Sunday, December 29, 2013
Anxiety again- Hard Help and Warm Hugs
Wednesday, November 27, 2013
After All That .... Away for a week
FILE: From my Medical File
10/08/13 Pt reports having very passive suicidal ideation this week but no intent.
11/21/13 Client reports that she overdosed on Ativan last night (5 pills) and feels that she will do it again soon.
11/21/13 Client presents with flat affect, ambivalent in her decision making process, paranoid and delusional (feels and thinks that people are aliens, oriented x3, denying and current AH/VH, attention intact during interview, insightand judgment marginal.
298.9 Unspecified psychosis (Active as of 11/21/2013
296.80 Bipolar Disorder NOS (Rule out as of 11/21/2013
296.90 Mood Disorder NOS (Rule out as of 11/21/2013
Diagnostic Summary: 11/21/13 Client reports paranoid thinking along with delusions. (Thinking people are aliens and endorsing a hx of beliefs that she can fly and that she will not die for long if she kills herself.) Client reports a hx of auditory and visual hallucinations, but none at the moment. Client reports anxiety related to personal relationships. Client reports that she tried to overdose to kill herself last night with plans to do so again.
10/03/13: Pt presents as preoccupied, possibly resonding to internal stimuli, hears voices telling her to stab herself, reports some improvement in psychotic symptoms.
10/011/13: Client presents "ramped up" with thoughts of jumping into traffic or "flying off her balcony" w/o specific intent of suicide. She is calm in presentation but she reports that she has felt increasingly "ramped up" over the last two weeks. She spoke with her psychiatrist this morning and she recommended she present to PES.
Narrative:
Pre screen request was made by PES due to client experiencing anxiety, paranoia, difficulty concentrating and ongoing thoughts of killing herself. Client also reported that she overdosed on Ativan last night.
Client is a 41yo caucasian female. Client presents with flat affect, ambivalent in her decision making process, paranoid and delusional (Thinking people are aliens and endorsing a hx of beliefs that she can fly and that she will not die for long if she kills herself.) Oriented x3, denying any current ah/vh, attention intact during interview, insight and judgment arginal. Lithium levels reflect taking meds as prescribed. Negative for benzo's despite reports of overdosing on Ativan last night.Client reports paranoid thinking with delusions. (Thinking people are aliens and endorsing a hx of auditory and visual hallucinations but none at the moment. Client reports anxiety related to personal relationships. Client reports that she tried to overdose to kill herself last night with plans to do so again. Client has access to significant amounts of psychotropic medications including Ativan. Client denies any hx of substance abuse. Client receives MH services from XXXXXXX. Client was psychiatrically hospitalized in November 2012. Client was diverted from hospitalization in February 2013. Client was psychiatrically hospitalized in October 2013 for presenting manic and expressing beliefs that she could fly. Client reports to live with three children, her mother, and her mother's boyfriend. Client reports that her mother is both supportive and a stressor at the same time. Client reports that she has a friend that she feels is supportive, but also believed that he was an alien.Client reports to comply with medication tx usually, which was confirmed by labs, and reports to attend appts as scheduled.
Here is another file from my medical history.
Search for "FILE" to find other files.
Saturday, November 16, 2013
Anxiety Bad
Friday, November 15, 2013
The Trio
Every day I wake up and immediately want to go back to sleep. Lots of days, I do. I go to bed early, too, some nights. Like last night, I got to bed at 8-something. That was nice. The kids went to bed early, too. If I didn't have to get up and do things like appointments and picking the kids up from school, I don't know how long I would sleep.
Yes, I have thoughts of self-harm. I want to take anti-anxiety pills (Ativan), anti-allergy pills (Benedryl) and alcohol (Burbon) and fall dreamily asleep. Yup. If I can't type it here, where can I type it? So far, I have resisted the idea, mostly by the insistance of friends - both in real life and online. Why haven't I called psych ER? Its so complicated going there. And the negative feelings often happen at night, though not exclusively.
So here it is, night again. What to do, what to do? Wait out the long weekend? I do have plans tomorrow with a friend so that should keep me distracted. I can't believe it was a whole week ago that he and I ate at that Asian restaurant where my food was so spicey! OUCH! At the moment, I have laundry going and will have to wait another hour or so before that is done.
So this may be depression. I'm not sure. I at least can get out of the house. I'm not catatonic watching the wall. I'm not crying. However, ever since eating the hot Asian food last week, my eyes tend to water without provocation. People notice and point it out, asking, "Is something wrong?" Odd to have a tear or two running down your cheek and have to say no, but nope, nothing is wrong. In fact, I don't feel sad as much as I feel incredibly anxious- that bad things are going to happen. I can't distract myself enough. I suppose I could call my pdoc on Monday, but I should have called today! Darn it. There's always Psych ER to call if things get worse.Like if that trio becomes more of a good idea to me.
I'm wondering if this isn't a mixed episode now. The anxiety is awful.
Thursday, November 14, 2013
Fade Away
I don't know if this is just a low following my mania, or if its unrelated. I'd love to be in bed right now. I sleep about 18 hours a day and don't get groggy after. I think I might put my pajamas back on. I can't be bothered to do laundry or get a shower. Its only 4:30 p.m. The title to my post on the board was "Black". That's how I felt. Like there is no color, only black. I wanted to take Ativan and Benedryl at the same time and maybe some burbon. Just to check out for a bit. Nothing permanant. No, I didn't call the psych ER. No, I didn't call my psych. Dr. I just am in a funk. I think posting on that board has kept me from doing any of these things because they'd post how concerned they were for me. Telling me I should call the psych ER. But I know that the psych ER might want me to come in and I can't do that because I have kids here I have to watch. I know. Doesn't make sense. Welcome to my brain.
No more hallucinations, except I did just think I saw the cat, again. He ran up the stairs and then wasn't there. Nothing like what happened on Saturday with the photograph of the girl and the coffee beans.
They can't put me on anti-depressants because they make me hypomanic and maybe manic. So I guess the only alternative is to up my zyprexa and who needs that?
I posted here because my friend G.V. said he hadn't seen any posts on my blog in a while so here is one. Sorry its a negative one.
Saturday, November 9, 2013
Starbucks & Stuttering
I was just looking at a photo on the wall of a woman. She is life-size. She's holding a basket of coffee beans. She has a fake smile on. The more I looked at her, the more she changed. Her face became a mean face. It became the face of the devil! She didn't want me looking at her! I continued, however. Her face changed from mean to happy to mean again. Her basket changed and moved too. Was she nice or was she evil? I still can't tell. Her expression changed from one to the other. Her eyes, too, changed from nice to menacing. Her lips curled up into a pucker of disdain for me.
I've also noticed, as of late, that I stutter. I can't get a word started, or if I do, it get stuck for quite a few seconds before it comes out. Its not just that I can't get the words out, but a mix between that and not knowing what word might come out! They really do get stuck! Its especially frontal consonants like "P"s and "D"s. I'm not sure if its one of my medications doing that or if its something else. I would guess that I'm trying to get words out so quickly that I'm stumbling, but it really feels more like they get stuck mid-syllable and take a few seconds to become un-stuck.I'll have to remember this for next time I talk with my psychiatrist.
Friday, November 8, 2013
Detached
At our Friday lunch with friends today, I felt odd. I felt detached from the world, and yet anxious without the negative feeling. I felt detached from the world. I felt the bathroom wall with my finger tips because it was made of stone and this is something that I only ever do if in some type of mood episode. I called my psychiatrist and she didn't think it was anything dangerous- no delusions or hallucinations, or medication mishaps- so I am left to ride it out. Someone at lunch when I was eating asked if I were okay. At this point, I still felt fine so I said yeah I don't know what's up. She commented on the fact that my eyes were watering and I was blowing my nose as if my dish were spicey- but it wasn't. I'm shaking a bit now, and just have an overwhelming want to detach from the world and float away. I don't feel bad like its anxiety, but it has halmarks of anxiety, I'll admit. I managed to drive home from the restaurant, pick up my kids from school, and get some supplements at the drug store. (One was buy-one-get-one-free!)
I will have to keep a watch on it. Last night, I was anxious and took ativan and benedryl to get to sleep. Maybe its leftover from that? But my day was fine. Lunch with friends should be a fun time! Tomorrow, I'm spending the day with one of my closest friends, so that should be a good day, too. We will probably spend part of it in Starbucks. Now to just finish the laundry I started and get a good night's rest.
Took two Benedryl and an Ativan. Nothing happening. Must need more....
Still feel the same and its an hour later. I'm wonder if I'm in a mixed episode- aggitated and depressed. Manic and depressed.hmmmmm If I can sleep! I took my usual pills for the night. I wonder if they will help.
Thursday, November 7, 2013
So Much For Mania
Lately, I feel like I am no good at anything. That I'm lost in a loop of unproductivity. Look at how wonderful my sister's life is! And look at me. I suck. For as nice as I am to people, I still suck. Nobody seems to want me. Sometimes people say that I'm great, but I want to hear that more and from more people, I guess.
I'd like to publish what I've written here, but it seems such a long-shot.
I feel like my left-over migraine is part of this. I should take a pill for it just in case. I've tried a nap, coffee and food, now drugs. I should've gotten my blood drawn today, too, and I forgot again!
I want to hide away somewhere. There are too many things going on. I can't filter them out. Too much guitar. Too much YouTube. Too much someone on the phone. Too many complaining people. I must get out of here. But how? Fly? Fun? Or just walk? Noise overload!!!
It's now six hours later and I'm feeling like taking Benedryl and ativan at the same time. I can't stand this feeling scratching and knawing at my insides. Earlier, I heard a helecoptor go very close over the the house and I thought they were landing for me! It doesn't help that in amongst all this, the "Cylandrical Sex Seconds" person finally ended our relationship. That sounds so final, but I've said that how many times and its never over. I'm more "meh" about the relationship being over, but then I think about it and it has been whiddling down to almost nothing for over a year now. Back to the feeling, it just won't go away. A friend suggested that I call the psych ER but eh, I don't feel like it. So much for mania. Which it were back. This sucks.
I broke down and took ativan. I hope it helps me calm down. The knawing feeling sucks. Its like a creature is trying to knaw its way out of my body. If it doesn't work, I will try Benedryl. Few minutes later: tried Benedryl. Feeling better. Don't care if its not pollitically correct.
Tuesday, November 5, 2013
New Diagnosis? Schizoaffective Bipolar type
From the link: Schizoaffective disorder (abbreviated as SZA or SAD ) is a mental disorder characterized by abnormal thought processes and deregulated emotions.[1][2] The diagnosis is made when the patient has features of both schizophrenia and a mood disorder—either bipolar or depression—but does not strictly meet diagnostic criteria for either alone.[1][2] The bipolar type is distinguished by symptoms ofmania, hypomania, or mixed episodes; the type by symptoms of depression is exclusive.[1][2] Common signs of the disorder include hallucinations, paranoid delusions, and disorganized speech and thinking.[3] The onset of symptoms usually begins in young adulthood, currently with an uncertain lifetime prevalence because the disorder was redefined, but DSM-IV prevalence estimates were less than 1 percent of the population, in the range of 0.5 to 0.8 percent.[4] Diagnosis is based on observed behavior and the patient's reported experiences.
Schizoaffective disorder is defined by mood disorder-free psychosis in the context of a long-term psychotic and mood disorder.[2] Psychosis must meet criterion A for schizophrenia which may include delusions, hallucinations, disorganized speech, thinking or behavior and negative symptoms.[2] Both delusions and hallucinations are classic symptoms of psychosis.[9] Delusions are false beliefs which are strongly held despite evidence to the contrary.[9] Beliefs should not be considered delusional if they are in keeping with cultural beliefs. Delusional beliefs may or may not reflect mood symptoms (for example, someone experiencing depression may or may not experience delusions of guilt). Hallucinations are disturbances in perception involving any of the five senses, although auditory hallucinations (or "hearing voices") are the most common.[9] A lack of responsiveness or negative symptoms include alogia (lack of spontaneous speech), blunted affect (reduced intensity of outward emotional expression), avolition (loss of motivation), and anhedonia (inability to experience pleasure).[9] Negative symptoms can be more lasting and more debilitating than positive symptoms of psychosis.
Mood symptoms are of mania, hypomania, mixed episode, or depression, and tend to be episodic rather than continuous. A mixed episode represents a combination of symptoms of mania and depression at the same time. Symptoms of mania include elevated or irritable mood, grandiosity (inflated self-esteem), agitation, risk-taking behavior, decreased need for sleep, poor concentration, rapid speech, and racing thoughts.[9] Symptoms of depression include low mood, apathy, changes in appetite or weight, disturbances in sleep, changes in motor activity, fatigue, guilt or worthlessness, and suicidal thinking.
You can see how this is very similar to bipolar 1, but at the same time, it is different, especially when it comes to hallucinations. I still believe this is my true diagnosis, even though my new psychiatrist just has me down for a psychotic disorder not otherwise specified.
Sunday, November 3, 2013
Stretched-out Moments
As I got older, something as simple as a tuft of grass could be its own world and I could stare at it for stretched-out moments on end. Now that I have kids, I see some of this in them:They can stare and take in the world indefinitely.
How much of this is bipolar? I don't know. But I always felt like I was special for the way I saw the world. As a teen, I would write poetry, some of which was noteworthy. Now, I still see the world differently- especially when manic. I'm not sure that I ever was what you'd call manic as a kid, but I know that my perception of the world was very different. I know that I was distraught a lot of times and was told I maybe depressed- or maybe "just a teenager". Yet I know that I was different. Always had been. I was "an alien castrato" (an earlier post here). I was different than most people and always had been.
I still feel like I see little things- little things to make up the big things. I can get lost in the little things for ages, just like the Fisher Price toy. My mother always told me that I could play for hours in my playpen as a baby. I believe it. I would just get facinated by objects. Anything. As a child, I'd stare at a glass ball, for example, and become fixated at the reflextions of light and of me. My paternal grandmother always yelled at me to stop touching things. I had to! I had to know what everything was about! When I get more manic now, its in how things feel- the details of the mortar between bricks, or how smooth a table-top feels. Its how cold the air is blowing across my face, or how the voices in a restaurant irritate me to no end. Its all about how turned-up the volume is. The older I get, the more this happens. I just think its always been there.
Friday, November 1, 2013
Police & EMT
I had tried to call my therapist because I really felt bad, but she didn't answer or call back. I got in the car. Driving, I got even more upset. I called my sister. What I said, I don't know; I just needed a friendly voice; she asked me where I was. "Walgreens", I said, and I was "going to kill myself", as I was driving past, and I pulled in. There I sat in the car, on the phone, oblivious to everything around me. My psychiatrist had called me back. We were talking about how I was feeling and thinking. I don't remember what the consensus was, only that my sister kept calling while I was talking with my doctor. I didn't answer, as I thought this was a more important conversation. Very soon after, I got out of the car, and was surrounded by two police cars and two police officers! They had parked me in. They asked me to get out of my car and took a cursory look with flashlights around my car. There I stood outside in the parking lot with two police officers, each standing sideways to me, guns in their belts and all. They asked me questions, most of which I've forgotten, but they did want to see my big, yellow purse. They asked to see inside it and proceeded to rifle through it, laughing the whole time. One asked if it were part of my camping equipment and I answered back, "Yes, that's my tent," referring to the size of my purse. No handcuffs for the smart remark, but I was locked in the back of the cruiser for a while; through the thick-glassed window, I watched them rifle through my purse some more. I had an extension cord in there - I think it was to charge my phone- which they found particularly odd.
It turns out that if you say you're going to kill yourself to your sister and then don't answer the phone, people get nervous.
Soon, an ambulance showed up. The EMT asked me if I had a mental illness diagnosis. I said that I have bipolar. I was allowed to have my purse back. I was looked over in the ambulance. My sister turned up not long after the ambulance did. She wanted to call the whole thing off- as if she'd never called 911. It was too late, the EMT said. So, off to the hospital we went. My sister said she'd pick me up later. The psych ER just talked with me and I don't remember what was said, but they didn't think that I needed to be admitted. So I was released and called my sister to come pick me up. She seemed to think it was a serious situation and was very loving toward me. We had a lovely conversation on the way home.
Wednesday, October 30, 2013
Before Diagnosis
Another episode happened after my daughter's birth in 1999. I was sitting in the bathroom looking out the window. I saw orange rectangles in the sky! I looked out and then back into the bathroom. No orange rectangles in the bathroom- only outside. I thought there were alien spaceshipts outside! I called my husband in who told me that there was nothing odd outside. Still, noone found this episode strange.
At age sixteen, I asked to be taken to a psychiatrist. I knew something wasn't right. It was in the way I was thinking, as I recall. My thought patterns were different, I thought. Also, at times, I'd have episodes of screaming at people- screaming at the top of my lungs- so much so that you couldn't understand what I was saying.The psychiatrist had argyle socks and was very "Freudian" in his ways. He told me I was a normal teenager! I was upset at the way he wrote everything down yet didn't talk back to me.
A few years later, I saw another psychiatrist. I looked out the window a lot of the time because I didn't want to be there. She decided I had what amounted today to be ADD. Still, we got not diagnosis. And, like before, I knew something was wrong, yet we got no closer to a bipolar diagnosis. Still, it was one or two appointments and that was it.
In early 1999, when I was early pregnant with my daughter, I went to see a different psychiatrist as we were living in a new state at the time. I described how I was feeling- how I was thinking. I thought some of it stemned from being a child of an alcoholic. I even went to see a specialist in this. But all I was told was that I was normal! This psychiatrist looked me straight in the face and told me I was "normal". I know for certain that bipolar was creeping up and I was confused. So confused! When you're not diagnosed, the symptoms of bipolar can just look like you like to shop or that you are very happy or that you- as happened to me once- lay on the bed catatonic all day.
People can suffer for many years before they are diagnosed and treated for bipolar. They are often diagnosed as having depression and put on antidepressants which can put them into a hypomanic or manic state. They are often overlooked, so that dangerous states can happen, like wanting to drive into on-comming traffic. It takes many years to get diagnosed and then the medications tweaked to a theraputic level. And even then there are breakthrough episodes, as evidenced by my recent manic episode. Here's to all those suffering.
Sunday, October 27, 2013
Guilty
Age & Memory
At the same time, one of the reasons I keep this blog is so that I don't forget the events that I go through relating to bipolar. The further one gets from an event, the easier it is to distort that event in one's memory. It gets thinned out and changed as time goes by. If you were to ask me, for example, about my manic episode this past month, I could tell you that I wanted to play in traffic and that I thought angels were talking to me and that the sun was giving me messages, but the details of that would be gone. This happens to everybody, more or less, but this blog is a good way for me to remember how I was feeling at the time; not only that but its a good way to remember how I was thinking. In the long run, it can tell me how I was feeling from month to month and year to year, from manic episode to manic episode and everything in between. When I go back and read older entries, I think, "Aha! I remember that!" My hope is that others can learn from my candid entries, as I keep a record of my moods and thoughts. Maybe, in time, I can also learn from my past and avert an episode when similar symptoms arise.
Also, some of the medications can affect memory, like Topomax, but that gets better over time. I had a period of time where I had a terrible time with my short term memory; I would go to do something and immediately forget what it was. What's more, I would go to write down what I was going to do and forget what it was before I could write it down! It got really bad for a while and was quite annoying. I had a hard time functioning because the second I thought of something to do, it was gone.
So some of it is getting older, some of it is normal sense of time and some of it is side effects of medications.
Thursday, October 24, 2013
Dear Bipolar
You are my best friend. We are one.
The separation between us is none.
You give me messages through the sun.
You come and go,
But are never done.
Tuesday, October 22, 2013
Alice in Wonderland Syndrome
One day- maybe last year, maybe two years- I went into the bathroom. As I stood in front of the toilet, I gradually began to feel as if the toilet were very far down- very far away. As I continued to stare, it appeared as though I had grown very very tall- maybe ten feet tall! I kept standing there, looking down from on high. My arms felt longer. My legs felt longer, too. An overwhelming sensation of leaning over the toilet from way up on high filled me- maybe even a feeling of floating above everything. There were no Skittles to eat, and no rabbit to talk with. The sensation lasted several minutes. I don't remember coming down- literally- from this. I only felt like I had turned into Alice in that tiny little room after eating or drinking the food with a little note on it. I have since read that this is a real syndrome and that sometimes they can be precursers to migraines, though I felt no pain or nausea at the time.
Edit: Since I've written this, I've showed it to people on a bipolar board I belong to online. Many of them say they've experienced the same thing, albeit one said it was on LSD. One relayed having hands really big while driving, dwarfing her steering wheel. Another said it was while she was manic. I can't remember if my episode was while manic. I would have to say that I don't think it was; it was several years ago, and my definite manic episodes were just a few weeks ago and a year ago.
Bipolar Research Study 2
All-in-all, it was a fun time for what it was. Oh, and I got blood drawn, too. I tried to ask what some of the prelimary results were, but they said they're only now starting to get some after 7 years into the study. I know that they are using our genes to see if there is a component and that as of Sept. 2013, there are 927 enrolled. A newletter I got about the study states, "The Heinz C. Prechter Bipolar Genetics Repository and Longitudinal Study of Bipolar Disorder were launched in 2006 and remain the flagship project. The Logitudinal Study will follow individuals over the course of 10 years with the goal of identifying potential illness patterns in bipolar disorder." More at Prechterfund.org
Monday, October 21, 2013
Nothing Much & Old Friends
I said nothing much has been going on, but I guess I meant in terms of bipolar. The new dose of Zyprexa has kicked in and the intrusive thoughts are at bay for the time being. Haven't had one in several days, anyway. I've been enjoying my new tablet still and am using it to type this, which was its intended purpose. When I have the need to post here, I need to be able to post at the time and not wait to borrow a computer like before. Its amazing that I could borrow one as often as I posted when manic, recently. Tomorrow, I go for the yearly bipolar study appointment. That should last about three hours, they said. I really don't get paid that much, considering, but then again, I just answer the questions honestly about how I've been feeling and what my experiences have been. This year, I've been manic, so there will be something to tell about! Last year, I said something similar- that I'd been hospitalized then too and wasn't it great that there would be so much to tell them! They were not amused and couldn't see why I'd see that as a bonus. Ha! I still see that I'll have more to talk about this year what with having been manic and hospitalized. I'm sure they'll just tell me that mania is not a joke. Har har.
I have also been posting quite a lot on a bulletin board for bipolar people. Its part of a larger forum for mental health. I have noticed that I've been more active, as I keep hitting refresh to see if there are any new posts or any new replies. I don't know what that's about. Maybe I'm bored. Maybe I'm a bit hypomanic? Its like the board isn't going quickly enough for me. Oh- and about typing into this blog, when I was using the virtual keyboard that came with the tablet, the keyboard took up all but a skinny line for where the text showed up! Now, with the external keyboard, I can see a huge square in which to type. Much better!
Friday, October 18, 2013
Research Study
Thursday, October 17, 2013
Missing Angels
So its me and the anxiety. Maybe its because I heard from my dad on the phone this afternoon and he doesn't sound too great. He's still sick and has been for at least a month. Maybe I just don't have anything to do. I have this blog to type into and nothing to say! What the heck! When I was manic, I had everything in the world to say. I do miss that part of being manic: the creativity. (There's a man sitting near me who looks homeless and more than that keeps coughing this terrible cough. I hope its not catching!) I really feel like the angels are missing. I want them back. I really do. Please come give me messages again. Come sing to me. I could play In Paradisum again, I suppose. Lately, I've been listening to Allegri's Miserere which has been a favorite piece of mine since I was 16. I've heard many renditions, but this is the newest. I am partial to boy choirs singing it, but these women do a very nice job, especially the top soloist. These angels will have to suffice. All the angels from the past recordings are in my mind singing, "Have mercy upon me..." I still hate myself, but this music calms me. I'll never sing like these people. I'm too out-of-practice and, frankly, too old, but I can still listen. The hate feelings are still there and I don't know why. I don't know why. I don't know why. Angels come to me. Where are you? Where where where are you? Comfort me again. Tell me that everything is right in the world. That I am invincible. That I am okay. That you are waiting for me. Come back. Come back to me and give me that blissful feeling of warmth. Wrap yourself around me and protect me. I know everything and am everything when you are with me. Return again and sing your seraphim selves as one, enveloping me and taking me with you, rising up, up and up.
Tuesday, October 15, 2013
Follow Up
I wrote an email to a long-time (10 years) pen-pal today. That felt good. It was about how I've been doing the last month though so we'll see what he thinks. Last time I wrote him, he said he didn't know my bipolar was that bad to have had hallucinations. He seemed concerned. Now after telling him the very brief version of my latest mania episode, I think he'll be even more worried. But he and I have quite a close bond so I'm not too worried about it. I think he'll know I'm doing what I should be. I'll be interested to see what he replies, as always.
Well, it wasn't as exciting as I thought. She just said if the intrusive thoughts get to be actual plans then call.She said I seem a lot more calm than when she talked to me the day I went to the hospital. I think the fact that I can push the thoughts away means that I shouldn't worry about them. They are annoying, though. And graphic! I tried to relay this to my dr but she just said that they weren't that bad unless I was making plans to actually carry them out. She's also having a baby, which is why my last psychiatrist left, though she assured me she's coming back after she has the baby. We decided to stay on this dose of Zyprexa for now, too. She mentioned increasing it, but not yet. She thinks decreasing it three months ago was the cause of my hospitalization- in part, at least.
So for now, I guess I continue to be annoyed by the visions. I'm not sure she knows just how vivid they actually are. She tried to ask me if I want to carry them out. When i think of them, I do, but at the same they just play and are gone.
Monday, October 14, 2013
Visions
I still...
Another unexpected Hallucination
Saturday, October 12, 2013
Intrusive Thoughts Worse
EDIT: I called the psych ER which transfered me to the psych unit I was on which retransferred me to the psych ER. All I was told was to take Ativan, but not two pills, just one. Nobody seemed to care too very much. But here's what plays in my mind: I have a long kitchen knife in my hand. Quickly, from below, I dart with one smooth motion, up and under my ribs. The impact is sharp, then dull as it presses through the layers. Its strangely satisfying. It hits the inner side of my left ribs as it tears my lung and heart. There is blood. Lots and lots of blood. I feel numb. My hands are covered. I drop the knife.
The Night Before
The night before I went into the psych hospital, I had police at my door. They wanted to know if everything was alright. They seemed to think I was okay, to look at me. I was calm. Collected. If they only knew! If they only knew where my mind had been that day- where it would be the next day! They asked to talk to another family member to make sure I'd be okay through the night. That was that. I think I skated by that one.
I hadn't called the police. It was an online friend that I've never met several states away! He didn't like how I was behaving, I guess, that day. He asked me weird questions like, "What's your middle name?" and "What's your phone number?" I was mad when I found out why he wanted to know! I thought he was being friendly and was going to phone me! (He reads this blog, so, "Hi!") I was mad at him for a few hours. Who needs police at their door? I certainly didn't think I did! I mean, I was fine! I was manic. Ha!
Anyway, that was "the night before". Nothing really major happened. They just talked with me for five minutes and then left. I'd just forgotten to blog about it what in scramble the next day going to the ER then being admitted.
Friday, October 11, 2013
I Did it. Still Manic?
Thursday, October 10, 2013
Leaving today/Meeting. (Day 10)
Edit: I had the meeting. K was there. I was so happy he showed up. The meeting wasn't as bad as I thought. Mostly getting my mom and K to understand just what mania is and how I was when I was admitted. How they could many catch the symptoms before they get too bad. I still don't see how they could do this as a lot of them are part of my normal personality! An example that was brought up was before I went inpatient, I was out at K-Mart with K. We were in the camping section. I stared, way down the isle. I threw my arms out and exclaimed, "BUY ME A THERMOS!!" He actually went and looked at the price! My mom said that she wouldn't have thought twice because this is just my personality. K also said that I also seem more manic when I asked to use his laptop more often to post on this blog. (Of course, how do you know? I'm typing on it right now!) I was prescribed about a week's worth of various drugs, none of which are new to me so I don't understand that, but I picked them up anyway. The only thing that is new is the double dose of Zyprexa and I have plenty of that left over from when I was picking up the double dose but only taking the single several months back. One thing I don't understand is that my diagnosis at discharge was bipolar 297.7 which is just "bipolar unspecified", when they specifically said I had "bipolar manic". One of the doctors said maybe one sign of mania for my friends and relatives might be if I start cleaning my room or start a bunch of projects. That wasn't what happened this time. I did blog a lot, though, and somewhere deep inside me I still believe those posts: Somewhere, I still want to buy a computer tablet. They haven't gone away. What I typed is still part of me. Still very much me.
Wednesday, October 9, 2013
B-b-b-b-b-b-b-b-b-BOUNCY! BOUNCY! BOUNCY!
Edit: An hour later, and now the bouncing has stopped. I'm really mellow and want to go to sleep. Sitting here, I could just melt into the chair. And I would, too, if I weren't chatting with a few friends on Facebook right now. I'll have to cut that short and put on my PJ's and slip into bed.
Fall! Flung? Spring! Sprung? (Day 9)
I made a frog sun catcher today. I think I'm going to give it to my aunt as she loves frogs. Its spots are blue and yellow. Not realistic, but its cool anyway. We went to the gym again and played shuffle board which was tied for the score. I'm not bad at it, if I must say. I did sleep through one of my groups: the first one. I just felt really tired this morning.
Its going to be hard to transition back to regular life, but at least tonight my friend, K, is coming to see me. We will get coffee together as usual when I get back out. We've got a new puppy at home that I haven't yet seen so I'll be looking forward to seeing it, but not to cleaning up after it. One good thing about this is that I haven't spent any money for 10 days. Part of that though, is I haven't been able to pay my phone bill so my phone is dead as a doornail in my cubby here at the hospital. I'll have to go pay it when I first get out.
I worry about relapsing, but everybody seems to think I'm okay so far. They keep talking about watching my symptoms go downhill and not letting them get so bad next time. The problem is that they get bad so gradually that you don't see that they are bad until they are pretty bad and you call for help when they are pretty bad but you don't get a doctor to call you back or a psych-ER nurse to believe you until they are really bad. In fact, the psych-ER nurse never believed me. It was my psychiatrist who finally called me back a day later and believed what I was telling her about walking into traffic and flying off balconies. That's when she said to drive myself to the hospital or she'd call an ambulance. I knew the Fall was doing to be a bad time for me, but I didn't know how and I didn't know when. Now I know. I just hope the bandaid of doubling my Zyprexa is going to be enough.
Tuesday, October 8, 2013
Step Down? (Day 8)
This might be due to the face that I told them I'd had visions of stabbing myself. This is not new to me, but to them it may be a big deal. Ha! They also just took my temperature and it was 99.2. Its elevated a bit. Wonder if I'm coming down with something. Usually, I run low in the 97's. Also, if I do go to the Crisis Residential place, I wonder if they'll have a computer so I can blog. I'll go into withdrawl without a way to vent!
Monday, October 7, 2013
Of Two Minds (Day 7)
Sunday, October 6, 2013
Social/They Aren't Happy with Me (Day 6)
I had a migraine, though, and its still not totally gone, even though I got two Immitrex. Dinner is in a few minutes; maybe that will help.
I'm still on "ward" status. That basically is "level zero" even though they don't call it that. That means I have to stay on the floor here and not allowed to leave at all- not even with supervision. That also maybe translates into how soon I might get out of here. I'm not sure, because the last time I was here I don't remember getting moved up and levels and I obviously left.
I also got a shower and am doing laundry. I feel very refreshed! I will read more of my book tonight. I filled out some papers that are required before you leave about what your plans are when you are out for the first 48 hours. Maybe that is a sign? Maybe they are getting ready to let me go? I really don't know. I just know that unless I can say 110% that the thoughts of flying are gone, they aren't happy with me.
On a happier note, we are having another movie, tonight! "Red" with Morgan Freeman. Should be good. There will be popcorn, too!
Uncharted Territory (Day 6)
I've been reading my book. Today is slow. We had stretching group and music therapy and that's it. That was fun. Two friends are supposed to visit, too. I hope they do. Today is day Six. Longer than I was here last time. I'm in uncharted territory.
Saturday, October 5, 2013
Not My Fault (Day 5)
I just talked to my ex-husband. He's bringing the kids to see me tomorrow! Yay.
I still feel slowed down. My head hurts, but that's going away with coffee and Tylenol. My typing is fast, though! You can't tell that by reading this, though. hehe
Otherwise, I am still reading a book I found here, Carrie. I am completely bored unless on the computer. I invited my friend, K, to come see me, but he said he'd come by tomorrow. Oh well. Another friend, S.B., said he'd come see me today but he hasn't answered his phone. That's made me disappointed.
Friday, October 4, 2013
What My Dad Said (Day 4)
I Was Interesting, Darn it! (Day 4)
I'm still looking out the windows here thinking of flying out. Its such a peaceful thought.
My dreams have been fun.
They keep coming in my room and giving me lots of Skittles, inhalers, and giving me a shot of Heparin. And they keep asking if I want a nicotine patch! How many times do I have to tell them I don't smoke? Maybe they think I'm lying. Maybe all bipolar people smoke? I don't know.
I think I'm going to be here forever. And I think I'm boring now that I'm on higher meds. Puh. I was interesting manic, darn it!
Wylie Coyote (Day 4)
Thursday, October 3, 2013
Clean is Amazing!!! / Doesn't make Sense (Day 3)
I've gotten two heparin shots today. Its good because my INR has been low and the place I normally get it checked wouldn't run it because my "standing order" had run out! So they'd risk another clot?? I don't know what I'm going to do when I get out of here to fix this either. Yes I know- I don't want to die by blood clot, but I wanted to run into traffic and jump off a balcony. Doesn't make sense.
Sleepy (Day 3)
Like a Zombie! (Day 3)
My INR is low, so they said they are going to give me a shot of Lovenox at some point. Apparently, I got three times the dose of Zyprexa in the last 24 hours because of the "PRN" (as needed) dose that I got plus the new dose.
They keep asking how I'm feeling. Like a zombie! That's how I'm feeling! So I could just sleep the day away. I did talk with two of my good friends, SB and TH-P. They are great! They love me. I wish they were closer.
My mom is supposed to be bringing me some clothes and my shampoo and conditioner. Then I can get a shower. That will be nice!
I need to fill out my food choices list for tomorrow.
I think manic is more fun. I'd rather be manic than drugged like this. I'm feeling disappointed. I told them I wasn't feeling any negative feelings but I guess that's one. Disappointed. I did start reading a book. There's that. Not that I'll probably be able to finish it while I'm here.
Wednesday, October 2, 2013
Voluntary? - (Day 2)
Its right before bed and I had coffee. I'm a little bit more awake- right at bedtime, right? Maybe I'll just feel like regular bedtime now not extra-drugged feeling.
My friend just visited me for a short bit. That was nice. I might make a phone call soon. I don't know what else to say.
The rabbit feels up and down at the same time and is confused and a bit angry.
Med Change (Day 2 Still)
Dinner is at 5:00. Its only 4:18. I hardly have enough to type in here to fill up that time! Now I feel stupid for being here. Just for a Zyprexa doseage increase? Really? I could've done that at home.
All I want to do is sleep. I can't see that the Ativan would make me this tired, but maybe double Zyprexa would.
My friends are still being good to me! Yay! They all say they still love me! This makes me happy.
Ex Principio (Day 2)
I'm bored. This isn't helping. The nurse just told me my heart rate was up. My blood pressure was up last night. She said the drugs she gave me should've kicked in by now, but they haven't! Whatever. Inside, I am buzzing and wanting to scream. I need to SCREAM!!!
Hallucinations de Hare -(Day 2)
My nurse just came to talk to me. She went through a bunch of things, including my meds that are ordered. One of them was a nicotine patch! Oh my god, if I'd actually gotten that I can only imagine how awful I'd have felt. She just wrote, "Not appropriate" in the notes, but sheesh! She said they figured that I self-medicate with cigarettes. Hmm... Lots of people must, but not me. I am getting another dose of Zyprexa and some Ativan before my first group- stretching. Skilttles. I hope this slows me down. I just woke up, too. I really want some coffee, but I think they'd frown on that. Ha! Its possible that I will get prescribed another medication by one of the doctors here. Last year, I got Topomax.
I have to go my first group in fourty minutes. Geesh I don't have that much to say here. My nurse just left. She said I can have decaf coffee. My hand is shaking. I don't feel all that bouncy right now. My head hurts a bit. These people are determined to therapy and drug me into submission! I did like stretching a lot last time I was here. I just feel like going back to bed for some reason. Maybe I wore myself out bouncing so much all day yesterday. Where is my music?! I want to hear it! In Paradisum!
The rabbit has had Skittles and yet they aren't doing anything. Earlier, I wanted to be done here. Just run out. They have my stuff though. They always have my stuff. Ugh can't I just go home and sleep in my own bed? Back to In Paradisum? Please?!!?!?!?!
Tuesday, October 1, 2013
Back in the Rabbit Hole -(Day 1)
This morning, I called my psych dr. Told her what I've typed here lately. She said if I didn't take myself to the psych ER, she would call an ambulance to take me! So here I sit. I just got frisked- both with clothes on and without! I just haven't been able to sit still and yet my body absolutely aches for sleep. I was lucky to get admitted to the same hospital as last time; they don't always have beds. I didn't want to go to a strange hospital that may or may not have computers.
Strangely, people keep asking me if I'm hearing voices, but I'm not. I don't know why not. I mean, that would be entertaining, right? If I'm going to go batshit, at least make it interesting!
This day feels like its been three days long. Its 11:08 p.m. and my body says its 4:00 a.m. All of that bouncing like the rabbit I am no doubt contributed to this.
No bathroom privileges. Again. Ugh. I have to ask every time I need to go. Then after a day or two they unlock it. My roomate is asleep. She doesn't appear to be very exciting, but hey- she's asleep. Back to groups. Back to more groups. But art therapy is fun! And my bank account will stay intact, unlike yesterday when I tried to buy a tablet.
I keep telling my story over and over. They don't seem to be able to understand how I could be suicidal one day and manic the next week. How could I talk about dying and going into paradise yet not feel sad and wanting to kill myself? Well, I don't know! It just is! Is the sun still sending my messages? They all think its seasonal affective disorder- SAD. Its NOT! I'm NOT SAD!
These computers make me happy.
I keep having a duality of my mind telling me the things it tells me- about knowing everything sent from the angels- and then the other side says, "No, that's not possible". Its teeters back and forth between the two. I must say that I'm not making these things up. I really do feel the way I type here and I really do believe what I type.
I'm exhausted. I'm beyond hungry. I need a reboot. All of me does. That's why I'm here.
Whirling Wipers
Whirling through the cars like the fog. Like the ghost that I am. I don't exist. Time changes. Every bit of what I am and was and could be are now one. I take another step. One. Two. The lights change. The fog lays low, cuddling around the hard bright surfaces of metal. I step again. Red.... Green. Step. Whoosh! Honk! I am free! Time and I are one. I step again.... Breathe in that thick air. Stop.
Monday, September 30, 2013
Escape
Am I?
Flying in Precipio
I saw myself climbing over the balcony again. Lifting my leg up. Leaning over! I could FLY! Across the building, floating through infinite space! The air was my playground and it was all mine. What a waste it is that we don't use the air around us! This time, however, I happened to tell this to my friend on the phone and he said, "No, you can't," quite firmly. Maybe I can't. Maybe... Everything out in front of me is shimmering. Shining brightly! Calling to me. "Come here..." it seems to say. Earlier, I had called my psych. dr. and left a message with some of what I'd written about yesterday- about the cat and the sun talking to me. As of this typing, she still hasn't gotten back to me. I guess I don't matter.
After going to Meijer, I went to Best Buy to buy a tablet. I nearly did, but I couldn't afford an external keyboard to go with it. I need it to type into my blog! Right now, I am using my friend's laptop again. I talked with the sale's guy for fifteen minutes, it must've been. I could've gotten a cheaper one, but I wanted one that went with a keyboard so I could touch-type because its faster to get ideas out. I had also looked at Meijer for one but nothing caught my fancy. I didn't have enough money for an ipad mini with keyboard which would've been nice.
I don't know how long I will be this way. In some ways, I feel normal. In others, not. Why don't I jump off that balcony? Is it too much trouble? I really don't know. It doesn't seem scary in the least. Just flying into peace. Into that peace of yesterday's post- in paradisium. There is something out there that I must learn. Something that is being taught to me through the sun. Though everything being more vivid that usual. In the lights in Meijer glinting. I need to find out what it is. I said yesterday that I know everything. Not yet. Not quite yet. Something awaits. Its close. Its so close.
Sunday, September 29, 2013
Long Night
Soon it Will be Gone
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Hallucinating In Paradisium
I have had other things like this happen, too. I'm not sure if they are normal or not. My friend says not. The girl I've described disappearing lasted longer: she as definitely there for me to see and then she was gone. Its tempting for people to say they are ghosts. Why would my cat be a ghost when he is alive? Maybe he's teleporting. hehe. Funnily enough, he didn't meow. That would've been better- a little more information. Sometimes, I catch things out of the corner of my eye that aren't there, but again, I think that is normal.
I still feel ramped up but that could be the coffee.
Last night, the cylindrical sex seconds continued. I feel at ease with it. It is just there. It is comfortable. It is like falling into a warmth, as the merry-go-round turns slowly, once, twice, thrice... Its no longer sad. It has moved into an intense feeling of peace. This piece is from a requiem- a mass for the dead. "In Paradisum" translated means "In Paradise". Each note, each nuance of a phrase, has me captured, wrapped in bliss as it continues on, again and again. My brain tingles. My emotions roll up and down gently. They are one. I want to fly away into the music, singing. The sound goes straight from my heart to my brain, bathing it in intensity that rolls over itself, again again. It is the same with the sex. Rolling over and over, drowning my brain, saturating it in bliss, so that I can't sing along; only strange singing comes out, but the angels still sing for me into my brain and in my head I sing along, as my my body tingles, as my brain buzzes and everything is gone. Only I am left. I am one with the sound and my brain and the bliss. I am singing. I am one with all. I know all. I know the answers to everything! Its all okay now. In paradise, may angels lead you into paradise. A fearless death. A completely fearless death. All is you and you are all. You are one with all. May you have eternal rest. I rise into the voices. They are one. And I am one. I am one with them and the voices. Just me and them rising up. They sing and rise and fall together, swirling moving into the peace of death, as I follow them. Its just me and the cirles, rising up in swirls, as the voices are one carrying me up and down. Where are they going? Into the peace. Into requiem. An intense buzzing in my brain happens as I am carried up and down. My whole body is carried along. Into paradise and into peace. Carried by angels. Soaring, telling me everything. I now know all. I am all. I fly, carrying all. My cat and I are one. He is me. Going into paradise. Into peace.
* In paradisum deducant te Angeli; in tuo adventu suscipiant te martyres, et perducant te in civitatem sanctam Ierusalem. Chorus angelorum te suscipiat, et cum Lazaro quondam paupere æternam habeas requiem.
May angels lead you into paradise; upon your arrival, may the martyrs receive you and lead you to the holy city of Jerusalem. May the ranks of angels receive you, and with Lazarus, once a poor man, may you have eternal rest.
Saturday, September 28, 2013
Maybe Manic?
Wistfully Wandering into the Wilderness
I walked into the record store and looked around a bit. I talked to someone behind the counter, who turned out to be the owner. From this Russel Oberlin recording to that; from this rare singer to the other, we talked. Eventually, he said, "Do you have a degree in this?" I said, "No!" flattered.
I left the store, and after more quick walking, found myself in the downtown Starbucks. I saw a friend from judo and began talking to him. A million miles an hour I talked, seeming to keep up a normal conversation, but in my head, I was detached from the world. Just as I had been while walking down the street. The world was not mine. I was almost beside it as it played out in the distance.
I found my car again and drove to the grocery store. I climbed the balcony which spanned the whole of the front of the store. I leaned over it a bit. Looking down at all the people who were walking by or paying for their groceries, I thought about jumping over the railing. Who would I land on? What would happen? I saw myself lifting my legs over the railing, and falling down, down... I looked out and over toward the back of the store. I had just been walking through the isles and could see that any minute, giraffes were going to be walking by. I just KNEW they were! Anything could happen. The world was simply not real anymore. I looked down over the railing at the people in front of me again. Maybe if I landed wrong, I'd land on top of someone and that wouldn't be fair to them. I decided against jumping.
Eventually, I made my way home that day, though it was a long one. Interestingly, it was last November that I was hospitalized for something similar- wanting to jump off a balcony. I obviously, never reported this episode, or if I did, it had been so much time since that it didn't matter anymore.
P.s. re: wistfully Main Entry: wist·ful Pronunciation: \ˈwist-fəl\ Function: adjective Etymology: blend of wishful and obsolete English wistly intently Date: 1714
Friday, September 27, 2013
Anti-Depressants & Bipolar Don't Mix
Life went on, and a few days later, I found myself at Wendy's. No, I really found myself there, standing there, not knowing how I'd gotten there. I looked at the menu board, read the words in it, and had no idea what they meant. "What do they DO here?!" I asked myself. My brain was empty. My thoughts were just non-existent. What's more, I had no recollection of driving to the store! The files were simply missing. What's more, I had no emotions. None. I didn't care about one thing or another or about one person or another. I really did not have any emotions. It was odd, but at the same time it was strangely freeing. I walked down a hallway where it was relatively quiet and called my psychiatrist. She immediately said, "You weren't supposed to DRIVE!!" Its still a mystery to me how I got home.
In 2011, I was again prescribed Celexa, this time by a different psychiatrist. I knew what it had done before, but took it anyway. One day, I was at a sit-down restaurant with a friend of mine. Waiting for the food to arrive, I began to tap my knife quickly against the table. Over and over and over and over and over. I just would not stop. I could not stop! Internally, I had to keep banging that piece of metal on another hard surface. It was so bad that my friend commented. I finally got up and left the restaurant to call a friend of mine who is a behavioral pharmacologist. He laughed at how quickly and spritely I was talking to him and he liked my funny sense of humor, but he did agree that that with the utensils gymnastics, I was likely hypomanic from the Celexa.
Some bipolar people just cannot take anti-depressants. A better choice for depression is an anti-psychotic.
I Want to Die but my Hair Looks Good
Two Typs of Entries: Hallucidating
Wednesday, September 25, 2013
Hyper-Aware: Hypo Mania & Mania
So its always at this point that I ask myself, "Can't I just pretend everything is normal?" Yes, I can. I can still sit here, looking normal, talking to people, typing into this laptop. I suppose its after a while that I cross into mania that I can no longer pass for "normal". Last year when I was manic, I had no more control. I had no filter left, and just said what was on my mind, getting many friends angry with me. I had to run around to get rid of the excess energy I had. I had the gliding feeling, yes. And, no, I haven't been using that daylight lamp that my friend gave me because its broken. It never worked in the first place. So much for that. Plan B.
Its a buzzing feeling- inside my head mostly. Physically, inside my head. The thing about hypo mania is that it feels good. Mania doesn't. Mania is more of an anxiety on top of extreme restlessness on top of not being able to think straight anymore. Its a pressured feeling: I HAVE to run, I HAVE to have sex, I HAVE to keep talking non-stop, even if it doesn't make any sense. Mania is out-of-control! Mania is the rules of the world not only don't apply to you anymore, but they are just GONE! With both, your senses become hyper-aware, but more so with mania. Its like a movie where they try to show what an acid trip is like, but here, its every sense that is involved, not just sight. Last time I was manic, I remember running my fingers along the mortar between bricks inside the doctor's office building, and finding it simply exquisite. Something as simple as running a fork along your lip can be almost sexual. Your senses are all turned up to full volume. At the same time, sitting in a restaurant full of people can be torture, as you can no longer filter out the background noise: every single conversation comes through loud and clear, baring down, drilling into your head, pushing against your body, and not a one of them cares that you want to jump out of your skin because of them and will shut up!
Speaking of the gym, I think working out has been helping my mood. I feel good after- clean and happy. I'm hoping that I'll lose some of this Zyprexa/thyroid weight, too.