Due to a glitch in my insurance and the Latuda company’s lack of medication, I went about a week without it. Might have been more. I have been back on it for 4 days now, but have fallen into depression. I wasn’t sure at first, but after sleeping 20 hours a day 3 days in a row, I think that qualifies as depression.
And the crying.
I hate the crying.
The welling up of tears for (seemingly) no reason. The way they fall unabated, no amount of logic stopping them. They just turn on and off at their own whim.
What am I sad about? Nothing. There is no precipitating factor here, merely biochemical.
I thought I should have a title for these Bipolar posts. I came up with Bipolar Diary. Original, I know. laughing
Not Having Fun
Today (10/23/16) has been a really difficult day. I went to bed at 5:00am, slept for 3 hours or so, then up for a few hours, then down again. And again. And again! I keep napping for 1-3 hours at a time. Where is this fatigue coming from? Am I depressed?
This happened a week or so ago, too. I don’t have the patience to go search and see how far back it was. I don’t have much patience for anything. If I hadn’t been in menopause for 8 (or whatever) years, I would think I was having PMS. I cannot keep a thought in my head, am so scattered. I am sure this post will be ghastly, but need to write anyway.
Most of the hallucinations have gone, but the visual ones are making me crazy.
How I was more tolerant of the slew of visual, auditory and tactile hallucinations than I am with just the visual is beyond me, but I think much of this sleep crap is because I am overwhelmed with the visions I keep seeing. Roaches, yes… some… but mostly like things are just moving. Sliding around. The covers shifting, the pillow edging over, the carpet rising.
It’s like I am on a tilt and everything is going to fall off the edge.
Frustrating is an understatement.
Also, I have very little attention span. I have tried to watch Grey’s Anatomy, a show my daughter recommended, but it is too much new information to retain so I end up watching Sex & the City or Friends again (on Amazon & Netflix), two shows I practically have memorized. (Monster’s Inc. is on as I am writing this; another movie I know by heart.)
It is difficult to work in this state. My mind flits from thought to thought and I keep talking over clients. I try so hard to pace my words, but they just tumble over each other.
And, as a few weeks ago, my fingers are fumbling with the keys on the keyboard… spelling homophones instead of the correct word (reed instead of read, meat instead of meet, etc.). Argh! I hate having to re-type the right word! (Write came out first. Fuck me running.)
This Is Progress?
When I saw the Psych last week, he was happy the auditory hallucinations were gone and said I was on the right track. Today I had the first tactile sensation after several days without any; brief, but still there.
I hate the see-sawing of emotions. One day feeling great and doing well, the next (today) being total shit and missing a day of work. Isn’t there supposed to be balance sometime?
I don’t even know where to go from here, so I’ll just end.
You know that sound they make? That incessant buzzing?
That’s what I feel like.
And in perpetual motion.
I don’t know who I think I am fooling when I sneakily “forget” to take the Risperdal. Up for 25 hours, trying to sleep periodically and feeling like I am electrically charged, getting back up again a few minutes later.
I’m somewhat productive, writing posts for work and here, organizing my Kindle music library, pulling things out of drawers and stuffing them into garbage bags, but I feel sad all at the same time. Not that wonderful, blissful feeling of the last few weeks. My therapist, just like my Psychiatrist, reminded me that it was not all that “blissful” and my mind is playing games with me.
TAKE THE FREAKIN’ RISPERDAL.
I hadn’t been to therapy in a couple three weeks because I was working with the doctor instead. It’s almost an hour to get there and the prospect of taking that trek twice in one day was too daunting. I did it today, but probably shouldn’t have.
I barely remember anything we talked about, knowing I wouldn’t even as my lips were moving. The whirring so loud in my head and coursing through my body.
What I remember is that I need to honor my Self and take my meds every day and on time.
We talked about my meds, my sleep patterns, my lowering hallucinations… and then I asked if I was getting depressed. He was very gentle and said after where I’d been anything is going to feel depressed.
He said my figuring out a way to have one block of sleep will help me not relapse. I told him how I hated the Trazodone and I would rather sleep fitfully than feel like I am going to pee in the bed from being unable to wake up enough.
I have slept in this bizarre cycle of 2 hours of sleep, 4-5 hours awake… 3 hours asleep, 3 hours awake… since at least the second manic episode in 1998. Even gorked out on opiates, I still slept like a baby does (not sleeping “like a baby”; babies sleep like shit). I don’t toss and turn. When I go to bed, I go to sleep. But when I wake up again, I am UP! Even the dispatchers at work have gotten to know my strange cycle of on/off. I don’t know if I can change it without meds. Honestly don’t know if I even want to.
I asked where the holy hell do those terrifying hallucination sights, smells, sounds and feelings come from. Why does the brain pick a horror show to illustrate its illness. He said that scary things in the brain are easy to access. The brain chemistry goes wonky and the synapses misfire and the most accessible images/thoughts/etc. get scooped up and displayed. I said I thought that was a fucked up system.
We talked about how voices that direct behaviors (which I do not have, thank goodness) tend to mimic their inner belief systems. Those with religious histories have heavenly/satanic voices telling them what to do. Those without that, have “magical” voices. Psychosis in different cultures bends towards that culture’s belief systems and experiences. Even though I have religious belief in my past, none of my hallucinations have ever taken on a religious tone, either good or evil. Apparently, my mental illness is as atheist as I am.
Missing the Mania
I told the doctor I really am missing the mania, the energy, the lack of pain. He gently reminded me of the terror I was in 2 weeks ago when I came to him… that I was about to admit myself into the hospital because I thought I was going to fall into a million pieces. I asked why can’t I live in hypomania? He chuckled and said everyone asks that, but hypomania is a staircase… going up or going down; it isn’t a landing. I said that sucked. He nodded and said he agreed, but it is what it is.
There are no med changes and I see him in 2 weeks if I need to, a month if I am okay in 2 weeks.
I go to therapy for the first time in several weeks this afternoon. I have barely missed it for being so bizarre in the head. I look forward to seeing her again today, though.
Hallucinations have shifted. The tactile ones are all but gone, the olfactory ones haven’t returned since starting the Risperdal and the visuals are much less… smaller… less intense. The last nasty one was when a roach crawled out of my Diet Coke can onto my face (it was not real) and I threw the can across the room. That was… 2 nights ago? 3 now? Otherwise, the shadows are pretty small… more translucent. I haven’t had an auditory hallucination in over a week.
Even though all those horrible hallucinations have all but abated, I am sad I am not filled with energy like I have been. I feel like a sloth now… it taking inordinate amounts of energy to do anything. Still not sure if I am dipping down into depression or not. I see the Psych in the morning and will run it by him.
Medications At the Moment
Risperdal 2 mg at bedtime
Meds from ER Visit & GI Doc
Bentyl – finished (not sure it did anything)
Cipro – finished in the morning; feel MUCH better in my abdomen, diarrhea gone, suspected UTI gone
Lomotil – haven’t picked it up from the Pharmacy yet, but didn’t need it after the Cipro
Probiotics bid – helps keep the yeasties at bay with the Cipro
Work & Sleep
I’ve been back to work 2 days in a row now. Luckily, we can log in and log out whenever we want/need to, so when I get tired, I just log out and take a nap. I spent 3 days barely able to function as things slowed down. I felt like my brain was stuttering and I never knew, from one minute to another, whether I would be able complete a call or need to crash asleep, so I pretty much listened to music, did some work writing and watched Netflix or Amazon.
My hair-trigger anger seems to have settled some as well, but when I get upset, it is over-the-top, but simmers down quicker than it would have a week ago.
I’ll write more after seeing the Psych and my therapist tomorrow.
I joined MoodTracker this morning and have been inputting my meds and moods (thank goodness for writing things in the blog!). I had no idea I was struggling for so long. I’d been “productive” for probably 6 weeks before I started writing the distress on these pages, but had no idea, until writing it down just how long I have been trying to find balance.
Now I feel useless. I cannot concentrate… or stay awake… long enough to work. I am irritable as shit. Hair-trigger anger. I need to work so bad… the pay period ends tomorrow… but I cannot keep 2 thoughts together long enough to take even a 15-minute call.
And as if the mental crap wasn’t enough, the pain in my upper right abdomen. Fuck. I am tired of hurting.
What to Do Instead of Work…
… or read or watch tv or watch a movie or clean anything or focus for more than 2 minutes at a time?
The only thing I have found is listening to Disney music.
Disney is as much in my blood as my Dad’s Cuban heritage is.