An Important Life Lesson from an Epileptic Horse

Unquiet Mind 38

…continued from Saturday.

From the time I finished high school until I finished graduate school, I spent most of my summers as the horsemanship director of a Christian summer camp in central Oregon. One summer a coworker brought her horse to camp, a young, fiery-tempered gelding that she wanted to work with and eventually use as a mount for campers. We soon discovered that he had a unique problem.

For no apparent reason, the horse would suddenly stand stock-still and begin to quiver all over. He would drop to his knees, fall over on his side with a grunt, and proceed to thrash wildly—legs flailing and head twisting from side to side. After several minutes of mayhem, he would gradually cease his contortions, roll back on to his knees and heave himself up into the standing position.

For at least twenty minutes after an episode, he would walk gingerly around his stall or the corral, shaking his head and nickering inquisitively. I always thought he looked a little shocked. His behavior bewildered and confused us. Up until this incident, he had acted like a normal horse.

The first time it happened, I felt certain he suffered from colic, but since the episode didn’t digress into a full-blown medical emergency, I figured I must have misdiagnosed him. The second time it happened, the camp doctor witnessed the event.

“I’ve never seen an animal have a grand maul seizure!” he exclaimed.

“A what?” I asked.

“That horse suffers from epilepsy,” the doctor explained. “The seizure happens when his brain experiences a storm of electrical activity, causing things in his brain to misfire.”

We decided to not let campers ride the horse, regardless of how he progressed in his training. Over the course of the summer his owner had to bail off him a time or two when he had a seizure out on the trail. I always felt sorry for him—especially because he looked so dazed, confused and embarrassed when he stopped seizing.

***

The gradual fading of hypomania stretched out over weeks. In the meantime, we could only pray that if God wanted Sarah in Alaska, he would make it possible. Sarah did her part by remembering to take her new medication and keeping her appointments.

I could tell by the little things—the way she handled conflict, the way she made a conscious effort to use her phone in moderation, and her willingness to exercise—that the real Sarah had staged a comeback. Of course, after almost three years of struggles, we had all forgotten the ‘real’ Sarah. At times, she too, seemed unsure of who she really was. As we spoke about things that had happened during her manic cycle, she expressed remorse and regret and disbelief over her actions. She expressed deep confusion over how in the world she had ever thought that the things she had done could have seemed ‘normal’ to her.

I believe the cutting incident expressed a desire to pay penance for what she had done while manic, and because she still suffered from hypomania, it made perfect logical sense to her.

***

Some people may think that bipolar disorder is simply an extension of a person’s normal highs and lows, and that with therapy and self-awareness a bipolar person can avoid depression and mania.

Modern research does not agree. According to Dr. Jay Carter, Doctor of Psychiatry and author of multiple books on bipolar disorder, the prefrontal lobe of our brains develops last—and the information stored there leaves us first as we age. The prefrontal lobe acts as our moral filter, and it doesn’t fully develop until late adolescence. As a person ages, the wisdom of the filter slips away and a person loses the ability to think with ‘insight, hindsight, and foresight,’ according to Dr. Carter. In other words, irrational things look rational and a person loses the ability to see the consequences of one’s actions.

Dr. Carter explains that physiologically, a storm of activity in the prefrontal lobe causes mania. A person will experience racing thoughts that seem to knock out logical thinking by their sheer volume. Mania convinces a person that they don’t need sleep (and one of the corresponding problems with sleep deprivation is the loss of executive function).

After the mania, Dr. Carter explains, the prefrontal lobe takes a vacation for 6-8 weeks. He calls this the “temporary lack of executive functions.” According to the Center on the Developing Child at Harvard University, executive functioning and self-regulation skills:

“are the mental processes that enable us to plan, focus attention, remember instructions, and juggle multiple tasks successfully. Just as an air traffic control system at a busy airport safely manages the arrivals and departures of many aircraft on multiple runways, the brain needs this skill set to filter distractions, prioritize tasks, set and achieve goals, and control impulses.”

Only now, as I further study bipolar disorder, do the things that Sarah did (especially whilst manic) make any sense to me. For a long time, I blamed myself and my parenting style for her bad decisions. After all, our goal as parents had been to raise godly children who understood the difference between right and wrong—and Sarah’s manic behaviors showed a blatant disregard for anything we had ever tried to teach her.

The devil loves to take our insecurities and use them against us during trials and moments of… Click To Tweet

Bipolar disorder, like epilepsy, has a physiological basis and rational explanation. Just as that epileptic horse could not control when and where he might succumb to a grand maul seizure, a person has no choice over whether or not they will experience a storm of activity in their prefrontal lobe which results in a manic episode. When the mania subsides, a person will often fall into a pit of depression as their executive functioning goes back ‘online’ and they experience guilt and regret over their behaviors.

***

A week before her scheduled departure, the psychiatrist finally gave the green light for Sarah to go to Alaska. She made arrangements to meet with the psychiatrist over the summer via Skype, and made sure that she would have access to a nearby clinic for the monthly blood draws (to ensure that her white blood count stayed normal).

Pedro worried that Sarah would end up getting fired her first week on the job, and I worried that something might trigger another manic episode.  But deep down, I knew that God had arranged everything for her and he would use the situation as a time of rest and healing for Sarah.

…to be continued.

Linking up with my friends Jennifer Dukes Lee, Holley Gerth and Sarah Frazer today.

Anita currently teaches English to 7th-12th graders. She describes herself as a 'recovering cancer caregiver' who gives thanks daily that her husband has been cancer-free for ten years.

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  • Thanks, Anita, for educating us and sharing your story of faith in the midst of struggle.
    Dolly@Soulstops recently posted…2 stories of hope (& 1 song) – 5My Profile

  • Tara

    So much THIS: “Bipolar disorder, like epilepsy, has a physiological basis and rational explanation. Just as that epileptic horse could not control when and where he might succumb to a grand maul seizure, a person has no choice over whether or not they will experience a storm of activity in their prefrontal lobe which results in a manic episode. When the mania subsides, a person will often fall into a pit of depression as their executive functioning goes back ‘online’ and they experience guilt and regret over their behaviors.”

  • Amazing. Bi-polar disorder does seem to run in my family, and I’ve gained a lot of understanding just from reading your on-going account.
    Thank you.
    Michele Morin recently posted…Remarkable Things SpokenMy Profile

  • Keep telling your story Anita. Keep telling it out loud, there are so many who need to hear.
    Debby recently posted…No RegretsMy Profile

  • I think many don’t realize that mental illness has a physical basis. Thanks for explaining that to us.
    Barbara H. recently posted…Book Review: Child of MineMy Profile

  • This whole process has been one long journey. The research you shared today is fascinating because my simple knowledge of bipolar is limited. Thank you for taking us along this journey with you.
    Mary Geisen recently posted…In the Space of WaitingMy Profile

  • I am so glad that you are continuing on with this story –this testimony, and not rushing through it, my friend!
    ~Karrilee~ recently posted…Muscle Memory or Phantom Pain?My Profile

  • Jenny

    Thank you for sharing your story. We entered the mental health arena with our oldest son August 31st, 2015. He is here physically, however, waiting for him (the young man we know) to come back to us has been the hardest part. I do see small glimmers of hope and I hang on them as if my life and his depends on it! Just wanted to say thank you, thank you thank you.

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