Bipolar sufferer travelling alone

I have a close friend who was diagnosed with G.A.D and panic attacks some years ago. I have been around and I have seen him suffer even when he travels with me, especially that he is a bit scared of flying, which triggers panic attacks for him.

The following tips usually work but it might be different from one person to another, so feel free to tweak them a bit:

• Keep your mind busy. Read a book, play a game in your smart phone, watch a movie, etc.
• Take an aisle seat. It will help you feel a bit in control when your anxiety peaks. A little walk around the cabin can relieve it.
• This is one of the cases where Xanax usage is legitimate, ask your doctor to prescribe some for you to be used shortly before the flight.
• The first hour or so of the flight will be the hardest, anxiety will be less after that and it might start peaking again before landing.
• Get enough sleep before the flight. Do not force yourself to be awake for long time before the flight then plan to sleep the whole flight. If you have anxiety you know that you can't sleep, lack of sleep makes anxiety level higher. Sleep well before the flight to have a better mood during the flight.
• No harm in telling a cabin crew member that you are worried about flying. If you ever have some fear of flying look at their smiling faces, this will help you realize that things are ok.
• Always remind yourself that no one ever died from G.A.D or from panic attacks. It is just a mind trick.

For the medication times in different timezones, a previous question answers that.

Regarding being alone in a strange place and struggling when walking alone, it's common with G.A.D. and medicines should help in these cases. Just remember to start exploring areas next to your accommodation, the feeling of being able to get back quickly will make you feel a bit calm. Avoid crowds and narrow places.

Adding to CMaster's comment, even if the medication is legal at the destination, make sure that:

• you have a copy of the prescription with you while travelling (in your hand luggage + a copy in your checked luggage as well)
• you have enough for the whole trip + some margin (it's probably not going to be easy to get more while you're there)
• you check if you need to declare them to customs (you probably do).

Also, you're not telling us where you are flying from. If you're flying from Europe, you'll probably transit through Asia or the Middle-East, check the rules for your medication in the transit country as well. Even if you don't go through customs while in transit, it's better to be safe.

I recommend you get good travel insurance in case anything happens. No reason anything should happen, but you'll feel safer knowing you can rely on someone to help you if that were the case.

Enjoy your time in Australia, it's really a great place!

I sometimes travel with a friend who has Type 1 Bipolar Disorder.

She is normally stable, but when she experiences mania, it is severe and requires hospitalization.

We traveled to the state of Florida in the USA. This involved a time change.

About a week into the trip, she experienced full mania.

The mental health "treatment" she received in the hospital and clinic in the Florida Keys was absolutely atrocious. In my opinion, it was inhumane. The doctor who ran the mental health clinic was not even able to make a proper diagnosis. He claimed that she had multiple personalities and that one of those personalities happened to have Bipolar Disorder. Complete rubbish.

During "treatment" in the Florida Keys, she received so many medications at such high doses that she now suffers from permanent Tardive Dyskinesia.

What follows is what I learned from that experience that may help you.

I recommend speaking with your psychiatrist, therapist, and primary doctor about traveling.

I believe time shifts can contribute to causing mania episodes. Also, nausea from traveling can result in vomiting medication. Furthermore, overbooked schedules can create stress.

Sufficient sleep is paramount for anyone with Bipolar Disorder. I recommend planning very loose and flexible schedules during travel. That way, there is no pressure to wake up before receiving sufficient sleep.

I also recommend asking your doctors for sleep-inducing medications that are compatible with your medication regime. Your doctors may recommend medications such as Seroquel, Temazepam, Trazodone, or Zolpidem. Whatever they prescribe, try them before you leave. That way, you will understand if it works and any side effects.

Your doctors may also be able to prescribe anti-nausea medications (such as Ondansetron) to help prevent any travel-induced nausea. Haldol is also known to help with nausea, and is sometimes used to help with Bipolar Disorder. Again, try any medications before you leave.

You may also find that bringing relaxing music with you will help. Guided meditations be very useful as well. I recommend starting the practice before you travel.

Some essential items to bring with you:

• Earplugs. Find a brand that works for you, and try them at home before you travel.
• Headphones. To listen to music and/or guided meditations.
• Sleep mask. Find one that works for you, and try it before you travel. I recommend ones that that have little "pods" that don't touch your eyelids.
• Water bottle. Note that you will likely have to empty it at security checkpoints. Stay hydrated at the appropriate level. Some psychotropic medications such as Lithium require that you not be under or over hydrated. If you take such a medication, talk with your doctors for details. One strategy could be to start monitoring your fluid intake now, so you can match that level on your trip.

Since they speak a language in Australia that you speak as well, perhaps you can find support groups there. You can attend just for fun, or if you want support with any challenges.

I do not know legal requirements, but I've never heard of any that require that you disclose your illnesses to airlines unless it would affect the health or safety of others. Regardless, if you feel that it will help you in some way, you can voluntarily provide the information. Given your illnesses, it would certainly be a reasonable accommodation to request early boarding or an aisle (or window) seat.

In addition to being prepared, I recommend taking it easy. Keep things loose and flexible. Don't set lofty goals that your trip needs to be perfect. Just going is a huge accomplishment (I'm very happy for you!). Your health is the most important thing, so I recommend making it your priority. Take it slow, take it easy, and have some fun! I'm cheering for you! :-)

I will make this brief and to the point: I feel where you are coming from.
The way my bp manifests itself is I feel a general disdain for everyone around me, which causes me to be very short tempered and impatient.
To the point where I make rude comments out loud to anyone who I feel is impeding my progress or enjoyment (such as the people in front of me getting off the plane at glacial speed).
It is not uncommon for me to get into verbal confrontations multiple times per day, and when I was younger there were several occassions where a physical confrontation would ensue.

The solutions I have found to be effective: marijuana use in frequent durations but at a low level of consumtion. Think taking 1 puff of a cigarette type one-hitter every few hours (when possible, not during the flight).
Also effective is Valium or Xanax.
It's a long flight, sleep as much as you can. Be sure to have a couple things to help you focus on being you, like a smartphone/tablet/laptop/book, etc. Cut yourself off from the noise. Finally, keep repeating to yourself when you need to, the following phrase: 'we are all just people trying to get somewhere'. Once you accept that fact, you have come to terms with the fact that for a few hours, you will be submerged in an environment that panders to the lowest common denominator so to speak - if the person at the head of the line getting off the plane takes an extra 3 minutes to gather their belongings before allowing the line to proceed, that's just the way it is and you can't do anything about it.
Of course it sucks, but usually not as bad as you think it will suck.
Just stay zonked out, sleep, and definitely stay away from the alcohol unless you like making an inordinate amount of trips to and from the plane lavatory (which will disrupt your sleep).