Managing Bipolar Illness in College and in Graduate School

Graduate school from 1992 to 1994 was a time when my bipolar illness appeared to be getting more manageable.  Again, this was before the time of becoming a Project Management Professional or PMP-certified in 2002.  The mini-breaks began to subside in or around 1994, though I was still managing bipolar symptoms.  During this time my awareness of the importance of the sleep cycle developed.  If I had two nights of really bad sleep in a row, there were warning signs that instability was around the corner.  This two-night sleep rule continues with me today.  Now I can generally manage a one-night sleep deprivation but not two.  In addition to the new sleep hygiene, I gave up caffeine and alcohol at this time (though later resumed my use of caffeine only).

When I was enrolled in my master’s program, I was taking a Finance class and was having difficulty with bipolar symptoms.  The date for dropping or adding a course had already passed.  But I knew that I was not going to pass this Finance course.  I simply could not get the concepts the way the professor was teaching them.  So I reached out to the professor and asked if he could make an exception for the drop/add rule due to the fact that I was experiencing bipolar symptoms.  He reluctantly agreed but agreed nevertheless.

Later that summer I took a finance class from a different professor whose method of teaching “I got.”  I had no problems taking the course and passing it with this new professor.

This experience in academia also harkens back to a time during my undergraduate career.  I was able to drop a course associated with writing my thesis around the time I had my first break.  The college was accommodating in this regard, but did not provide any disciplinary action for the professor associated with that thesis who was engaged in trying to get me to come with him on a trip to New York.  My experience is that he was engaging in very inappropriate behavior – trying to get me to go to New York with him as well as providing cocaine to a group of undergrad students.  I have written several blogposts surrounding this experience as an undergrad so I will not go into detail about it at this time.

All in all, academia has been pretty tolerant of special needs associated with school requirements and my bipolar symptoms.  I would say though that there is still a long way to go in clarifying what type of behavior is appropriate for a college professor towards his or her students.  At the time in 1984 and 1985 there was absolutely no guidance from academia and academic ethics in this regard.

PMP Risk Management as Applied to Behavioral Health

This is a blogpost detailing the use of PMP risk management techniques to help manage mental health disease symptoms:

During the last 20 years or so, I have been applying risk management techniques learned as a Project Management Professional to help manage risks associated with my mental health and mental illness characteristics.  What I learned as a technical skill as a project manager to manage risks can be applied to illness management as a person with bipolar illness.  Typically in risk management, the project manager identifies with the team all the risks associated with the particular project in hand.  After recounting the risks, the team goes through the process of assigning probability of occurrence and level of impact associated with each risk to the project.  After the severity and likelihood of the risk is captured, the team then works to develop mitigation strategies for each risk and to indicate whether mitigation strategies are sufficient to address each risk recorded. 

How can this be helpful to a person with mental illness?  The idea of risk management is characterizing the probability and impact of the risk and then creating risk mitigation strategies.  This same scenario can be applied to managing risks associated with bipolar illness.  This risk management may take place with the patient’s care team including the prescribing doctor and the therapist.  For example, say I have extreme anxiety about leaving my home and have an Obsessive Compulsive Disorder-type set of checking routines I do to mitigate this anxiety.  The risk would be the anxiety condition and the mitigation would be the checking routine.  This is a largely effective strategy for managing this form of anxiety unless the OCD ritual becomes ever-present and ever-pervasive.  In this instance with the OCD mitigation it might be said that the risk mitigation strategy is becoming non-mitigating.  It may be time to revisit that risk or anxiety and re-evaluate what an effective new mitigation strategy might look like.  This might include self-talk about the probability of the risk occurring based on the prior number of years the risk has been managed and self-talk about the impact if ever the risk or anxiety has manifested itself in an actual real event during the course of tracking the risk.

All in all, assigning probability and impact to behavioral health management risks helps set priorities for what is a big risk to manage versus what is a smaller risk to manage.  Key is the development of effective risk-management mitigation strategies to use to address the risks.  Also key is the reassessment of risk mitigation strategies when the risk mitigation is no longer effective.  At that time, new measures of risk mitigation need to be developed and put into place.

All in all, risk management learned through the Project Management Professional lens can prove helpful in the management of unwanted behaviors associated with bipolar illness.  Different risks can be catalogued and associated with different mitigation strategies.  When these mitigation strategies no longer are viable, new mitigation techniques are developed and applied.   

What tools – either from your professional life or not – do you use to help mitigate your illness symptoms?

Mental Health While Working in Project Management

This is a series of blogs which attempts to talk about stigma existence and stigma reduction in a particular field of work – project management.  Beginning in 2002, I became certified as a Project Management Professional.  This feat was subsequent to obtaining my college degree and my Masters in Business Administration.  In this series of blogposts, I will talk about several issues including: 1) being accepted (or not) for having a mental disorder while serving as a project manager, 2) addressing stigma associated with a mental health diagnosis while practicing as a project management professional, 3) learning to adopt risk management principles from project management principles to self-care and risk management with a mental health diagnosis,  4) detailing work places and individuals that seemed accepting of mental health diagnosis either before, during or after practicing as a project manager full-time,  5) balancing two or more projects versus one project while being diagnosed with a severe mental illness, 6) calculating the rewards and the challenges associated with compartmentalizing mental health issues while serving as a project management professional, 7) relaying the benefits of openly discussing the impacts of mental illness on my ability to serve as a project manager, and 8) detailing specific examples of prejudice in the workplace due to a mental health diagnosis.    

Some of the material may seem redundant as I have experienced repeatedly non-acceptance in the field of project management for mental health in general and for mental health diagnoses in particular.