Bipolar Diary: Depression Deepens

TWMental

Depression

The last 2 weeks have sucked even worse than when I wrote on July 13, 2017. Tears. Tears. Never-ending tears. The suicidal ideation is coming more often and is more vivid than when I started the Paxil. And the damn hallucinations are back.

sigh

Almost all of my time is in bed, either curled in pain (another post), staring at the ceiling or sleeping. I leave I Love Lucy on in the background. Sometimes Friends. I’m listening to Mists of Avalon (a book I love), but when I listen in bed, I fall right to sleep. I’ve replayed Chapter 6 four times already.

edvard-munch
artist: Edvard Munch

An Odd Sorta Depression

When looking for images about depression lying, I came across several pieces like this one below:

depressionwords

Not sure if I’m just more familiar with my depression than when I was younger or if it has really shifted, but I do not hear the lies the girl in the image does… nothing negative about my body, how alone I am in the world, how fat/ugly/sick I am. I did when I was younger, but not anymore.

I just feel sad. An overwhelming sadness. A pall of melancholia that separates me from the rest of you. I cannot even touch what I am sad about except for the endless distress I have about our country because of 45. But this joylessness is deeper than the fear-for-our-lives kind. I feel like I’m under the thick glass of my Nana’s cake pedestal, so close to others, but unable to penetrate the barrier of dreariness to make a connection.

cake close

Medication Changes

The psych doc upped the Paxil to 30mg after 2 weeks on 20mg. He said he still might have to increase it when I see him in 2 weeks. For fuck’s sake, can’t this stuff take effect already? I hate this waiting part.

paxil 30

I have weaned off the Cymbalta. Is that the reason for this huge dip? Who knows anymore. He wanted to increase my Risperdal, but I refused; the eating is out of control with more Risperdal… can’t abide by that.

An aside: I despise the new packaging that seems to be taking over the medication world. I am not stupid, can follow directions, but they are incredibly difficult for me to get into. I’ve asked the Pharmacy to open them for me and then I rip the inner blister pack out, throwing the outer box away. If you haven’t see them, let me introduce you.

slidepackgood
“Follow these 3 simple steps,” it says. Push the blister pack all the way in, then press on the “lock release button” on the left . Finally, pull the sliding pack out at the same time as pushing the spot on the left. I wish it was as easy as they make it sound! It’s almost worse that rubbing my head and patting my belly at the same time.

Suicidal Ideation

I’ve had lots of suicidal thoughts. My cub stayed with me one night when they were especially bad, reminding me every few minutes that Depression is a Liar. Hearing that, knowing it for certain, is what kept (keeps) me going. Hearing that so-and-so loves me doesn’t do much for my mindset because I rationalize that away easily. Depression Lies, however, works wonders.

Depression is a lying bastard

The thoughts of suicide are so enticing. They call to me seductively as if they were sirens on the ocean’s rocks.

sirens1

I try to block them out listening to various albums I have memorized. The Eagles, Carly Simon, Sting (Living Sea), and, of course, Hamilton: An American Musical.

I also try to find positive recovery-from-depression-and-suicidal-thoughts articles and posts online. This is one I go back to over and over:

Suicide Prevention: How to Help Someone who is Suicidal and Save a Life

“A suicidal person may not ask for help, but that doesn’t mean that help isn’t wanted. People who take their lives don’t want to die—they just want to stop hurting.”

When I had my first serious clinical depression in my late teens, I didn’t understand the “wanting the pain to stop” aspect and teetered really close to the edge of death.

As I got older and had some decent therapy, I was able to verbalize the inner turmoil and excruciating emotional pain that was drawing me towards dying. Understanding that I didn’t really want to die, but just to stop hurting… a pain that went so deep as to injure my soul… I was able to cling to those brief seconds of “medication will help remove the pain… hang on a little bit longer.”

Medication and therapy have not failed me yet.

Working/Not Working

Work has been nearly impossible the way I feel. I can do one call, then need 2 hours off to regroup. The calls are easy, mostly with regulars, but the energy expenditure exhausts me. Even writing this post has taken 4 days so far. Ugh. I need to be able to work!

Okay, I need to get this out to you all. It is not a cry for help, I promise. I will not hurt myself, have no plans to.  It’s just those random thoughts that flow through my mind… sometimes like heavy cinder blocks and others like wafting vapors. As long as they continue moving on the conveyor belt, I think I’m okay and headed towards healing.

trudging along

Thanks for listening

depress help
Always reaching for help.

Bipolar Diary: New Meds for Depression

My psychiatrist, whom I adore, was great, totally understanding where I have been. I did tell him about the suicidal thoughts, said the standard line “I do not have a plan to kill myself and promise I will not” to quell any concerns he might have.

I forgot to mention in the last post that all my hallucinations have vanished. ALL of them. I cannot remember a time in 2 decades that I have not had at least one hallucination going on, usually olfactory. My world has quieted… and it is disconcertingly odd.

umbrella gif

Medications

I was prescribed Paxil, 20 mg a day and see the doc again in 2 weeks to see if we up it or not. I also lowered the Cymbalta from 90 mg a day to 60 mg a day for a week, then down to 30 mg after that. Interestingly, I have never taken Paxil in all these decades with Depression and Bipolar Disorder.

Dr. Google revealed that Paxil can bring on hypomania, mania, insomnia, agitation and more. I read those side effects and thought, “Bring it on!”

dr_google

It takes 2-3 weeks to really begin working in earnest and then another few weeks to settle into the system. Crossing my fingers things get better fast. I miss writing!

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Bipolar Diary: Zero Gravity Hallucinations

I’d thought I’d come to a place of balance. I was still having hallucinations, mostly visual, some auditory and tactile, but those not so often. Even though the hallucinations have continued, I told the Psychiatrist I did not want to take more Risperdal to try and make them go away. The short time I was on the increased amount (double what I am on now), I gained 30 (fucking) pounds in 6 weeks. As soon as we halved it, I stopped eating like an insatiable animal, and have now lost 10 of those 30 pounds. I told him I’d just suck up dealing with the hallucinations.

However, there does come a tipping point between what I can live with and seeing much of my room floating around as if I was in space.

pilbalance bw
Balance – dance troupe, Pilobolus

What’s Going On?

I cannot pinpoint why they are getting bigger, more bizarre and more aggressive. My sleep is weird, but I am sleeping. I’m in an inordinate amount of pain, but that isn’t too new… I had my gallbladder removed on February 2 and have had a series of infection complications since. I’ve got other pain, but can usually meditate to work through it. (I have Trazadone if I need help sleeping, but have only taken that a couple of time.)

Visual

A crazy hallucination I had the other day was seeing my pillow breathing. Yes, I know… ridiculous, but I stared at it as it inhaled and exhaled for the entire 5-minutes I watched. I blinked, shook my head, told myself there was no way in hell that was real, yet the pillow kept inflating and deflating, slowly, as if it was breathing. I glance over a lot to see if it’s going for a repeat performance. Nothing so far.

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I have the usual roaches and now some flying bats, but those are pretty yawn-inspiring since they’ve been around so long now. It’s the floating toilet paper roll, the pens, my Blistex lip balm… things that are here in my room, in my real life, just appearing, mid-air… there… and then fleetingly gone again. My food shifts next to me. I “see” music coming out of the speaker. The movements around the room are near-constant. (The book next to me is shuffling the pages as I write this.)

funky apple gif

I try to drive infrequently and only for less than a mile or two because it is frightening to not know if that box flying through the air is an illusion or really fell off that truck up there. I am terrified when I pass bus stops because people are so close to the edge, they slide over into the road sometimes, sliding back just as I get ready to veer away from hitting them. I do everything in my power to never drive during school drop-off or pick-up, the amount of busy-ness in the roads confuse me terribly. Don’t even get me started on mailboxes.

Tactile

tactile-and-visual-hallucinations

I am tapped periodically. No one is here to tap me. It’s nothing. I feel things crawling on me a lot. My room is clean! There are no bugs to crawl on me. No fleas, no gnats. Nothing. Yet I could swear there was a spider crawling up my leg or on my arm. Even when I am looking right at my skin, seeing with my eyes that it isn’t there, it is there… I just cannot see it is all. (Talk about a mind fuck!)

Auditory

I have these the least at the moment. Just some occasional whispers. Nothing telling me to do anything, I don’t get those kinds. I just get ominous whispers, just out of hearing range… my name whispered a lot.

shiver

Resolution

Klimt
artist, Gustav Klimt

Writing all that down, I see I really might need to just up the Risperdal to curb some of this extraneous activity in my brain. I am crying writing this, fearful of gaining more weight. (I gained 80 pounds in 3 months when I started the Risperdal 13 years ago.) I know there are other meds I can try, but I get Tardive Dyskinesia so easily… and have it already from the Wellbutrin… I am so wary of changing from meds I know work.

Fuck, this is confusing sometimes.

Thanks for listening.

Bipolar Mania Redux

Yeah, the Mania has returned.

Once again, I am a live wire that hums like a fluorescent bulb, sleeping 2 hours a day, am a writing banshee and logged into work for many hours at a time.

lights

See-Saw Up & Down

From mid-September 2016 to early November 2016, I was in a pretty intense Manic State. The last Manic Episode I’d had before that was 1998.

It seemed to take forever to get control over the hallucinations and be able to sleep, and when I did, I slid into Depression mid-December. The fight to find balance between soaring highs and plunging lows has eluded me. Just when I think I am finding stasis, I slip by it and move to the next level of distress.

And here we are, mid-January 2017, and I am, once again, having hallucinations, staying awake for far, far too long.

Will I never find balance?

Hallucinations AGAIN

I’ve had increasing hallucinations for at least 2 weeks now. They aren’t terrifying yet, but they are on their way there.

Today I was visited by a bat!

corynorhinustownsendiiflying

Fucking thing was flying around the room then dove right for my head. I ducked and covered myself, but, of course, it wasn’t real, so if someone had been watching, it would have given them a hearty laugh. Other visual non-existent treats have been my clothes on the back of the door lifting off and swaying back and forth a couple of times and nondescript somethings sitting on the dressers or on my bed.

(I feel like a crazy woman sharing these things. How can I talk about what is going on so casually? I think it is just getting to be so normal, I am more shrugging than freaking out about it.)

The auditory hallucinations have returned, my hearing all sorts of crazy noises from windstorms to doorbell chimes. And the incessant whispers, always just out of earshot and too low for me to understand, but they are not happy noises. “Ominous” is the word I would use to describe them.

nguyen-hoang-hiep
artist, Nguyen Hoang Hiep

Oh, the goddamn tactile sensations. Again, feeling like I have bugs crawling on me. Not lots so far, but just enough to make me slap myself periodically.

Not smelling anything (yet) – olfactory hallucinations – but those are probably what’s up next on the Manic menu.

Writing writing writing

book-letters

And so I write. Here,  in my work blog, in Facebook. The words tumble out of my fingers even when I am meditating trying to sleep. I cannot keep them still as they search for a keyboard upon which to create.

This is the part of the Mania that keeps me from telling my doctor or taking more Risperdal because the deliciously creative period would be fleeting and, right now, the negativity of hallucinations is balanced by the verbosity of my words.

So shhhhh. Keep my secret quiet for now.

And watch the words spill from my psyche.

 

Bipolar Diary: Terribly Depressed

One sign of when I am in a serious depression is I can no longer write. It’s been since Dec. 30th that journaling words have come out of these fingers.

red-flag

Psych Visit

I went to the Psych today and sobbed about how frustrated I am about this post-mania depression. He said it just takes time. I said I am losing time by sleeping and losing LOTS of money by not working.

Blessedly, no suicidal thoughts or ideation. Still have visual hallucinations, but meh on those.

Last thing we did was up the Wellbutrin (of which I have even worse Tardive Dyskinesia now). Now we’re upping the Cymbalta from 60mg qd to 90mg qd. He said he is giving it 4 weeks to change things before he considers upping it again.

Can you hear me groaning in despair?

sigh

 

Bipolar Diary: The Rough Cut

I feel like cutting my tongue out. I swear someone is using a course-grit sandpaper, rubbing it over and over and over, while I sleep.

sandpaper

What’s sucky, too, is the Tardive Dyskinesia is doing overtime even while I am awake. Unless I am purposefully monitoring my tongue and jaw action, my tongue is scraping across my molars or my front teeth. Continuously.

Thank the Universe no one is noticing (probably because I am in the freakin’ house!), but even working on the phone, talking sexy, no one has noticed a difference. After a call longer than 30 minutes though, my jaw and tongue are sore (muscle sore) from trying to do two things at once: trying to keep getting the guy off and try not to make it sound like I am licking the phone. (Whereas upon reflection, that might not be such a bad idea.)

cell-bed
artists, Mrzyk-Moriceau

Wellbutrin

I am lost over what to do about the TD. I would need to cut down or quit the Wellbutrin and I feel so, so much better on it. The prospect of stopping it terrifies me. (And the TD might not go away after stopping the medication anyway!) I see the Psych in a week and will talk to him about it, but the decision is 100% mine about what to do: stay on it OR go off of it and try yet another medication that might cause TD even worse, and possibly permanent symptoms, than this.

Fuck, I hate dilemmas.

Bipolar Diary: Visions

So, I still have hallucinations, minor visual ones, not scary. But for a couple of weeks now, I have been having visions… premonitions are what they feel like.

10-wicked-inclination

I meditate and have vivid images cross my mind. They are different than the fleeting, wandering thoughts that float around inside my head during meditation. These are more solid than vapor-y… and so, so, so real. They come with emotions, sometimes intense. So far, all good, but I am a tad nervous about seeing scary things; trying not to focus on them, though.

They do not only come when I meditate, but they seem to come easier at that time. Sometimes I am in that half-asleep place, going to sleep or waking, and they appear, too.

“Seeing”

vision1

I saw a dear single friend of mine sitting in a library and a woman came to sit by him. She was dressed modestly, something that is important to my friend and struck him immediately. I saw them meeting, marrying and having a family together. All within moments. It was so real I almost reached out to touch them.

I’ve seen my grand-babies, growing through their lives… specific activities that I’ll leave a mystery for now.

I’ve sat in a meadow touching a rainbow.

Confused

confused

Google-ing visions with bipolar disorder, one gets “schizophrenia.” Eek! Really? I see the Psychiatrist in a couple of weeks and will ask him what might be going on.

Until then, I’ll take what I see, write the visions down and not worry too much about this new phenomenon in my mental illness.