Bipolar medications

Bipolar – Hidden Emotions

/ Robin

After months of not really feeling anything accept sever anxiety, my emotions are waking up again. I’m hoping that all the months of counseling have prepared me for my feelings, my moods.

I took a poetry class this last quarter. I had a difficult time writing the poetry because my emotions were packed away in a closet inside my brain. I wrote very clinically, very much cerebral and didn’t feel inspired or moved at all.

I’m enrolled in the disability program at the college and one of the things I get is time and a half for exams. Of course there aren’t exams in poetry, but the first quarter that I had this professor with I’d gone in and went over my disability papers with her and explained about how this was my first year back to college and I that was having a hard time. I took a chance and told her about my having Bipolar. I haven’t really thought it was necessary to tell my other professors what my disability is, but I felt like I was connecting with this professor and I also felt like I would be able to come and her and talk if I needed to.

I talked to her about how my BP was affecting my writing and she suggested I read “Touched with Fire” by Kay Redfield Jamison to see how many artistic people have mental illness (especially Bipolar Disorder). Funny thing was, I have read it. I’ve spent so much time in it that the pages have come off the spine of the book and nearly every page has notes and things underlined in it. It is in such bad shape that I purchased another copy so I could read it again. This is one of those books I bought in paper back and not as an eBook. If I have a book I want to markup I always get it in print. It’s just easier for me to make notes and find things in.

The first thing I encountered in Jamison’s book was a through recounting of all the symptoms having to do with Bipolar Disorder. Having been only anxious and not having mood swings for a few months per se, I was shocked as I remembered all the emotions that are currently hiding behind my medications.

I’m glad that I read what the symptoms are again because of the fact that we’ve lowered my Latuda and I need to be on the watch for symptoms to return. I have to admit, I’m worried now. I forgot how bad it has been for me. I rate on the top of the Bipolar Disorder Type 1, but I’m also high functioning so I’ve been able to hide it from most people. At least I think I have. Who really knows what others think of us when we’re in the midst of an active outburst of violent emotions.

So here I go, with an intentionally lowered mood stabilizer, and me waiting to see if any of my old enemies come sauntering out of the closet. I must remember not to hold my breath.

Bipolar – Learning to Live with Anxiety

/ Robin / 3 Comments

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Bipolar anxiety is no joke. I already live with a wicked mix of depression and mania and when you add to that general anxiety, well, I feel like I might just be out of luck. I was. For several months the pressure in my brain was so bad that I could hardly talk. I couldn’t get myself to go to the new grocery store near the house I’d just moved into by myself. Week after week I convinced my kids to go to the store with me even though we didn’t live together.

It couldn’t last forever. I knew I’d have to go to the store alone one day soon. None of the counseling was helping. I was walking and playing with my dog. That wasn’t helping. I was eating and cut caffeine out of my diet. Nothing. I took all my meds as prescribed every single day and I stopped taking my Ritalin—just in case it made some small difference. I started trying to meditate and practice mindfulness to no avail.

If you feel like you’re holding on for dear life… you are. Don’t let go. It can get better.

I was at the point where I felt like I couldn’t do it anymore. I was overcome with despair.

I started taking Gabapentin and my symptoms got worse. My face developed Turrets like symptoms. They were violent and I was biting my tongue and cheeks. I couldn’t talk normally. I was scared. I know that ticks caused by medications can quickly become permanent.

I couldn’t get into see my doctor or my med provider. I was starting a new term in college and I was freaking out. I’m still trying to relearn how to learn. I went to community college some 30 years ago. It’s difficult.

I talked with the triage nurse on the phone since I couldn’t get in to talk to anyone. She told me to stop taking the Gabapentin immediately.

Then the med provider told me to take my chill pill twice a day if I needed to and to go back on the Ritalin at least once a day. Slowly, day by day, and doing all the other things I was already doing to help myself, I started to calm down. The Gabapentin scare really freaked me out. I thought I was losing my last hold on reality. I felt like an alien, unable to breathe the air around me.

I suffer from chronic back pain and I’m see a new pain management doctor now. While all this was going on she was treating me like she was going to take away my pain meds because she thought I was abusing them… which I wasn’t. They just counted the pills wrong. Not my fault. That added a massive amount of stress to me too.

Today I go to the grocery store—when I’m totally out of everything, but at least I go. I’m not freaking out about school, not yet anyway. And I’m finally sleeping a little better.

Then I was in a car accident on my way to a school event. Side swiped. My car is totaled. I like my car. It’s a good car. I know I won’t get enough money from the insurance company to get one as good as this one. Stress. Anxiety. Take a pill. Remember what it feels like to calm down. Never abuse my meds. Especially not my chill pill or my pain pills.

It’s time for me to do homework now. I stress and have anxiety over homework. I’ll take a chill pill and wait for it to work before I sit down to do some serious writing.

Anxiety is like a beast that has already pounced and has its claws plunged clean through you. Believe me when I say that the claws can be removed. It is slow and painful, but it can be done. So don’t give up. There’s hope for you too.

Bipolar – Anxiety Rising

/ Robin

(Sept. 04) I’ve been sitting here trying to think of how to begin writing this and I’ve been getting nowhere. School is coming and I’m stressed out about that.

I have tremendous back pain and I go to a pain management doctor for my pain medication. The doctor that I’ve been seeing for like two years has stopped working in pain management and has opened a family practice. She was great. She really worked with me and worked to manage my pain knowing that I have Bipolar Disorder, PTSD, GAD, ADHD and so on. She was the one who prescribed my chill pill (medication anxiety) that I started taking during the school year last year when I had an anxiety meltdown.

The new pain management doctor started out by accusing me of selling my oxycodone and refused to refill my chill pill. I had a prescription of Oxycodone at the pharmacy to pick up which she didn’t take into account. I didn’t do anything wrong. I don’t like her. I don’t trust her with my health. My next visit to her she accused me of breaking my pain management contract by not bringing in the second pain medication I’m on. I was never told to bring the bottle in with me. Oxycodone yes, the other stuff, no.

My back has been bothering me.

My facial tick is back. It comes with anxiety like snow falls in the mountains… when the cold and precipitation is sufficient, the snow comes. Actually the vicious tick came with my beginning to take Gabapentin gain instead of Lyrica (Gabapentin can also be used for anxiety as well as for FM, which is why I tried taking it again).

FAST FORWARD TO TODAY Sept 28

I’ve been taking my chill pill daily. I survived my first day of classes because of the pill. I usually wake up in a cold sweat whenever anything remotely stressful is going to happen during the day. Like, for instance, going back to school.

Anxiety is such a huge part of my being right now that although I’ve lived in my new house for about two months I haven’t been to the grocery store by myself even once. I needed to buy some poetry books from the bookstore about 20 minutes from my house and instead of just going and getting them I called my eldest daughter and bribed her (I’d buy her a book if she’d come with me) to come with me. I just find it stressful to do things alone. I do not have a rational reason. I’ve done all the thinking and reasoning about my anxiety that my counselor and I have come up with and the anxiety does nothing but get worse.

I stopped taking the Gabapentin and the facial tick immediately started going away. When I’m stressed it comes back. I hope it isn’t permanent.

I see my med. Provider (the gal who manages my mental health medications) Sara in the morning. I’m asking her for something to treat the sever anxiety on a long term basis. The chill pill is great but it’s for a crisis and not meant for long-term consumption.

I get so wigged out about things that earlier tonight I already mapped out in my head the route that I would take to get to see Sara and then called my daughter to make sure that I could get to the grocery store from where I was coming from. I’m planning on going to get some milk on my way home in the morning. I need to do it on my own. I think if I have the chill pill I can.

It’s amazing. I wish I could take it all the time. I’ve been having to use it to go to sleep at night. When I don’t take it I’m awake until after 2 or 3 in the morning. Then I wake up sweating. I’ve even resorted to listening to relaxing meditative music/waves on YouTube all night. I found a channel on my TV provider to listen to that works as well called Soundscapes.

The struggle I’m having with anxiety is so severe that I’ve not been willing to blog and that makes me sad. My counselor has put forth the idea that perhaps my mania is manifesting as anxiety and that It’s really part of my Bipolar Disorder. I sort of hope that’s the case. If it is, I’m confident we can deal with it.

Why haven’t I been in to see my med. Provider sooner? She’s been booked. It’s been over a month since I last saw her. I’ve talked to her on the phone and my counselor talked to her on my behalf too.

Hopefully tomorrow I can communicate clearly how absolutely painful this anxiety is. My counselor is supposed to go to that meeting with me. I hope she can actually make it. It would give Sara a clearer picture of what’s going on with me.

Now, I’m going to listen to Rachel Platten’s “Fight Song” then I’m going to go to bed. I might read for a few minutes. Maybe one or two. Seriously, that’s as long as I’ll read.

I have high expectations for my visit with Sara and Rebecca (my counselor) in the morning. We got this. I have to believe, we got this.

Bipolar – Tried and Tested

/ Robin

A few weeks ago I flew from Seattle, WA to Tampa, FL to meet up with my daughter who just got out of the Air Force and needed someone to drive with her and her cats from Tampa to Seattle. It took us 11 days driving and 10 nights in hotels to get home. Considering my anxiety issues and susceptibility to fall victim to depression and mania of my bipolar condition, I expected to have problems. I expected to have anxiety driving and staying overnight in strange places. I expected to react to my daughter’s anxieties regarding leaving the military and changing her whole life around impacting me.

I took my meds. I got enough sleep at night. I ate and drank enough to keep my body functioning at a healthy level. I didn’t get a lot of exercise unless you count the times we stopped to sightsee at places like Mount Rushmore, the Badlands and Yellowstone.

It was somewhat stressful having to do everything around the cats. We couldn’t just leave them in the car and go sightseeing. They’d die. To see Yellowstone, we stayed in a hotel for two nights so we could leave the cats in the air conditioned room for the day.  Unfortunately, the closest Best Western (where we stayed so we could get points and rewards) was in Idaho Falls over an hour and a half away. My daughter is a lightweight and could only drive about two hours before she was too tired to drive so I did almost all the driving. I expected that to stress me out.

Being hypomanic has some advantages, like being able to drive for hours and hours and staying alert.

My daughter is staying with me for a few days while her apartment gets prepared. Her cats are staying there. Her stuff should be here Friday. The military shipped all her stuff up here for her. It’s nice to have her here. I wasn’t looking forward to being with her 24/7 and then suddenly not being with her. She’s a comfort to me and she’s also my best friend. I think the trip drew us closer together. That’s cool.

I’m trying to get back into unpacking my things from my move and I’m finding it hard. I don’t know where to put things. I’m trying for at least a box a day which seems like it’s not enough.

Now that I’m home my back has started hurting again. I wake up stiff and in pain, and after sitting on the sofa for a while the same thing happens. I’m finding that stressful. I have a brand new mattress.

I see my counselor tomorrow. She’s new to me. I’ve seen her twice I think. I don’t like the whole process of being evaluated and the counselor making a plan to make me better. I don’t want to go at all, but I have to, to be able to get my meds. Maybe she can help me with my anxiety problems. They seem to be the biggest issues I have right now.

Life is returning to its new normal which is strange and different and I’m trying not to be depressed.

Bipolar – Learning How to Behave

/ Robin

Learning how to behave… I know that title might seem a bit odd or offensive, but hear me out. I grew up manifesting symptoms of Bipolar Disorder. My father may have been an undiagnosed bipolar person. Whatever he was he had the temper and anger of a demon. Between myself and with my father as an example I learned how to behave very badly. Somehow my Mom managed to teach me some good manners and I could put my polite hat on when I needed to, but much of the time I was just angry and depressed and it came out in my behavior and my attitude.

I behaved badly especially at home. In high school I wanted to be included in things but was too scared to. In college I got involved an everything I could. I’m not sure where that came from. I went to a Bible College and I behaved like I belonged there. When I graduated and left, the façade faded away and again I was that violently angry person inside. Unfortunately, I wasn’t polite or respectful especially to my family.

Now that I’m well medicated, am pretty healthy and have been in therapy for years I can look at myself and my current behavior and be more or less objective and honest with myself about my behavior. I’ve learned that I sometimes still struggle with in being courteous, being tactful, using the correct tone of voice, smiling, and having the appropriate facial expressions. Strange list, don’t you think? When I thought about what to write today I realized that these are things that directly impact how my Mom and I get along. She’s coming over today to help me pack my things for my move. I always try to prepare myself and think about how I’m going to act when I’m spending time with family because they are the ones I tend to act the most inappropriately with.

Courtesy – Dictionary.com begins its definitions of courtesy with the following two entries:

  1. excellence of manners or social conduct; polite behavior
  2. a courteous, respectful, or considerate act or expression.

Courtesy is nothing more than controlling my selfishness in all situations. It is respecting other people’s feelings. It is not, as I was prone to do, blurting out what I feel in my bipolar moments. It requires self-control. It is not always easy, especially when I am angry. Courtesy also requires self-awareness. It becomes more possible the more I have a positive attitude and it reflects quality of my goals and passions. The more I devote myself to those the more my behavior moves in line with their essential quality.

Tact – There is a right time for everything and a wrong time for everything. In this case I’m talking about my historical behavior of saying the wrong thing at the wrong time. Today I will be testing myself on whether or not I’m able to be courteous and speak with tact while spending time with my long-suffering Mom. I have been known to speak out of turn, speak in antagonistic tones, and interrupt her when she is speaking. I have been known to regularly question the soundness of her opinions and comment on any mistake she might make in texting or speaking.

While I am doing well I have no excuse to continue to behave in this manner. I’ve put in a lot of work on myself and this is a simple test for how good I’m doing. Can I keep my mouth shut unless I’m going to say something nice to her today?

Tone of Voice – There is something that we use to express our personality every time we speak and that is our tone of voice. If we say one thing, but our tone of voice says something different, we will be conveying something other than what we might intend to say. When I speak with my mother and I’m behaving badly my tone of voice is the first place it is evident. If I say something to her in a disrespectful tone of voice, but say something I think is respectful you can bet she won’t think I’m being respectful. She’ll probably be hurt that her daughter is speaking to her in such an unloving manner. Bipolar Disorder is not naturally conducive to good behavior.

Smiling – Smiling is much the same as tone of voice. In fact, if you are smiling when you say something it will be heard in what you say. When I’m feeling stressed out and angry it is very difficult to smile. But smiling is something I can control and I can do even when I don’t feel like I can say anything polite. My objective with my Mom today is to smile and be respectful and thankful that she’s taking time to help me. I don’t deserve the help. She’s doing it because she loves me. She still loves me after all the long years of bad behavior on my part.

Facial Expressions – Smiling is obviously one of the facial expressions I’ll want to use if I want to improve my relations with my Mom and other people. I can’t count how many times I’ve gotten into fights because of someone’s facial expression and what I perceive as their tone of voice. I react to facial expressions even if words are absent. Worse, I don’t control my own facial expressions.

If I really appreciate my Mom’s help today, my smile should reach to my eyes and be evident in my tone of voice. I should be tactful and not insult her if we don’t understand what the other is saying. I should be polite and respectful.

Sometimes I have to take a step back and examine my behavior to see if it lines up with who I’m trying to make myself to be or if it is more along the lines of the behavior I’ve tried so hard to leave behind.

I have no delusions that I will behave appropriately in all situations. I’m still human and I still have a mood disorder. It can be hard or impossible to smile when you are really on the down side of darkness. It’s okay.

Do the things you need to do to be healthly and stable again. When you cycle back up you will still have this knowledge you have gained about yourself and how to interact with your world. Take your meds as prescribed, go see your counselor when you’re supposed to, see your doctor if you need to, reach out to others who know who you are and you can trust to support you, exercise and eat healthy meals. If it seems like you’re just going through the motions that’s okay. Those motions may just bring you back to a happier place sooner and bring joy to your life.

Today, I will behave.

{Later} It was a good day. I only snarled once.