Category Archives: Suicide

Bipolar – I Think You Should Take Fewer Pills

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I’m going to notify my counselor that I must be rid of my med provider as soon as it can be arranged. I’ve told Arthur, my counselor, that I don’t feel that Jamie (med provider) is working in my best interest. My next appointment with her she started right off by confronting me about what I’d told Arthur. I confessed thit it was true.

It got me no where.

She says that I’m on too many pills and she doesn’t want to add anymore. Apparently, this is her rational for not giving me medication that might actually have helped me.

I’ve been practically begging for something for my anxiety that only get’ s increasingly more consuming with each passing day

This whole school year has been like a nightmare.

She doesn’t want to give me more pills? Bull!! It is not her choice to decide whether what other doctors prescribe me for illnesses she knows even less about than I do.

She has repeatedly used this as an excuse not to give me something that could prevented me from my brake down. I have high cholesterol, my thyroid is out of whack, I have chronic horrible lower back pain, I have FM, RA, OA, a facial tick (probably stress related), PTSD, and have recently been diagnosed with IBS-d. It’s a crap load of stuff, but they have all been dealt with by someone more intelligent than she is.

I’ve asked each and every visit for something to help with the burning anxiety. She refuses. She gives me fewer chill pills.

Does she think I like taking a handful of pills twice a day? Moron.

I’ve finally had a breakdown. I blame her. In December I confessed I’d been having thoughts of harming myself. I’d hidden that for years, but at that point it was too much, and I confessed it.

She did nothing.

If I can’t trust my med provider to guard my mental wellbeing, than who will? There aren’t many options here.

I’ve started to shake, Twitter, and twitch again. I’m graduating today. My anxiety that mixes like a charm with my mania and depression making my constant mixed state even more confusing and painful. It’s too much to handle anymore.

I’m firing her. She truly doesn’t have my best interests in mind. I don’t need one of my medical professionals contributing to my madness. That’s just sick.

Angry, Raging, Bipolar

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I scared the ever living poo out of my fancy beta fish a minute ago. I don’t think I’ve ever seen Victor move so fast! He hid on the bottom and refused to take his dinner from me. All I did was walk up to his tank when he didn’t see me coming.

Fish. I feel rather like a fish.

You’d think we’re fish as much as we’re listened to when time after time we beg for different medication. Something has been going on with me mentally for around 3 or 4 months. I just thought it was growing anxiety because I have one more quarter to go and then I’m finished with school. I’ll need a job. I’ve never been able to hold a job for over a year. Even my own brother had to fire me because of my behavior, and my anger.

I take that back, I have worked for longer. When I worked for myself, I was able to manage to work with the management.

This feeling that’s been growing… I told my family in December that I’d had thoughts of hurting myself, and I honestly was. I’d had those feelings on and off for most of my life. Telling them seemed to help. Maybe it did. I felt that way tonight for about 10 minutes.

Then despair, anxiety, rage. Do these feelings take your face and squeeze it till it aches with the pressure?

Anxiety. It has been growing in my mind like a pustule about to burst black tar all over my mind.

I came to understand yesterday, through thinking over the end of the quarter problems and verbally fighting very loudly with another student – repeatedly, a colonoscopy I had to have two days in a row, a painfully torn fascia in my driving foot in December that is still painful (I’m so sick of this boot thing. It causes a painful lump on my shin bone.), intestinal troubles since Christmas, and runaway away anxiety I continuously tell my med provider about (I even take my counselor with me to make sure she’s listening. Oh yeah, that’s working great.)… I get it. I’m in a rage.

I used to live every day, every moment consumed with rage. I wasn’t a good kid. I wasn’t fun for my family to be around. My mother has finally agreed with me that I was, a terrible child. I was full of hateful and blinding – rage.

I have those feelings again. The ones I fought so ineffectively to be rid of. That consuming anger. I feel like I’m about to blow up on someone who probably did nothing to me. It’s just this thing my brain does sometimes day after day, month after month til years are wasted in fury and hate or like now when I’ve been crying out in fear and pain only to be ignored by those I dutifully trust my life to.

I’m so angry. My mind burns and I want to break things and hit stupid people. But I don’t.

I am often moments from saying things that could get me kicked out of school or arrested. But I don’t.

I’m so tired of fighting all the time. I just want to have a life free of pain. No more arthritis or Fibromyalgia. No more being too big to be healthy. No more chronic back pain. This is no life for me. This isn’t what I signed up for. I’m SO ANGRY! It’s like emotional cancer that manifests in feelings that most people can say they understand, but they don’t. Not really. If you have Bipolar Disorder Type 1 and you have had violent, angry, manic episodes you probably understand.  If not, please don’t give up on me.

Question is: what’s gonna give?

Addendum: Read on, please. This changed everything.

This morning I was listening to a TED Talk called, “the role of human emotions in science and research. Great title, right? Sounds like just what I need. At the end of her story, Ilona Stengel said this: I do not suggest that we should use feelings instead of facts. But I say we should not be afraid of using our feelings to implement and catalyze fact-based science and innovation. Emotions and logic do not oppose each other. They compliment each other. And they reinforce each other. The feeling of being dedicated to something meaningful, of belonging to something bigger, and of being empowered is crucial for creativity and innovation. Whatever you’re working on, make sure that it matters, and take it to your heart as much as you like.” [I’m pretty sure this isn’t a word for exact word match.]

Suddenly I understood. All my life I’ve believed I’ve had a purpose. I thought it was within the church, but I was always told, “No, it’s not time now Robin.” And my heart would be broken and my life stripped of meaning.

I believe without meaning, we relinquish our lives to the feelings I have been feeling. For this moment, I remember the meaning of my life. It will not be easy to follow. It incurs great emotional risk (something people with Bipolar Disorder should try to avoid). But if I can remember it. If I can remember it every moment of every day, I won’t have to rely as much upon others for the stability of my mind. My mind will be fighting my emotions with logic. I’ve done it before and I’ve succeeded. I must try again. My children have left my home. They’re all grown up. That role of the parent is gone. I feel like I have no purpose.

But I do. I do. I’d just been swallowed alive by the vomit of extreme emotions that allowed rage to consume me. For this moment. For this morning. I say no.

She said: “Whatever you’re working on, make sure that it matters, and take it to your heart as much as you like.” I am taking up my mission again. I must. If I don’t, then what’s the point? 

Do you understand?

What’s your mission? Tell me.

Robin

 

 

 

Insidious Black Box

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I apologize for the length of this post. Please consider reading the entire post. It’s very important. Your life could depend upon it. (Robin)

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I take two medications that I considered to have a Black Box warning. They both depress breathing. Together they can stop my breathing altogether… There are other dangers.

I have chronic pain with Bipolar Disorder and Generalized Anxiety. I am prescribed both Oxycodone and Clonazepam by two different providers. They both know that I take both medications.

I see a pain management specialist for my pain. I have for some time now. To be treated there, I have had to sign a contract that governs my behavior with regards to taking pain medications, I have to take a pee test every time I go in and they count my pills every time as well.

My med provider handles my Clonazepam prescription for anxiety. I suffer from extreme anxiety. Sometimes I feel like my brain is going to explode. Recently, this woman, who is the 4th or 5th provider I’ve had since I started going to this clinic, told me that I’m more likely to kill myself because of anxiety rather than depression. I was always told that a depressed person was more likely to commit suicide when they started to feel better. When they started feeling better, they finally would have the energy to follow through with their suicidal inclinations. Apparently, there is more to it than that.

My counselor and every med provider I’ve had is intimately aware of my massive anxiety and my inability to get it under control. We’ve tried all the counseling type of solutions including Cognitive Behavioral Therapy (talk therapy), mindfulness and other techniques. I’ve not had success with any of them.

My med provider is content for me to only take Lamotrigine, which is primarily to treat my Bipolar Disorder depression symptoms, and not to take anything other than Clonazepam for anxiety. From talking to her, it appears that this is primarily to treat the depressive symptoms that I experience. I have not been able to get any of the med providers who have treated me to give me anything for anxiety other than Clonazepam.

She, my med provider, told me at our second meeting, that people with anxiety are more likely to commit suicide than people with depression. Since I suffer primarily from anxiety, you would think someone would have warned me of this. I understand now why I feel so self-destructive while I’m exploding with anxiety.

She has told me that her goal is to get me off the Clonazepam completely. Now that I’m taking my runaway anxiety and the real chance I will kill myself because of it more seriously, I’m also taking the mix of these two medications seriously. I always have, but my frantic response to my anxiety has created a situation where I’m so afraid of what might happen if I stop taking the drug for anxiety.

I’ve always felt like I’m most insane when my anxiety is at its peak.

I understand that long-term opioid use for chronic pain is not the most effective way to treat it. I’ve wanted to find a different solution for a long time. My pain management provider doesn’t offer other alternatives than pain medications.

I normally don’t want to die. I’ve always had urges that are normally short in duration towards it, but I haven’t had times when I sit there with my bottle of Oxycodone ready to take it all. But, I could.

I’ve never told any of my mental health caregivers that I have suicidal thoughts. I know that my community does not have good facilities to treat acute mental health emergencies. I don’t want to become one of those people who is shuffled into a hospital emergency room with a guard sitting outside my little room. That’s what they do. I have first-hand knowledge of this.

So what’s the answer? Do I chance dying in my sleep? Or do I chance ending my life while I’m awake? Both are real dangers.

I’ve decided to deal with my feelings of self-destruction now. With the danger of the two medications and my new understanding the relationship between anxiety and suicide, I have promised my family that I will talk to my counselor on Wednesday when I see him. I will admit that I think about suicide. That’s a huge step for me.

I’m afraid. Admitting how I’ve been feeling for years is like admitting that I can’t control the one area of dealing with my mental health that I always felt I could say I didn’t have a problem with. I’ll finally be admitting I have no control over my depression or my anxiety in relationship to staying alive.

As I say, I don’t want to die. When my anxiety runs away I cannot always control myself. I can become violent and destructive. I break down and cannot function. I become paralyzed yet also hysterical.

Yesterday I talked to my mother and all three of my kids and admitted the truth to them. My youngest who is a psych major at the same university that I attend (so is her partner) said she had been wondering if that was a problem for me. They all agree that they would rather I call them than I call a suicide line. I’ll talk to my therapist about that.

I have tried to learn to practice mindfulness several times in the past. I never fully committed to it. Mindfulness was just part of the learning experience in one of my classes I just finished. It’s time for me to review the materials I have about it, I have lots. I need to try to learn how to harness it’s potential in earnest this time. My life depends upon it.

I have a particular fear: I’m terrified of my anxiety. I know what it does to me. I sometimes feel the insidious devil of insanity creeping through my mind trying to take over, and it literally shreds my mind.

If you have any Black Box warnings for medication yourself, please take it seriously. Now that I am self-aware of my true situation I’m ready to find a way to deal with my symptoms.

 

My main medications:

Chronic Pain – Oxycodone / Nucynta

Anxiety / PTSD – Clonazepam / Benzodiazepines

Bipolar Disorder / Depression – Lamotrigine

 

Oxycodone – Warnings

“To make sure this medicine is safe for you, tell your doctor if you have:

  • a history of drug abuse, alcohol addiction, or mental illness
  • if you use a sedative like Valium (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others)”

https://www.drugs.com/oxycodone.html

Clonazepam – Warnings

Risks from Concomitant Use with Opioids
Use of benzodiazepines, including Clonazepam, and opioids may result in profound sedation, respiratory depression, coma, and death. Because of these risks, reserve concomitant prescribing of benzodiazepines and opioids for use in patients for whom alternative treatment options are inadequate.

Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to use of opioids alone. If a decision is made to prescribe Clonazepam concomitantly with opioids, prescribe the lowest effective dosages and minimum durations of concomitant use, and follow patients closely for signs and symptoms of respiratory depression and sedation.
(The above Warning is taken from: https://www.drugs.com/pro/clonazepam.html)
Concomitant: (synonyms: attendant, accompanying, associated, related, connected)

Lamotrigine – Warnings

To make sure lamotrigine is safe for you, tell your doctor if you have:

  • A history of depression or suicidal thoughts or actions
  • Some people have thoughts about suicide while taking this medicine. Your doctor will need to check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

https://www.drugs.com/mtm/lamotrigine.html

Nucynta – Side Effects for Health Care Professionals

Psychiatric – Common (1% to 10%): Insomnia, confusion, abnormal dreams, anxiety, depression, irritability, nervousness, drug withdrawal syndrome, restlessness, sleep disorder, hallucination, depressed mood.
https://www.drugs.com/sfx/nucynta-side-effects.html

 

Benzodiazepines

Benzodiazepines may be used in the treatment of anxiety, panic disorder, seizures, or sleep disorders.
https://www.drugs.com/drug-class/benzodiazepines.html

 

Anxiety Storm

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They always ask me if I’m depressed.

I’ve got Bipolar Type 1 and I cycle super rapidly, what do you think?

No, really, are you depressed?

Let me tell you the truth, I hope you hear me say it this one time because I’ve had enough.

Go ahead.

My anxiety, my stress – if that’s what you need to call it – is at 7 of 10. 10 is call the morgue. My adrenaline has been full on since I can first remember. Fight or flight…. or both.

Yes, that fight or flight reflex can be triggered.

Listen to me. All the time. It’s all the time. Stop asking me if I’m depressed because the answer will always be yes. What you should be concerned about is my anxiety. I’m more likely to have the top of my head exploded from that than I am from depression.

You know, you’d be surprised at how often that’s the case.

Shit.

The Aftermath of Latuda & Despair

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solar flareThe Latuda that was destroying me is gone now, though it has left a lasting mark that lives on within me. It no longer provides mood stabilization for my overloaded brain. The good that it may have done is far outweighed by the damage that it has left behind. Often, I cannot speak for long before I lose the ability to be understood. My speech becomes silenced and my face jerks and spasms as though in pain. Large muscle groups jerk and move without my involvement. It all devastates me. I feel locked inside my body, my brain unable to freely communicate even with those who are closest to me.

I’ve recently come out of a period of not feeling anything but anxiety. My actions indicated that I was depressed, but I didn’t exactly feel depressed. Recently, that has changed.

Last week I crashed. I felt the old familiar feelings and thought things that hadn’t consumed me for some time. I looked at all my pills (I have many) and considered how easy it would be to stop. Just to stop.

But, I didn’t touch them. I called my children and I reached out for help. My girls both came to me and loved me… they helped put away those feelings of purposelessness and thoughts that I have no reason to live.

Why have I not taken all my pills? I have no purpose, no reason to burden those around me. You see, I want to have a purpose. I want my life to matter. While I currently feel I have nothing to offer the world… I think, if I don’t give in to the depression that loves me without reservation, that it might be possible to find that singular purpose that is meant for me.

I suffer from Bipolar Disorder Type 1 with rapid cycling and mixed states. Perhaps I am able to find this ever so small spark of desire to find my purpose because in my manic delusional state sometimes I have delusions of grandeur. Who knows, maybe my periodic delusions will give me my missing purpose. I hope so.

I need a reason to carry on. For now, the love of those who care for me is what I am holding on to. I have to wonder… how long it will be before even that is not enough.

At this moment, I don’t want to die, but I am encompassed by a cloak of useless despair.

I desire purpose. I want inspiration. I resisted the urge to give in and bring this fight to an end. Intellectually, I want my end to be celebrated with the acknowledgment of a fulfillment of purpose and leave an honorable legacy that says my life meant something, that I lived with purpose and left a remarkable mark on my world.

I don’t want to be an unnumbered footmark in the annals of the world, but I can’t seem to master what my brain chemistry is doing to me.

Now, it’s time to start my two-hour ritual of preparing to sleep. Maybe I’ll get lucky and I’ll have a temporary respite and I’ll sleep an emotion free night.

Preparation for Depression

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Let me be blunt. When you are depressed you will have a negative attitude. Hopefully, by this time, you’ve prepared for what to do when you crash. I thought up a plan that has helped me on more than one occasion. Maybe you’ll find it helpful too.

I’d suggest you think about this carefully and write your own plan out and put it someplace you’ll see it if you start crashing. Write it down and post it someplace you’re likely to see it when you want to go head first into one of those safer barriers on the freeway. You know what I mean, the things we’ve fantasized about driving into, but that we’re never going to. Right?

Or when you realize you’re in bed feeling like doo-doo not because you’re sick, but because you’re sliding into the deep well of depression.

This is the emergency list I use myself. So far it has helped me in the confusion that I feel when I swing up or down. When my thinking is clouded I need a guide rope I can reach out and hold on to and I use this. (I have used these in various orders. Do what works for you.)

Emergency List
Go see counselor immediately – If they can’t see you right away maybe they’ll talk to you on the phone. Ask. You won’t know unless you ask.
Make sure meds are being taken as prescribed – don’t wimp out and stop taking them. Do it.
Take care of yourself physically – force yourself to get up, you have to try!
Call your emergency person – perhaps this is the same person you’ve shared your goals with
– If you are suicidal and have the means to do it and are really thinking about doing it don’t hesitate, call 911. Have someone take you to the hospital. Call the suicide prevention hotline in your area. Reach out to someone safe. You’ll need to choose this person ahead of time and talk to them about what you need if you call them and tell them you need help. You can’t call a random friend up and start explaining about your illness when you’re in crisis. Prepare ahead of time.
Add anything to this list that you have found helps you

Emergency List (Just the essentials)
Go see counselor immediately
Make sure meds are being taken as prescribed
Take care of yourself physically
Call your emergency person
– If you are suicidal – call 911

Sharing
Share your list with us or email it to me. I’m very interested to see what you do. What do you do to put the brakes on? We’ve all found ways to deal with it differently. Maybe some of you don’t have any idea of how to deal with it. You’re swallowed whole and cannot breathe. . If that’s the case read this list again and think about doing what it says.

I’m not a medical professional. These are only my opinions, but I have found that they work for me. They don’t prevent me from crashing, but they help direct my fall to a safer place.

Reasons 100 Reasons to Live (from a random website)
http://www.1000reasonstolive.org/list.php