TW: Mentions of psychosis
I've been diagnosed bipolar 1 for well over a decade, although my first hospitalization was initially diagnosed as cannabis-induced psychosis. For a long time I just kind of accepted the label, took my medications, and focused on staying stable.
I'm an engineer, which makes it a little funny that I spent years trying to manage my brain without getting particularly curious about how any of it actually works lol.
Lately I've been going down a neuroscience rabbit hole: dopamine, serotonin, glutamate, GABA, what different classes of psychiatric meds actually do, and how sleep, stress, and substances can throw things off. I've even been using mechanical analogies to make sense of it: acceleration, brakes, feedback loops, etc. Obviously it's a huge oversimplification, but it's helped me ask better questions.
Part of what sparked this was looking back at my episodes. A lot of them were terrifying and paranoid rather than euphoric. My first followed a dab, a ton of stress, and about three days without sleep. I've also had an episode with religious grandiosity. It's made me realize how much I still don't understand about experiences I've lived through.
Despite some pretty gnarly setbacks, I've managed to build a life I'm proud of. I joke that my brain's a jet engine. Pretty cool when it's running well, but maintenance is not optional lmao. I've spent years building systems and habits to help keep myself stable, and now I'm curious about the mechanisms behind all of it.
I'm working with my psychiatrist on finding a good balance between stability and quality of life. I'm not trying to outsmart treatment or figure out my personal neurotransmitter levels from a diagram. I just wish I'd gotten curious about the underlying science sooner.
Anyone else gotten really into this stuff? Did learning how your meds work or digging into the neuroscience actually change how you understand or manage bipolar? Or did it mostly give you a million more questions?