My Poor, Befuddled Brain

That's right. Befuddled. I like that word. It's a good word. And under used too. We should change that . . .
Anyway, this is a little rant about my brain (Clancy. I named my brain Clancy. Don't judge). I've noticed a steady cognitive decline since last February (2013). That's when I was hospitalized the first time. My second hospitalization was last week, and it's gotten worse.

I have a hard time concentrating. I get distracted easily. I'm having memory issues (I don't remember who told me what, if I'm repeating myself, what did I need at the store?) - if I don't write it down, I tend to forget (this is soooooo not how I used to be). I get overwhelmed easily (again, NOT how I used to be).

I think this realization hit me hard tonight. So, it's Thanksgiving (but you knew that already, didn't you, you sly minx). My hubby and I decided to go to Walmart tonight for their 6pm "Black Friday on Thursday" sale. And guess what? It was bloody busy! Lots of people. Okay, fine, I'll deal (crowds have been making me anxious as of late). While standing in line, my sister called. I was trying to talk to her when I suddenly lost my ability to do anything. I'm not even joking. I was trying to concentrate on our conversation but there was so much going on. So many distractions and people and noises and lights and there's a screaming kid and that lady is being a bitch and what the hell did my sis just say?

It was too much. I babbled incoherently. Seriously. Words came out. Just words, no specific order. Let's just pretend that was a sentence. Yeah . . . that was TOTALLY a sentence. I finally stammered out that I would call her back when we left the store (we did, by the way, score a laptop for $278).

But, a couple years ago that wouldn't have phased me. At. All. And it's frustrating. I've started noticing little deficits here and there at work, too. That's not good. I'm an RN. I deliver babies. I have to be on top of the game. But it's creeping up there. Stupid Clancy. Clancy is an ass.

I know it's part of the disease progression. I know it can be side effects of the meds. But let's be honest - this shit is annoying. And it's affecting my typing!! OMG! WHY?? I mistype constantly!! And if my mind is racing . . . well, my fingers can't keep up. Lame.

Boom. Rant over.

Hey . . . It's Wednesday

Well look at that. It's Wednesday. And tomorrow is Thanksgiving! OMG!

I'm excited for pie.

This is the most accurate pie chart ever. Because pie. PIE.

Also? I'm still cycling. It's mild . . . but it's there. Hyperirritability. Racing thoughts at times. Times where I'm on the verge of tears for no reason. It's all very frustrating. I'm getting there, I know that. But I want to be there now. 

I'm trying to accept that this is how it may be. For awhile. And I hate it. 

But, pie motherfuckers.  

I'm back.

Four days in the hospital. I'm feeling better, thank God. I was started on Zyprexa, an atypical antipsychotic. It knocked the mania down in one dose (I was given the Zytis form in the hospital - fast acting and dissolves under the tongue). I'll be on this for around a month. Well, that's the goal at least. We're also holding my Wellbutrin (as antidepressants can escalate mania).

At some point I'll write more on this, though I won't be sharing everything. For several reasons. Most notably that it will be in my book and I don't want to give away all the goods ;)

So anyway, I'm back, I'll be getting back into writing, and I'm still awesome.

Boom.

Hospital Time

My blog won't be updated for about a week as I'm going to the hospital this morning. I'm in a mixed episode that is getting worse and I don't feel that I am stable. My pdoc gave me an antipsychotic yesterday that I took once, and won't take again. I felt drugged and foggy and groggy. But it was to knock down the mania and if I won't take it, well . . .

I cycled so quickly yesterday it was scary. I'll write more on that later but it's the reason I decided to go to the hospital. As much as I DO NOT want to go, I need to be safe while I get through this. I'm going from wanting to die to almost full blown mania and then back again.

I'll write when I get back. Have a good week.

I'll see you on the flipside* . . .



. . . . *Boondock Saints ref. Just so you know.

Tuesday morning

It's Tuesday morning. In case you couldn't figure that out on your own. You're welcome.

It's about 0920 right now and I have therapy in an hour. I both need therapy today but I'm also anxious about it. My mind is racing a bit at the moment and I feel shaky and fidgety. I woke up feeling okay. Not great, not bad . . . just okay. Which is fine. Then I started to feel a little down. Then I almost burst into tears for no good reason.

As I type this, I feel like I could burst into tear right now. For no reason. I'm slightly down. Not depressed, no feelings of despair or hopelessness. Just a little down. But I feel like I could cry and my mind is going 500 directions at once. I can't even quite figure out what to write or how to word it and thank GOD for spell check.

I'm nervous. My last post was written on Sunday morning. When I was a little hypo but otherwise okay. Sunday afternoon and evening were a different story. We went and saw Thor 2 (which gave me Loki feels and is a good movie, btw) and then went grocery shopping. Within minutes of leaving the theater, I crashed. Hard.

Scary hard.

I tried not to show it and I failed. Miserably. J told me to stop dwelling on whatever it was I was dwelling on. He was trying to be helpful. It only made me bitchier. Because I wasn't dwelling on anything. I literally had no discernible thought in my head. Nothing. Only feeling. And what I was feeling was horrible. Despair, hopelessness, worthlessness, pain, emptiness, hate, profound sadness, and the thought that I really shouldn't go on. That I couldn't do this again. I wanted to not exist.

And that terrified me. So much so I was contemplating admitting myself to the hospital.

But I don't want to do that. I really don't. So I tried to be better. I talked, I tried engaging, I did everything I could to fake it to bring myself up. J started assaulting me (in a good way, y'all. Playfully pushing me, holding me, acting like a loon). My mood only lifted slightly.

I painted when we got home while J worked on the yard. Still yucky. Had dinner. Still yucky. Ever so slightly better, but still yucky.

And then *poof*, I felt okay. *Poof*.  The fog lifted and I was okay. And I joked a little. And I laid on the couch with J to watch the Bronco game. And I was relieved and exhausted. I couldn't make it through the whole game because I was so emotionally exhausted.

Of course, I couldn't sleep either. Tried reading a bit. Didn't help. So I laid in bed with my racing thoughts focused on nothing.

Well, it's 0950 now. Thirty minutes to right just a tiny bit because my brain is so scattered. Off to the bathroom, and then therapy.

Sunday

I'm drained right now. Utterly, emotionally drained. Yesterday was exceedingly hard mood wise. I was up and down and everywhere in between. And by "up, down and in between" I mean I was hypo for about an hour, numb for a few, depressed and crying, followed by more numbness, followed by depressed and crying. And angry and irritable the whole time.

Sounds fun, yeah?

So here's the thing - I'm pretty sure I'm rapid cycling. I'm pretty sure I have a bipolar chemical swing going on here. That this is a bipolar issue. Not a character issue. Not a "me" issue. I think my chemistry is a little outta whack and I'm along for the ride.

Which is never a fun ride people - this is the roller coaster from hell operated by the love child of Richard Simmons and the devil.

I mean look at that. Fuuuuuuuuuck. That's just not fair.

But I digress.

I tried to talk with J last night about this. I've been trying to hide my swings from him, from everyone because I'm so worried and convinced that everyone is going to think that I'm doing this to myself. That I'm self-sabotaging again. I'm all but paranoid about this. 

Let's be honest: I'm so paranoid about this that I've become hypervigilant of everything I'm feeling or thinking. However, even though I'm hypervigilant, I think I've been doing well at tempering that with letting go and not catastrophizing. Which is hard for me. Because I'm an idiot. 

So I've been writing in my mood journal, making note of my mood shifts, trying to find a theme or pattern or trigger. I have been thinking about this. Quite a bit. It's hard not to when your mind is constantly racing, constantly interjecting thoughts (it's gone back to the you're-a-failure-because-you're-not-better-and-everyone-would-be-happier-without-your-crazy-ass-around type of thoughts. The not good thoughts). It's hard not to when you're hypomanic and you have to be aware of where you are and what you're feeling and thinking so that you don't completely act out or act inappropriately or say inappropriate things. I mean, I will literally puke up some obscene line of nonsense and not even realize what I've said until I get nasty looks.

So I have to be aware. I have to think about my moods. 

But I don't have to overanalyze - one of my favorite pastimes. One that I've mastered expertly. A flawed coping mechanism that I rely way too heavily on. I've spent my entire life coddling this ability and fuck you I'm going to use it!

I shouldn't though.

J pointed out the whole "overanalyzing" thing to me. I got defensive and bitchy. I think all I am lately is defensive and bitchy and snippy and miserable to be around (oops - negative thinking there - another flawed coping mechanism. I seem to be full of those!). But I started thinking . . . maybe I am overanalyzing myself right now. I mean, I'm riding these emotional ups and downs, trying to stay in the moment, not catastrophize, and move on. And, I am doing that. But maybe not as well as I think I am. 

Maybe I'm overanalyzing a little.

Something else - the last couple of days where I've had some really bad lows (most notably yesterday), I find it difficult to bring myself back up. It really is easier for me to stay there because I know how to do that. I know how to feel like shit. I often think I deserve to feel that way.

Which I don't.

But it's easier to stay down than spend a ton of energy to pull myself back up again. So I've got that going against me. I'm starting to overanalyze and I'm finding it easier to completely give in to my lows. Not a great combo. But something I can change.

Let's do a quick recap: I'm rapid cycling. I'm having true bipolar controlled mood swings. I'm not doing as well as I could managing them thanks to flawed coping mechanisms. But I can change those coping mechanisms.

Which leads us to my next problem. How do I change those coping mechanisms? I've started that process. Working through ACOA and codependency. Reading the books, answering the questions, discussing with M. And that's awesome, right?

Right?

It is, if that wasn't the probable trigger of this current rapid cycling episode.

Wait, what?

Talking about ACOA and my alcoholic mom and codependency is VERY difficult. It's VERY emotionally taxing. It's distressing. So much so I've had some anxiety coupled with it. So much so I've had some nightmares about it. So much so that I want to blaze through everything and not even touch it at the same time. 

Blaze through it?

Yes. A handy nugget of info my best friend L gave to me last night (her and J are just full of these goddamned nuggets of wisdom that I should be figuring out on my own and I both hate them and love them for that). 

I'm diving headfirst, blindly, into a sea of nasty emotionally charged shit. I'm not even thinking - I'm just doing. I need to work through this so let's fucking do this! Baby steps need not apply. And, as L pointed out, I've built this shit up over the last 35 years, so how the hell am I going to work through it in a few weeks??

She also pointed out that I'm an idiot. A fact we already know, L. Bring something new to the table!

Recap time again:

1. I have bipolar disorder. Having bipolar disorder makes it difficult to regulate moods. When you're bipolar it's more difficult to cope with everyday issues. This makes it even more difficult to cope with anything that goes above and beyond this. Both bad and good.

2. I dove in head first trying to work through the pain and grief and anger and rage that took me a lifetime to acquire. I dove in expecting to blast through this in a matter of a few therapy sessions and I got in over my head. Now I'm drowning in the muck.

3. This (most likely) triggered my current rapid cycling episode. 

So now I'm rapid cycling. I'm bipolar and by nature have a difficult time coping with things. I'm trapped in the thick sludge that is my childhood and, even though I'm drowning, I'm still insisting that I can go deeper, faster. 

Is it any wonder my moods are everywhere? Is it any wonder that I'm having issues coping? Is it any wonder that I'm bitchy and snippy and sad and unstable? I'm denying everything above because it's easier to. It's more convenient to. I'm at that ledge where I can exercise all of my negative coping mechanisms, ignore logic, buck any help offered, and plummet. 

Or, I can take a step back, slow down, be kind to myself. I can allow myself to take breaks. I can take some pressure off of myself. I can take what I've learned so far and actually use it. I can listen to, and use J and L's advice without getting defensive and angry - despite what my sick brain thinks, they're actually not out to get me. 

That's the hard part though. Going against 35 years of flawed coping and thinking. And doing that while doing battle with my sick brain. 

But I can. I have people just as, or more, stubborn than me on my side.

Weeeeeeeee, maybe

I woke up this morning wide awake and hypomanic. I had both bathrooms cleaned before 7:30. My mind is racing. I'm fidgety. If I was at work or around people I would NOT be able to shut up. I wrote the intro, rewrote and finished ch.1 and started ch.2 of my book. I'm distractible. I've written TONS of responses to questions on my online bipolar support group. I'm constantly texting my two friends. And they're at work. I don't even care.

I'm just waiting for the crash. It'll come, at some point. But until then . . .

jkdhgkjdfhgkjdfshgkjfdhgkjdfshgkjdfhgkjfdsh

Thursday

So it's Thursday. And that's not terribly exciting in and of itself. But am on call, which is nice. I really didn't want to work today - especially after how the last 3 days have gone.

Yesterday I was rapid cycling again. I spent all morning near tears. I cried in the parking lot at work, teared up in the elevator, and was close all morning. Around 3 I started to level off. Around 5 I was hypo manic. By the time I got home I had crashed.

It's starting to become a pattern.

Which is why I'm glad I'm on call. I have 5 days off after today, so this will make 6 days off! (Yay! I can do math!) I need this time off. Hopefully it will help. The whole "rapid cycling" thing just isn't working for me.

Had a breakdown today

Yesterday at work was a roller coaster. All morning I was down, near tears over everything. I tried to scan something to pharmacy - it wouldn't go through. My eyes welled up, my lip quivered, I had to go hide. I didn't cry - not all day, not once. But I needed to.

Around 3pm, hello hypo mania!!! Uncontrolled, unrelenting hypo mania. It was bad. I was loud, I was inappropriate, I had to be the center of attention. Now, keep in mind that I'm an RN. On the L&D unit. Delivering babies. And I was anything but professional. One of the physicians, whom, luckily, I can really joke with, got a kick out of my behavior. He escalated me. There was a paramedic student. I inquired as to whether or not he watched midget porn.

Midget porn, people. Who does that?? Me, apparently.

So I went from depressed and in tears to oh-my-god-look-at-me-I'm-amazing-and-there's-a-butterfly-and-oh-yeah-porn-and-shit. Not great when entering patient's rooms to catch a baby.

But I made it through and I laughed about how crazy I was. And then today happened. This morning happened. I had to go to a leadership class called LEAP - because I'm a charge nurse and my manager thinks I make a "good leader" (who's the crazy one now!!). The class is at our main hospital downtown. Driving there . . . the depression was starting to creep in. I cranked up the music and sang along and reminded myself that I got to play with horses and disabled kids this afternoon (I volunteer at a therapeutic riding center).

But then I parked. And I lost it. I sobbed uncontrollably. The "ugly cry". The one where you get snot all over the bloody place and your mascara runs making you look like a rabid raccoon. Yeah. That one. And it was seemingly for no reason. It came out of nowhere - la la la, this song is cool - NO! SCREW YOU! LET'S CRY!! It was full of pain and despair and darkness and hopelessness.

And I don't know why.

I've been wondering if I'm starting to rapid cycle. I don't know. I have no idea. I don't want to tell my hubby or friends because I don't want them to think I'm self-sabotaging. That I'm perpetuating something that's not there. Yes, I've done that in the past. I've admitted it. I've been working on stopping that cycle and adopting better coping mechanisms. And I've been succeeding in doing that. I was getting better.

And then this. And I'm trying not to catastrophize this. Because yes, I've been feeling more and more out of sorts the last few weeks. And yes, yesterday and today were exceedingly bad mood wise, but that doesn't mean tomorrow will be that way too.

Right?

Just a quickie

My mood has been everywhere craptastic since Tuesday night. Like, "fuck is this a relapse because I can't even cope" craptastic. And it's shitty and annoying and I'm done with it.

I'm writing in my mood diary. I'm ignoring it. I'm faking it. I'm focusing on positives. I'm forcing myself to do things and be social and not a withdrawn hermit.

I'm overwhelmed.

And since I don't know what else to do, I'm just gonna leave this here:

Bitch, I'm fabulous. Deal with it.

Fuck you Clancy

(I named my brain Clancy, for those of you who don't know)

So my brain is stupid. Not that this is really a surprise, but it's getting damn annoying. I'm feeling better, and yesterday I felt pretty damn good. And then . . .

My brain is an asshole. Clancy, you're an asshole. 

I'm working through all of this ACOA and codependency shit at the moment, which fucking sucks - let's be honest. It's difficult, and even though I have ups and downs with it, for the most part I've been okay. I'm learning more about myself, my flawed coping mechanisms, and how I can change all of this. I've been starting to be gentler with myself (trying, at the very least), and am trying to forgive myself. 

And then BAM! Major bipolar mood swing. Out of nowhere. For no reason. Just sadness and hopelessness and depressive thoughts flooding me. It literally happened in seconds. I was fine, and then I was not. 

This happened last night and has continued into today. I feel like crying and screaming, only I can't. I'm trying not to let it bring me down. I went to the gym, cleaned the bathrooms, did the dishes, swept, vacuumed, did laundry. I'm keeping busy. I'm writing. I'm not curling up into a ball of misery which is what I want to do. So that's a plus.

And I'm saying this is a bipolar swing because of the sudden randomness of its onslaught. If it was going to be feeling like shit because of, say, working through some ACOA stuff, it comes on gradually. Not this. Clancy brought this shit on fast. And I really hate that this stuff still happens. That it will always happen. And that I have to be constantly vigilant for it. That while this isn't necessarily the start of a mood episode, it's still difficult and annoying and tiresome to have to deal with. And that, at any time, my brain might decide to swing me into depression or mania, no matter how stable I think I am, and no matter how much I try to stop it.

So Clancy? You, sir, are an asshole.

Getting real tired of your shit, brain.

I've been overall very melancholy lately. And I'm not gonna lie - I'm getting sick of it. I can't seem to shake it. Constantly, it's there. Even if I have a good moment, it's there to welcome me back with open arms.

I think I'm stable. I feel stable. I'm not really rapid cycling. I have ups and downs, and they're a little more extreme than "normal" mood fluctuations, but I feel stable.

But it's this overall melancholy sadness that never seems to leave. I'm trying to figure out what it is. Is it just feeling a little down? Maybe a result of still getting stable, coupled with icky therapy sessions and yucky introspective learning? Is it that this is a "normal" state and I'm so used to being in an extreme mood state that this just doesn't work and I don't know how to cope? Both? Something else?

Thing is, I almost feel like I can't cope with this. I'm actually doing well at being "in the moment", at being present. So that, at times, I'm enjoying myself. And if I have a time where I need to cry, I cry. And I do this, and I stay in the moment and experience it, and I move on. And what I move on to is to this non-feeling, melancholy trance where I barely feel there. Where I'm distracted and disengaged and conversation is forced.

I stay like that until another period of heightened emotion. And that's just it - it has to be heightened. And even then, at least to the positive, it still seems forced. There's genuine emotion there, there is, but I have to force it a little. It feels faked. It feels dulled down.

Maybe this is what other people feel? How they experience things? I have no idea. And if so, what the fuck?

If I look back over the last 2 weeks, since my last therapy session, I would say that it was alright. It was okay. There was nothing too major either way. I would also say that I wasn't happy. That I made it through another 2 weeks. That I have little moments here and there that I enjoyed and was present for and even laughed through. But that overall? I wasn't happy.

When I look back over the last 2 weeks, the last 4 weeks, the last 8 weeks . . . that's what I see - me not really happy. Me existing, enjoying snippets here and there. Feeling worse here and there. But numb. Numb and there and existing. Nothing sways me that much. Nothing excites me that much. I say it does, but it doesn't. I'm still putting up that facade of being all better.

And I am better. I'm stable. I'm not suicidal and out of control. That's better. But I'm not living either. Not like I think I should be. Not with my feelings and senses stunted. Not with being in this melancholy trance. Not with my creativity all but missing.

It's down to this - I don't like how I feel. I'm living moment to moment, day to day. I'm not catastrophizing. I'm, surprisingly, not thinking too much in the future mood wise.  And this is what I get - melancholy and numb and not happy.

I don't like who I am, who I've become. And I'm not sure I can change that.

And that saddens me.