Torn . . .

After having several days of full blown depressive symptoms, I made an appointment with my psychiatrist. My hubby agreed (and almost insisted) that this was the right thing to do. My appointment is next Wednesday - that was the soonest I could get in.

Four days of full blown depression in a row, followed by an okay day, then back to depression. I even considered taking pills to escape the pain.

And now I'm conflicted. Yesterday I had a pretty good day. I was a little down, sure, I was drained as usual, but I was okay. I laughed during therapy. I hung out with my best friend and had a good time. I was exhausted after, but it was a good day.

Today I'm at work. I'm drained (as usual) and I'm withdrawn, though not as withdrawn as I have been. I'm irritable and annoyed and don't want to interact with patients. However, I've been able to joke a little and laugh.

Am I wrong to see my psychiatrist? Despite my shitty days, I have a couple good ones and immediately question my course of action. I suddenly think I'm stupid and overreacting. That I should give it more time because I'm jumping the gun. I was trying to be proactive in not letting my depression worsen, but now . . . should I be waiting?

I hate when I feel like this, when I question myself and my decisions. It's probably good that I see him. I can bounce my thoughts and fears off him. I can talk to him about stopping the geodon (I'd really like to have my sex life back). And I can get refills on all my meds.

See? See how I'm trying to justify going? All because I can't trust my own instincts. I think that everyone will think that I'm weak if I go on an antidepressant, that I should be able to handle this and besides, I'm pretty stable after all. Just work through your codependency issues and you'll be fine.

But I feel so empty and lost and down all the time. I can't help but think that there's more to this.More to life than feeling this way. Or maybe this is as good as it gets for me. I don't know.

But I guess I solved my own dilemma - I'll keep my appointment with Dr. C and hope it wasn't made in vain. I may or may not change my meds. I don't know what to expect. Hell - I may have another depressive downswing that will justify me going. I just don't know.

I wish this were easier.

I'm weird.

It's true. I'm weird. And I'm okay with that, really. Actually, it's a source of pride for me, a badge of honor.

Except for this weird. This weird is not what I'm proud of.

Here's what this weird is:

I've been pretty darn stable for a few weeks now. My moods have been more even, less extreme, more predictable. I'm starting to "feel like myself" again, whatever that is. And this is, quite frankly, boring me.

Being stable is boring.

What the fuck? Seriously? Yes. It's boring. There's a part of me that misses the raw emotion of my mood swings. The chaos, the crisis, the constant state of flux. There's a part of me that yearns for it and wants to sabotage my progress to bring this all back. To make me unstable again.

I hate this part of me. I want to crush it and hide it away. I want to cover it in denial and pretend it doesn't exist. But that does me no good. Hiding it and denying it will only make it stronger.

Instead, I'm accepting it. I'm acknowledging it. I'm talking about it and writing about it in hopes to understand it. Because I actually don't want to get sick again.

Today has been a pretty low day for me (in comparison to how I've been feeling the last few weeks). That weird, horrible part of me should be embracing this. Feeding it with lies to worsen the depression. And you know what I've found? I'm not letting that happen. I'm fighting it because I hate feeling like this. I don't want to be depressed again and so I'm fighting with everything I've got. And that leaves me exhausted, confused and feeling a little lost. I'm so used to spiraling that when I don't, I don't know what to do with myself. That weird part feels lost and empty.

It's very disconcerting to feel this way. To know that you truly want to be well, and that you deserve to be well, but feel empty and hollow when you do.

Hubby says it will take time for me to get used to feeling stable and I'm sure he's right. I've been in a constant state of crisis for over 2 years and it's all that I know anymore. I don't remember how I felt before all of this - I can't even fathom it.

Hopefully that emptiness will subside and I can truly just . . . be.

I'm Stubborn

And probably stupid.

Why? You ask. Work. Work is why.

See, I'm going back to work this Saturday (the 11th). I've been out since December 18th - 3 weeks. Which, in retrospect, doesn't seem very long. Three weeks off to get better from a long lived mixed episode and severe suicidal ideation.

I took 2 weeks off after my hospitalization in November. Worked two weeks, and then was back in the hospital. And now two weeks off then back to work. Not a good track record as of late.

I ask myself, am I ready to go back yet? My answer? I don't know. I've had a few days where I say YES! Yes I can go back! I'm all good y'all!

But I have days like today and yesterday and the day before where I'm anything but good. Where I most certainly do NOT feel like I'm okay to go back. I feel fragile - like I could shatter at any moment. It would just take the slightest knock . . .

I'm still getting overwhelmed easily. I'm still having anger and irritability. Racing thoughts every night (it takes me 2-3 hours to fall asleep thanks to my racing mind). And then I have this . . . horrid feeling. I'm pretty sure it's akathisia. We'll use yesterday as an example because yesterday was bad. I get this feeling like I need to move. I need to move or constantly be doing something. If I'm not I have this looming sense of dread, of impending doom. I get antsy and restless and anxious. I get highly agitated. If I'm not doing something, everything is pointless and I don't know how I'm going to make it through the day or cope with anything.

I felt like that all day yesterday. I drew, I sewed, I was on the computer. I paced in the kitchen constantly while dinner was cooking - I couldn't stop. I could hardly sit still to eat. And after I was finished I left. I left the house to go on a drive and smoke my electronic cigarette because I didn't know what else to do with myself. I was so antsy and agitated it's all I could think to do.

While I was driving something hit me. Hit me hard. I realized how profoundly exhausted I am. Mentally and emotionally exhausted. I came out of a major depressive episode this summer to a month or so of relative stability, only to be thrust head first into a full blown mixed episode for the last 3-4 months.

I have not had a break.

I'm in a constant state of emotional chaos and I'm goddamned FUCKING tired.

I finally realized this last night while driving around, listening to music, and smoking.

When I take all of this into account, how I really feel, how tired I am . . . I'm not ready to go back. But I am. I am going back. This Saturday. Because I'm stupid. I guess I need to see if I can handle it. I need to prove to myself, to J, to M, to my friends and coworkers that I'm okay. I got this guys, I'm fine. I'm going to put everyone ahead of me. I know this is what I'm doing and yet I do it anyway. I have my pride to think of, people. And that good 'ol financial burden - not a good thing to foreclose on your house.

And think of this too: I go back, I can't handle it, I have to take more time off. What does that do for me?? Makes me look even worse. Wow, she must be really sick - she can't handle being at work. What if I lose my shit at work? What then?

But what if I'm perfectly fine to go back? What if all of this is just me being nervous about going back? What if I'm just psyching myself out? What if I'm really fucking fine?

I don't know what the fuck I should really do. I don't want to jeopardize my health. But I also don't want to jeopardize my job.

Or my stubborn pride.

Worried about work . . .

I start back to work next Saturday (the 11th). Now, keep in mind that I'm an RN and I deliver babies. TOTALLY not a high stress job. Nope. No stress here.

And I'm worried. I am seriously worried about going back. Everything overwhelms me. I'm supposed to be going to a friend's house on Saturday to visit and her kiddos are sick so we had to postpone. I lost my shit people. My world came crashing down. Anxiety, despair, anger, confusion, and the feeling like I couldn't possibly go on. Seriously.

My hubby and son wanted to teach me how to play Minecraft on the Xbox (I don't play video games). After 5 minutes of play trying to figure out the dumb controller I about lost my shit. I held it in because of my 6 year old son sitting next to me, but the feelings were all there.

I almost embedded my sewing bobbin in the wall and then broke down sobbing because it wouldn't feed correctly.

My mind still races. I have difficulty concentrating. I'm agitated and irritable and feel restless like I need to MOVE. If I don't stay constantly busy, depressive thoughts try to steal their way back in. They slink around in the background, waiting to pounce, waiting for me to let down my guard.

And I'm supposed to go back to work. In a high stress job that I absolutely LOVE, but that requires me to be at the top of my game. That requires me to focus and concentrate and make snap (sometimes life and death, literally) decisions.

My manager is awesome. She's a godsend. She'll support me in whatever I need. For this I am lucky. For this I am grateful. But I can't afford to be out on leave - and I only have 6 more weeks of FMLA available anyway. After that . . . nothing. And with my track record of hospitalizations . . .

So I'm worried. I'm worried about how I'm supposed to go back to work. Maybe next week I'll be more stable. Maybe next week I won't be overwhelmed by everything.

And maybe I won't be better.

And so I worry.

Bleh

I have this need to write, but at the same time I feel very apathetic. I just don't care.

I told J today that I don't have depression, I don't feel depressed, I'm not down. And for the most part, that's true. I don't feel depressed. And I'm not depressed.

But right now I am most definitely down. I've been down most of the day. Not depressed - just down. And my irritability keeps shooting through the roof. Everything sets me off. Everything. I nearly lodged my sewing bobbin in the wall yesterday because it wouldn't feed right. I threw it at the wall and then broke down sobbing.

I'm overwhelmed by everything. Everything. Even small things. J and I were supposed to spend the day with our friends. Well, their kiddos are sick so we couldn't go. I felt like I couldn't cope with life. I couldn't find a matching sock in the laundry and my world about fell apart.

This is not okay. This is not normal. I know I'm still in a mixed episode - I get that. I do. I know it's going to take time for my Geodon to get to therapeutic levels. I get that. I do.

But can't I get a break?

I mean yeah, I'm not depressed. Which is fucking awesome, thank you. But this constant irritability and agitation, racing thoughts. I get distracted easily. It's hard for me to carry on a conversation sometimes. And being overwhelmed by everything. It's frustrating. Fuck it, let's be honest - this shit is infuriating.

I'm tired of having symptoms that won't go the fuck away. I'm tired of snapping at my husband and my son. Especially my son. I have no tolerance for him. And it pains me so much to say that. You have no idea. Actually writing that out? Almost in tears (I'm not in tears only because I'm stifling them).

So yeah. Can't I get a fucking break??

In other news, I painted a horse today. So that's good. I was going to post the picture but blogger is fucking up the quality. So check it out here if you'd like to see it.

That's all I guess. Cheers, y'all.

Christmas day

I just reread my post from yesterday and, surprisingly, it kinda makes sense. Kinda. Holy crap was I pissed at church.

This morning we went to my mom's house for breakfast and presents. It was lovely. My mom makes some kickass breakfast casserole and she's not drunk in the mornings so that's an added bonus. It was fine. It was good.

Then we went to Denver to J's aunt's house. Which was fine, but not as fine. See, there's a lot of people there. Like, 15-20. And there's noise. And apparently Clancy can't handle that much stimulation anymore.

It didn't take long before I felt overwhelmed. Trapped almost. Unable to cope. Effectively at least. I was a little withdrawn. As time went on I became irritable. I was shouting at family members in my mind. Yelling at them for their (seemingly to me) stupid comments. It was like church all over again. I became more withdrawn because I didn't want to inadvertently say what I was thinking.

About an hour before we left my mind started racing. Images, thoughts . . . all melded together, coming and leaving almost too quickly to be registered. The racing thoughts continued the whole way home. Even when I plugged in my iPod and sung along, which usually helps, the thoughts and images still came.

At home they reached a fever pitch. My mind was going so fast I couldn't hold on to a single thought. I tried writing in my mood journal and it came out as one long, nearly illegible, run on sentence. I was almost in tears my brain was so frantic. It's a horrible feeling not being in control of your thoughts. Not being able to slow them down enough to get a sentence out. Being confused with all of the images flashing through your mind, completely unrelated to one another and anything you're thinking.

I had J bring me my electronic cigarette. I did deep breathing. I ate so I could take my Geodon. I talked with J a little and texted my best friend L.

My mind is slowing which is why I'm able to type this. Not enough that I can write eloquently - it's still going fast - but at least I'm getting something out.

Yesterday and today made me realize something - I can't handle too much stimulation. It's like my brain short circuits. Too much input and it goes into overdrive and I can't cope. And when you sit back and say, well, I'm still in a mixed episode and this is to be expected, it doesn't seem too bad. But what I worry about is what if it's not entirely from the mixed episode? What if I continue to have issues like this? Issues with stress or crowds or too much visual stimulation? What then?

Only time will tell. I'm trying not to think too much on this, lest I drive myself crazy. Well, more crazy. I'm hoping, obviously, that this is the mixed episode and as I get to the therapeutic dose of Geodon it'll get better.

Because if not, I'm screwed.

And not the good kind of screwed. The screwed kind of screwed.

That doesn't even make sense.

It's Christmas Eve and I got pissed at church

And I don't mean I got pissed during church (well, I did, but bare with me). I got pissed at church. As in the entity of the church. The thought, the notion, the feeling, the tradition, the meaning. The church.

It pissed me off.

I'm not even sure I can explain this. Because it doesn't make sense. But I'm going to try, mostly for my own sanity and/or amusement.

J is Catholic so tonight we went to Catholic mass. Let me just throw out there that I dislike mass. I find it boring and pointless. And all the damn singing and standing and sitting and kneeling and now stand again. It needs a dislike button.

So we're sitting in the pews, listening to the choir, and I started feeling irritable. At nothing. Just irritable. And this cute family, mother, father, and 6 month old or so son sat a couple pews ahead of us.

I hated them.

For no reason. Then her friend or sister showed up with her husband and two kids and I hated them equally as much. Look at these two families, all happy and festive, enjoying themselves in church. Fuck them. I shot daggers at them with my eyes.

An elderly gentleman sat next to the second couple - a little to close for what my personal bubble would be - and I fumed. I screamed at him in my mind that he was sitting to close and why the fuck are you not following social boundaries??? You have a whole fucking pew and you had to sit that close??

More singing. Where the fuck is the damn priest? Why is the singing not stopping? Oh, now we have to stand. Good.

I fumed. I looked around the congregation at all the people, hundreds of faces. Everyone seemed so happy and content to be spending Christmas eve with their families in church.

Fuck them.

Catholic mass on Christmas eve is the same every year. I swear that it's exactly the same. And tonight everything about it was adding fuel to the fire. My irrational anger, my irritability and rage were completely out of place - and confusing. I don't know why I was feeling the way I was. But I was and I didn't like it. I couldn't seem to stop it though.

So I did what I always do and tried to overanalyze the situation. Not much - just a little. All I could come up with was that I don't really like Christmas and that I'm still in a mixed episode.

Yep. Despite what I wish and what I'd like others to think, I'm still actually in a mixed episode. Not crazy from meds - that bit is over - but still mixed.

The entire time at church my mind was racing. And I mean racing. Flight of ideas, racing swirling thoughts about nothing and everything and the house and dog and mucking stalls and dolphins and bipolar and my wedding and friend's wedding and my bridesmaid's dresses were blue and T's were lavender and a flock of pigeons take flight and there's a fountain when should we take down the treewe'rehavingsandwichesonfridayatafriendshouseand. . . . . . It wouldn't stop. It wouldn't stop.

I couldn't shut up my mind. And that contributed to my irritability. And driving home, it continued. And I said a few random outbursts of ideas and thoughts that may or may not have had anything to do with each other. And I laughed.

I felt like I was going to laugh hysterically and cry uncontrollably at the same time. I felt like I would explode.

Instead of exploding, which would be messy, I went to the bathroom and took my meds. Tonight I increased my dose of Geodon. I was told when I left the hospital that if I was experiencing irritability in the afternoon or evenings to increase my dose. So I did. 80mg instead of 40mg.

I'm writing this under the influence of my racing mind which is gradually slowing thanks to the increased dose. I'm starting to get drowsy. I'm going to be honest - I don't know if what I've written makes much sense. But I'm not going to go back and read it. Because drowsy.

Night y'all. Have a Merry Christmas or whatever the hell you celebrate.

And so the REALLY annoying thing is . . .

. . . I want to see how sick I can get. How fucked up can I truly get?

Now, let me start by saying that this is not entirely true. I want to be better. I want to not have to deal with these constant mood swings. I want to feel normal.

Except that I don't.

This isn't some weird attention seeking thing going on here - let's get that straight. This is something, I think,  that almost every person with a chronic illness feels at some point. You've been through med change after med change after med change. You still feel like crap. Nothing you do seems to work. Everything starts to seem hopeless and pointless. Nothing has worked, so nothing will work.

It's frustrating. It's overwhelming. And it seems so much easier just to give up. Let the illness take you.

That's where I'm at. I've just made yet another med change - dropping Zyprexa and starting Latuda - hoping that this time it will work. That my mixed episode will finally end with minimal side effects from the meds. That for once, maybe, I'll feel okay.

I'll be honest - I'm not optimistic. I've been through this. Several times over the last 2 years (I've probably changed up my meds 10 times or so). I'm so fucked up, in fact, that my diagnosis has been changed from Bipolar 2 to Bipolar 1, ultra rapid cycling. I'm so fucked up, in fact, that my pdoc is trying to get me in to see the mood disorder specialists at Mass General in Boston. I'm so fucked up, in fact, my pdoc said that if I stopped my meds I would go psychotic - I would completely lose my shit.

And you know what? So be it. Let me completely lose my shit. Let me see how sick I can get. Am I really that fucked up? Am I really that sick?

Let's find out. Let's not take anything. Let's see what happens. Let the world sort it out for me.

But I can't do that. Because I don't want to do that. I have a family, a career. I have friends and obligations and hopes and dreams. And I don't want to do that. I want to get better.

I'm frustrated. I'm tired. I've exhausted my resources. I've done everything I'm supposed to do to get better. And still I struggle. Every day.

Every. Fucking. Day.

My friends are worried about me. Very worried, it seems. They see me from the outside. They see the swings, more so than I can I think.  I downplay this all. I wonder if I downplay it too much. I wonder if I'm already sicker than I think.

I worry, but I also don't care. What can I do about it anyway?

Nothing. That's what.

I'm having a hard time mustering up any feelings today. I'm flat but near tears. And that's it. My mood could change at any minute - and I don't know until it happens.

I don't even know how to explain how I feel - the turmoil and confusion and hopelessness and despair. The sadness. Breaking down sobbing for no reason but not being able to stop. And the pain in that - the emptiness and grief and pain that threatens to swallow you whole. So much so you want to die. In that instant you want to die.

But then the giddiness and excitement and outright joy. Feeling like I can take on the world and that I'm funnier and smarter and better than everyone. That I need to spend money and write and draw and paint and clean the house and run a marathon and do all these things right now and all at once! And they have to be done why don't you understand???

And the irritability. Oh the irritability. And anger and impatience. And this built up kinetic energy and hostility and the need to destroy something. Anything. Even if it means hurting myself severely. Snapping at my husband and son for the mere fact that they exist.

And I might cycle through these feelings ten times a day - or not much at all. They may be the extreme - the worst it could possibly be. Or it may be milder, a little easier to deal with. And the cycles come without warning, at the drop of a hat. One minute I'm okay and, literally, the next minute I'm not.

Does that make sense? Can you even fathom how difficult that is? To live every fucking day like that? To have it affect your family and your job? Your own sanity?

Can you understand why I want to give up? Why I want to throw in the towel and lose my shit? When nothing I do works? Does it make any sense at all?

I can't adequately convey what I'm feeling. I want to give up. I want to completely lose my shit.

But I want to get better. And I have to. So I guess I struggle the fuck on.

Where am I now?

Revolution from dissolution, hypnotizing and demoralizing
Pressure of the future, too much for today
How many hours will I let slip away
Before I realize existing and living
Are not the same
Are not the same
      -MSMR

I'm not exactly sure where I am right now. Many places, I guess. I'm stuck, I know that much. Stuck and annoyed and frustrated. Frustrated because I'm coming back to square one.

Last Wednesday marked two weeks of being on the Zyprexa. Two weeks of subdued, controlled mania. Two weeks of "stability".

Two weeks of steady cognitive decline.

Yep. Cognitive decline. Noticeable cognitive decline. It started innocent enough. Shortened attention span, being a little more easily distracted. Nothing big, nothing to write home about.

But then it became insidious, permeating everything I do. My focus was gone. I couldn't concentrate. I was very easily distracted. Everything changed.

On Monday, at work, I was going over discharge instructions with a patient - something I have done literally thousands of times. I stopped mid sentence. I had no clue what I had just said. Or what I was doing. Or what I needed to do. Luckily I'm awesome and I recovered and carried on, the patients none the wiser of my folly.

But that's not like me.

And then it happened again. And my mind would wander off as I was speaking and then I would stop, a bit confused. I couldn't focus on my charting. If there were distractions I was done. I'd have to check over everything I had just entered.

I felt overwhelmed more easily. Things that would have never flustered me were now an issue.

This past week, my first week back at work, was difficult. Because of the above. What's wrong with me?

I noticed my typing changing. I leave letters out of words or switch them around. Those damn red squiggly lines that spell check loves? Almost every word. I have to go back an recheck everything. And now? Now I leave motherfucking WORDS out of sentences.

WORDS people. Who the fuck forgets to write words? While thinking they're there? Me. That's who *points to self*.

I can't work like this. I can't. So I made a decision: no more Zyprexa. Wednesday night was the first night I didn't take it. Thursday morning my cognition was a little better. But I happened to tell two friends who made me take the one I had in my purse for "breakthrough" mania. And I was worse in the afternoon.

So Thursday night and last night I didn't take it. I'm focusing a little better, my typing is a little better.

But my mood? My mood is now not better. It would seem I'm going back to being in a mixed episode. Yesterday at work I started the day hypomanic. Then I got irritable. Then I spent almost 20 minutes in the back room sobbing, crying the ugly cry, while filled with crippling despair and hopelessness. I was depressed for awhile, then down, then irritable, then hypomanic.

Today I've been cycling between feeling down and being irritable. Right now, as I write this, I want to hide. I want to be alone, in bed, under the covers, crying. It's what I want to do so badly but I can't. J and A are here and we're going to decorate our tree soon. It should be a happy time. It should be fun and I just want to hide away and not exist and not deal with the shit anymore.

This is so frustrating, you have no idea. I can take the Zyprexa and be stable mood wise but lose essential cognitive functioning (not to mention the insanely increased appetite and sudden appearance of about 5000 pimples). Or I can not take it and have my brain power but be mixed and unstable again.

Why the FUCK can't I just be okay??? Just okay. That's all I want. Just to be stable and okay. But I can't. I can't have that. I can't just be okay.

Why can't I just be okay? Please. . . 

I'm scared about what's going on, about these two choices I have in front of me. My choice, for now, is to not take the Zyprexa. I'm done with it. I can't do it. But this starts, again, the search for a different med to replace it, lest I want the mixed episode to worsen.

I'm not okay with either of these choices. I'm not okay with any of this. I'm not okay . . .

Please . . .

Confusion, feels, and general badassery

So I recently finished reading Codependent No More which was a homework book assigned by my therapist, M. At first I was all, "um, totally not codependent dude." He insisted. He told me I was stable enough to handle it. Stable enough to handle a book? He also told me not to read it on a day I was feeling vulnerable. Okay . . . .

I read it. His warning was accurate. It was difficult. Had I read it earlier, when my bipolar wasn't under control . . . I shudder to think what would have happened. This book . . .

Holy. Fucking. Shit.

The confusion, anger, feelings, pain and grief  that flooded me. I can't even comprehend, I don't even know . . . It's bad. It's all bad. The feels . . . good God the feels. M, what the fuck.

See, I've spent my entire LIFE suppressing this. All of this. All of this anger and pain and hurt and confusion. All of these God dammed FEELS. Suppressed. Boxed up. Hidden away in the darkest recess of my mind. Ignored.

Except . . . except they weren't totally gone. Not really. Because of my interactions with my mom. Because of my learned behaviors from my upbringing. And recently, M has been poking and prodding. He's the one who described me as ACOA, had me educate myself, stirred the beast from its slumber. He open the proverbial can of worms and these worms are ugly mother fuckers.

Everything I'm feeling right now, everything I'm desperately trying to hold in, shut up, suppress . . . it's leaking out. It can't come out. It can't. No.

But I fucking need it to come out. It has to. I'll never get better, never be truly recovered if it doesn't come out. And it terrifies me. I don't know what to do, where to start, how to deal. The anger . . . the anger I'm feeling right now. At my mom, my dad, myself. At the world. At how unfair everything is. At how, had I known this shit earlier, I could have saved myself some heartache.

Then there's the guilt, the shame. The pain, the grief. Loss. The origins of my unhealthy behaviors, habits, thoughts - all apparent. But still, denial. It's confusing.

This is shit I need to work through, and it's going to be hard. So hard. I'm scared and confused. I'm trying to hold everything in still. Honestly, I'm trying not to explode until I see M on Tuesday. I need guidance and support. This is a ton of ugly worms to sort through. From my earliest memory of my mom's alcoholism (age 6) to now (I'm 35) . . . 29 years of repressed emotion and anger and pain.

What have you gotten yourself into, M? Hopefully you fish because you now have a fuckton of bait.