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Coping Strategies
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June 12, 2025
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The Bipolar Body: Physical Health, Exhaustion, and the Mind-Body Connection

I used to treat my mental health and my physical body as two separate worlds. My brain was the “problem” and everything else was just collateral. But living with bipolar disorder has taught me that the connection between body and mind is so much deeper and that honoring my body is essential to my wellness.

Feeling the weight of depression in every limb

On the dark days depression isn’t just in my head. It’s in my bones. My muscles ache as though I’ve run a marathon. Getting out of bed feels like lifting concrete. Even reaching for my phone requires more effort than I can muster. My chest tightens, my lungs feel constricted, and the simple act of breathing becomes something I have to remember.

That heaviness seeps into every corner of my life. Brushing my teeth, cooking breakfast, scrolling through messages everything feels like a chore. I watch the world go on around me, vibrant and busy, while I move through it as if through thick syrup.

Riding the physical highs of hypomania and mania

When mania or hypomania arrive they come with their own bodily signature. My heart races as if I’ve sprinted a hundred meters. My hands shake. My mouth goes dry. I can’t sit still I pace, I dance, I talk so quickly my throat burns. I skip meals because eating seems a waste of time, and sleep becomes something to override rather than honor.

At first, I reveled in the surge of energy. I told myself I was unstoppable. But beneath that exhilaration was a body under siege vitamins depleting, muscles tightening, hormones surging. And when the crash finally came, it was more catastrophic because my body had been pushed so far.

Learning to listen when my body speaks

Ignoring these physical signals used to feel like strength. Now I know it was suppression. My body was screaming for care, and I was too busy labeling feelings as “just mood swings” to pay attention.

Now, I check in with my body daily. I ask myself: How did I sleep? Where do I feel tension? Do I notice any pain or discomfort? These simple questions help me catch the first whispers of an impending crash or surge.

When my chest feels tight, I practice deep breathing. I close my eyes and inhale slowly through my nose, expanding my belly, then exhale gently. Just five minutes of this can calm the storm inside my mind.

When my hands shake or my heart pounds, I remind myself to pause. I sit down, place my feet on the floor, and let gravity remind me that I am grounded.

Prioritizing sleep as essential medicine

Sleep used to feel optional, especially in hypomania. I bragged about going days on little rest, as if exhaustion were a badge of honor. But I learned the hard way that sleep deprivation is a trigger for relapse.

Today I treat sleep as nonnegotiable. I set a consistent bedtime and wake time even on weekends. I dim the lights an hour before bed, put screens away, and read something soothing. If racing thoughts strike, I jot a quick note in a bedside journal “I’ll revisit that tomorrow” so my brain can rest.

When insomnia hits despite my best efforts, I don’t shame myself. Instead, I reach for gentle tools: a warm bath, soothing music, a cup of caffeine-free tea. And if I still can’t sleep, I get up and do something low-energy until I feel drowsy again.

Moving gently to reconnect with my body

Exercise used to mean high-intensity workouts words like “fit” and “strong” echoing in my head. But forcing my body through grueling routines only made me resent it. Now I focus on movement that feels good in the moment: a slow walk in the park, stretching in my living room, dancing to a favorite song.

When I walk I notice the rhythm of my steps, the air on my skin, the way my muscles stretch and contract. These simple movements remind me that my body is an ally, not an obstacle.

Nourishment as kindness, not punishment

My relationship with food has been fraught. During depressive episodes I barely eat. During manic phases I devour entire kitchens in minutes. But I’m learning that every bite is an opportunity for care.

On good days I fill my plate with colorful vegetables, whole grains, and lean proteins. On harder days I allow myself toast or a simple smoothie without guilt. I remind myself that nutrition isn’t a test it’s nourishment. Even a handful of nuts or a piece of fruit is an act of kindness to my body.

Rest and stillness: a sacred practice

Guilt used to shadow me whenever I rested. I equated worth with productivity, so “doing nothing” felt like failure. But rest is not optional it’s vital. I schedule downtime as if it were an appointment I can’t miss. That might look like lying on the couch with a book, taking a midday nap, or simply sitting by an open window and watching clouds drift by.

In those moments of stillness I let my mind and body renew. I remind myself that rest is part of the rhythm of life, not a detour from it.

Small steps toward a stronger foundation

I don’t have everything figured out. Some mornings my body still feels foreign. But each day I practice listening and responding. I celebrate the mornings I get out of bed without dread. I honor the nights I make it to sleep on time. I appreciate the afternoons I walk around the block, even if only for ten minutes.

If you find your physical body a battleground, know you’re not alone. Bipolar disorder doesn’t just shape your thoughts it shapes every cell in your body. But your body is also your partner in healing. It speaks to you in subtle ways, if you learn to listen.

You don’t have to fix everything at once. Start with one small kindness: a full glass of water in the morning. A gentle stretch when you wake. A commitment to bed by a certain hour. Over time those everyday acts become the foundation of a more balanced life.

Your body has carried you through storms you might have forgotten. It deserves your attention, your tenderness, your gratitude. When you care for your body you care for your mind. And in that union you find a strength that no diagnosis can erase.