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  • Eleven years ago I was starring in a new play

  • in this theatre in the West End

  • after just three performances I walked out

  • In the early hours of the next morning

  • I came down from my flat in Central London to this lane

  • I went into the garage

  • sealed the door with a duvet I brought

  • and got into my car

  • sat there for at least I think two hours in the car

  • my hands on the ignition key

  • You know it was a suicide attempt not a cry for help

  • I drove to the south coast and took a ferry to Europe

  • I just knew I couldn't be at home

  • couldn't be in London couldn't be in England

  • I really believed that I would never come back to England

  • Runaway Stephen Fry broke the silence last night

  • to reveal the torture he's been suffering

  • They're all are worried that I've committed suicide

  • That's the awful thing

  • but after a week I secretly returned to England to this hospital

  • and to a doctor telling me that I was bipolar

  • I had never heard the word before

  • but for the first time at the age of 37 I had a diagnosis

  • that explained my massive highs and miserable lows

  • I lived with all my life

  • No doubt that I do have extremes in moods that

  • are greater than just about anybody else I know

  • The psychiatrist in the hospital recommended I take a long break

  • I came here to America

  • and for months I saw a therapist and walked up and down this beach

  • My mind was full of questions

  • Am I now mad? How have I got this illness?

  • Could it been prevented? Can I be cured of it?

  • Since then I have discovered just how serious it is to have

  • bipolarity or manic depression as it is also called

  • 4 million others in the UK have it

  • and many of the seriously ill end up killing themselves

  • So I have decided to speak out about my mental illness

  • and it is a mental illness

  • I wanted to talk to others who have it

  • about what triggered it in them and how it took over their lives

  • and I wanted to find out answers to what still worries me

  • Was I diagnosed correctly?

  • and I am now getting better or worse?

  • Let's start with a remark made by a Hollywood producer to me

  • You do not have to be gay or Jewish to get on here. just bipolar

  • He meant, of course, larger than Life furiously energetic, endlessly creative

  • Manic types do well in Hollywood, in all of show business for that matter

  • Euphoric heights and crickling lows seem to go with the territory

  • and don't attract the stigma found everywhere else

  • Since my own diagnosis, I kept working and found ways to cope

  • But I also kept quiet about my condition

  • Now I want to speak out and fight the stigma

  • and a to give a clearer picture of a mental illness most people know little about

  • Visiting my old friend Carrie Fischer

  • known to the world as Princess Leia in the Star Wars movies

  • She is on the edge of sanity. you know she's constantly...

  • not mad enough to be committed

  • but not sane enough to lead much of a normal life

  • When you're galloping along at a great speed

  • it is better than any drug you can ever take

  • God, if you will is saving your parking spots

  • Songs are being played on the radio for you

  • You're just so enthusiastic about everyone

  • and everyone must be enthusiastic about you

  • and it is just come along, I have a great idea I have this unbelievable idea

  • Let's go to India

  • Then you start going way to fast

  • You're faster than anyone that you're around

  • It's not fun You are on the phone far too long

  • You not getting any sleep

  • Nothing is going fast enough for you

  • Come on, keep up with me you guys, come on

  • And even if it's not true that you're more talented when you're manic

  • you feel like you are

  • Yes, what is half the battle

  • I am standing on rocks

  • flaming speeches to the world You know, I have a lot to say

  • I have messages from deep space in fact

  • and I stayed awake for 6 days and I did lose my mind

  • A this friend of mine says to me

  • Does your doctor know that you behave this way?

  • then we sort of have an argument

  • and I cry for four hours and I am unable to stop

  • and I know there is something wrong with that

  • I called the doctor when I go in and I see her

  • you know we were talking

  • and I am laughing and I am spinning around in chairs

  • and the doctor says

  • That is the diagnosis, that's bipolar that is manic depression

  • Carrie had years of living with such extreme moods and feelings

  • before she got that diagnosis

  • She has got it bad, you know

  • It is not a rock star or film star's accessory

  • it is a real mental condition and

  • she has to live with every single day of her life

  • She is on medication. You have to picture what she be like if she weren't

  • A medical expert told me almost half of those suffering from manic depression

  • aren't diagnosed at all

  • It frightens me to think of people having symptoms like Carrie

  • and not knowing what's wrong with them

  • I'm told that it's an illness

  • that's surprisingly difficult to pin down to achieve a diagnosis

  • now I am diagnosed bipolar and bipolarity is a disease of the brain

  • So a brain scan will surely reveal a sign of what I have

  • The research being carried out here at Maudsly Hospital in south London

  • compares normal brains with bipolar ones like mine

  • Here, we're at the beginning of the brains - Oh my Goodness.

  • I just grab the front of the nose and then scroll back

  • That's my face actually

  • You see your chubby cheeks, there - My little chubby cheeks

  • but by looking at a sample of slices from a brain

  • you can't tell or can you, whether someone is bipolar

  • When it comes to bipolar looking at a single subjects structural scan

  • would not give you that diagnostic information at this stage

  • Is there anything you see in my brain that

  • leads you to the view that I am bipolar?

  • No. I think there is a very short answer to that

  • Thus yet no brain test that can diagnose bipolarity

  • but I have being hearing talk of a bipolar gene

  • To find out more I have come to have my let my DNA tested as part

  • of the world's largest research bipolarity at the University of Cardiff

  • They have 2000 participants already and now 2001

  • Do I get my wollypop now?

  • This is your DNA - My DNA, thank you so much

  • O, it is so attractive. I knew it would be Beautiful, isn't it?

  • So which way now? - Ok, we go up to look at the Sequenom

  • You know is must be good just from the name It's fantastic

  • Welcome to the Sequenom, Mr. Bond

  • What we have found is that if you simply compared people with bipolar disorder

  • against people without, controls. We don't actually see any overall difference

  • Unfortunately the press as you know, they'll publish reports

  • saying "The bipolar gene" or whatever

  • That is completely incorrect

  • There will be many genes that are involved in bipolarity

  • So at the moment there is no clear-cut test to show if someone is bipolar

  • How them do you tell?

  • How was I diagnosed all those years ago?

  • Well a psychiatrist simply asked a lot of questions about my behaviour and my feelings

  • Here in Cardiff Nick uses the same process but involving 200 questions

  • that carefully build up a picture of a persons life history of manic depression

  • We developed a scale When I find out information from you

  • I'll tell you where you score on our scale

  • Looking back times when you think perhaps

  • it was something a bit out of the ordinary

  • unusual, caused a problem or you needed treatment

  • Well, I suppose the first time I needed treatment I think I was 14

  • In hindsight my symptoms really surfaced here

  • The problem was for almost everyone was that they looked like bad behaviour

  • I was nearly expelled from my prepschool I was expelled from here

  • It is very strange revisiting a place where one was so intensively alive

  • as to be almost in a constant state of edginess

  • and I suppose what man call mania now

  • because I cut games. I was so often alone.

  • Wandering around on the roofs

  • I think I used to crawl all over the roofs for a mixture of risk

  • and power when you're looking down on people

  • The effect of my behaviour was cause to make me unbearable really

  • a show-off a loudmouth

  • completely impossible to handle disruptive

  • See, thin, I may never been a good looking boy

  • but I was once thin!!

  • Meeting my old housemaster and his wife

  • insures an uncomfortable reminder of past crimes

  • like given permission to go to London and then not returning

  • We went to see films We went just to the cinema

  • One of which was the Clockwork Orange

  • That's right

  • Your father thought

  • O my God,of all films that he might have seen

  • I was consumed and gripped by it

  • You should have been back - a lot earlier

  • I had the Metropolitan Police out looking for you

  • I didn't realize that I've never realized that

  • Stephen has been a problem

  • This is a letter from Gerald Holme - The psychiatrist

  • Suggesting various things Adolescent Depression

  • mild depressive illness rather than just unhappiness

  • Behavioury He can be quite infantile

  • I think Mr. Fry, your father may have mentioned

  • that the advice given to him by doctors in London

  • suggest that he might have some brain damage

  • to account for this That a crude way of putting it

  • Good Lord

  • We were not aware of any drug taking or sexual offenses however

  • We didn't know much then, did we

  • And then the awful thing Which is the stealing

  • That gripped me

  • You didn't need money. You didn't need to steal - No, so odd

  • So you didn't know it was I who was the thief

  • I wouldn't suspected it at all Stephen. No

  • You laid a trap in Matern's room

  • We did. Which Elisabeth - That was you. You were hiding in Matern's room

  • I was in her bathroom

  • It was a terrible shock to see you

  • Strange emotional turmoil I was in

  • Stealing things I couldn't possible want

  • As well as stealing money must be said what I did want I suppose

  • Did I feel shame when I stole things? I suppose I did

  • But..

  • there is something very extraordinary about going through a room

  • where you're not supposed to be looking for things

  • It's like when you watch it in a movie

  • when the hero is burgling somebody's flat or something

  • very nerve-racking Your heart is in your throat

  • and it is a real buzz

  • Considering I didn't do any sports or anything else

  • that gave me any kind of adrenaline rush

  • what sport is supposed to do

  • maybe that is what it was

  • whether it was part of a disorder that can be given a name, I do not know

  • but it was bad enough for me to have to go to a psychiatrist anyway

  • that didn't lead to a diagnosis of manic depression, probably because

  • like the school authorities like my parents

  • and to be fair like me at the time

  • why would you have thought

  • it is anything other than bad behaviour

  • So, I was expelled and just stumbled on continuing to steal as I went

  • By this time I had progressed a credit card

  • stolen from the jackets of my parents friends

  • This led to my next big manic episode

  • when I used the money in the most grandiose way

  • When I was about 17 going around London on the stolen credit card

  • It was a sort of fantastic reinvention of myself on attempt

  • I bought ridiculous suits with stiff collars

  • and silk ties from the 1920's and

  • we go to the Savoy and The Ritz and drink cocktails

  • The morality of it never crossed my mind at all

  • I think it is more that when you're in a sort of grip of a manic fantasy

  • You don't really believe other people exist You are the centre of your universe

  • I wanted to be in there. I am Stephen Fry sitting there

  • And the white coats, are so appropriate, aren't they, the barmen

  • As they are nurses in a wonderful mental hospital

  • It did not of course last after months

  • of travelling the country using my stolen credit card

  • I was arrested I was sent to Pucklechurch remand centre

  • In my day would have been a long sterile corridor with cell doors

  • It is so different now

  • I have spent the last 10 years of my life actually

  • at boarding schools of one kind or an other

  • So this, for me it was nothing. Really, to be honest

  • is was just instead of being called Prefects or Schoolmasters

  • they were called Prison Officers or Screws

  • The only thing that really twisted my guts was

  • my mother coming to visit, on the first day that she visited

  • I used to be very keen on doing crypto-crosswords in the Times

  • and all the time I have been away she'd cut out the Times crossword

  • Every single day

  • A sort of simple demonstration of love

  • and being there for me and thinking of me

  • was a, you know really stuck in my throat

  • How many times in your life would you've had an episode like that?

  • I would think 4 or 5 of that extremity

  • If I'm to take my past history, then I sort of believe maybe

  • it is perhaps every 5 years a huge storm will come

  • I don't know but that so often the way it is

  • When would the first time have been that you had a depression?

  • I would think it was about

  • 6 months before that manic experience

  • When you are depressed like that what's your self-esteem like?

  • O, absolutely ZERO

  • Stand up from the sofa and walk to the fridge is an act of unbelievable effort

  • Everything that happens is because you are a cunt

  • because I'm complete wanco that's because I'm an arshole

  • You can have moments having a Tourettes view of yourself

  • You think of death all the time. and even when you're not getting suicidal

  • you are constantly aware of death and

  • the way you are in death and how welcome it would be

  • That's when I tried to kill myself

  • - So you've been... - Seventeen

  • Tablets was it

  • Yes, I took as many as I could and as many variations as I could

  • in order to make it as toxic as possible.

  • Unfortunately, this made me projectile vomit

  • I'm sure it was a suicide attempt not a cry for help

  • Looking back through your live just roughly

  • how many episodes of depression like that

  • do you think you've experienced just roughly?

  • I should say five or six

  • I think Nick Craddock is getting the picture but so am I

  • Adding up all that extreme behaviour is making me

  • a little concerned about what my eventual score will be

  • What always bothers me is whether I could have avoided

  • some of these harrowing moments

  • if I was diagnosed earlier

  • that is actually now a controversial issue

  • because in America psychiatrists seem only to happy to diagnose children

  • as a result Suzy Jensen who lives outside of San Francisco

  • has known for 5 years,

  • that both her young teenage sons are bipolar.

  • Is there a thing you can say "You know your child is bipolar when... "

  • You know your kid is bipolar when

  • they're putting their feet through a plate glass window

  • in a rage after they have been raging for 3 hours

  • about something you even can't remember what triggered

  • and certainly risky and dangerous behaviour

  • We had a A-line roof and he went up

  • and was trying to walk the narrowest point of the A-line

  • you know, with his eyes closed

  • You know your kid is bipolar when their behaviour is so extreme

  • that I had a neuro-psych evaluation done on him

  • When I went to get the results of the testing

  • The psychiatrist, he met me in the lobby

  • He said In all the years I've been doing this

  • I haven't been this concerned about the results

  • and he went on to tell me a story, Ian had told him about

  • he was walking into a room with bare feet

  • and could feel a sensation under his feet

  • that he couldn't recognize. All of a sudden he looked and realized

  • that is was my dismembered body all over the floor

  • that he was trotting over

  • You don't want to hear that really, do you?

  • How old is he? - Six

  • Six years old?.

  • Do you ever enjoy your mania or do you find it a real touch?

  • No, I mean I don't like it

  • When you do something bad like throwing something

  • In a bad mood or in a fight or something?

  • Yeah, do you feel it is you and that you are right to be in a bad mood

  • and the rest of the world is shit?

  • Yeah, I do

  • Diagnosed at 11, Ian is now 16, by that age I'd already been expelled from school

  • so listening to him reminds me of my own attitude

  • It's actually a drive

  • it is like it's feeding some a need that he has. You can see it

  • Yes, it is a kind of a drive something I need, something that happens

  • Ian's brother Todd is 13. He was diagnosed when only 8

  • His behaviour even at the special schools Suzy has managed to get both boys into

  • is causing problems.

  • While I am with her she is called to the school

  • Normally I'm not here until 2:30, but I got a call from the administrators

  • saying that Todd a difficult morning

  • He had actually unfortunately thrown a chair at a staff member and hit him.

  • Was there a reason or were you just cross?

  • I just wanted to take a walk because

  • I was kind of feeling pumped and angry

  • and they wouldn't let me do that

  • So I just kind of got mad

  • Frustrated

  • Yeah and hurled the chair at the guy

  • I was about eight or nine. There was a nurse at my school

  • I was turn do my laces up and she told me to do double laces.

  • and I did not know what that meant.

  • and I actually slapped her right across in the face.

  • I've never known anything like that absolute rage inside me

  • and it was such a stupid thing, because she told me how to do my laces up

  • After a blow, especially a major one very often he'll shut down like this

  • I mean, I know that he is suspended for three days

  • He is been suspended for three days?

  • I know Todd's school sees it as bad behaviour

  • but I have to say I feel a twinge of sympathy

  • I recognize the rage being in the grip of powerful feelings

  • and the shame that comes afterwards.

  • but Todd and Ian are different from me in one key respect

  • at the same age they know they have an illness

  • On the other hand, I know from speaking to psychiatrists in Britain

  • that they don't agree with labelling children at such a young age

  • The norm in Britain is 19

  • So I wanted to speak to the consultant, who diagnosed Ian and Todd

  • Kiki Chang is well placed to talk about this

  • Not only does he run a research project at the prestigious Stanford University

  • just outside San Francisco but also he has a 2 year old child

  • and knows that some of his colleagues would diagnose as young as that

  • Once you get down to say age 2 or 3

  • it is very normal to have complete discontrol over your mood

  • tantrums and crying one minute and laughing the next minute

  • but I suddenly have colleagues who are clear

  • that they see it in 3 year olds even

  • certainly I have seen children who I think

  • were 4,5 who fit the bipolar criteria

  • they're having wild mood shifts and they're having unsafe behaviour

  • they're not functioning enough developing correctly

  • but losing a lot of time in their normal development

  • Everyone remembers the rise of ADHD over the 80's and 90's

  • and indeed the cynics will always say

  • Well, this is a new fashionable label to put on a bad kid a disrupted kid

  • I would be careful to say that. I don't think we are over diagnosing

  • I think that by increasing the diagnosis you're catching more people.

  • It's good because it then leads them to a Bipolar diagnosis and

  • they realize that there is something going on

  • that is maybe treatable and is not their fault

  • Ian, come take your meds

  • For Kiki Chang diagnoses is good news

  • For Ian and Todd it means medication

  • Ian showed me how much he takes every day

  • Welcome to our pharmacy - We're proud of it

  • So you go Prozac, Lamictal, Pederol Klonapin, is like a tranquilizer type?

  • I can tell they help me behave when I have a hard time

  • This is Ambien that I take.. - It's a sleeping pill, isn't it?

  • and Concerta I take in the morning. Concerta is a like a Ritalin kind of

  • It takes me the better part of an hour to stand an fill both of their medication

  • All of that to take the edge of a 16 year old wilder behaviour

  • what I think, I'm not sure

  • I know British psychiatrists are concerned about

  • the harm strong drugs might do to young brains

  • especially when they are not a 100% sure the diagnosis is correct

  • If the drugs help Ian and Todd to avoid wrecking their lives

  • and their mothers then surely that is a good conclusion

  • Would I've wanted diagnoses at 16 if it meant being on medication since then?

  • I feel that in some ways I've been helped by my manic depression

  • and that complicates my view Would I have had success without it?

  • Would you know me if I wasn't driven by its energy to be creative?

  • Oh stop it, thank you thank you How kind

  • I am delighted

  • honoured and let's not be coy about these things

  • financially rewarded

  • This is a stressful time, because

  • out for everyone else you make an ars of yourself

  • intentionally in front of people you admire

  • Stress is often a key factor that people say

  • pushing them into the manic depression

  • and certainly when I was diagnosed

  • the psychiatrist told me not to work so hard

  • Relax avoid stressful situations

  • and as you can see I took his advice seriously

  • Enjoyable some people might imagine This kind of thing is

  • they're the same kind fun that is enjoyable

  • perhaps someone stops cigarettes out on your nipples

  • in certain dark clubs and I could believe are called torture gardens

  • in the leakier areas of the West End Come in!

  • and for the week leading up to it I had the most appalling anxiety dreams

  • in which I dropped out of my clothes or

  • pee myself in the rows of the front of the stage

  • I do not know if I stress is what puts me into a cycle of mania or depression

  • I can't think of time in my life when I haven't been subject to stress

  • Happy?

  • Happy, ha. I remember that. Seven years old, ice cream, holidays.

  • That was happy Not since then really

  • Stress is something I can't live without

  • on the other hand it is a dangerous thing

  • No disasters so far, but it is hot work

  • I can't fucking wait until it's over, frankly

  • Oh God, here we go again

  • I am delighted, honoured

  • and let's not be too coy about these things

  • financially rewarded

  • to welcome you to this most prestigious...

  • Well the real thing seems to go off ok for another year

  • I do manage to function despite my manic depression

  • and I'm sure it does help me to succeed

  • and that's the problem with connecting stress

  • to the onset of manic depression

  • My stress is your easy day at the office

  • One person coped, the other goes mad

  • I've come to Cornwall to see how manic depression wrecked

  • the career the marriage

  • and almost took the life of a man

  • who once was Lieutenant Commander

  • on the Royal Yacht Britannia

  • Here we are Princess Margaret one side Lieutenant Commander Harvey there

  • and Majesty the Queen there

  • 22 years ago

  • You were a well bunny then weren't you? Oh yes, I was well

  • Four years on the Royal yacht led to a senior posting in NATO

  • Under huge pressure working in a nuclear bunker

  • Rod became so deeply depressed he had a breakdown

  • My self confidence seemed to be just seeping away and my self-esteem

  • and could not sleep awful sort of feeling, desperation

  • Eventually invalid out of the Navy he still became

  • secretary of the Royal Yacht Club in Plymouth

  • that lasted until at a prise giving ceremony

  • Rod now manic awarded it to the wrong person

  • The real winner wouldn't accept Rod's apology

  • And through in the end I just lost it and in front of all spectators

  • I just shouted, excuse my French, Fuck Off! and marched off into the night

  • I actually hallucinated by seeing the devil

  • burning black coals of these eyes of the devil

  • that is what I saw that was frightening

  • I believed that I was Jesus at that time you know

  • though I couldn't tell people that because then I wouldn't be Jesus

  • Rod was brought back to England

  • and sectioned at this psychiatric hospital in Plymouth

  • He was now overwhelmed with depression

  • I was experiencing pain in my head. I've been given a touch of hell

  • I was meant to find out what hell feels like

  • So I contrived to escape from the hospital

  • They let me leave the unit to go upstairs to

  • turn right to the occupational therapy unit

  • Unescorted

  • So I did turn right

  • I kept walking through the main doors

  • to the dual carriageway

  • walked a bit down away from the roundabout

  • so that vehicles can pick up speed

  • waited for a lorry to come along

  • and then walked in front of it

  • I had actually compound fractures of both legs and every bone in my legs

  • I have to lower my trousers to actually see the full extend really

  • I have seen many naval officers in this condition don't worry

  • I'm not like this

  • Oh my Goodness no, oh God That is really extraordinary

  • Please give a twirl at this

  • That is indicative of what must have been a savage injury

  • That all happened over ten years ago

  • and with medication, Rod says his condition is now stabilized

  • But twice a year in the spring and in the autumn

  • he starts to feel the mania build again

  • and despite what's happened to him

  • he is reluctant to take extra medication to control it

  • I believe there is another world running in parallel to the normal

  • inverted comma's boring, which I find boring, world

  • that there is another world

  • and that the curtain gets lifted, the vale gets lifted

  • when I'm psychoticly manic

  • and then I enter into the parallel world

  • and then I see things in a totally different way

  • I will go into pubs and I will see angels

  • I know that they know who I am

  • and I know who they are

  • and we have a tremendous sort of bond between us

  • because of a shared knowledge

  • Do you regret the fact that you are born with this strange disorder

  • that is called bipolar or manic depression?

  • That's a very easy question there is a very easy answer

  • No - You don't regret it - No, not for a second

  • Because when you walked with angels

  • all the pain and suffering is well worthwhile

  • You'll be pleased to know I don't see angels

  • or the devil or think I am Jesus

  • on the other hand I agree with Rod

  • we manic depressives do love our manic periods

  • and I know that doesn't help diagnosis

  • when we are UP we are not ill, don't be silly

  • we're fine no need for a doctor

  • But that doesn't disguise the fact, that Rod so nearly killed himself

  • and that he really wanted to when he was in the grip

  • from the other side of this illness

  • The legacy of any suicide for the family left behind, is extremely painful

  • but when the cause is manic depression suicide also leaves fear

  • The fear that the same thing might happen again

  • with another member of the family

  • because manic depression is an illness that always handed down in families

  • and that is what brought me further down the coast in Cornwall to see an old friend

  • who's had to life with that thought since he was 18

  • that's when he found out that his father was bipolar

  • and this is where you would come every summer holiday?

  • Yes, we were. There are great memories to me as a child, I must say.

  • We used to sit out on that deckchairs on that slate bit down there

  • With lashings and lashings of lemonade

  • It is very 'Famous Five', isn't it?

  • Just imagine having every summer holiday here

  • So, I mean, slightly mixed emotions that you coming back here, I suppose

  • Yes, because my father actually killed himself

  • Over there actually so it is not the best place for me

  • One of the heartbreaking things about his suicide is that he actually

  • went out with his sister your aunt

  • and threw himself of that cliff in front of her

  • He dived off, you know so I mean he wasn't messing about

  • I'm afraid they've all broken up a bit

  • Let's try to find a decent picture of him

  • There he is - That's your father

  • The idea of having a loony father is just

  • very a sort of embarrassing and shameful really

  • I was 18, I was so keen to a sort of hide the whole business really

  • You just want to be normal at that age, you know

  • I just became morbidly sort of aware of it and very very depressed

  • and you get this panic attacks

  • My way of coping with it was to to sort of like almost pretend it haven't happened

  • Shortly after he died I went away to Australia, America and Mexico for two years

  • just running away from it really

  • Rick returned and build a huge success story

  • just miles from where his father died

  • but he also spent his life wondering

  • if he'd inherit the condition that made his father kill himself

  • I was always so worried then about ending up like him

  • The thing is that he thought I was particularly like him

  • and I think he was incredibly troubled by that

  • My father didn't show signs of it until his mid-forties really

  • I am well over it now then I think about my sons too

  • My sons are still in their mid-twenties so there is plenty of time

  • Do you see a psychotherapist? - I do I do

  • And that is helpful?

  • Yes, it is I do believe

  • The only problem with seeing a psychotherapist

  • really what happened to you as a child is indelibly printed on your brain

  • They fuck you up, your mom and dad

  • What the research shows is that if you have manic depression

  • someone in your family would have had it before you

  • It could be a grandparent, aunt or uncle as well as a parent

  • often they might not have been diagnosed

  • So there appears to be no warning, but there will be somebody

  • On the other hand as Rick's experience shows

  • just because your father has it doesn't mean that you'll necessarily get it

  • but the worry remains for bipolar parents "Will I pass it on?"

  • And now for bipolar mothers researchers have made another devastating discovery

  • Pregnancy itself and the act of childbirth are now proved

  • to be enormously dangerous to mental health

  • of women who are already bipolar

  • When I saw you, Gaynor, I said that in my opinion

  • the risk that you had of becoming unwell again

  • in pregnancy or certainly following the delivery were very high

  • I think probably 60 percent or more

  • is the kind of rate of risk you need to think about

  • Gaynor Thomas lives in Wales and is part of

  • the same research study that I'm involved in

  • She is trying to decide whether she dare risk getting pregnant again

  • knowing that her manic depression has already led to unusual behaviour

  • I had delusions of grandeur

  • Did you believe you were richer then you were or better born

  • or some believe they're princesses or

  • Mine were quite religious in nature

  • One of the episodes I thought that I was

  • one of God's chosen people for want of a better word

  • I thought that I was able to heal people

  • I thought I had special powers

  • and I thought that I kind of sent to

  • gather together a group of people

  • to change the world in some way

  • I was seeing a psychotherapist at the time and

  • she identified that my ideas were becoming very strange

  • and called in what would have been the equivalent of

  • the Community Mental Health Team

  • who treated me at home

  • - With medication? - With medication, yes

  • And then came a very dramatic thing

  • a very wonderful thing for most people, which is pregnancy

  • and you did had a manic episode while pregnant. How did that show itself?

  • that the more religious side came in after I have had Thomas

  • All I just thought was that he was not just a special baby

  • but a VERY special baby

  • Like a Messiah - Almost. Almost to that degree, yes

  • and that I kind of been ad chosen to give birth to him

  • and together we were going to change the world

  • It is such a small step and yet it's such a huge one

  • in terms of embarrassment if you would say it at a party

  • There is a way of saying My child is the centre of my universe

  • then saying My child is the centre of the universe

  • Initially it was postnatal euphoria, but it became postnatal mania

  • I could not sleep, was so excited

  • I called the psychiatrist and said I think need to see somebody

  • because things are kind of getting out of control

  • Gaynor was a sectioned in in a psychiatric hospital for a month

  • The drugs the hospital put her on calmed her down but

  • now she is frightened that it might happen all over again if she gets pregnant

  • Ian Jones told me Gaynor is right to be scared

  • Women with bipolar disorder have very high risk

  • of having much more severe episode of illness

  • in relationship to childbirth

  • often with psychotic symptoms like hallucinations or delusions

  • These episodes can be some of the most severe episodes

  • of illness that we see in psychiatric practice

  • Really? In all psychiatric practice?

  • The last two confidential enquiries on maternal death have showed us that

  • suicide is now the leading cause of death to women around childbirth in this country

  • Gaynor wants Thomas to have a brother or sister

  • but Ian Jones' information is hard to ignore

  • It made me just re-think the whole idea of having a baby

  • you know I am sad but I won't be able to have another child

  • Perhaps for Thomas his sake

  • but I got to accept that the risks are probably too high

  • As you say you don't know what might have happened

  • No, precisely

  • I love the heels of his shoes

  • Manic depression's capacity to destroy the lives of people

  • makes it all the more important

  • to be diagnosed early, but often it goes undetected

  • because what most sufferers do to help them cope with the mood swings

  • they cover up their symptoms

  • Certainly I did for almost twenty years

  • It is called self-medication or as you would quite properly call it

  • the taking of excessive amounts of drink and drugs

  • Vodka and cocaine in my case

  • The effect of it is that coke is a stimulant and alcohol is a sedative, supposedly

  • and I am naturally often so manic and energetic

  • that I often took coke to calm me down

  • I found it very hard to go to any kind of party without knowing

  • there were a couple of grams in my wallet I just had to have them there

  • I find it slightly embarrassed by using a phrase like self-medication

  • because it sounds like you know you're sort of excusing yourself or

  • saying you're doing it for noble reasons

  • I did find and this is the point

  • that it stopped one from feeling in a strange kind of way

  • You're no longer sort of depressed or manic

  • you're just going. You're just 'on'

  • That's what I was doing all during my successful 80's and 90's

  • My friends if they thought about it at all

  • would have said heavy user not manic depressive

  • They did mistaken the symptoms for the cause

  • and that happens a lot

  • I did it with someone I went to university with

  • worked on the stage and TV with and even made a film with

  • The first time it really manifested itself was at the time

  • when I was doing this film Peter's Friends

  • I was having a gloriously happy time

  • I was in employment and I had money

  • All my personal life was happy

  • So, on paper there was absolutely no reason for me to be suddenly plunged.

  • Into this sort of pit of abnormal psychology, this low mood

  • I wasn't drinking excessively then

  • I wasn't taking any kind of psychotropic substance

  • either prescribed or proscribed and it came out of the blue

  • You know if you're down and you can see a reason why you should be down

  • then that brings with it a certain clarity

  • But if there is no reason you tend to think

  • Why on earth am I feeling like this? I don't understand

  • If left to your own devices, you can often try and stop the cycle of

  • ups and downs through self-medication

  • Indigestion of alcohol and narcotics, cocaine in particular

  • but with me the depression came before the substance abuse

  • Everyone thinks that depression is being a very low desponded mood

  • but there is agitated depression there is psychomotor agitation

  • where you endlessly pacing and you can't sleep and you're short tempered

  • I rented a huge warehouse by the river Thames

  • and just stayed in there on my own and I didn't open any mail

  • or answered any phone calls for months and months and months

  • and in this pool of rapid cycling despair and mania

  • three full bar optics of vodka

  • to try to get you to sleep when you haven't been to sleep for 3 days

  • spending time howling at the moon and throwing your furniture in the Thames

  • which's what I did - Really?

  • Yes. threw my electrical equipment in the Thames

  • a long time ago this was

  • with the river police going up and down with their megaphone saying

  • "Tony stop throwing things in the Thames"

  • - Did they know who you were? - They did they did

  • - That is that Tony Slatterly - That is that Tony Slatterly of the TV

  • Yes, that was thankfully was a long time ago that was a dark hour

  • So, I suppose where I'm leading to is this question

  • Here is a button and if I'd have to press that button

  • you would take away every aspect of your bipolarity / cyclothymiacs

  • and still not caused you the greatest happiness over the years

  • but maybe it has something to do with who you are Do you want that button?

  • No, I keep it

  • At the moment because I'm in a equable state I choose

  • not to press the button but I'd like to have the option

  • Everybody I've spoken said that

  • It says something about manic depression

  • despite being the greatest killer of all psychiatric illnesses

  • many of those suffering from it if given a chance,

  • don't want to get rid of it

  • If I'm honest, I don't

  • but I came across one woman who absolutely would press the button

  • Connie Perris lives in Birmingham and it is just in her forties

  • Her symptoms are so severe that she divides her life into before bipolarity and after

  • One of the difficulties is coming in here and feeling a bit paranoid

  • I see what I think is all looking at me.

  • Why is he looking at me? Why is he watching me?

  • She is following me.

  • And then I think he is giving me funny looks

  • Then it clicks in, the thinking I am getting paranoid again

  • He's giving me funny looks because I give them funny looks

  • Before she was a lawyer,

  • Captain in the Territorial Army

  • a black belt in Aikido

  • and active in the community

  • now Connie can hardly get to the shops

  • When I'm very depressed, I slow down and slow down and slow down

  • and it gets to the point which I'm not moving at all

  • In my head, I can see I can hear

  • but somehow I just don't have the energy or the oomph to move forward

  • and it can be a bit embarrassing when I'm at the shops

  • and just get stuck there not moving

  • Could we before we before we do that

  • can I just pace up and down the corridor slightly

  • because I'm getting quite shaky - Of course you can, I'm sorry

  • I feel the shake is getting slightly worse - Yes, have a pace

  • Oh wow, that is a quite a serious slab of medication, isn't it

  • Two different ones that try to stop me going too high and too low

  • One slows down the swings and one stops going to high

  • The stuff for my thyroid because that also slows mood swings down

  • Something to help me sleep and

  • something to do with paranoia and other psychotic thinking

  • and then there is the mineral supplements

  • try to stop my hair falling out from the mood stabilizers

  • Golly wolly, every day? - Every day

  • in your depressions have you considered you know

  • the worst side of depression what is suicide?

  • In a period of four days

  • I took an overdose I stepped right in front of an oncoming train

  • I tried to drill a hole in my head with an electric drill

  • and I cut my wrists

  • dig a hole in your head with an electric drill that's is extreme

  • I was just so utterly despair I didn't think I could take anymore

  • How do you see the future?

  • I do not see it I try to take it a minute at a time

  • because at the moment I don't see it

  • I'd like to. I really wish I could, but at the moment I don't

  • I so very much bitterly resent having manic depression

  • I wish I could say otherwise but that is how I feel I resent it deeply

  • It's perhaps a hard fact but one we should face

  • that of those people who have severe bipolarity

  • and aren't receiving treatment, half attempts suicide

  • and 20 percent succeed

  • Having met Connie I realized I was lucky

  • originally to be diagnosed at the mild end of the bipolar scale

  • But that was 11 years ago

  • now I'm concerned to know how my way of dealing with it

  • will affect my rating on Professor Craddock's scale for mania

  • A zero on that scale is someone who

  • has absolutely no features of being bipolar at all

  • Between 1 and 39 that is somebody who

  • has what we call subclinical episodes of mania

  • 40 to 59 on our scale is people who

  • only get hypo manias That's the milder episodes

  • and then 60 and above is the range where people experience full manias

  • From what you've told me, you would score probably about 70

  • To be honest, I wonder if you've got close to

  • having grandiose delusions in that first episode

  • If you did on our scale that would actually put you above 80

  • Well it's good to know I'm not wasting your time

  • and that my little genes may be of some help in your research

  • I didn't expect that. It's worrying that I seem to be getting worse

  • Clearly I must now consider treatment

  • I haven't been on any medication since my original diagnosis

  • Should I be?

  • I think my life needs to change dramatically

  • British subtitles (transcript): BABL

Eleven years ago I was starring in a new play

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