Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Thursday, October 20, 2011

guess what?

I'm a mom.

And guess what becoming a mom didn't cure?

My mental illness. *gasp!* Yes interwebs I am still very much bipolar after giving birth to my two beautiful daughters. And it sucks! (Um, not being a mom. That's pretty awesome. Being a bipolar mom sucks.)

I seriously need to get my meds straight. I went back on them right after delivering but it has NOT managed to keep the mood swings under control. Not even a little bit. In fact, I can't ever remember being THIS bad while on a proper med cocktail. Ever. (The Zoloft treatment circa my uber-crazy late teen/early 20 years doesn't count. Monotherapy with an SSRI does not adequate bipolar treatment make.) Right now I'm on the 20mg of Prozac and 200mg of Lamictal I was on pre-pregnancy. I feel like I'm on freaking placebos.

Things heavy on my list right now: paranoia, excessive extreme guilt, flight of ideas (O. M. G.), rage/anger/outbursts, deep depressions with crying spells, overspending, guilt, and possibly maybe some mild transient psychosis.

Right now I am rational and I can process this. When I am at either end of the bipolar spectrum (manic/depressed) I cannot. Everything is MY fault. I'm a horrible mother. My children and husband deserve SO much better. The world would be better off without me. Blah blah blah...

The only thing I can think to do for the time being is talk to my pdoc (appointment on Tuesday) about some sort of antipsychotic for the time being. I don't know what else to do. Lamictal was such a miracle drug for me three years ago and now I might as well be taking Pez in its place. And I'm not sure if the Prozac is helping (keeping me from being too awfully depressed) or hurting (contributing to the dysphoric manias I've been dealing with lately).

But these two little creatures that I have. Wow. They are amazingly worth it. I know I can get through this. It may take another dozen medication tweaks but I know we can get my bipolar stabilized. We have to. Because these two little creatures have totally stolen my heart.

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Wednesday, August 18, 2010

move on, move on...

Right now I am pretty incredibly manic (which has me insanely worried because my hearing is on Friday and I can't decide if being manic at my disability hearing would be good or not??) I'm trying to burn these feelings into my brain so I can describe them accurately on Friday. I feel crazy. I want to focus on one thing but I can't. I am trying to reply to every.single.FB status. Talking my mom's ear off. Talking to the animals. Talking to myself. Talking to YOU! I'm too manic to text my BFF because it literally feels too slow. (Typing feels too slow. Typing IS too slow. I keep misspelling things.) I want to focus. I need to finish baking the cake I started (WTF made me want to bake a cake AND cook dinner AND have my mom fry up eggplant because now the kitchen is a mess!!) Also, I need t odo laundry and clean out the cat fountain and the kitchen floor needs cleaning amd the litter boxes need to be scooped as well and I really want to do all of this RIGHT.NOW. but I can't focus on anything.

I should probably take an Ativan soon or my heart might explode. (The palpitations are REALLY bad today.)

Saturday, February 27, 2010

another week (and another MONTH even)

Things kind of feel like they are in slow motion. Or something to that effect. It's hard to believe it's only been a week. Everything has changed; life is completely different from last week. I'm trying not to dwell on it because it makes me nauseated when I do.

My emotions are all over the place. But my mood, surprisingly enough, is mostly stable. I'm back in therapy for the umpteenth time in my life to try to sort through this new madness and truly process my past. Maybe then I'll be able to focus more on the future. I don't know.

In light of all this madness I've been considering going out to California to visit my BFF for a few weeks. But I haven't decided for sure yet. I just bought a new laptop (after much persuasion from The Monkey). Then I had to buy a new wireless router because our current one wasn't able to handle the new work load (three laptops, X-Box Live, and two desktops all working off of the same connection). My last splurge was really unintentional but it was just an opportunity that was too good to pass up. With all that has happened we are moving my mom over to our wireless plan. There's no sense in her paying $80.00 a month for a cell phone she hardly uses. (In retrospect, there's no real reason for her to be without one, either.) The ideal solution was to add her onto our account since it would only be, at most, $10 more a month on our bill. But then VZW said we couldn't add a new line without changing (read: upgrading) our current plan since it was outdated. And since we were going to be forced to do it anyway I went ahead and upgraded our phones as well. We'll both have Motorola DROIDs tomorrow. Yes, I am excited. (They were buy one get one free. And as a VZW employee, The Monkey only has to agree to a one year contract versus two. BUT we get the two year contract price on phones. And we get that privelege every ten months. Sweet.)

And now it's time for me to lie down. I am taking Mom to the social security office tomorrow morning. And then I have another therapy session at noon. I'm really enjoying all of the extra time I've been spending with my mom. I can't remember ever getting to sit around and just talk to her. Especially while she's sober. :P She's a good person, with a good heart that has been dealt a crappy hand. But she is just the type of woman that will pick up and go on and amaze the hell out of all those around her.

My BFF is trying to help me, too. She told me to start writing stuff down. I haven't written (in a paper journal) in years. I'm also going to start working more on some holistic treatments for bipolar. (This involves learning triggers and how to avoid them and what to do if I can't avoid them... etc etc.)

In spite of everything, I am still pretty confident that 2010 is going to be a good year.

Friday, November 20, 2009

do the hokey pokey and you turn yourself around...

I started this really inspired entry a couple of weeks ago about the month of November. It was really heart felt. And did I mention inspired? Sadly my inspiration comes in spurts and I wasn't able to finish before I'd gotten side tracked. And I can't remember what I was going to say anyway.

November is an ideal month. Because it has a bonafide holiday for which all of my family members have a paid day off. There is plenty of holiday cooking and cheer but no stress over buying gifts and things like that. Of course, up until this Thanksgiving, The Monkey and I had never been quite so broke. (Financially, I mean. As a married couple we are a well oiled machine most days.) It is rough having to be tight fisted. Not being able to go out and buy stuff on a whim. Or, more accurately, in a manic frenzy. I don't even have credit cards to fuel that anymore. Which is probably a good thing.

Speaking of mania that's exactly what I was when I went to see my new pdoc yesterday. Utterly and completely manic. The drive to D-Town was fascinating (and the drive home even moreso... did you know that long strings of headlights in the dark look a lot like Christmas lights??). I was already positively giddy when I bounded into Starbucks and ordered my Caramel Brulee Latte. I could hardly keep still while I sat in the pdoc's waiting room for almost two hours. This doctor has some kind of thing for peacocks. The waiting room was completely decked out in peacocks. I didn't find this at all odd until I went to the bathroom (too much caffeine!) and found that it too was decorated in peacocks! Complete with a really busy wallpaper. When the nurse finally took me back into a room it TOO was decorated in peacocks. I literally could NOT contain my laughter. When the nurse came in to "interview" me I giggled about the doctor's affinity for peacocks. She laughed too and then showed me their Christmas tree decorations. ALL PEACOCKS. Cue hysterics! I finally stopped laughing long enough to answer all of her questions. I'm not sure if she was entertained or annoyed by all of my side stories. It's, uh, a bit difficult to stay on track when you're manic. (Which is why I hardly ever write anything until after I've come down a bit. Things come out way too...jumbled. A hundred half-finished thoughts in ten seconds. It aren't pretty.) When she left I kicked myself. I was so busy trying to remember everything that I'd left out two BIG BIG parts of my mental health history: my previous self-injurious behavior and my binge/purge...uh...thing. I did tell the pdoc when he finally came in, though.

Once all was said and done, the doc gave me some Prozac (to help with the more frequent depressive episodes) and some Restoril for sleep. I've taken both; I had no real issues with either. (Well, except that one time when I OD'd on Restoril and the fact tha Prozac did cause SSRI-induced mania. But the OD was eight years ago when I was single and wanted very much to die; and the mania problem was all because my previous pdoc didn't have me on any kind of mood stabilizer BEFORE adding the Prozac.) I go back in a month to see how things are going.

I have the distinct feeling that this is not over.

In the meantime I am going to focus on the upcoming stuff-yourself-to-bursting day. And my niece's SECOND birthday. (And try not to focus on the fact that our child would have been almost two, too.) And find THE recipe for Red Velvet Cake for my birthday. And baking Key Lime Cake for my sister's birthday. And celebrating Christmas/the solstice just The Monkey and me this year. (I am seriously considering getting totally sloshed on hard eggnog.) And hunting down some Godiva Chocolate Liqueur for my Chocolatinis for New Year's Eve.

Is 2009 really that close to being over??

Insanity, I tell you. Absolute insanity.

Wednesday, November 4, 2009

it was only a matter of time

My entire life has been punctuated by mood swings. Sometimes the swings were gradual and I'd slip slowly into a deepening depression. Other times the mood swings were quite violent. Jerking me (and anyone around me) back and forth between my whirlwind of manic mayhem and tarpits of despair.

And then there are the in between times. When I'm not depressed nor am I manic but I'm certainly not euthymic (that is, normal). Mixed states full of pent up, uncontrollable anger and relentless irritability. Those are the worst times. Because no one, not even I, ever knows what to expect.

I find it a bit ironic that Autumn and Winter are my favorite seasons. I love the changing weather. I'd much rather be bundled up under sweaters and long sleeved thermal tees than wearing tank tops and flip flops. (Some of this preference may, in fact, be due to my being overweight and uncomfortable with my appearance, though.) I have an affinity for knee-high socks and boots. Jeans and hooded sweatshirts. And here in Alabama we don't get long enough for me to indulge myself in thick, bundling layers of clothes. Halloween is, and always has been, my favorite holiday. And despite all that I love about this time of year, I can never seem to stave off the inevitable spiral into depression. Which is why I say it's ironic. Because I certainly don't enjoy being depressed.

For weeks I've wanted to do nothing more than crawl under a rock (or, more fittingly, my blanket) and hide. I try to tell myself that there are things to do. I need to do the laundry. I need to pay the bills. I need to go grocery shopping. I need to cook dinner. So I try to get up when The Monkey leaves for work (only to lie back down because I'm just too tired to stay awake at 6:00 AM). Then I try to get up at 8:00 because 8:00 seems like a reasonable enough time to start my day. Eventually 8:00 slips into 10:00 and 10:00 into 11:00 and 11:00 into noon and before I know it it's already 3:00 and almost time for The Monkey to be home from work. And so what's the use in trying to start my day now when it's already over anyway.

But there is still so much to do.

The pdoc I've been seeing since this time last year is not covered under my insurance. The program I've been using is a program for the uninsured. They called me in to update all of my information and paperwork the other day which means they'll soon be asking for proof of income (or lack thereof) and I'll have to show that I am now insured and blah blah blah. It was good while it lasted. (I was getting my very expensive Lamictal for $5.00 a bottle.) In a way, I'm relieved. The pdoc I've been seeing has always been very unreceptive to my opinions on meds. She insisted that I take Zyprexa (nevermind that I had much better results with Abilify). It took me months of being on Lithium and insisting that it wasn't working for her to FINALLY try me out on Lamictal. And she refused to give me a sleep aid and insisted that I take the Zyprexa to help me sleep instead. (Nevermind that I'd rather NOT sleep than take Zyprexa.) So I made an appointment with a new pdoc. A friend of ours uses this doc (her husband and son both see him). I'm not sure what I'm expecting. I know there's no "magical cure" for bipolar disorder. I know that, despite being medicated, I'll always have mood swings. But right now this depression is really relentless and I don't know how much more I can stand. So maybe it's time to supplement the Lamictal with another med. (Surely I didn't expect Lamictal to be my end all, cure all drug anyhow.)

[sigh] What's another horsey on the med-go-round anyway?

Tuesday, September 1, 2009

[insert long exasperated sigh]

My mood still isn't right. I just can't put my finger on it. I'm not overwhelmingly sad. I feel... flat. I don't feel like doing anything. Whatever.

I went to see my RE yesterday. I called them after my visit to the ER and they said I should be seen. Turns out their conclusion was identical to the ER's conclusion: pelvic inflammatory disease.

Color me stupid. PID is something people (myself included) almost always associate with STDs. And how on planet earth could I have gotten an STD?? I had a dream the night after the ER that The Monkey had cheated on me and given me an STD. And then he blatently told me he was tired of my "bullshit" and we were done. I woke myself up crying. And gave him the cold shoulder for part of the day. Haha.

But the nurse said with my "history" of problems that my endometrium probably grew out of control and I didn't have a proper period to get rid of all the tissue and fluid. And, basically, it got "backed up" and an infection ensued and then lots of horrible pain that I do not wish to experience ever again in my entire life. (I am not ashamed of the fact that if we ever do get pregnant that I will be planning on having an epidural. I really don't give a crap who thinks it's a "bad decision" because it's not their body and it won't be their kid so they can kiss my ass.)

Anyhow. The nurse said that should the pain continue I'd need to make an appointment with my RE directly so she could examine me herself and determine whether or not I'll need another lap in the near future. Or perhaps need to switch birth control pills. Or suppress my ovaries all together for the moment. (Not too keen on that last option.)

Infection is nothing to mess around with when it comes to the girly bits. Especially when my girly bits are already severely malfunctioning. So, despite the $100 copay that I have no means to pay (on top of The Monkey's $100 ER copay) I am glad I went to the ER.

For now, the pain has subsided. I started my new pack of birth control and, so far, have not had any of the twinges and cramps that I had with my last pack. So maybe that's a good sign.

I can't believe it's September already. I'm getting bummed because I don't think we're going to be able to afford Metallica tickets + gas to get to Tampa + a hotel for two nights. My parents are planning a Labor Day barbecue this Sunday. At least I have something to look forward to. I want to make some potato and macaroni salad. Sis is making baked beans. Mom and Dad are going to smoke a couple of Boston Butts and some ribs. And my dad's brother is going to bring fresh corn on the cob for the grill. Speaking of my dad's brother... he's been dating this woman for a while. She has a little boy... it's hard to judge how old he is because he's very small for his age but I think he's four going on five. The kid isn't potty trained yet. They really don't take good care of him. The live in a dilapidated trailer that has plywood floors and garbage everywhere. I don't think she works. My dad's brother is the "maintenance man" for this trailer park they live in (which is a deplorable area) and I'm not sure what he gets for it other than free rent for this barely liveable trailer. My dad tells me yesterday that she is pregnant. Not sure how far along but apparently she was already pregnant at our 4th of July barbecue. Not that you'd ever know because she was chain smoking her little cigars and drinking. So as if that's not bad enough, my mom tells me that the baby tested positive for trisomy 21. I can't believe this. They don't take care of the little boy she already has and now they are going to bring a special needs baby into this world into those living conditions?!?

I will never EVER as long as I live understand why people like them can procreate so easily and so many deserving couples can't conceive. It's not right.

So I'm going to try to put blinders on for the barbecue on Sunday. I'm really not keen on seeing a pregnant woman chain smoking cigarettes and gulping down booze. If you're selfish enough to get pregnant when you don't want to, at least have the decency to take care of yourself for fscks sake.

Whatever.

Now I need to go try and get motivated to shower and get dressed. I have to go see my pdoc to get a refill on my Lamictal. I think it's high time that I looked for another pdoc and a real therapist.

Thursday, May 21, 2009

documenting the non-interesting

Today my anxiety level is through the roof. I don't know what gives. Anxiety has been an almost non-issue for the past year because we removed the major source of stress from my life: work. Money/finances have been a source of stress and worry but nothing unmanagable, to be honest.

Today's anxiety came out of nowhere. It hit like a freak lightning strike on a stormless, cloudless day. There are no precursors. I am not preoccupied about anything, to my knowledge. Things are taking a turn for the better with The Monkey getting hired on at Verizon. (His hire date, by the way, is June 1st!) His first paycheck for Verizon is going to fall, spectacularly, one week after his last Manpower paycheck. So no juggling finances and rearranging bills. And I've even been consistently losing weight and dared to put on some clothes I haven't worn in a year and a half and was delighted to find that they not only fit, they fit comfortably.

So I have no clue where the anxiety/panic is coming from. None at all.

I saw my pdoc again today. I'll be glad when we have insurance and I can choose my own pdoc and see someone that will give me more than five minutes every month and a half. I understand the situation. And I am grateful that I was able to utilize their services while being uninsured. I'm just ready to see a pdoc that does more than write a few things down on paper and then handing me a prescription.

And speaking of prescriptions, I am up to the lowest theraputic dosage of Lamictal. It doesn't seem to be doing much of anything but it's certainly not hurting me so the doc upped me to a better (and more widely used) theraputic dosage of 200mg per day. So I start that dosage tomorrow. I'm not taking the Zyprexa often. It does keep me from climbing the walls but the side effects are completely unacceptable. I'll take a small dose at night and the next day all I can think about is EATING. So I shy away from it except in times of desperate need (e.g. I haven't slept more than a couple of hours in a week and I feel like I'm going to crawl up the walls and hang from the ceiling).

In other news, So You Think You Can Dance started tonight! I completely missed last season because of everything that was transpiring in our lives at the time (my depression, hospitalization, The Monkey getting fired, my getting fired, moving... blah blah blasé blah) but I really enjoyed the hell out of season three and I am hoping this season kicks some major bootie!

So now I'm going to go sit down and watch Ace of Cakes reruns and then Good Eats. And I'll take my meds like a good little girl and hopefully sleep the entire night and not worry about the shadows and the incessant racing thoughts.

Yep.

Sunday, April 26, 2009

nuh uh!

I totally don't believe in alternate dimensions that appear in vortexes on the ceiling when I wake up in the middle of the night. Nor do I believe that someone is moving doors and switching things around while I'm sleeping. And I DO know where I live and where I fall asleep and therefore where I am when wake up. And I also know who I am.

thanksverymuch

Friday, April 17, 2009

all aboard the SS Lamotrigine

Lamictal is a fun medication. It can cause all sorts of freaky side effects the most notable of which is a potentially deadly rash (aka Stevens-Johnson Syndrome). Thankfully the rash can be cured by discontinuing the medication and it tends to hit slow and kill even slower. So like I could walk around with a rash for weeks without dying. [whew]

It also has a notable side effect of headaches. I'm going to try to ignore this tidbit of information. The only person in my family that rivals me in headache suffrage is my oldest sister. We've both been on Topamax for said headaches -- she longer than I. She has NO complaints about Lamictal and says it really has helped her a lot. I'm not sure if she knew it can cause headaches or not. If it did cause headaches for her, they weren't bothersome enough to merit concern. [double whew]

Back to The Rash. So apparently the best way to avoid The Rash (if it can be avoided; some people simply can't tolerate Lamictal) is to titrate the dose v-e-r-y s--l--o--w--l--y. I knew this before I even had a vested interest in taking it because I frequent crazymeds.us though I was never particularly observant of the recommended titration schedule. I just knew that starting slowly was key.

So when I went to get my scrip filled this afternoon (thank goodness for being on the medication assistance program!) I read the prescription bottle. "Take 1/2 [100mg] tablet twice a day." 50mg twice a day. I knew that was WAY too high a starting dosage without even doing any further research. Thankfully not only is my sister on this medication, so are a few of my [online] friends. My friend SK was vehement that the starting dosage was WAAAAAAY to high and recommended taking 25mg a day for a week or two to start, increase to 50mg for a week or two, then 100mg for a week, then 200mg for a week. Then I found the recommended titration schedule where else but the manufaturer's website. It too said 25mgs for the first two weeks, 50mg weeks three and four, 100mg for week five, and 200mg thereafter. WTF is my pdoc trying to kill me?!? Or is she really that big of a Lithium pusher that she wanted me to develop The Rash of Death so I couldn't take Lamictal?? Mostly I think she's probably fabulously unobservant. Or something.

So I took my first 25ish mg dose tonight. I say 25ish because I had to quarter a 100mg tablet. And the tablets are shield shaped and only perfectly semetrical ONE way; the top half being wider than the bottom half of the pill. Why the geniuses at the pharmacy didn't just give me 25mg tablets I don't know. (GSK doesn't make a 50mg tablet oddly enough.)

At any rate, keep your fingers crossed that I don't develop any horrible, intolerable side effects, especially The Rash. AND that this is my "miracle" drug.

That is pretty much all. Tomorrow will be an awesomesauce Friday. My anniversary present will be here! Super excited! Plus, it's Friday and The Monkey has off all weekend. And I'm feeling pretty optimistic about things for the moment. Let's hope it holds up!

Thursday, April 9, 2009

finally! a NEW horsey!

Provided everything checks out with the medication assistance program through SCAMH I will be off the Lithium and on to Lamictal. FINALLY. Now to wish/hope/pray that I don't get The Rash with the Lamictal and that it will actually help curb my mood swings without making my personality completely flat. Plus, Lamictal has been dubbed "weight neutral" so hopefully weight loss will start coming a little easier when I stop the Lithium. Hopefully.

Mostly I'm just thrilled to be trying something new and different. Because with new and different comes the hope that this med cocktail might actually work and keep my mood swings at bay.

We shall see.

Thursday, February 19, 2009

I am the diet cola of insanity

Sometimes I wish I were just completely off my rocker. Like eating fruit off the wall paper talking to the people in the floor off my rocker. Because, quite frankly, it would be a lot easier for people to deal with me.

Oh she's just crazy, that's all. They would say. And people would nod understandingly or shake their heads at the terrible tragedy that had befallen me and my loved ones. She's just crazy.

But, no. I have to walk around for days, sometimes weeks at a time where I am painstakingly normal. I have normal conversations and do normal people things like school work and taxes and laundry.

Then I have those days where, to the average onlooker, I am just reeeeeeeeally happy. Or excited. Maybe my husband got a raise? Or we're getting a big tax refund. Or maybe I'm just a happy person. Either way, happiness isn't a bad thing, right? (Nevermind the new wardrobe that just went on the credit card or the new line of makeup I bought to try out. Blah blah blah...)

But then I have days like today. Days where I make people scream at me and make my poor husband cry. Days where I think about death and dying and hurting myself. Days where I feel worthless and pointless and helpless and stupid and fat and ugly. Days where I want to just run away to somewhere where I can't hurt the people that love me for who knows what reason because I'm worthless, stupid, pointless, helpless, fat, and ugly.

I would rather be a non-functioning member of society than deal with this bullshit that I deal with. I'm tired of people thinking I'm okay until I crash into a depression and start sobbing all over the damn place. Don't they know by now that it's inevitable?? This is JUST WHO I AM people. Bipolar disorder doesn't just "go away" over night. You don't wake up one day and not have it anymore. It can't be cured by exercise and sunshine.

I have a massive headache now. And I think I might vomit.

Wednesday, February 4, 2009

Lissa and the Terrible, No Good, Very Bad Day

My day started off with my usual three mile walk. As per the norm, I clipped my [brand new] cell phone to the inside of my hoodie pocket. Somehow, someway, I managed to knock it out and it went clattering onto the asphalt. While the new faceplate did take the brunt of the fall, my poor [brand new] Voyager is already scratched.

Damnit.

I got over that fairly quickly only to have the dumb ass working the Arby's drive-thru hand me a bag that was too small for the food I ordered out the drive-thru window, ripping the bag in the process. I would have asked nicely for a new bag but I was already late picking up The Monkey for lunch so I said screw it. Long story short, all but a third of The Monkey's curly fries wound up on the floor board. Then, when I was attempting to clean up the mess my Diet Dr. Pepper sprung open covering my console and my entire right side in the thankfully un-sticky mess. Come to find out the lid that the dumb ass working the drive-thru gave me was cracked and popped loose when I leaned over to clean up the fries.

Mother f*ckers!

I was grouchy all through lunch. Poor Monkey. I managed to get my anger in check with a nice, long, scalding hot shower. Nothing like near-burning your skin to bring about a nice 'warm fuzziness'. (Now I remmeber why I always used to self injure the worst when I was angry -- there's just something about physical pain that dissolves all the emotional GUNK away.) So, in a slightly better mood, I started on my makeup. I was almost finished and went to sit on the bed to put my socks on when I noticed Jasmine lounging peacefully. I pet her on the head and she looked up at me lazily and started purring. Then she got up and stretched then plopped precariously onto her back revealing a nice hole in her tummy. It wasn't bleeding so I contemplated going to Walgreens and picking up some butterfly stitches to hold the skin together and wrapping her in an ACE bandage. In the mean time, I decided the best course of action would be to put her in the kennel and call the vet that did her surgery. Which I did and I tried futilely for a half hour. As it was already dangerously close to 5:00 PM I went ahead and called a local vet instead. They said to bring her in.

Half an hour later (after the poor kitty was poked and prodded and weighed and violated with the butt thermometer) they determined that she needed to be resutured and to do so they had to anesthize her again. I walked out with a semi-healthy cat, $160 poorer. Needless to say, I was not happy. This time around they put a lampshade collar on her to keep her from chewing out these sutures. She has to wear it for a week. I am so pissed that the vet didn't do this initially but the girl said it's really not a standard practice for cats. I didn't have this problem with Olivia or William when they got fixed and declawed so this was really unexpected. Thank heavens the vet accepts Care Credit although now we went from having $0 balances on all but one of our credit cards to only having a $0 balance on one. I'm waiting for something to happen to one of my or The Monkey's tires. Then we'll have a $0 balance on none.



She looks pretty pissed, huh?



Poor kitty!

I am very irritated with this whole situation and having to pay $160 that we really do not have. My sister has been talking about the electric and water bills a lot more lately and I feel like she's hinting around wanting us to chip in. I feel like shit that we really don't have the extra cash to chip in. I thought about giving her some money when we get our tax return but The Monkey STILL hasn't gotten his W2 yet. ARRRGH! Depending on how much we get back, I'd like to throw at least $300 my sister's way. I know it's really not much but there's not much else we can do. We're going to need that money to fall back on for other things. Like groceries. I do not like living like this. I do not want to live like this. I do not want to be sitting at my computer wearing gloves with a blanket draped over me just to keep from freezing. I do not like feeling USELESS and WORTHLESS and POINTLESS all. the. freaking. time. I am tired of the mood swings. I am already sick and tired of the meds and how the Lithium makes my stomach feel like it is in a perpetual knot and I hate that even the micro-dose of Zyprexa has me sleeping 12 hours against my will. (I won't even go in on the food cravings and how my weight is not BUDGING even though I am doing my best to eat less, drink more water, and exercise daily.)

On my to-do list this week:

  1. Start looking into getting paid to blog. Since I do it almost daily anyway, why not try to make some extra cash?? Even an extra $100 a month would be a huge help at this point.

  2. Find out whether or not we qualify for any other assistance while we're waiting for my SSD appeal.

  3. Call my school and see about getting them to credit back the finance charges they tacked onto my bill. (I owe them around $200, they charged me finance charges for for the $6,000+ that was on my account for two months because my student loans too almost the entire semester to post to my account. I am NOT paying interest on $6,000+ dollars!!)

  4. See what I can do about registering for next semester -- hopefully my FINAL semester.

  5. Try to think of good reasons to keep on living.



On top of everything else, I caught my niece's cold. So now I'm stuffy, sneezy, achey, blah blah blah...

Now I am going to get off of this thing so The Monkey can play WarCrack for a little while and I'm going to attempt to give myself carpel tunnel from playing Guitar Hero on Hyperspeed.

Friday, January 30, 2009

cruisin' along '09

So the month of January comes to a close. I'll be the first to admit that 2009 has been very kind to me and mine thus far. I can't think of one significant thing to complain about. (There are plenty of minor things, mostly inconveniences that really don't merit blog time.)

School, at this point, is mostly yawn-worthy. I'm taking a class that is sort of a hybrid of two classes I've already taken. So, essentially, everything we're doing is 'review' and I haven't really had to put forth much effort to keep my grade at a high A. I also had my academic advisor run a graduation audit for me. The results came as quite a shock. According to them (and I'm still waiting on confirmation that they haven't flubbed something up) I only have THREE more classes (equal to eight credit hours) until I graduate! This is me doing the freaking Snoopy Dance like you've never seen me do the Snoopy Dance before! I have a Humanities class to take (Technology, Society & Culture), a Career Development course, and my final class will be the Senior Project. If the graduation audit is correct I will be finished with school by summer time! However I suspect they made a mistake because, according to my well-kept records, I still have two concentration courses to take -- Database and Website Integration and Integrated Computer Applications. I'm kind of on the fence as to what I want the answer to my inquiry to be. On one hand I am greatly looking forward to graduating and putting school behind me for a while. On the other hand the sooner school ends, the sooner I will have to start paying back my school loans. I peeked at one of my recent statements and, though it was expected, the $60k balance threw me for a loop. I'm guessing my loan payments are going to run me somewhere close to $300 a month and we're just not in a place financially where that is feasible. So the longer I stay in school the longer I can put that off. (Of course, that also means interest is going to keep accruing which is another dilemma I am facing. Gah!) Once I graduate, though, I fully intend on looking into a consolidation program with a low interest rate. I still have to make a firm decision on graduate school. I do want to get a Masters but it seems kind of wasteful at the moment. But if I'm not going to be working I may wind up qualifying for grants to help pay for my Masters and the program shouldn't take me much longer than a year to complete. Then I could potentially re-enter the job market with a very strong academic background indeed. A lot can change in six months so it really doesn't make much sense for me to make myself crazy over the details right now.

So this week my Banana-shaped friend and I walked 12-ish miles. I feel great. I'm definitely more energized. I've also been taking a low dose of Zyprexa every night which has helped me sleep well for the most part. Last night I woke up at 2:30 in the morning (after falling asleep just after 1:00) ready to do something. Normally when I wake up in the middle of the night I toss and turn for a few then eventually fall back asleep. Last night was different, though. I woke up and felt like I could run a mile or drive to the coast. I settled on browsing the Internet instead. I was on eBay for about an hour and came ohsoclose to buying a lot of makeup that I don't need/can't afford. Call it an act of God or what have you, but The Monkey actually woke up in the middle of my [almost] shopping spree and sent me back to bed. Drat! (Ok, ok... I know it was a good thing he woke up. But oh how I would've loved to have some Afterglow blush and four new eyeshadow singles and two new palettes -- all by Urban Decay -- to add to my makeup collection! :P)

I think manias are so much more difficult for people to grasp/understand/deal with. I mean, a depressed person is quite obviously unwell. In my case I am lethargic, almost bed-ridden, weepy, and full of 'doom and gloom' as it were. But with mania, it's a little difficult to register the fact that I am not, in fact, doing well but am, in fact, dealing with the opposite end of my illness. I'm cheerfulness and happiness abounding. I'm talkative and social. Full of energy with life coursing heavily through my veins. I am very much alive. I have ideas -- so many ideas -- that it's hard to channel my energy into any one direction. How do I chose?? (This is one reason I've started keeping the makeup blog -- it's a specific way to 'channel' all my manic energy.) And anyone on the outside looking in may find it easy to look at me and think that I am well when I really, really am not. The surface of things can be monumentally deceiving. While I'd much rather be manic than depressed any day I'm trying to get to a point where I recognize what is happening and instead of just 'enjoying the ride' I am trying to find ways of centering/grounding/focusing myself so that I don't fall off the deep end and get lost in the manic frenzies. Because manic, like depressed, is not good.

I need to start aiming towards euthymic.

Sunday, January 25, 2009

296.44

Last week I went to the mental health clinic to get blood drawn. Now those of you that know me and know what I've been through are well aware that it is nearly impossible for me to be afraid of needles. After all, I spent two years often getting blood drawn every week or two. Not to mention I've had regular bloodwork done to make sure my kidney and liver continue to function normally even while being thrashed by Lithium and Topamax. But something about getting my blood drawn this time had me antsy. Call it intuition, a 'sixth sense' or what have you. I just knew this nurse was going to have trouble getting my blood.

Oh how I hate to be right.

First, let me say, that I was appalled by their 'facility' for lab work. I understand this place probably has a crappy budget but come on. Invest in some lab work equipment if you're going to be sticking people with needles! When the nurse asked me "Are you an easy stick?" my intuition was confirmed. I answered, as smugly as possible I might add, "Well, I've been stuck so many times for fertility treatment that I've honestly lost count. Only one nurse has ever missed on me and she was the only one that ever complained about my veins." And really, that is the truth. The nurses at the clinic in Montgomery never so much as made me flinch when they stuck me. And they never ever missed. Neither did the girl at LabCorp for that matter or any of the other dozens of people that have stuck me with needles for IVs or lab work or surgery or anything else over the past 10 years. Even an Army attending got my IV in on the first try after a 12 hour puking spell that left me severely dehyrdrated didn't miss! But I digress. So the nurse shrugged and fussed around in the cabinet in search of all the bits and pieces she needed to drain out two vials of my blood.

After 10 minutes of rooting around she finally got everything set up on a desk and had me sign some paperwork. Then she tied the tourniquet around my left arm -- the arm that is almost every nurse/phlebotomist's choice -- and started poking around the crook of my arm with her finger. After about five minutes of prodding she declared that I had "tiny little veins" and went back to the cabinet to retrieve only god knows what without first removing her gloves! What the hell, man?? Haven't these people ever heard of cross-contamination?? Whatever. Finally, after about 20 minutes of anticipation and anxiety, she gave it a shot.

Poke, vacutube.......nothing.

I'd already told her that I'd rather be restuck any day than to have her root around and try to roll the vein in favor of removing the needle and trying again. So after the first stick and a little bit of maneuvering she removed the needle, placed it on the desk (which was NOT a sterile surface) and began prodding at my "tiny veins" once again.

I have been a patient so many times that I am almost 100% certain that when you restick a patient for blood or injection that you're supposed to use a fresh needle each time. By all means, correct me if I'm mistaken. So, yeah, she reused that same needle when she stuck me a second and third time on my left arm and then again when she stuck me twice in my right arm! So that's five sticks all with the same needle that she put down on the NON-STERILE surface between each poke.

Now, if I remember correctly from my Follistim training (and I do), I was told that if I had to stick myself more than once to get a full dose (this is a common occurence when using the Follistim Pen Cartridge) that I was to use a fresh needle for each stick, hence the dozen and a half needles for a 10 day course of treatment. I can only assume the protocol is the same for lab work, but, like I said, I could be mistaken. At any rate, after the two sticks in the right arm she simply gave up. No blood work for Liss! Screw it that I've been on Lithium for a month now and that Lithium levels can quite easily (and rather quickly) become toxic. I was completely livid! Then she told me that I could take my lab paperwork to the hospital and have them do it but they'd likely charge me extra fees and what not. Ok, I'm uninsured (which they know) and currently in a holding pattern with the SSA for my SSD claim (which they also know). Do I look like I am made of money?? Seriously, folks, what the hell??

While I'm not crazy about the other staff members, I do like my therapist. I don't feel like I'm getting any help from the sessions but he is a nice guy and he really does want to help me get/feel better and get my SSD claim approved as quickly as possible. But the rest of the staff, the pdoc included, suck balls. Did I ever mention that I went to the clinic THREE separate times to have this lab work done only to be told to come back next week because the nurse wasn't on the schedule?? I mean, really. They have a scheduling book.

So I still haven't had my lithium levels checked nor was I able to have the metabolic lab work done to check my thyroid and all that jazz that the pdoc requested. (Which is bad bad bad because Lithium is known to screw with the thyroid and now they won't have baseline/normal levels to compare my future levels to.) As if being mentally interesting isn't stressful enough, right?

After all of that the nurse handed me a piece of paper that listed what labs I needed to have drawn. Written in the "diagnosis code" was the number 296.44. Being the ever-so-inquisitive person that I am, I came home and Googled DSM-IV diagnostic codes. 296.44 is listed as Bipolar I, most recent episode manic, severe with psychotic features.

While this is probably an EXCELLENT code to have on my charts for my SSD claim, I absolutely do NOT agree with it and would lobby to have it changed if I thought they would listen. First, I do not think I am Bipolar I. I have only recently come to accept that I am any flavor of Bipolar at all. And I do not believe that flavor is Bipolar I. First, I don't think I've ever experienced a full blow manic episode. Though I'd have to ask those around me to confirm because my BFF thinks that maybe I have. BUT if I have experienced a full blown episode it was most certainly triggered by an antidepressant (Zoloft) which, if I remember correctly, doesn't put me in the Bipolar I category but rather Bipolar II because the mania was triggered by a medication.. The psychotic features I will (reluctantly) agree with because I have had (and sometimes do still have) hallucinations. And grandiosity. Definitely 'flight of ideas'. Not-so-much on the 'I am GOD.' thing but I have had paranoid delusions where I've felt like people were reading my thoughts and/or stealing thoughts from my head. I've had episodes/occurances of 'inflated self-esteem'. Which is kind of ironic because on a 'normal' day I have a very low opinion of myself. Then again, with the 'rapid cycling' feature I have (which is what made it difficult for me to get a diagnosis of Bipolar at all) makes me a whole different flavor of Bipolar all together. In the hospital last April the pdoc there said Bipolar NOS (not otherwise specified). But what do I know. I got my "degree" from Google and personal experience. :P

Have I ever mentioned that the DSM-IV kind of makes me laugh?

Saturday, January 24, 2009

16 months you say?

So I am really, truly hoping that my attorney can get help me build a strong enough case for the SSA to get it approved quicker than the current average wait time. Right now, for this area, the wait for a hearing is approximately 16 months. We'd have to live with my sister and BIL for another year, minimum. I say another year because in a year's time both of our cars will be paid off and we may be able to swing living on our own without two car payments to worry about. Most of our other bills are pretty insignificant amounts.

16 months. Our government really sucks.

There is some good news about the wait time, though. The back-pay award will be massive. My monthly award is $957. Multiply that by the 24-ish months it'll take to get approved. That's roughly $23,000 in back-pay. I'm trying to imagine having that much money at my disposal. Of course, we'll owe the attorney $5,300 of that. So, okay, about $18,000 at my disposal. We could pay off every bill we have and still have a big pile of money to roll around in. We could think about buying a house and actually have money for closing costs and everything else. We could pay for a round of IVF out of our pockets if we really wanted to. (Though I seriously doubt I'll want to.) Of course, I'm hoping that we can play the 'dire need' card and get my hearing date moved up. Or, even better, get an 'on the record' review which would get my case approved immediately. The judge cannot disapprove my claim by doing an on the record review. S/he can only either approve it or decide that I need to go through a hearing. Seems like a win/win to me. The 'dire need' thing just trips me out. The representative that helped me with all the paperwork and will be filing my appeal said we should wait on the dire need letter when our situation becomes more desperate.

I'm sorry, but I don't really see how my situation could be more desperate short of losing my cards, destroying my credit, and being homeless. My sister and BIL are footing the bill for housing me. They are forking out about $150 extra a month for the extra electric and water that The Monkey and I are using. Now this isn't to say that we don't help out in other ways. We do help out with the kids whenever asked. And we frequently offer to help when not asked. I buy laundry soap regularly even though a bottle of soap would last The Monkey and me six months or better. My sister hasn't bought toilet paper since we moved in (and four adults and three kids go through a LOT of toilet paper). Even still, it doesn't seem like enough. And really, just because we have somewhere to live doesn't mean that it's going to stay that way. My BIL is in the Army, after all, and he is currently on orders to go to Fort Bliss in July of this year. At which time we very well could become homeless in the strictest sense of the term. We have very little assets. We own a couch and a bed, a computer that's pretty dated (though still functional), a TV from the mid-90s that's probably not worth much. Other than that, we own a front loading washer and dryer set. Our cars aren't paid for yet and, therefore, cannot be called assets. I just feel that being a couple of 35 and 28 that we should be able to support ourselves and the fact that we can't just, in my opinion, screams dire need.

But what do I know.

At any rate, I'm hoping that we survive this whole convoluted process and come out successful and not in financial ruin on the other side.

The fact that I do, actually, feel better since I've stopped working is both a blessing and a curse. Just because I look functional on the surface does not mean that if I went out and tried to get a job that I wouldn't lose it again. I'd be like a bomb with a lit fuse. There would be no telling how long I could handle the stress of working a normal job before I'd have a meltdown. Which is why I applied for disability in the first place. Why stay in a perpetual cycle of 'get hired, get fired' if I can maintain a happier and healthier existance by not working? It makes more sense to me, anyway.

Tomorrow we are going out to visit The Monkey's brother and niece. His niece's birthday is Saturday but her dad won't have her that weekend so we're going to go out and give her the gift that was intended to be her Christmas gift. :P Then, hopefully, we'll come home to sing happy birthday and have cake with Madison. My sister is finally getting around to baking her first birthday cake. :P She had an ear infection on her birthday so my sister put off baking her a cake. Then the holidays rolled around and everyone just got so gosh-darn busy that she put it on the back burner. My sister felt horrendously guilty so she went out and bought a heart-shaped cake pan and pink frosting and 'happy birthday' candles and a cute little outfit that says 'Birthday Girl' on the front for Madison to wear.

Now it is time for me to take my 3.5 mg piece of a 15 mg Zyprexa pill so I can get some sleep. The 3.5 mg seems to be just enough to knock me out for about 10 hours. I can't imagine how badly the entire 15 mg would wipe me out. Then again, I can, because 100 mg of Seroquel (a low dose by all standards) used to turn me into nothing short of a semi-functional zombie.

I really need to increase my dose of Lithium from the 300 mg I've been taking to the 900 mg I'm supposed to be taking. I just can't even begin to say how much I hate the stuff. But, hey, maybe if I start getting all of the nasty side effects that I've had in the past my SSD case will be more compelling. 'See, Your Honor, I'm a good little girl and I take my medication and it makes me a lot less crazy but now my hands shake so badly that I can't even drink a cup of hot coffee with one hand!' Or something.

Friday, December 26, 2008

post-holiday wrap up...

We managed to get everything done on time for Christmas, somehow. I'm amazed that we did because we waited to wrap all the presents until...oh...about 9:30 PM on Christmas Eve. My sister and I didn't make it to bed until 3:00 AM and we were up by 7:00 because of the kids. Christmas day was nice enough. My sister bought me the Love Monkey Webkinz (yay!) and The Monkey his very own pair of slippers (he's been stealing the frilly, girly ones my mom bought me last Christmas). The kids made out like crazy. My oldest nephew especially as he wound up with some new clothes and shoes, a few accessories from The Monkey and me (belt, wallet with a chain, two wrist cuffs), a couple of XBox games, a Wii game, Guitar Hero World Tour for the Xbox, and an electric guitar! Lucky turd. :P As for the presents we gave everyone -- they were a huge hit! My mom was very happy with her eyeshadow and my sis loved her belly rings. Hooray! My dad was tickled to get a new pool cue and the kids all seemed to like their gifts as well. The Monkey got an Auburn sweatshirt from my parents and the slippers from my sister. He's been playing his gift from me for the past few days and is deliriously happy with it (World of Warcraft: Wrath of the Lich King). I haven't tried out my new Urban Decay palette just yet but I'm planning on it this week. There's one color in particular that I'm curious about called Kiddie Pool. It's an 'ocean blue with iridescent glitter' and OH SO pretty. Pictures to follow, I'm sure. I wasn't able to obtain the limited edition Urban Decay Book of Shadows palette and I am thoroughly bummed that I didn't order it online as soon as I came across it. My sister is headed to Dallas for a week and she's going to try to find it in the Sephora stores out that way. I'm keeping my fingers crossed that she finds it but not holding my breath. [eyeroll]

We spent Christmas morning opening presents and taking pictures, etc. Then we got dressed and prettied to go to my parents' house for Christmas dinner. Dinner was fantastic, as expected. We had ham, potato salad, macaroni salad, crab salad, baked beans, green bean casserole, butter beans, sweet potatoes, and Ooey Gooey Butter Cake for dessert. Everything was absolutely delicious and I wound up stuffing myself past capacity. Ugh. That's the one really bad thing about the holidays -- too much good food that I absolutely cannot resist. :-/ But oh well. We had quite a few people this year. My cousin showed up with his very pregnant wife. My cousin is unemployed; recently discharged from the Army due to a "personality flaw" or something like that. It's so irritating that the people that seem to "need" children the least are able to have them the easiest. So my holly jolly freaking mood was a bit strained on Christmas day. Can I PUH-LEASE have ONE freaking Christmas where I do not have to deal with someone that is pregnant or has recently given birth?? Yeah, Santa, that's what I want for Christmas 2009. Or I'd like to be pregnant myself, k'thx.

My mood has taken a downward turn, unfortunately. I knew it was inevitable but I was still hoping in the back of my mind that I could maintain the higher levels I've been running on lately. Not so much. The Monkey and I are having lunch with a friend tomorrow. I'm not really looking forward to it because being around this person seems to amplify the negative feelings I have towards myself. It's not this person's fault; it's my own fscked up brain cooties. Quite frankly, just thinking about it puts me in a foul mood. Maybe it's hormones on parade... whatever it is, I just feel shitty. Fat, ugly, and useless. But what else is new? Fucking bipolar.

Bed now. Think later.

Thursday, December 18, 2008

oh oh, the med-go-round...

Haven't I been on this horsey before???

I saw the pdoc today and I have to say, I'm not impressed. But, really, what can I do? I can't afford to find one of my own that can see me more often than once every few months (!!!) and I have to see a doc semi-regularly in order to help sway the SSA into approving my claim. (Even if not initially, then definitely eventually.)

First, the pdoc didn't have my previous records. GAH! I submitted the paperwork to the mental health center TWO MONTHS ago for them to get my records from APS. GRR! So she basically had to go off of what I told her today. Second, instead of finding out two months ago whether or not I qualify for the medication assistance program (because we are 'low income' right now) they waited until TODAY to get me to fill out the paperwork. So now I have to wait for them to determine whether or not I qualify and, because of that, the pdoc gave me the precise meds that I did not want.

For the time being, she put me back on Lithium (900mg to start) and gave me a 30 day supply of, get this, 15mg Zyprexa tablets. I DO NOT WANT TO TAKE ZYPREXA. Zyprexa is the WORST of the atypicals to cause weight gain, high cholesterol, and Type II diabetes. Even with short term usage! I'm already predisposed to ALL of these conditions because of the PCOS! Thanks, but no thanks, I think I'll just be crazy. She told me to take the Zyprexa PRN for severe manic episodes (something I don't really get) and to help me sleep. (Yeah, this crap makes you sleep like 18 hours after you take it. UGH!) Instead of providing me with something that's BETTER SUITED for a PRN medication (like Klonopin or Xanax) she gave me this wretched drug. I'd rather suck wax fruit! (Or, more realistically, go weeks only sleeping a couple of hours a night.) Then, to top that off, she gave me a HIGH starting dosage. WTF is this lady on??? So if, by some off chance, I do have to take this crap, I will most definitely be using a pill splitter and I'll divide the pill in half and then divide the half in half. No joke.

Then there's Lithium. The "tried and true" bipolar medication. If you're classic bipolar I, that is. If you've done any bit of research (which I have...endlessly) on the specific flavor of bipolar disorder that I have, you'd know that Lithium really isn't the drug of choice for mood stabilization. I did pretty well on Topamax and Abilify (if you discount the fact that my speech was noticeably slurred). I'd really like to try Lamictal because it's notorious for helping stabilize the mood along with having strong antidepressant qualities. (This would be fantastic for me considering I tend towards depression rather than mania.) And Abilify is the least evil of the atypicals and was recently FDA approved as an add-on for treatment resistant depression. But, I don't have prescription coverage and both Lamictal and Abilify run around $300 per scrip per month. So the pdoc went the cheap route with Lithium. That I can deal with -- at least short term.

Over all, I'm really just annoyed with psychopharmacology in general. Can anyone really blame me? But I started the Lithium tonight like a good little med-compliant crazy person (I still had some left over from my old prescription) and I'll go in for a levels check on January 9th. They're also going to check my thyroid and see if I need to get back on Synthroid. In the words of the pdoc "Hypothyroidism can mimic bipolar symptoms, you know." I'm so sure that of all the blood work my pdocs in the past have done, all the bloodwork I've had done with my RE, and all the bloodwork I've had done otherwise that no one has EVER caught the fact that I have hypothyroidism. When my RE put me on it earlier this year, it was because my levels were borderline low. And you know RE's -- they treat anything that's borderline because it can potentially affect fertility. Any other doctor would have dismissed my levels (and several actually did).

So that's that. I guess we'll see how things go from here. For the most part I am unimpressed, annoyed, and really just suffering from that "WTF is the point?" frame of mind.

Wednesday, December 3, 2008

un-be-freaking-lievable

So I woke up the day before yesterday with... dum dum dum... another blasted ear infection! That's THREE of these freaking things in as many months! Before the first one in September, I couldn't honestly tell you the last time I had an honest-to-god ear infection. Now I'm having them recurrently?! Yes, I'm slightly annoyed. I decided to go see my ENT to get the bottom of things instead of just goint to my GP to get treatment. My ENT is awesome. (And HOT to boot. [snicker]) He checked out my ear and, yes, it's infected. As it turns out, the skin of my ear canal is severely irritated (possibly eczcema) which makes it prone to itching which, in turn, makes me jab my finger in it to stop said itching, which further irritates the canal which leads to further itching and further jabbing which then leads to pain and an infection. Mystery solved! So I have yet another course of antibiotic drops and a hefty supply of Lortab at my disposal. Joy above all joys! The Monkey went with me to the appointment because his hearing has been cloudy on the one side. My ENT looked in his ears as a courtesy (only charged us for one office visit, how nice, huh?) and said that The Monkey has a "typical toddler ear infection" (otitis media) which is different from what I have (swimmer's ear/otitis externa). So my doc gave The Monkey a week's worth of antibiotics (hooray for free samples!) and me a week's worth of ear drops (again, hooray for free samples!). Prescriptions included, the visit cost us $63.00.

After a couple months of waiting patiently, I finally heard something from the SSA on my disability. Because I haven't been to my pdoc in over six weeks, they are requiring that I have a medical examination done. This includes both a physical exam and a psych eval. My physical is on the 9th and my psych eval is on the 15th. I have an appointment with my new therapist tomorrow and then I finally get to see the new pdoc about meds on the 18th. Hopefully everything works out in my favor. The Monkey and I are already pinching pennies and slowly but surely draining our savings account. :-/ Hopefully he'll be employed soon, too.

So it goes...

Wednesday, November 19, 2008

just a few random snippets

I've already crashed from my manic high. No surprise there. I think the longest [euphoric] manic episode I've experienced was a couple of weeks. Mostly I'm lucky if the happy-happy, joy-joy feelings last for a day or two. I was sailing for about 36 hours this time.

I'm trying to do some research on medications so I can be prepared for my pdoc appointment on the 18th of December. I already know I don't want to go back on Lithium because Lithium is primarily an anti-manic and doesn't have significant antidepressant qualities. Lamictal, on the other hand, has significant antidepressant qualities but is a really, REALLY fickle medication. It carries a significant risk of a potentially fatal rash called Stevens-Johnson syndrome and titration takes a month or longer. Plus the side effects are questionable. The two I'm most worried about are, primarily, body aches and headaches. Since I stopped working I've had very few headaches. In the past seven months I think I've had three migraines. This is a phenomenal change! The thought of being on a med that causes headaches scares the crap out of me. Then there's good ol' Dopamax (Topamax). Another slow titration drug that causes my mood to get even WACKIER before it actually stabilizes. (It also takes about a month to get to my theraputic dose of 150mg.) Topamax does have some perks (mainly the weight loss "side effect") but it has a LOT of wacky side effects. Tingling in the hands, feet, and face. Aphasia. General dopey-headedness (though I never got this side effect too badly). And, the wackiest of them all - making carbonated drinks taste like CRAP. No more diet soda for me. :-/ The worst side effect of Topamax is the hair loss. My hair started coming out in clumps, unfortunately. Not to mention, the hair itself thinned out dramatically. I'm really not sure, at this point, what I'm going to ask for. The only two meds I know for certain are a no go are Lithium and Depakote.

Our trip to Dothan was actually pretty nice. We stopped at Personnel Resources (a temp agency setup) first and got The Monkey registered there. They immediately said something about a collector's position (in Dothan) but they had to consult with the company before they could say whether or not he'd be a good candidate. We were hoping for a call back that afternoon but it never came. So, we called the next day and they said the company declined to interview because they didn't feel The Monkey had sufficient sales drive. [eyeroll] However, we did stop by Farmer's Furniture that afternoon as well and spoke to the manager of the store. (FYI - The Monkey was working for Farmer's as the Credit Manager in Enterprise in 2003 when we met. He can't get back on at Farmer's in Enterprise, though, because my mom works there. Conflict of interest. Meh.) At any rate, he put in his app with Farmer's in Dothan. After the brief, but fairly productive, job hunt, we stopped at Barnes & Noble for Starbucks and I picked up a couple of books.

Last night we got a call from the Dothan Farmer's Furniture manager asking The Monkey to come in for an interview this afternoon. [snoopy dance] It looks really promising. He'll be starting off as a collector and the hours are kind of jacked up but at least it's a job. The manager, thankfully, remembers Tony from his Credit Manager days in Enterprise and, apparently, the current Credit Manager in Dothan isn't working out so well and there's a very good chance she'll be out of there in the next 30-60 days. If The Monkey gets hired as the collector, he can step up to the Credit Manager position if/when the current one gets booted. (According to the store manager, she's just too nice for collections; not assertive enough with the customers to get them to come in and pay on time.) If that happens, The Monkey will get a nice pay increase. We're keeping our fingers crossed!

All in all the week has been decent. I finished reading one of my books and I'm half way through the second one I bought. I need to get cracking on my homework, though. I have a website to setup on the topic "Blogging: A fad or here to stay?" on top of having a midterm in my other class. I got my lab for Web Development finished yesterday but I still have to take this week's quiz. Drat.

I'm looking forward to Thanksgiving dinner on Thursday. I'm craving turkey and sweet potatoes like nobody's business. My mom just needs to get the grocery list together so we can go shopping! We're really bad with waiting until the last minute. :-P

Friday, November 14, 2008

insaney days - old and new

I'm having one of those rapid cycle days. Sometimes my mood cycles last for weeks, even months. Here lately, though, I've been cycling daily. I wake up in the morning and I can't even fathom getting out of bed/off the couch. So I don't. Then, I make the switch. Sometime in the afternoon (or late evening) I start feeling energetic (or very irritated) and suddenly I'm motivated to do things. I want to get out of the house and go somewhere, anywhere. Inevitably, the looming fact that we are strapped for cash comes back to bite me in the rear-end and I wind up spending the night alternately frolicking on the Internet, feverishly doing school work, and channel surfing. Thoughts zip through my mind at neck-breaking speed. I don't bother even trying to keep up. Go with the flow. I bring things to a screeching halt with a milligram of Xanax which might account for my early morning lethargy. But it's that, or stay up all night with the thoughts.


Lately my thoughts have been drifting back to the turn of the century. I was approaching my 20s in a bad state. Coming off of a year of near non-stop binge drinking, I made the decision to move back in with my parents. I can't even begin to describe the unrelenting feelings of doom that moving back to Germany gave me. But everyone had convinced me that if I stayed in Kentucky my life would never amount to anything. Even if they were right, it still seems like they were wrong because my life still hasn't amounted to much of anything. From 2001 to 2003 I did lots of things that, depending on your personal point-of-view, could be seen as normal things that people my age did or completely insane/stupid/irrational. Maybe both. Knowing what I know now, I realize that I was coming into bipolar disorder.


I spent two and a half years on Zoloft. The maximum dosage of Zoloft, at that. Between the self injury, the depression, the suicidality, the frequent mood swings, the intense and irrational fears of abandonment, and my complete social awkwardness - my pdoc (whom I loved and adored and trusted without a shadow of a doubt) diagnosed me with Borderline Personality Disorder. It seemed to explain everything about me, especially my self-destructive nature. And when something fits, we wear it, right? It did not, however, explain why I failed to get any better after two years of regular treatment. In fact, it seemed like I kept getting worse. I was making a ridiculous amount of money ($13.70 an hour, tax free, 70+ hours a week) for someone with no bills except for rent and car insurance yet there were several months that I found myself reeling, praying my landlord wouldn't kick me out when I told him, again, that I'd be late with the rent. (Towards the end of my stay at that apartment, I blew off paying the rent all together and wound up moving on New Years Eve in the middle of the night.) I was constantly going on crazy spending sprees but never seemed to buy anything substantial. I regularly overdrew my account for something I had to have but never needed. I always drove at least 20 MPH over the speed limit. (Which, since I lived in Germany, meant I frequently drove at least 80 MPH even on the twisted, dangerous back roads.) Nevermind when I could come up with an excuse to go somewhere that involved getting on the Autobahn. My friends hated riding with me because I embraced the complete lack of speed limit. Most everything that gave me a rush paled in comparison to the exhilaration of pushing my gas pedal to the floorboard wishing I had a car that went faster than 90 MPH. (Once, in January of 2002, I actually rented a brand new Mercedes sedan to pick up my best friend at the Frankfurt airport. I managed to get the damn thing up to 140 MPH. Fortunately I had a friend riding with me and she was terrified and made me slow down after a few minutes. It's the closest I've ever been to flying.)


I wish I could say that was the extent of my recklessness but, alas, no. I was a complete pot head and experimented with other drugs regularly. I can't say that I drank much because I always preferred getting high to getting drunk. Still do, in fact, though I haven't smoked pot in well over a year. (See, my lack of self control always catches up with me when I drink but there is no such thing as smoking too much pot. And the intoxiciations are comparable so I've always opted to smoke rather than drink when the option was there.) Looking back, I'm amazed that I have never been arrested. I often associated with people that were being watched by CID for dealing and/or using drugs. But I was invincible I tell you! It never occurred to me that I could be arrested. It never occurred to me that having sex with random guys could result in an unwanted pregnancy (oh, the irony) or, worse, an STD. (I did wind up with a bad reputation, but really didn't care.) I never gave the statistics that Autobahn accidents were almost always FATAL a second thought. And the fact that I was consistently estranged from my family comforted me instead of bothering me. After all, who wanted to be like those up tight, self-absorbed, righteous, holier-than-thou assholes, anyway? They weren't invincible like me. They didn't have my talent, smarts, or charm. They were boring, to say the least! And when I did find myself wishing our relationship was different, it was nothing more than something to bitch about in therapy.


Okay, so by now, you're probably wondering why on earth I was on such a high dose of antidepressants when I clearly wasn't depressed, right? Well, I've only told part of the story. Certainly, according to the DSM-IV, by the aforementioned behaviors, I was clearly manic. But I haven't mentioned the relentless depression yet. Nights that I sat up smoking cigarettes and writing morbid entries in my paper journals, drowning myself in depressing music, desperately fighting the urge to raid my fridge and cabinets for something, anything to eat. Those were nights that I wanted nothing more than to sleep but sleep just wouldn't come. I'd lie awake in my freezing cold bedroom, tangled in my sheets and comforter, surrounded by pillows, Olivia perched and purring on my stomach, trying to ignore what sounded like soft conversation coming from my living room. What on earth were they talking about?? Sometimes I had to shut my eyes tightly to chase away the spiders crawling on the ceiling and walls. If they made it into the bed, forget it. I ran screaming into the living room where I'd proceed to sit on my couch, wide awake and vigilant. Antidepressant-induced psychosis.

I continually wished for death, almost never finding a good enough reason to keep on living. I dissociated a lot; feeling that I wasn't real, that nothing was real. Those nights were the worst and inevitably ended bloody. After enduring months of this hellish torture, I finally fessed up to Doc who proceeded to prescribe me an antipsychotic (first Risperdal, then Seroquel) and a sleep aid (Restoril). I blame myself for things getting worse after that. Vanity before sanity had me 86ing the Risperdal after a few weeks when I noted marked weight gain. I gave up on Seroquel after I returned from my vacation in California because my friends were always commenting on how I turned into a complete zombie after I took my dose. I agreed, obviously. The sleep aid was the danger factor in this equation. When I wasn't self-medicating with pot, alcohol, or other street drugs, I abused my prescriptions. Shortly after I was released from the psych ward I was fired from my cushy, well-paying job and I just snapped. To me, it was the end of the world and one night I decided it was over.

I downed every pill from a leftover prescription of Trazodone (probably seven or eight pills) and poured out my freshly filled bottle of Restoril onto my end table. I then proceeded to alternate taking a pill with slicing my forearm. The sting of the cuts kept me alert and focused on the task at hand. Thankfully Restoril is relatively fast-acting so after roughly nine or ten pills I was in a fog and noticed that the cutting was no longer snapping me back to reality like it had when I started. Curious, I pressed harder and harder with the razorblade but still, nothing. This was it. I'd reached a state of complete nirvana where pain no longer existed. Not only was I completely oblivious to my emotional pain, physical pain had vanished along with it. Content, I swallowed another mouthful of pills before passing out. (I only know now that I took 15 pills because I counted what was left of my prescription several days later.) The next couple of days are hazy. A pounding on my door. Blood soaked rags. At some point I'd apparently woken up long enough to fix a bowl of cream of wheat (which was crusting on my couch when I awoke a second time to the pounding on my door). My sister and mom drug me off to the ER where things are yet more hazy. An inept Army "doctor" poking a needle into my arm and mumbling something about subcutaneous fat, tendons, and an artery. Plenty of tears, whys, and attempts at comfort by my mom and sister. The ER tried to force me into a German psych ward but I managed to talk them out of it. They notified the on-call pdoc since Doc was TDY. I talked her out of sending me back to Landstuhl by promising to stay with my sister for a while. Soon after, Doc PCS'd, ending my long-standing relationship with therapy. When my logistical support from my dad ran out a month later, I was forced to stop taking medication all together.

I don't know if it was stopping the meds, surrounding myself with understanding friends, my blooming social life, landing the best job on earth, or all of the above that kept me mostly sane for my remainder in Germany. For the first time since I'd been back I felt like I was in control of things. Yes, I still had my mood swings but they weren't nearly as debilitating as they had been while I was on Zoloft. (There's a monumental difference between being manic or depressed and being in a mixed state - a dangerous combination of the two - which is what I'd spent the previous two years dealing with: a perpetual mixed state.) My new job at Outdoor Recreation kept me active and accomodated my social awkwardness nicely. It had fantastic perks like white water rafting trips in the summer and ski trips in the winter. Not to mention early AM airport shuttles to quell my need for speed and to disguise the fact that I was back to not sleeping, or sleeping very little. My boss adored me, my coworkers thought I was interesting, and best of all, I was good at and enjoyed what I was doing. But almost all good things come to an end. When I decided to move to Alabama it was really a no brainer. It was supposed to be temporary; a weigh station on my way to a bigger, better, more exciting life! My plan was to stay with my parents long enough to get a job and save up enough money to move out to California with my best friend where we would take on the world as a fiercesome duet. We made plans to attend college together in the winter and road trip and/or travel the globe during the summer. All that changed when I fell in love. Isn't it strange how something so volatile can be so can be so compelling? Compelling enough to change the course of your entire life.

These last six years have had their perks and quirks. My loving husband accepted me and all my disordered ways long before, I believe, he really knew what he was getting himself into. I know he loves me and I know I love him. But more than that, I think we're heavily dependant on one another which may be what truly keeps our relationship from falling apart at the seams. Mental illness is trying. It's a strain on every relationship I forge. Most of my family members have come to understand bipolar disorder and how it works. This makes our relationships much easier to manage. Instead of seeing me as pathetic and lazy for staying in bed for days on end, they try to understand the severity and all-encompassing symptoms of my depressive states. Instead of making me feel worthless and irresponsible when I spend money we don't have (or otherwise act with reckless abandon) they try to understand that I'm feeling invincible.

I can't really say whether things are better or worse than they were almost nine years ago. Mostly things are just different. The scenery has changed. I'll always be as different as I've always been. My imagination will surely on occasion run away with me as its hostage. It's almost guaranteed that, for the rest of my life, I'll experience times of intense despair that are all too familiar to me. It's just part of who I am; part of who I'll always be.