Guest Post: Bipolar Transgender Life

Hey Everyone,
Below, you’ll find a fantastic post from my friend Danni. I invited him to write something for my blog because of his unique perspective as a transgender man who also struggles with Bipolar I. I hope you enjoy his post and that you have a fantastic week. Please show Danni some love!

My name is Danni, and I came out on Facebook as male on May 1 of 2014. I had told many friends and family in the months leading up to that, but it was an important step to announce it online. I have a lot of online contacts that I don’t see regularly and that might have missed it otherwise. I lost a few friends, but mostly ones that I didn’t realize were missing for months. It was empowering to change my pronouns and gender identity on Facebook.
I was diagnosed with Major Depression at 17, and then later it changed to Bipolar 1 when I was 19. When I started to come out as transgender, at 27, people doubted my sincerity because I was also struggling with my bipolar symptoms. It added to the struggle of people not taking me seriously. My updated diagnosis has become Bipolar expressive. It was a really hard time for me, and it took months before that got settled.
Being bipolar and transgender brings its own challenges. Last week, I wondered why I was getting more depressed. I had run out of lithium and missed three doses, so it could have been that. I recently switched from biweekly shots of Testosterone to weekly shots, hoping that would make my moods more stable and not on a two week long roller coaster ride. The depression was bad a day after the lithium had been reintroduced into my system, and also during the last day before my next Testosterone Shot. Sometimes there is no reason for my feelings, but other times it is worth examining what is going on with me chemically.
Sometimes things people say to me can set off my bipolar symptoms even though the reason they upset me is due to disrespecting my transgender status. When I get mis-gendered, it feels like someone is looking at me and not seeing me for who I am. When it happens on the phone at work, I just correct them and it doesn’t upset me very much, but when it happens in my personal life it is harder to deal with. I tend to be very open on Facebook about this, but at the same time I try not to call people out in that way, especially when I know they don’t mean to be malicious.
One of the things I do to manage my bipolar is to keep a mood chart, which can directly assist me in figuring out why my moods have changed.  Changes in medications are recorded, as well as other stimulants/depressants. I often see that if I have an alcoholic beverage, that I will be more depressed either that day or the next day. My mixed episodes tend to appear the same way… once I experience hypomania or mania, usually I will experience depression of the same extent within 48 hours. I have talked about this on Facebook, but it usually leads to people judging me for giving up instead of trying harder during the depression part. I talked to some in more detail about it, but it was clear they haven’t experienced mania and I let it go.
I have been at my current job for a year now, and most of that time I have been pretty stable. However, January and February were particularly hard, and I had a lot of mixed episodes during both months. I tried changing meds, which made my insomnia worse. I also got a nasty case of the flu in there, so I missed a lot of work during that time. My employer was upset at me, but I was not reprimanded officially. During that time, I might post about how I was having trouble with my mental illness, but other times I was too ashamed to say anything. A lot of coworkers are friends with me on Facebook, and I wanted them to know what was going on. However it also can lead to rumors and meanness because I choose to share personal details on Facebook.
For the last few months I’ve been depressed a lot. I miss the mania a little, because it makes me feel alive… afraid, but alive. The depression is numbing, and when it is so constant, it gets worse with time. Right now my coping mechanisms that I’ve been using haven’t been enough to really curb it. I woke up one day last week with soul-crushing sadness and I was too paralyzed with it to move for a while. I ended up coming to work more than an hour late. I have tried really hard to be better with my attendance, and aside from the panic attack that caused me to miss work a few weeks ago, I had been doing much better. Last night I was looking at my charts and noticing how the depression is less debilitating than the mixed episodes, as far as making it to work goes.
The internet has been very helpful in communicating how I’m doing, keeping track of how I’ve changed, and as a source of information. I have been able to direct friends and families to sources that can help them understand my dual diagnoses. I have support groups on Facebook where I can talk to about symptoms and experiences, and reading what others are going through helps me as well.
I recently learned about the spoons theory for those with invisible illnesses, (http://www.butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory/) and it has given me a new way to view and communicate my limitations. I shared it and a lot of my friends thanked me for it. My journey as a bipolar trans man is enriched by my online interactions, and I am honored to be a guest blogger for my old friend, who I haven’t seen since we were in high school over a decade ago. We’re not alone in our struggles, even when it feels that way.
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