‘How Did I Get Here?’—Confronting Bipolar Disorder Confusion

Last Updated: 6 Aug 2018

When bipolar confusion leads us into unknown landscapes, it is essential that we ask for help—before we get lost in our own minds.


By Carin Meyer


“Only Carin could get lost in the high desert of Smith Rock,” said my friend, Dave, as he shook his head and laughed. “How in the world did you do it?”

“I don’t know,” I responded, head down.

It was 24 hours since I had started hiking the day before, and more than 22 miles from our climbing camp in central Oregon. And I had no idea how I had gotten there. After a week of rock climbing the hardest routes I could find, of baking in the sun, of sleeping little, and of being the female star of our eight-person climbing group, I wanted a break, and so I headed out at 4 a.m., through a rock formation called Asterisk Pass.

The Crooked River flowed downstream to my left, the spires of Smith Rock to my right. Landmarks surrounded me, but somehow I still got lost.

I knew I had gone too far, but I just kept on walking, making one poor decision after another. And when I arrived at a little farmhouse at 2 a.m. the next morning, tearful and scared, an elderly woman called my friends and they ended their search for me by driving to pick me up. My only memories of my trek were of cow skulls, sinister faces that had formed in the cliffs beside me, and a fast river that I thought of swimming across.

This was not the first time my bipolar confusion led me far from the world of reality and logic. And it surely would not be the last. During my life, I have been lost many times—both physically and mentally. There was the time I got lost while hiking the backside of the most popular trail in Alaska-Flattop Mountain—and ended up crawling through alder bushes while avoiding piles of grizzly bear scat and incessant mosquitoes.

There was the time, more recently, when I spent hundreds of dollars on nail polish over the course of several days. There are the other times, when I find myself in the local grocery store, my cart overflowing with the items I do not need, and I ask: “How did I get so much stuff?”

When you experience the confusion of bipolar disorder, the questioning is constant.

“How did I get here?” I ask. Like the time I got lost at Smith Rock, I was simply unaware of my surroundings, and often, I am unaware of my own mental landscape.

With each step, and each thought, my bipolar confusion will grow until—yet again—I am lost. My husband says I often do not remember what he has said only minutes before my oft-repeated question: “What happened?”

I also know the all-too-familiar confusion of the morning after a particularly bad episode, when sleep has briefly cleared my brain, and I ask, again, “What happened?”

For me, bipolar confusion is part and parcel of memory issues, of disinhibition and impulsive decisions, of obsessive thinking, and of the shutdown of normal cognitive function while cycling through mood swings.

When I am confused, I cannot access the part of my brain that was on fire with mania, or the part of my brain that was drowning in severe depression.

How can we draw an understandable linear history out of the recent past when our ups-and-downs simply do not make sense?

Likewise, when an obsessive thought closes everything in my mind down except for the rapid loop of one fixation, I cannot understand anything else.

Bipolar thinking often simply does not make sense. And when we try—like all people—to make sense of what is happening in our world, we only get more confused.

Bipolar disorder by nature is confusing. And for me, confusion is the result of cycling.

If I can work to prevent extreme mood swings, through the trifecta of medication, therapy, and a healthy environment, then I can usually prevent bipolar confusion. Once we are confused, it can be difficult to pull out of it. But, perhaps, if we accept that we are lost and confused, then we can ask for help.

Sometimes, I think the only way to alleviate bipolar confusion once it sets in is to rely on the reality of those I trust to help ground me. Yes, bipolar often does not listen to logic and reality, but at least others can keep me safe.

When I set out on my hike at the cliffs of Smith Rock, I went alone. And I got lost alone.

Instead of turning around during those first few miles and asking for help, I kept going blindly forward. If I could have accepted that I was lost and needed other people to guide me, perhaps I could have found my way back, before I desperately wandered even further into that desert night.

Read more:

Love, Bipolar Disorder, and Being Worth It

Bipolar Disorder and Paranoia: Understanding the ‘Horror Stories’ We Create




About the author
Carin Meyer is a lifelong Alaskan who works in public relations. Her academic writing has won numerous awards and her science writing and other articles have been published in university magazines, newspapers, and other media outlets. She has a blog at www.carinrmeyer.com. She enjoys writing essays about bipolar disorder and mental illness. Carin has drafted a book about bipolar disorder, The Smartest Girl in the World, for which she is currently seeking publication.
  1. my x wife keeps saying I’m not really bi polar but my doctor and therapist keep saying I am I originally started seeing for PTSD, and I can really relate to the being in the grocery store and ending up with a cart load of things, and getting home, and then wondering how and why I bought such an odd menagery of things of which many would need other items I did not buy to make into meals or snacks, and also I’ve gotten lost before on the road on familiar routes by taking a wrong turn I did not remember taking ending up in a town I knew I wasn’t supposed to be in having to reroute myself, a few times,

  2. I can totally identify with this article . It speaks to me a lot .

  3. Goodness, this article sparked some significant conversation with my husband. I am BP1 with unique features. I have one of my teens, who is BP and has a defiance disorder.

    I am reviewing, The Pocket Guide to the DSM-5 Diagnostic Exam. The particular part I am reviewing in the Outline of the 30-minute Diagnostic Interview.

    Referencing my teens case history. I find it difficult to not feel lost. I know alot as a result of my personal journey BP1.
    I have shared before many groups related to my BP lived experience. My journey is predominantly as a result of a postpartum 51/50 after my last pregnancy, and as an adult, I have extended family whom I was a caretaker for in they’re elderly age, who where diagnosed schizophrenic the majority of their life, and still to this day.
    I have been very involved in my local NAMI for years, within many of their programs.

    To actually be walking through this time with my teenager is surreal. As a adult developing being compliant in every way to become a advocate within BP is different then being a Mom with a BP teen who is defiant and still riding the rollercoaster.

    I have had my teen in talk therapy for a year, to get a clear picture, rather then putting a diagnosis just based of individuals taunting them with stigma and shaming.

    I do feel connected in relating to the turbulence of being a immature teen…entitlement…western conditioning…lying…impatience…high highs…low lows…mania…manipulation…anger…control…rage…agh!!!

    I feel lost at the same time, trying to restrain my emotional triggers, which she purposefully provokes. I am mentally exhausted.

    Had it not been for my supportive husband I would be drowning within the combination of stresses as a result of the turbulence of this year.

  4. This is me. I should have realised now that I have been diagnosed after a lifetime of dysfunctional thoughts and behavior. So I’m not the only one with this symptom. I must admit, being diagnosed really help but my life in perspective. I always wondered how and why I did things. Knowing really is half the battle. These posts are so helpful to people trying to make sense of their own behavior. TY!

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