What unmedicated Bipolar looks like
I have several family members with bipolar disorder, as it is a highly heritable condition. I wanted to share what it looks like across the different people I know who don’t take their meds:
My two cousins have BD1. Neither takes meds and both experience psychosis. One was also recently diagnosed with schizophrenia. Both are very unwell in life.
My two aunts have BD2. Both unmedicated. One is in a chronic state of depression and has SI, smokes a lot of weed as a coping mechanism/escape. The other is in EMDR therapy, lives an extremely calm life, is happily married, and has been doing well with minimal episodes for the past decade. Her symptoms show most during breakups or major life hardships, which she has fortunately avoided for a while. When they hit, her depressive episodes last for months. she barely eats or leaves her room. They’re usually followed by hypomanic episodes where she sleeps poorly for days/weeks.
My bf’s nephew has BD1 and schizophrenia. Unmedicated. He experiences severe, destructive episodes. Recently, his episodes have decreased primarily because he has become a recluse who never leaves his parents house, avoiding external triggers.
My daughter’s aunt has BD1. Unmedicated. People think she is on drugs because she stays in a nearly constant hypomanic or manic state. She can’t keep a job, makes big life changes all the time, irritable, sleeps very little, but she’s the life of the party.
I have BD1 (originally diagnosed BD2 until I had two severe manic episodes without psychosis). I spent a recent year off medication, w mild hypomanic episodes that were not life altering (unlike my previous episodes). I stayed in an underlying depressive state that dulled my ability to enjoy things 100%. But was hardly noticeable.
After taking a few mental illness educational classes I learned that episodes eat away gray matter in the brain and harm brain structure + function. So I restarted my meds. I feel good and treating the depression has helped my overall quality of life