This document discusses bipolar disorder and the pain of depression. It suggests that genetics and experiences of overreaching and failure can reinforce bipolar disorder. Those suffering from depression experience pain in their brain similarly to physical pain, but it has no clear source or way to describe it, causing extreme uncertainty and discomfort. To try to end this pain, some turn to drugs, alcohol, risky projects, or in some cases suicide, as the pain of depression feels just as real and inescapable as physical pain.

1. BI-POLAR
Source

2. DE DONDE VENGA BIPOLAR
Nurture = You can
do anything
Genetics
Reinforced by experience
of overreaching Constant
strive &
Failure

3. CURRENT CONDITION
Ceiling = anhedonia & fatigue

4. PAIN OF DEPRESSION
Everyone understands physical pain
• It has a locus
• You can describe it
• “ I hurt my knee”
• It has a solution and an end

5. PAIN IS EXPERIENCED IN BRAIN

6. PAIN OF DEPRESSION
Is experienced in brain exactly as physical pain
• But has no locus & no way to describe
• No understanding, no known end
• Extreme dread, fear?, uncertainty
• Discomfort?

7. NEED TO END PAIN
• To dull the pain many turn to drugs or alcohol
• I resort to dramatic frenetic projects – spend $, overconfident
• A % chose to dull the pain by committing suicide – No different than Sue
Rodrigas who facing a life of pain asked to be euthanized and was granted
that right