Tag Archives: relationships

When There’s No Room at the Inn… Chill in the Barn?

Sometimes I imagine the Virgin Mary showing up at the inn, hours before giving birth to Jesus, and the inn keeper simply telling her, “err, well, sorry but we just aren’t a provider in your insurance’s network. Off you go!”

I basically just had the same conversation with one of the only TMS/ECT treatment facilities in Seattle. The woman on the phone was able to make it quite clear that people like me (on Medicaid) were not accepted at their facility. In fact, she wouldn’t even give me a figure of how much the treatment would cost without insurance. I felt like I had been marked in some way, as soon as she knew my socioeconomic status I was officially cut off from the prospect of hope.

This is an example of a relatively common conversation for me, and normally I wouldn’t complain, except that this woman had the audacity to go on and tell me that none of the other facilities I had listed to her would be interested in me either and I should just give up now. I told her that was excellent advice for someone currently going through a severely suicidal period and found myself missing the days of owning a phone I could bang on the receiver to signal my frustration upon hanging up on her.

While I am still making calls to other less convenient facilities (including the one I visited in this post and another that would require inpatient hospitalization during the full course of ECT treatment (yuck)), things are looking pretty grim on my treatment front.

To get you up to speed, my depressive shift after that manic/psychotic period a few weeks ago has gone from a walk down a hill to a rapid luge course at the Olympics. The speed and ferocity at which I am encountering extremely disturbing depressive symptoms is almost kind of impressive to me. Of course, I’d be more impressed if I wasn’t also watching it crack (not just strain) my personal relationships, my ability to communicate with friends and strangers alike, and all sense of self.

Part of me is hoping that the sudden intensity of this shift will also mean a rapid rise out of the pit once things have cooled off, but I already know that my mood-swing-predictor isn’t very accurate and in the situation where that doesn’t happen… this very well may be the biggest depressive punch I will have seen in a couple years.

I have unveiled all arsenal; special happy-feeling foods (donuts, cheese), sleeping when I’d rather not be conscious during the day, cuddling with my dog probably more than is healthy, The Muppets… but the depressive symptoms are progressing so quickly that they are almost near the point where none of my usual helpful coping skills are working.

Needless to say, a very bad time to be going separate ways from my psychiatrist of 5 years and my appointment with my new psychiatrist, although not condescending or bossy, did not go as well as I had hoped. She made it clear she didn’t really want to touch me with a ten foot pole and said that if she can help keep my symptoms from getting worse it was the best I could hope for.

If there was any time that seemed like revisiting the idea of ECT was a good one, this seemed like it was it. Unfortunately, now that I finally feel like I am at a point in my life where I welcome the idea of ECT (my mood swings being in the proper spot to warrant it), I have researched it thoroughly (including doing so while I was more rational and stable-ish) and the verdict in the psychiatry world is that I have pretty much exhausted all typical medication options… I’m having a hard time getting in.

I know that I can ride this the way that I always do. Hold on. Let my sense of self be stripped away completely. Check myself into the ER when things get too sketchy. Get agitated in the hospital enough for me to want to leave. Come home and continue to ride it out. Eventually it will get better. Eventually patch things up with my friends and family who haven’t heard from me in months. Hopefully the people around me can withstand it.

At any rate, if there’s no room for me I’ll just stay in the barn. Maybe if I close my eyes and breathe deeply the sweet smell of the hay will make me forget why I’m there.

The Difficult Relationship of the Empath

I read an article today I thought I would share called The Toxic Attraction Between an Empath and a Narcissist. While I find the article to be a little rough (and I certainly don’t agree with all of the generalizations) it did make me look at the relationships I have had with people a little differently… and therefore was worth the read.

Every bipolar support group I have gone to that has brought up personality categories or alternative views on bipolar symptoms as a “mental illness” has typically led to one word: empath.

An empath is someone who can easily find themselves feeling the emotions of others, and generally has little trouble imagining themselves in someone else’s shoes.

Needless to say, when I sat in a room of people with a bipolar diagnosis and found that every single one scored the same result (empath) I wasn’t surprised. I have known for a long time that the emotional state of those around me have a huge effect on my own emotions and that I have always had a genuine desire to help others (being able to feel and see situations from their perspective), but it took me many years to learn that there were people who were interested in manipulating these traits and that I needed to protect myself by being selective of the relationships I have with others.

One of the best things I have done for myself is to keep the relationships I have with open, genuine people and discard the rest.

At any rate, an interesting read… and if you’ve found yourself drawn to people who tend to hurt you (romantically or otherwise) check it out!

Giving Someone With Bipolar Disorder Bad News Safely

I’ve had a number of people tell me lately that they don’t feel comfortable telling me bad news. The idea that people close to me are hiding serious issues from me because they are afraid of triggering my bipolar disorder is extremely frustrating; while I appreciate that people are trying to be wary of my feelings, the plan almost always backfires. Hearing bad news and that the people closest to me have been hiding it makes for an even bigger mood implosion.

The best I can do is try to convey that I realize I have trouble processing bad news, but the manner in which that news is passed on to me has a huge impact on my reaction.

When frightening or serious news is dropped in my lap suddenly (without warning) it can feel significantly more shocking; likewise if the conversation ends moments later (and I haven’t been able to ask any questions or begin to wrap my head around the news) I often find myself trapped in emotional quicksand. The more I struggle to understand on my own, the faster I sink into depression, anxiety, and irritability.

Through my experiences I have devised some tips to help ease some of the emotional reaction in situations regarding passing-on upsetting news. Personally, these things have all lent themselves to a much more safe emotional environment and a quicker recovery from intense bipolar emotional reactions.

1. Be up-front that the news might be distressing.

Letting someone know that a conversation is going to take a serious turn (instead of taking the turn suddenly) can make serious news much less jarring. There is something to be said about being able to prepare oneself mentally before receiving bad or serious news, and part of what contributes to a bad emotional reaction in my case has often been feeling blindsided and totally unprepared to hear something jarring.

Having said that, I have found even very broad, general statements like, “I have something serious to tell you,” or “can we have a serious talk?” are effective in this arena. If I know I might be at risk of having an emotional reaction, I can do a better job of containing myself than if the news is just dropped on me suddenly.

2. Bookend the bad news.

The best way I have found to receive (and give) potentially upsetting news is to bookend the serious subject matter with more lighthearted information. Starting the conversation in a casual way to ease the tension before launching into serious content can help folks feel less anxious about the upcoming serious bit. Probably more importantly (to me anyway) is ending the conversation with something more light-hearted to bring the mood back to the present can help with avoiding being caught up completely in the emotion of the serious bit.

Often hearing bad news can put us in a situation where we feel attacked or fearful, even unsafe. Being able to laugh at a bad joke or talk about a cute puppy really helps nullify that feeling of fear that can be the beginning of a big emotional spiral. In my life, being able to sidestep that fear makes for a totally different reaction to bad news and I am able to focus on counteracting my shock more than having to counteract my fear.

3. Make it a dialogue.

One of the things that really feeds into my fear when I get bad news is being unable to get answers the questions I have about what has happened/is happening. I do not want my mind uncontrollably fantasizing about all of the questions I have (and it will) so being able to ask questions and get answers that I understand makes a big difference in how my reaction will unfold. If we don’t have time to have a dialogue about the topic (and not just be subject to a monologue) then the timing probably isn’t appropriate.

4. Consider timing.

A couple days ago I received some bad news about 15 minutes before I was about to go to bed. Needless to say, I didn’t sleep that night.

Likewise, stress can be a big factor in how reactive my bipolar disorder is in any given situation. Laying some bad news on me when I am already agitated or stressed will yield worse results than providing the same information when I am relatively stable or calm. Again, even in an unstable situation, following tips 1-3 can pave the way for a better reaction.

5. Life happens.

Life is full of good news and bad news, that is just the way it goes. Unfortunately, living with bipolar disorder can make getting bad news extremely disruptive to our lives and our relationships, but pretending that bad news doesn’t exist doesn’t help us learn to cope with our reactive nature or practice living a full life.

Ultimately, I want to believe that the people in my life are genuine with me and open about their lives and their experiences. Honestly, in times where I could tell people close to me were holding back bad news it felt almost more maddening than if they had just been honest! Though this is an area that is very sensitive for many people with bipolar disorder, being gentle about the subject matter and being respectful to our situation when being open with us can mean a world of difference -not just for us, but also for our relationships.

Leaving on a High Note

If you’ve ever watched Seinfeld you may remember Jerry (a comedian) advising his best friend George that the best thing he can do is to “leave on a high note.” Lately I’ve been trying to change some of my habits to reflect this idea.

A big problem I have been facing is that no matter what my mood is like during the day, it often takes a big downward spiral (even more downward in the event I am already depressed) in the evening before bed. Going to bed feeling so negative has lent itself to trouble sleeping and nightmares for me, so when I first discovered that the specific mindset I am in when I go to bed plays a big role in my ability to be fully rested the next day I began to do some experimenting.

Lately I have been trying to go straight to bed during a brief moment of contentedness. Sometimes that means booking it to the bathroom immediately after watching a show that has made me laugh or smile, or even going to bed earlier than I normally would (to cut off my emotional nosedive before it gets too out of control). Sometimes that means picking a moment where my rapid cycling is affording me a breath of fresh air from the depression I was experiencing moments earlier.

My general desire in these moments is to stay up later (because I may feel, for a moment, a bit better) but experience, at this point, has taught me that if I do the waves of depression and pointlessness can wipe out those small, good (or even just neutral) moments and leave me stewing for the rest of the night.

So far this experiment has provided me a slightly easier time falling asleep, and though I am sleeping slightly less, I am feeling more rested from the time I am asleep.

I have also been working to incorporate the idea of “leaving on a high note” with my therapy sessions. Let’s face it, they can get pretty… well… glum (is a nice word for it). Spending five minutes at the end of the session bringing the mood back to a happier or funnier place has helped me leave therapy sessions feeling slightly less like a sack of discarded potatoes.

This idea is also something that has made a big difference for me in terms of communicating with friends and family members as well. Leaving a conversation in the middle of something serious or even triggering without bringing things back around to a happier place has been extremely detrimental to my overall mental health. It is almost as if those negative topics, if not contained, spread through my system and drain me of all my energy. Encapsulating those moments in specific conversational bubbles (and moving to another lighter  bubble after hitting a dark one) seems to make a big difference for me, in terms of becoming triggered.

One of the things I like most about this idea is that no matter how dark, or weird, or awkward things get, there is always opportunity to make things a little lighter before moving on. While this is something I tend to do with humor, even something as simple as apologizing to the store clerk who I’ve just been short with has been enough to help me leave a potentially negative situation feeling slightly better. Sometimes it feels really important to me to recognize that I can’t always keep situations from being negative (or keep myself from feeling negatively about something), but if I do what I can to turn things around before walking away, that negativity seems to have much less power over me and doesn’t linger the way it might otherwise.

Maybe this holiday season a good option might be to leave on a high note. A polite goodbye before a party or gathering turns into total chaos could be the difference between a short, sweet appearance and that dreaded stressed out holiday meltdown. Not only that, but leaving when you feel good might also help keep you from feeling negatively about your friends, relatives, and yourself!

The Number You Have Dialed Has Been Disconnected

I don’t know if you have ever spoken and felt like nobody could hear you, but for me this feeling can potentially trump symptoms like delusions and hallucinations for the most maddening feeling I’ve ever experienced. Even when I am experiencing hallucinations or delusions (and maybe even don’t recognize it) I can talk to someone about it; but the times when my mouth and body do not convey what I want them to (or they do but in such a way that nobody can understand them) have left me (the innermost me) feeling like a phantom limb.

Last weekend, in a matter of days, I became engulfed by that feeling. Everything I was trying to say, the jokes I was making, the observations I attempted to casually convey, became hostile. It seemed no matter how I spoke or stood or gestured, people were genuinely afraid of me. Those desperate sorts of pleas hoping to convey my intense sorrow came out, instead, angry.

My manic episode from the week previous had turned dark, and as the depression I was experiencing became more and more intense, so did my apparent rage. The rage left me incapable of conveying the depression, and being unable to express myself left me feeling so isolated and alone that I could feel the depression feeding on it and growing exponentially.

When Monday rolled around I tried everything I could think of to crawl out of the disconnected, suicidal funk I was in. I emailed my psychiatrist only to find out he was on vacation. I called the intake coordinator for the new clinic I’m trying to access therapy through but she did not have time to talk. I called the crisis line (as I’ve been calling them a lot lately) but all the phones were busy! This, if nothing else, seemed like a sign, so I grabbed my purse and a book and went straight to the emergency room.

It can be very confusing to watch yourself begin to destroy your own life (your job, your relationships, maybe even yourself through impulsive drug or alcohol use) and feel like you are a passenger during the whole experience. Unfortunately, this is a feeling I am familiar with so I knew that the only real card I had left to play was hospitalization.

What I didn’t know was that I would be spending all day and all night in the emergency room before reaching that inpatient bed. I was awake for 36 hours and extremely alert and energetic (as I said, mixed episode) fueling those depressive and hostile waves that kept coming until I was (somehow now in an inpatient room) crying uncontrollably for hours, and periodically ripping up anything in my room I could find to rip up.

My goal was to outlast the episode until it switched into depression or stability (whichever came first), a fairly easy goal I figured, since my episodes cycle so rapidly and I was already 12 days into the mixed episode. Though it wasn’t fun (but hospitalizations never are) I seem to have outlasted the hostility and was expelled through the other end of the hospital Friday experiencing severe depression instead.

So I am home now, and though my decision-maker seems to be broken and I had a panic attack trying to go into the grocery store I am, seemingly, a free woman again.

My mind has still been trying to whisper all manner of horrible things to me, but I can eat food that wasn’t produced in a hospital now… so it makes all that a bit easier to live with.

Needless to say, my posts may be somewhat spotty for a bit. I’ve been very overwhelmed by a lot of the things that have happened this year, and several more big things are scheduled to go down this month.

In the meantime, take care of yourselves! I’ll be doing the same.

One Good (Manic) Turn Deserves Another

The last thing my (ex) therapist said to me (jokingly) was,

“…and I never got to see you manic!”

In my depressed state I shrugged and replied,

“it is rare these days… euphoric mania, anyway. It hardly ever happens anymore, frankly I can’t even remember the last time it did.”

Little did I know, within a week I’d be hunkered over my chest of drawers urgently rearranging my shirts because, well, is it better for them to be grouped by print or by sleeve length?? And, no, no, no, the underwear needs to be arranged in descending order of favoritism and then by color!

As much as I would like to say I saw this swing coming, I would be lying to you. Generally I would say I have a tendency to become manic in October, however I find that when I say that ahead of time it never actually occurs.

This time around I think I would like to blame the aggressive head cold that has been going around for my lack of catching the warning signs. Normally euphoric mania comes on largely in a physical way for me first, but I can’t say I felt any kind of awesomeness, electric humming, or skin-crawliness that I normally experience until much later on. This time around (because of the cold) I felt sinus pressure, ringing ears, a sore throat that lingered on much longer than I anticipated, and initially much more lethargy than I normally would when mania strikes. By the time I started to realize things were getting out of control it was a bit too late to divert it.

Of course, in hindsight I can say, “ahhhhhh, ok,” to the series of odd and rather impulsive actions that led up to my frantic laundry situation and subsequent hours of laying in bed awake, chest pounding, having rapid conversations in my own head. One would think I might have had a clue when the series of somewhat depressing situations I’ve found myself in lately became increasingly hysterically funny to me, or when I stopped each of five consecutive movies I was trying to watch halfway through because I no longer felt interested (and then the only movie that did hold my attention was The Silence of the Lambs), or when I cut all of the instances of the number “2” out of a cosmo magazine to see which one was “the best,” or when I spontaneously maxed out my credit card buying tickets to see The Who. I was even having trouble writing, many of my sentences were coming out backwards.

Contrary to popular belief, these are not things I normally do. I’m the kind of girl that usually just likes to wad her shirts up in a ball and shove them in the drawer, or look at the prices and fluid ounces of every bottle of shampoo in the store to make sure I am getting the absolute best deal before buying one. I know I usually claim I don’t do the “spending” thing with mania, but apparently this was an exception. (Boy, I hope I’m not inadvertently picking that habit up!)

To be fair, I think normally these are things my boyfriend would probably notice, however he was out of town for work all last week.

The episode seems to have peaked Saturday night and then turned to the dark side, leaving me experiencing four swings of “crazy girlfriend” type, hostile-agitated-mixed chunks appearing between mildly euphoric moments throughout the day.

I’ve been having trouble getting my thoughts together long enough to complete anything I’ve been trying to write, but I have a few ideas that I hope to get down soon. Thankfully I have been lucky not to experience any psychosis in the last week (knock on wood), however the sort of hostile, “I hate you” mood swings I’ve been having haven’t exactly been a walk in the park either.

I have my intake appointment with my new psychiatric clinic on Friday (hooray!) and though they are usually somewhat grueling, I will be happy to have someone around to help me untangle the big ball of emotional spaghetti in my brain again.

Viewing the Past Through Someone Else’s Eyes

While I’ve met many people who have had symptoms of mood or anxiety disorders appear in their 30’s or 40’s or 50’s and can only imagine how jarring the result must have been, I find myself at the other end of the spectrum.

Many of my childhood memories involve big emotional explosions (good and bad) and frankly, the anxiety I feel today spans back to as far back as I can remember.

Though my emotional journey has been somewhat complicated, it seemed to me (as an adult) that my experiences with anxiety haven’t been. The anxiety is something that has always been there, but for a long time I didn’t see it. The feelings I had were typical for me (for lack of a better word), I really didn’t know anything different.

I think the difficulty in this route (vs the sudden, immediate cresting of symptoms later in life) is that the realizations I have had about the depth of my anxiety have happened slowly over time. There was no one moment where everything became clear, it has been more like a trail of discoveries.

Discovering, for example, that I have been having panic attacks since I was in 5th grade and I didn’t know it (because it was something that just became part of my life).

Or discovering that my unruly digestive tract and IBS is related to the anxiety I have always experienced.

This time, a few weeks ago, I was cleaning up some papers before moving and found a note written to me by my boyfriend my sophomore year in high school. The note was one of distress, and he said I was acting completely different at school than I did when we were hanging out otherwise. Apparently in the setting of school, I could hardly speak to him, let alone do things like typical teenager hand-holding in public.

Though I don’t remember any of this taking place, I admit I was a little shocked when I read about it. What I do remember was that this boy’s interest in me finally detached the creepy tentacles of the teacher who had been sexually harassing me for the last two years, and for that I felt an incredible weight lifted off my shoulders.

Apparently even without that weight, my social anxiety was practically paralyzing. I admit, I don’t remember feeling terribly anxious about school, but based on that letter (and others) everything I did and felt was within the realm of what I already knew: a world based on anxiety.

It isn’t very often I find things like this that can lend such a different perspective on the past, but when I do I am thankful they can give a little insight about things that took place (and the status of my mental health at the time).