Wāhine Whaiora: Māori Women's Experiences of Bipolar Disorder and their Pathways to Recovery

This research examines the unique, lived experiences of wāhine Māori (Māori women) who have been diagnosed with bipolar affective disorder and who are currently living ‘well’. Recent literature indicates that Māori present at higher rates than non-Māori with bipolar disorder. However, there is little qualitative information about the nature of their experiences, as well as sparse detail of the impacts that bipolar has on their everyday living. The purpose of this research is to highlight Māori women’s experiences of bipolar disorder from initial presentation and assessment through to diagnosis, treatment and recovery. It focuses on the impact bipolar disorder has on women’s relationships with their tamariki (children), whānau (family), and partners, while also exploring social and personal impacts, help-seeking patterns, and stories of recovery. This research heard the stories of 11 wāhine Māori using a narrative-storying technique to allow wāhine to share their unique experiences as they recalled them. A thematic analysis was then used to identify key themes that depicted their journeys of: • Illness and symptom presentation; • Consequences and impacts of bipolar disorder; • Support and help-seeking; and • Wellness and recovery. The intent of this research is to create an awareness of the nature of bipolar disorder as it affects wāhine Māori. It endeavours to expose the experiences they have encountered and their aspirations to be better supported by whānau, and community organisations in their attempts to live active and well lives

Reconnecting whānau: Pathways to recovery for Māori with bipolar disorder

While Māori are known to experience a higher burden of mental health and addiction problems compared to non-Māori (Baxter, 2008), little exploratory research has been conducted into Māori experiences of bipolar affective disorder. Bipolar disorder is at times regarded as a “life sentence”, with little hope of recovery. The recovery- focused mental health literature, however, argues wellness is achievable for even the most intractable conditions (Lapsley, Nikora, & Black, 2002; Mental Health Commission, 2001). The aim of this research was to gather information about the experiences of Māori who were diagnosed with bipolar affective disorder. Interviews were conducted with 22 Māori wāhine (women) and tāne (men), and using thematic analyses, themes relevant to their life stories were uncovered. This research sought to contribute to the realisation of Māori potential by explicitly shifting from deficit- focused frameworks to a focus on systemic factors that influenced Māori wellbeing. Highlights were that whānau (participants) who were connected with friends, partners and family were motivated to achieve wellness and to stay well

Māori experiences of bipolar disorder: pathways to recovery

The findings of this research highlighted pathways into mental illness for Maori that could have been avoided earlier. The pathways to recovery however, showed the critical importance of maintaining connections with significant family members over the lifespan. Exposure to varying levels of childhood adversity, such as sexual and physical violence, parental mental illness, multiple and/or abusive foster care, and abandonment issues led to acute levels of post-traumatic stress, substance abuse, poor relationship choices, depression, anxiety and safety issues