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: 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: Coming Back to Life

Holy crap! I am finally awake more than 2 hours a day. I worked right about 500 minutes last pay period (I usually average over 1000)… and yesterday alone, I got almost 300 minutes!

alive

Med Changes

So upping the Wellbutrin to 400mg a day and the Risperdal down to 1mg a night seems to be the ticket. At least for now. How many times do I have to do this readjustment? Over and over again. Very frustrating.

However, I took no nap yesterday, so that was good. I laid down this morning, but not sleeping, just dozing.

I am cranky. (Oh, well. I have good reasons.)

I do hope I keep feeling better.

Bipolar Diary: (Fucking) Depression

I am immobilized by depression now.

I cannot work. I can barely write. I am sleeping 100 hours a day.

ksenia-anske
artist, Ksenia Anske

Yet ANOTHER Visit to the Psychiatrist

Over and over and over I go, like on a loop, sitting in the Psych’s office, trying to form words that explain how I feel:

  • Despondent
  • Apathetic
  • Useless
  • Premonitions of Agoraphobia
  • Infinitely sad (made worse by Aleppo)
  • So, so, so tired

And words I do not share because they will toss me in the hospital if they fall out of my mouth. We’ll just let them sit in there and rot.

david-kessler
artist, David Kessler

Medications

Another change in meds. Lowering the Risperdal, upping the Wellbutrin. Will it make one iota of a difference? Can’t I have some speed, please? “We don’t want you having those horrible hallucinations again, do we?” (Yes, please. If I can stay awake.)

Change cannot come soon enough.

Bipolar Diary: Tardive Dyskinesia

Apparently I am really sensitive to medications, especially Psych meds. Over the last 2 years, I have tried 6 meds (not all Psych) that I eventually had to quit because of (what I would consider) intolerable Tardive Dyskinesia. I know that many others have it worse, have to take the meds that cause TD and that, for many, it never goes away. I have been lucky that mine generally went away.

Except the last time.

a0046576874_10

My Recalcitrant Tongue

The first time I experienced the TD, it took a couple three weeks to figure it out. My tongue kept burning… then I would wake up with blood in my mouth. I couldn’t figure it out. My teeth? They all felt fine.

So I meditated on it, talked to myself about paying better attention, slowing down the movements so I could figure it out.

I began paying attention as I fell asleep, honing in on my mouth.

lotus2

A couple of nights after this new mindfulness thing, I relaxed and let my mouth do its thing. And boy did it ever.

Scraping is the best way to describe it. My tongue, clearly having a life of its own, pushed through my teeth, first pressed upward, then pulled back, my top teeth sliding against my raw tongue. Over and over and over again. Apparently, all. night. long.

Oddly, it didn’t do it as much when I was awake. I realized it did some, but not a lot. It was at night that my teeth assaulted my tongue. And holy fuck did it hurt.

Medication Connection

I Googled “tongue scraping” and TD came up. Medications were the culprit. Sometimes ones a person had taken for many years.

med-bottle

I’d recently started some medication or another (cannot remember and for whatever crazy reason, I didn’t note it or write it anywhere), so went off and within a week, the TD had disappeared. The doctor tried another one to replace the first. Same thing, but this time I figured it out a lot sooner. Went off, it went away, and tried a third medication. This time it was fine.

Fast forward to this recent Manic Episode when I had to go on Risperdal for the hallucinations, then when I fell a tad too low, increasing the Wellbutrin… a med I have been on for several years. I hadn’t an issue with the Risperdal, but began noticing some light TD symptoms after upping the Wellbutrin. No blood this time, but the scraping had begun.

I lowered the dose of Wellbutrin for a couple of days with no changes, so upped it back to the 300 mg my doc agreed to (after I’d upped it myself). It didn’t get worse, but was still annoying.

Resignation

margot-rijven
artist, Margot Rijven

I seem to be in the place where the TD isn’t going to go away, but it isn’t going to get any worse, either.

It is definitely worse when I am tired or sleeping. I wake up with a very sore tongue and can feel I have been rubbing it against the roof of my mouth. I am happy that I am not waking up with a bloody tongue or enormous sores from the vicious play of teeth and tongue while I am unconscious. I am also quite lucky I do not have the serious symptoms of TD that include protruding tongue or uncontrollable facial tics that are obvious to anyone looking.

Still, my TD is annoying. It gets in the way of my work (I am a Phone Sex Operator) at times, having to make adjustments to my speech because of my involuntary mouth and tongue actions. But so far, nothing has been irreparable.

So, I shall just keep being Mindful and do my best to stay on top off the Tardive Dyskinesia, maybe lessening it over time.

One can only hope.

hope-lg

 

Bipolar Diary: Election Day Looming

I am a nervous wreck.

Chairing the Member, from The Humours of an Election, William Hogarth
artist, William Hogarth

I keep seeing what people are going to do on Election Night.

Getting drunk seems to be a common theme and, while I do not drink often anymore at all, I thought “That sounds like a dandy idea!”

I mentioned it to mi osezno, who is a non-drinking Muslim, and asked if he would be disappointed if I got drunk on Election Night. His answer was classic:

if there is ever a time

Then he said:

please drink carefully though

I said I would never drive drunk and he says:

what about Your meds?

Hole-ee FUCK.

I didn’t even think about my meds. Or the precariousness of the Bipolar stuff going on.

Crapola, I cannot drink.

Thank goodness my cublet reminded me. How could I forget?

Anxiety

streak

Now I have to figure out how to deal with the rising anxiety level I am feeling. I am not even watching or reading the news, but am seeing a tad of stuff on Facebook and a tad on Tumblr. I would be a shaking puddle of nerves if I was absorbing the news, too.

I am so scared of the outcome. I represent everything Trump & his minions despise.

I’ll just keep writing out the stress.