Depression

Alcohol and Bipolar Meds

/ Robin

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One of my biggest temptations that can trigger an episode or interfere with the way my medications work is alcohol. Having a drink. It just seems like a nice way to relax at the end of a long day or when I just want to mellow out a little bit more.

While I’m not in the mood for a drink I’m going to think about it. Most if not all of my psychiatric medications warn me not to drink alcohol or use other drugs while taking my prescribed medication. Okay. I’ve been warned. I ignore warnings sometimes. Should I ignore this particular warning?

We desire to have a drink at the end of a stressful day because alcohol is a depressant and we want to chill out.

Fun Fact: People with bipolar disorder are five times more likely to develop alcohol misuse and dependence than the rest of the people around us (the National Institute of Mental Health).

What does that mean, really? It means that alcohol is a leading TRIGGER of depressive episodes if you have bipolar disorder. According to WebMD “The link between bipolar disorder and substance abuse is explosive.”

In my mind, if I’m drinking alcohol and am taking medications that indicate I am NOT to take alcohol while I’m taking them, I’m engaging in substance abuse. Can you see why I look at it that way? Drinking can endanger my life while I’m taking these other medications and disrupt all my efforts to treat my disorder. I’ve worked too hard to reach a place where I mostly feel stable to jeopardize it by drinking a 4-pack of coolers that might easily become another 4-pack.

I realize a 4-pack of coolers isn’t likely to kill me but consider that if I’m depressed and drinking a depressant am I helping myself relax, in my depressed state, or making myself more likely to abuse alcohol while I feel like it’s deadening the stress of my day? When I’m depressed I don’t tend to make good choices. My inhibitions are lowered. I might do things I would otherwise not do. It’s the same for a non-bipolar person, but I’m special. I have all this other stuff going on too. While a person without bipolar disorder may return to normal the day after drinking we have to figure out how to slow down the wheels of our possibly artificially elevated mood phase we’re in and slow back down to a healthy place.

Is it okay to stop taking my meds for a few days and then go drinking and start back on my meds after that? Um, no. Many of the drugs used for bipolar disorder must be ramped up slowly to get to the dosage that is effective for us. It can be dangerous to just stop taking a drug cold turkey and then start back at the high level again. I’m currently taking a medication that I need to be careful not to miss a single dosage.

When I’m struggling with mood instability (which is what it’s all about after all) I’ve found that it’s a pretty simple thing… bipolar disorder and alcohol don’t belong in the same body.

Bipolar – Mom of Almost All Post-Teens

/ Robin

I’ve been, acted, had Bipolar Disorder as long as I can remember. I always knew something terrible was just… off with myself. You remember the classic symptoms everyone takes on the on-line tests to see if they’re bipolar? Let me share a few:
http://psychcentral.com/quizzes/bipolarquiz.htm

http://www2.organizedwisdom.com/quiz/take/3/Am_I_Bipolar

There are dozens and dozens more but I’d rather share this with you…(I’ll get back to the kids in a minute)

What does a doctor need to know to diagnose bipolar disorder?

A bipolar disorder diagnosis is made only by taking careful note of symptoms, including their severity, length, and frequency. “Mood swings” from day to day or moment to moment do not necessarily indicate a diagnosis of bipolar disorder.  Rather, the diagnosis hinges on having periods of unusual elevation or irritability in mood that are coupled with increases in energy, sleeplessness, and fast thinking or speech. The patient’s symptoms are fully assessed using specific criteria from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders or DSM-IV.

In making the diagnosis of bipolar disorder, the psychiatrist or other mental health expert will ask you questions about your personal and family history of mental illness and bipolar disorder. Because bipolar disorder sometimes has a genetic component, family history can be helpful in making a diagnosis. Most people with bipolar disorder, though, do not have a family history of bipolar disorder.

Also, the doctor will ask detailed questions about your bipolar symptoms. Other questions may focus on reasoning, memory, ability to express yourself, and ability to maintain relationships.
(http://www.webmd.com/bipolar-disorder/guide/bipolar-disorder-diagnosis)
 
Jessica, who is 22 and is in the Air Force, Kyle who is 19 and attends UW at T (or UWT), and Sydney who is 17 and is a senior in an advanced high school, runs much of the internship program for the high schools in her district and works part-time all grew up with me. All of me.
 
All of me GREW to be very over weight for my height, very lonely and very much in the grip of my disorder. Even so I chose the email address “supermomforever….” That’s what I think, what I thought when they were young, about myself. I would protect and grow up my babies the best that I could and they would grow up to be amazing and individual people regardless of what happened to me. I knew If I was hospitalized once my chances for going back increased and it didn’t seem to me that people really got better after hospital stays, they stabilized. Our disorder is a disorder. It doesn’t ever “go away”. 
 
In my “semi-controlled full on manic” state that lasted for what seemed like years (I think it was) I founded a company, learned from the ground up how to run all the complicated software that was necessary, blah, blah…. I was an ultra over achiever. Let’s leave it at that okay? Then I blew the whole thing up and had my Explorer repossessed. Then we were evicted. (This is where I’m supposed to say “things couldn’t get worse” right? Forget about it.)
 
The last 7 years or so have been very depressing. I’ve had my right knee replaced twice… yes the same knee… because the first one didn’t work. Figure that out. Now that will help you lose weight. I have chronic pain to the extent that I now go to a pain management clinic. 
 
Yesterday I submitted an application to UWT. I’m very excited to go back to school. I hope I’m accepted. It will be good for my brain and get me out of this bloody house. I’ll meet real people! 
 
Today I took major steps to reinvent parts of my old company (the one I imploded) with the help of my son’s desk top computer (from a school grant), some art work I was missing (a lot) and tonight – the software I needed!!!! 
 
Not to put a damper on things, but I haven’t eaten all week accept for today. I’m depressed. My father is dying and that could happen soon. And yet…
 
…. I’m still being that supermomforever…. I’m making sure the kids spend time with him as we can and that Jessica stays in the loop so she can fly home when the time comes. We’re a pretty tight-nit family. We stay in contact throughout each of our own days and the hours we keep are definitely not the same. 
 
I talked about the bipolar tests. I just wanted to remind you of some of our symptoms and introduce you to WebMD. They’ve gotten it righter recently than wrong. 
 
Supermomforever…. my kids will always remember losing the truck and being evicted. It changed us all. They will always remember my physical difficulties and my disorders many that they may be. 
 
The one single thing I want them to remember is this: family will always be there for you. At the end of the day when the dust settles you call home and talk. When I have a bad few hours I call a kid or text one of them. We are family. 
 
My ex-mother-in-law always said I’m good at creating and making good memories. We couldn’t afford to go places or buy things so instead I got creative and made memories and I hope drew us together for all of our lives. 
 
This was way longer than I intended. “Shh…” I tell myself, “It’s ok”. 
 
My kids are all nearly post-teens. Somedays I worry I’ve wrecked them for life. Left marks on their souls that will never fade. But no, they have grown to be this age and do these things because I somehow did it right. Through all my pain and insanity I got enough of parenting right to have great adult children. 
 
Now, I’m afraid to be alone. But that’s for another day. 
 
Good night friends.

Bipolar Parent – Are they what they seem?

/ Robin / 1 Comment

Now bare with me I’m going to talk about two sets of parents and kids. Let’s begin briefly with my parents and then dive on into what’s happening with my Bipolar family as a direct result.

I was at my parent’s house waiting for my father to re-emerge from the bathroom. There was some discussion of sitting or standing but that’s neither here nor there. See, he falls asleep on the pot. . . .

Later we’re discussing who the woman in the pink coat is in the kitchen. “It’s mom, dad.” “Oh, okay,” he says, “it must be that pink hat.”

Sometimes so lucid. Sometimes not so much so.

I’m ok. I’m as confused by his confusion as I am by my own confusion.

I’m exhausted. I’m starting to sound stupid and I’m repeating myself all the time to my kids. It’s getting mentally and emotionally painful for me to be me because of the stress. I mean, the feeling stupid, the missing my counseling appt. because I overslept (I really need her now), the not knowing what I’ve said to which kid… I’m the Bipolar parent. And I’m so tired. I can sense that the next thing could be to make bad decisions… like when talking with my dad or other family things get confusing and I don’t remember important things. Simple and complex things.

In the past I’ve been on Ritalin when I can’t hold my attention like this. When I’m off trying to do something different in my head than catch my father from sneaking down the hallway without his walker. My brain is trying to process too much. Focus on dad or whatever it is I’m trying to do… stop trying to do both. Woe that I could.

I could pay for the Ritalin myself. I may. I’ll give it one more day and I’ll go get it. I need to be focused for my kid’s sake. I have to help them through this terrible and difficult time. I need to be a strong Bipolar daughter because my brother and mother probably won’t be. I’ll cry. I’ll grieve. I’m not saying that I won’t. But hard things have to be discussed and decided among the adults. Then I come home and explain it to my kids at different times of the day (because of high school verses UWT) what’s going on.

I take it in and am still keeping my head mostly above water because I’m taking my meds. Let me say it again. I’m taking my meds. I think that’s the first thing to go. We forget or we choose to be “bad” just “one” time. Right. Don’t forget. Figure a way out. My way works for me for now. It’s kind of complicated, but it works and I’m in control. No one (especially my kids) ask me if I’ve had my meds today. Though, I may volunteer that I haven’t just for the sake of confession my indiscretion. And I only tell one of my kids.

If I’ve left you confused you know how I am right now. Know what? It’s alright. I’m heading to bed and this can just be confusing as hell and I’ll probably forget by tomorrow.

Good night my Friends

Bipolar – Ignorant Med Providers

/ Robin

I am a mixed state Bipolar 1 with ADHD.

Yesterday I saw my Med Provider. We’ve been working on adjusting my meds for some time now. A month or so ago I said something about how this one thing in my life was mentally and physically causing me pain and contributing to my depression. Okay. So far so good.

This time I referred to the same thing only I said it was going to be taken care of… but that it scared me (It will potentially cause a great deal of physical pain at the beginning).

She said, “You’re all over the map. First it was horrible and depressing. Now it’s getting taken care of and you’re still not happy.”

I wanted to say…. “First off, I’m here because I’m Bipolar 1…. and my statements support that I think. You’ve never gone through the procedure I’m going through. It’s not fun. It scares me because last time it failed. It’s can be very painful. And… it takes 2-3 hours round trip every Monday for 6 weeks to complete it. I’m at week 4 next Monday.”

Do you think what she said was appropriate? Or am I just a “normal” person who shouldn’t be all over the map?

Then… she increased almost all my meds.

Bipolar – Dealing with Insurance Co.

/ Robin

Greetings Friend!

I don’t really  like to complain or make this a place to vent, but I want to give you the basics… It isn’t always health care insurance that sucks.

Since my son’s car “wreck” over a week ago the tow truck company lost the car. Then we found the car. Then our insurance company (we have the same one as him) connected me with my rep. Next, his rep. called me after my rep. concluded business with me since it was now his insurance co (we share National General) I had to talk to “Reggie”. He’s a bit of a moron and lazy from what I could tell in our awkward interactions. I’m pretty sure he lied to me about when the car was re-towed to their impound lot and when (later) specialist would inspect the car and determine fi they should fix it or total it. Reggie had no idea. You know who did? The rental car company.

Enterprise car rentals called me yesterday to ask if I would like to look at any of the used cars they sell. They could easily hook me up with one of their sales people. I’m like “what?”  He let me know the car was totalled.

I called Reggie. He had no idea. He told me he was now handing me off to another guy who would make me an offer on the wrecked car.

Then, the Monday after the accident the insurance company (National General) called (another guy) to offer my son $1500 to settle his PIP claim. Seems like it’s a little fast, don’t you. Haven’t heard from him again. Oh, we got a letter in the mail saying he couldn’t reach us.

Bull

Sigh.

So now I’m waiting for the guy to offer me cash for my smashed car and I’m going to call the PIP dude. Dang.

All this while, I mean all of it, I’m going back and forth with the Financial Aid department at my son’s college. OMG!

When will this all stop?

I had an anxiety sort of attack and didn’t go to an appointment I needed to go to. I just couldn’t deal with any more.

Have you had a day like this lately? Oh and my service dog in training was on the high energy going bonkers side all day. She exhausted me. She figures out mental games as fast as I invent them.

It’s Thursday now. Feels like I’ve had three or four Mondays. Today I’m going to go get pictures from Walmart. I might stop by my parents to show them. The pictures are from a coffee can I have saved all the rolls of film I couldn’t afford to get developed from when the kids were little.

Memories.

The lumbar shot I had Monday seems to be helping my back. Now all the muscles that have been affected by the chronic pain… are still in chronic pain. I have a long goad ahead of me to recovery. When I have days like Wed. was, it makes it really hard to do that. My brain just hasn’t been engaging on things I want and have to do. I don’t think that helps my mood at all.

I’m depressed.

Thursday, today, will be a better day. Right?

Your friend,

Robin