woman taking shower after long stressful day

I have a confession to make: I don’t always shower every day. Sometimes, I don’t even shower for four or five days at a time. Once in a blue moon, I don’t shower for more than a week. But, then there are times where I do shower every single day.

When I was younger, I hated when it was bath time. Soap would always get in my eyes, I was petrified of going down the drain when the water was let out (thanks to a book I read about a little girl going down the drain), I didn’t like getting wet, and it hurt when my mom would comb out the huge tangles that would accumulate throughout the day.

By the time I was old enough to start taking showers by myself, I was getting good with excuses on how to at least prolong the time before getting into the shower. My favorite was that I just flushed the toilet so I have to wait for the water to warm back up.

When I was in high school, I came to the realization that it wasn’t cool amongst my peers if I didn’t take a shower every day, but I was able to at least get myself on an every-other-day schedule that seemed to work for me.

As an adult my shower schedule is completely random, and but at least I’ve heard it’s better for my hair if I don’t wash it every day.

I realized today (ironically while I was in the shower) that my self-care habits and schedule correlate significantly to what bipolar disorder cycle I’m in. They change drastically when I’m hypomanic and when I’m depressed.

When I’m hypomanic I have very grandiose thoughts that make me want to play the part of the most beautiful woman in the room. I take the time to get frequent manicures and pedicures, my eyebrows are waxed every two weeks, I increase my amount of exercise, I cook healthy meals, I brush and floss my teeth at least twice daily, I put on more makeup, I wear clothes that are more stylish, and I shower every day and wash my hair every other day so it’s perfectly styled.

When I go into a depression, this all changes. I no longer get manicures and pedicures, and my nails are all different lengths. I never take the time to wax anything. Exercise goes out the window. I order pizzas and get takeout more than cooking at home. I’m lucky if I brush my teeth, let alone floss. I wear barely any makeup, and if I do it’s because I’m going to work and I don’t want to scare off my customers. I tend to wear the most comfortable clothing I can get away with at work, and I immediately put on my pajamas when I get home. I only shower when my hair looks greasy, and when I do wash it, I hardly ever blow dry and straighten it. Instead I just let it air-dry in hopes it will at least somewhat curl and not become a frizzy mess.

I’m not proud when I lack in my self-care, but at least I’m not ashamed by it any longer.  I thought I was the only one who was like this when they’re depressed, but it’s comforting to know I’m not.

What’s ironic to me is that I always feel better after I take a shower and do my hair and makeup, yet I can’t always muster up the energy to actually do it. I guess that’s just part of my normal of my bipolar roller coaster.

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Thinkstock photo by eldinhoid


Nate Crawford is a public speaker who lives with bipolar disorder. He is also the founder of Here/Hear.

Talking bipolar, storytelling and more with Jennifer Marshall of BipolarMomLife.com & This Is My Brave, Inc.

Suzy Favor Hamilton is a three-time Olympic athlete who lives with bipolar disorder, and is the author of “Fast Girl: A Life Spent Running From Madness.”

Dear Bill:

I don’t know if your name is really Bill. I’m trying to remember if your handler told me your name before she handed me the equivalent of a snarling cyclone of teeth with a hair trigger, but if she did, it escapes my memory. So let’s go with Bill. I’m not entirely sure the exact point of this letter, but I do know it’s not an indictment. I have forgiven you, Bill. I have forgiven you for biting me. On the ear.

I think it’s more than that, though. I think, by being honest, by publishing this trauma, by getting if off my shoulders and into the ether, I think I can forgive me, too. Because, let’s get real, Bill… the movie reel of my life contains some cringe-worthy moments, moments that bring me true regret and shame. But you know what? Maybe… maybe… I was just doing the best I could with the hand I was dealt. Maybe I don’t need to vilify myself anymore.   

I think I’m writing this, Bill, because I forgive myself for being bipolar.   

But let’s back up. It’s like I said, Bill. I have forgiven you, but that doesn’t absolve you of blame for the incident. I mean, didn’t do anything wrong. I was just trying to do my part for wilderness conservation, just trying to donate my $15 to get a picture with a cuddly little koala. And what happened? What happened, Bill? I got bitten. You bit me. On the ear.

So, I’m not trying to make you feel bad, but I do think it’s important that you understood what I was going through when you decided to mince the sensitive cartilage and flesh which is my earlobe like hamburger meat. You see, I was having a rough time of it, Bill, a really rough time. I totally could have used an adorable photo opportunity of a picture-perfect moment with a loving little living stuffed animal, an animal l had always dreamed of seeing. And instead? 

The ear, Bill. You bit me on the ear. 

I was half a world away from everything I knew to be true when my bipolar disorder made itself known. I wasn’t doing well in the Land Down Under with no recourse for mental health treatment. I was alone, Bill, and sick, and stuck there for a whole semester. I was having issues. 

As you might imagine, I didn’t know what was going on. I only knew I felt helpless, Bill, helpless and confused and so, so miserable. I don’t know if illnesses in the brain exist among marsupials, but if they do, you can surely empathize. And empathy was what I needed, Bill, someone to tell me I was not going crazy and it wouldn’t last forever and that everything would be OK. But instead?  I was viciously mauled, with nary a consideration for my deteriorating state of mind.

Let’s flesh this out a bit. (Get it, Bill?) Let’s flesh out what happened.

You smelled like Eucalyptus, first of all, and that endeared you to me. And then, Bill, after I had a accepted you from the random, clueless sheila working for the wildlife refuge, after she handed you to me, after you reached up your little face and snuffled my ear with your cold, wet nose… after all that, you opened your fangs and chomped down on my ear like a hungry, hungry hippo.

Your teeth weren’t sharp, Bill, not like I expected. They were flat, and strong, and they ground down on the tender meat of my earlobe with the pressure of a vice. I know you’re evolutionarily designed to eat leaves, so you’ve no need for sharp incisors; but the pressure was almost worse, as delicate tissue was crushed and blood flow immediately restricted to cells starving for oxygen. I’m not going to lie, Bill; it caused some damage. Sometimes, I relive the bite, waking from a sound sleep with a scream, clutching myself to reassure me I’m still intact. Clutching my ear.

But like I said, Bill, this letter isn’t an indictment, not of you, not of anyone. It’s not even an indictment of me, thought Lord knows, Bill, I have indicted myself for my own actions over and over again throughout the course of years of mania and depression. But I don’t think I’m to be blamed, Bill, any more than the lady with the conservation program who clearly had no knowledge about your capacity for carnage. Maybe I can finally be pardoned. Maybe my scar is a badge. My scar, Bill. On the ear.

What I mean, Bill, is that I figured something out in that moment. In the midst of chaos and pain and bewilderment, and the omnipresent misery that is undiagnosed and untreated bipolar disorder, I had a revelation, like a prophet of old. I do not deserve to be this unhappy. I do not deserve to be this scared. I should not be this hopeless. I deserve better.

They say times of intense stress lead you to learn who you really are. Do you know what I learned, Bill? I learned that I do have power, even in the midst of such a state of impotence. I have the ability to change my circumstances when I desire. I can will myself, not to a state where my dopamine and serotonin are at normal levels, but to a state where I recognize I need self-care. I can will myself to embrace that care, and to accept love from my support network. I can work, and try, and fight, and I can do it all even though my brain is fighting to do the opposite sometimes. Because I am not my bipolar disorder. 

So, like I said, Bill, I’m not here to beat a dead marsupial. I guess I want some absolution, for us both. Because, you see, Bill, I’m doing much better now. Don’t get me wrong… it was a long road. It took years of willpower, of appointments, of tears and frustration. I had a lot more to learn, beyond that flash of insight as your molars clamped onto my body and refused to release. But I did learn, and I’m starting to attribute the catalyst for that life change to my life-changing bear attack.  

I learned about mindfulness and trying to exist in the moment. I learned to ground myself. I learned to overcome the stigma of my diagnosis and the shame associated with medication; after all, I like to remind myself now, I am no different than someone with another illness. My medicine works in my brain, but it is no less life-saving. Now, I have a family who understands the psychological damage of a savage encounter with a wild animal, the consequences of barely having escaped with my life. Now, I’m at peace. 

And you, Bill, I want you to be at peace as well. I want you to manage your temper. I want you to sublimate your rage. Maybe some koala-based cognitive behavioral therapy would benefit you, too, Bill, because I honestly worry that some other hapless, mentally-plagued girl will show up at the refuge and be subject to similar, Eucalyptus-scented wounds. I think you can beat it, Bill. I do.

Truly, I want nothing but the best for you. Thanks for the great story, I suppose, and the constant visual reminder of a tragic period in my early 20s. I’ll never forget you.

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