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Hope & Resilience
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June 2, 2025
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The Shame Spiral After a Relapse and How to Climb Out

Relapse is a word that used to feel like failure. It felt like I had undone all the work I’d done to stay well. Like I had shattered whatever trust others had in me. Like I had proven every fear and self-doubt true. It felt like I was back at the beginning, like everything I had built just crumbled in an instant.

But over time, I learned something that changed everything. Relapse doesn’t erase progress.

From seeing stability as a finish line to understanding the cyclical nature of bipolar

It took me a while to truly believe that. For a long time, I thought of stability as a finish line. Something I could reach and hold onto. Something solid and permanent. I imagined that once I was better, I would stay better. That if I just followed all the right steps, took my meds, went to therapy, ate the right food got enough sleep, I’d be safe from it ever happening again.

But that’s not how bipolar disorder works. It’s not a straight line. It’s cyclical. It responds to stress, change pressure, and even good things like excitement or creative bursts. Life throws curveballs, an unexpected loss, a string of sleepless nights, a missed dose, too much pressure at work, and suddenly I’m slipping without even realizing it.

How shame after a relapse can become the hardest barrier to recovery

The relapse itself is hard. The mood swings. The impulsivity. The fog. The crash. But honestly, the worst part has often been what comes after. The shame. That deep aching kind of shame that whispers you should have known better. The kind that makes you question everything. I would find myself asking over and over how I let this happen again. I would isolate myself from friends. I would stop answering texts. I would push myself to bounce back too quickly just to prove I was okay, even when I wasn’t.

I felt like a burden. Even to the people who loved me the most. Especially to them. But shame doesn’t heal anything. It only makes the recovery harder. It wraps around you like a blanket you didn’t ask for, and the longer you wear it, the heavier it gets.

Treating relapse as information rather than a moral failing and intervening early

Eventually, after enough time of going through that cycle, I started to look at relapse differently. I stopped seeing it as a moral failing. Instead, I began to treat it like information. A signal. A message from my mind and body that something was off, that something needed care. Relapse wasn’t a reason to hate myself, it was a reason to listen more closely.

Now, when I feel myself slipping, I try to pause sooner. I check in with myself. I ask simple but important questions. How am I sleeping? Am I taking my medication regularly? Have I been isolating? Is something in my life feeling overwhelming or unsafe? I reach out to my support system more quickly than I used to. I no longer wait until I’m in full crisis mode to speak up. Sometimes all it takes is a message to a friend saying I’m having a tough time can you check in with me this week. That one moment of connection can shift something. It can break the spell of isolation.

Learning to forgive myself and build on each recovery rather than starting from zero

And if I do relapse, I try to forgive myself faster. That has been one of the hardest and most healing parts of this journey. Learning to offer myself the same grace I would offer someone I love. Learning to say this happened and I’m still okay, I’m still worthy of care, I still belong.

Because healing is not linear. I’ve had to remind myself of that again and again. Every time I get back up, I’m not starting from zero. I’m starting from experience. From everything I’ve learned before. From the strength I’ve already proven to myself. Relapse doesn’t mean I’m weak. It means I’m human. It means that whatever tools I had at the time weren’t enough for what life was asking of me, and that is not a character flaw. That is simply life being hard and me doing my best with what I have.

Embracing resilience beyond the relapse

Now I get to gather more tools. Now I get to ask better questions. Now I try again.

If you are in the middle of that shame spiral right now, I want you to hear this clearly: You are not broken. You are not a failure. You are not starting over, even if it feels that way. You are still worthy of love. You are still deserving of care. You are still making progress.

Even if you’re in bed today, even if you haven’t showered, even if the world feels far away, you are still moving. You are still fighting for yourself in quiet, unseen ways. So breathe. Rest. Reflect. Ask for help if you can. And when you’re ready, start again.

You are not defined by the relapse. You are defined by the way you keep choosing to come back. And that right there is resilience.

Idan Spund