Ironically, the reason I haven’t been updating much is because I’ve spent the past week hypomanic. Or so Rob says. He said on Tuesday I was “vibrating” and wouldn’t go to bed without watching me take my medication.
The past six days or so I have been here, there and everywhere and feeling pretty good, which means I tend not to update to say, “I feel pretty good”.
My brain has been racing and I’ve been full of ideas- the most fixed one being a desire to go to Paris, right now. I am not to be trusted with my bank card at times like these.
I have been entertaining many fantasies about trashing my life in London completely and starting again. I had planned to go to Paris, find a hostel, get a job as a waitress in some dour little café, write legendary books and smoke all day, throw my phone in the Seine, cut my hair off, change my name. I was in Waterloo earlier, where I could have boarded a train to Paris, but was with a friend, who had to go to Cambridge later. Tempting as it was to jump over the ticket barriers and into the Channel Tunnel, I settled for a boat ride down the choppy River Thames.
There have been many times this week I have just stopped short of doing very stupid things, but only because I was in company.
However, as you might have guessed, this evening I have come down to earth with a bang. Oh, nothing collassal. Just that mild, aggravating depression that sidles in with tiredness. I haven’t really been sleeping and now it’s catching up on me. Dull aches and pains, constant smoking, the whole kit and caboodle for me hitting the ground.
Irritibility is kicking in, so I am in the kitchen out of harm’s- and Hobbes’- way. I feel itchy and dispassionate, which is an annoying change to my demeanor in the past week.
I hope that some sort of mood stability kicks in as my appointment with the psychiatrist and CPN is on Monday. I don’t want to feel depressed when I see them as I just won’t care and won’t state my case. I will let them sift Lithium down my throat and pawn me off on Seroquel. As it happens, if I go and am somewhat clear in my intentions, I suspect they will pull the antidepressant as it’s no good for rapid-cycling. But that leaves me to dissolve into anxiety and panic attacks.
However, at the moment, I am not feeling terrible nor fantasising jumping out of a window. Just gradually deflating, which is far better than the rapid and violent lunge downwards that often assails me.
I am wondering if it is a good sign that I have experienced hypomania this week that didn’t escalate into psychotic, dysphoric mania as it usually does. My default setting these days tends to be a kind of mixed episode- the irritable, crying-laughing-energetic depression. Every time I have gone proper hypomanic, running, skipping, singing, writing, dancing, sexing, it has usually ended in me screaming at something that no-one else sees.
Mercy for the manic depressive- this is a day I don’t want to slash my wrists or scale a building. My brain has nowhere near slowed down but it is not telling me how worthless I am. This, to me, is progress.
At the moment, there’s a poster on the Moodgarden forum rallying with his “mental illness is a fake disease” propaganda and shouting about how all manic depressives only ever went manic because (takes deep breath) they were prescribed antidepressants for depression that they had an “adverse reaction” to, and thus, were incorrectly labelled as suffering from “bipolar disorder”.
Well, nope, not even close in my case. I hadn’t touched an antidepressant until this year. My first full manic episode, I hadn’t even sniffed alcohol, didn’t smoke, never touched a drug, barely even a painkiller. But it happened anyway.
There some scribblings here about searching for the neurological link.
If I could find the bloody image, I would show you a brain scan that illustrates how a bipolar brain reacts differently from a non-bipolar brain.
But, hell. All I want, all I believe, is that bipolar disorder is real. As for the medications? If you make informed decisions and are supported, and if they help you, that’s the important thing. I am sick of the anti-med bandwagon. I rolled on it for such a long time. The churlish, “ddddduuuuh mental illness is fake!” belief just reinforces the stigma of mental illness. The most important thing to me is that people with mental illness, behavioural disorders, whatever the hell you want to call it, aren’t marginalised and discriminated against for something that- yes, even if they’re aware of it- feels out of their control. I have said time and time again here that I always felt that what was happening to me was biological. I fought the good fight. I went on the diets. Changed my scene. Did the mindfullness techniques. Had the therapy. Stopped the booze. Settled down and lived a quiet, careful life. And I am still a manic depressive. I still suffer intense depression. I still suffer highs and mixed episodes. And I even have the “broken home”, the “unstable background”. And yet, I’m okay with that. My broken home and unstable background is populated with people and experiences I cherish. It didn’t destroy me. It never will.
I don’t care if they’re a cluster of symptoms defined in an outdated manual. To me, they are real. They do not define me as a person. And knowing that, hanging on to that, is what gets me through when I feel I am losing the fight.
My aim is, in the future, to be on the lowest dose of meds possible, stable, happy, sorted and peaceful. I have tried every other way. Now I feel it’s a bit of a group effort- me, medications, understanding, support and lifestyle changes. I was “crazy” before I took medications. I wasn’t an inpatient bouncing off the walls drugged to the tits. I was given a sedative and Haloperidol for psychosis. That was it- 10pm nightly, a sedative, as I was as-yet-undiagnosed. Being an inpatient saved my life.
I do not think psychiatry is perfect and in some cases, I think medications and labels are abused. But I loathe how the anti-psychiatry community bitches on the patients. Bitch on the big dogs. We’re not thick. We can make up our own minds. If Lamictal is helping someone function normally, who the hell are they to tell them they are a naive sheep buying into the psychiatry sham?
Filed under: Bipolar 1 Disorder, Bipolar Disorder, GP, People I Like, antidepressants, antipsychotics, anxiety, bipolar, coping with mania, coping with manic depression, depression, diagnosis of bipolar, hallucinations, how manic depression can impact on your life, hypersexuality, hypomania, intrusive thoughts, mania, manic depression, mental illness, michael palin, mixed episode, nhs, paranoia, psychosis, racing thoughts, rapid cycling bipolar, rapid-cycling, smoking, suicide, therapy, useless mental health services | Tagged: anxiety, bipolar, Bipolar Disorder, depression, hallucinations, mania, manic depression, mental illness, nhs, psychosis, suicide



Stumble It!


Of course there is a tendancy to overprescribe drugs when, in some cases at least, there isn’t mental illness but perfectly natural mood variations. But to suggest that no mental illness exists at all, in anyone, is just plain ludicrous. And massively unhelpful. It’s akin to saying “snap out of it” or “cheer up”.
Paris ain’t all it’s cracked up to be.
To be fair I should say that I have had reasonable conversations with people who support the anti-psychiatry stance. But more often than not anti-psychiatry arguments are just spiteful nonsense cobbled together by people with a need to feel superior. It’s just a pseudo-intellectual way of saying, “pull yourself together”.
However, all that said, some alternatives to traditional psychiatry are valid. You mentioned having a problem with irritability. I found that Omega 3 capsules really helped – by the second day of taking them my irritability was much reduced.
I hope your appointment goes well.
i am more than willing to discuss the benefits/hazards of psych meds with someone who suffers from mental illness or a doctor. anyone else with an opinion about it does not warrant my attention, as far as i’m concerned.
hope your fairly stable mood holds seaneen… if you haven’t tried the omega 3 yet i would recommend it too… my son takes it in the flaxseed oil form (so he doesn’t smell like a fish). i can’t say for sure if it helps him, but it certainly does not hurt him!
I must confess I used to be one of the anti-psychiatrists too. I could spout well-read diatribes about “labelling” and “biological reductionism”, with references to RD Laing (who I still admire for some of his theories), Erving Goffman (ditto) and Thomas Szasz (who I now think is a fascist little tosser who discredited himself when he jumped into bed with the Scientologists).
Now, I’m rather more nuanced. I’ve spent too much time on acute wards watching patients come in deeply psychotic, be given the EEEEEEVIL antipsychotics courtesy of the Capitalist Big Pharma Great Satan and *gasp* get better. Also, given that I currently work in brain injuries, where whacks to the head have caused psychosis, depression and personality disorders, I’m forced to concede that this means at least some mental illnesses can be due to physical rather than psychosocial causes.
As always, your writing on this subject is excellent, Seaneen. You have a talent for writing clearly about something that’s a very murky subject.
I think I might say a bit more on this subject over on the Mental Nurse blog.
[...] here comes the big But…well, the author of Pole to Polar: The Secret Life of a Manic Depressive has put it perfectly: All I want, all I believe, is that bipolar disorder is real. As for the [...]
Briefly transiting hypomania and entering a mild depression seems to be some type of improvement. The question is what, and why? What accomplished the same for me was lithium.
I have opinions aobut anti-psychiatry. I have opinions about every conceivable topic but the only opinions that matter to me are my own.
Good Luck with you appointment on Monday, Seaneen. I hope that you are feeling well enough to advocate for yourself. That is something that I was not capable of at your age, and have only learned in recent years. You are already a fighter, and the importance of fighting for what you need and what works for you is crucial to your health and well-being. Good thoughts are with you.
Say it like it is tomorrow. Every passing moment is an opportunity to change the next one. What change do you really want? It’s yours, take it.