolar, Anxiety, Psychosis and Depression with illustrator Kaytie Spellman. By letting her into my life, even though I wanted to isolate, I was able to get work done on a project that means a lot to both of us.

Learn more:
4 Strategies to Get Rid of Social Anxiety and Isolation for Good
3 Strategies to Combat Depression’s Loneliness & Isolation


UPDATED: Originally posted October 6, 2016

About the author
Julie A. Fast is the author of the bestselling mental health books Take Charge of Bipolar Disorder, Loving Someone with Bipolar Disorder: Understanding and Helping Your Partner, Getting It Done When You’re Depressed, OMG, That’s Me! (vol. 2), and The Health Cards Treatment System for Bipolar Disorder. She is a longtime bp Magazine writer and the top blog contributor, with over 5 million blog views. Julie is also a researcher and educator who focuses on bipolar disorder prevention and ways to recognize mood swings from the beginning—before they go too far and take over a person’s life. She works as a parent and partner coach and regularly trains health care professionals, including psychiatric residents, pharmacists, general practitioners, therapists, and social workers, on bipolar disorder and psychotic disorder management. She has a Facebook group for parents, The Stable Table, and for partners, The Stable Bed. Julie is the recipient of the Mental Health America excellence in journalism award and was the original consultant for Claire Danes’s character on the TV show Homeland. Julie had the first bipolar disorder blog and was instrumental in teaching the world about bipolar disorder triggers, the importance of circadian rhythm sleep, and the physical signs of bipolar disorder, such as recognizing mania in the eyes. Julie lives with bipolar disorder, a psychotic disorder, anxiety, and ADD.
24 Comments
  1. Unfortunately my husband of 47 years does not acknowledge his condition. I didn’t even think of it as bipolar until his mother trapped me in a restaurant bathroom and asked 15 years ago. Since then I’ve seen symptoms and he is not one to go to any counseling. When our oldest son needed it in high school he finally agreed. He is a perfectionist is what I always thought but reading more maybe his mom was onto something? How to get this person who you’ve always been the submissive to see he needs some help? In our 60s and really need some quality time as kids all grown. We have wonderful vacations but when back at work shit hits the fan.

    1. Unfortunately, no one can make someone else do anything. It’s a tenet of AA, ACoA , NA and other twelve-step groups. The Serenity Prayer starts out, “God grant me the serenity to accept the things I cannot change…” in other words I can’t change him but I can change myself… That said, I’m concerned about you: you say you’ve been a submissive wife; that’s not good for him or you. He may be accustomed to you submitting and expect it after so many years of marriage, but strong, healthy women do not submit voicelessly to husbands; they are free (like you can be with a lot of struggle and with opposition from him.) We may be living in a patriarchal society in which women are slowly working toward full equality for both genders but most men are fighting against losing their power, I would strongly suggest that you start asserting yourself. Make your own decisions, express your own wants and needs, go do things without him if he won’t go; just take the time and make the effort to express in thought and deed what it is you need and what you want.
      What you and his mother are seeing may actually be bipolar disorder, but without seeing a psychiatrist who will do a psych eval no one can be certain that he does have bipolar. It’s a shame that he won’t go for diagnosis or therapy, but all you can do is continue to mention from time to time that you are concerned and see signs of BP; that you wish he would check it out. It’s so terrible to go through life believing he has to be a strong, silent man and doesn’t need any help with anything; that needing help or expressing any emotions is bad. Sad, but so many American men think they have to be strong and emotionless because showing feelings or accepting help would mean they are weak and powerless.

  2. How is it that some people with no can go on working? When I was first diagnosed at the age of 49, I was told that I HAD to give up my full time job and my three part time jobs. I loved those jobs!
    Why did I not demand that I be given a chance to determine if I could still work DESPITE my BP? I wish to God that I had done that!!!

  3. Hi am Gail.

    I use to be a positive,over the top energy, and had a very important job. I though I was really happy. I found out when I turned 60 and took pills 3 times and ended up in 4 different psych wards because I was remorefull that I divorced my husband. Then I got better and was hired back to my Team Leader Role. Recruiting real estate agents training and coaching. I was extremely happy, I thought. Then it happened again because of money problems and now I am back to that horrible time, but I won’t take my life because of me and my friends and family. I see a psych nurse that handles my meds and a therapist. I have days I can’t get out of the house. What happened to this highly social gal. Any suggestions

  4. Thanks all for your insightful comments.
    Does anyone else have the double whammy like I do, let me explain; Bi-Polar 1 and born on the cusp of Cancer and Leo.
    As in a line of a poem my professor Dad wrote about me on my day of birth~ ” she was born during an unpredictable cold front on the shores of Miami”. Ironic, to say the least. 🙂

  5. I tend to isolate because if a single male tells anyone (work, church, etc….) that they have bipolar (in my case bipolar 2) people tend to pull away naturally anyway. Society can open up to women with depression but men (especially single) are viewed as a threat and must be dangerous and avoided. All isolation is not voluntary….

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