When I was a bit younger, I used to have really bad PMS. It was probably bad enough to be diagnosed as PMDD, but if anybody ever did diagnose me as such, they didn’t tell me. Every time I attempted suicide, I think it was just before or during my period. The worst thing about it was that my period was also extremely irregular, so I never even knew when the PMS was coming. Although there was a good side to that, too — I’d suddenly become intensely suicidal, but when my period would come, I’d be so relieved to know that there was a concrete reason for my mood, I wasn’t “going crazy” again, and I’d be feeling better in a few days. That’s an amazing sense of relief to have.

This was a major issue for me until I started taking the birth control pill. I wanted to start taking it a few years before I actually did, but I couldn’t find a doctor who would prescribe it for me. The reason? I was on Topamax, and Topamax can sometimes make oral contraceptives less effective. This only holds true if you’re on 200 mg or more daily, and I think I was on 100 mg at the time, but who’s counting?

How did I eventually get prescribed oral contraceptives? Well, one day I went to a clinic to get the morning after pill (yes, we’d been using protection, but we had a condom breakage issue) and when the doctor was asking me some questions, I told her that this was the third or fourth occasion that I’d taken emergency contraceptives (over a span of three years).

She said, “Polly, Polly, Polly, what are we going to do with you?”

She had never seen me before in her life.

I said, “Well, for starters, somebody could prescribe me the birth control pill!”

And so she did. Yes, she knew that I was taking Topamax and that it could make the Pill less effective. I should point out that the other doctors I’d asked about birth control had all been male.

I never took the morning after pill again. I have never been pregnant. A couple years later, I stopped taking Topamax.

I know that oral contraceptives cause really bad mood swings in some women, but they actually help prevent them for me. It’s also nice having my menstrual cycle regulated, so that I know when a possible time of PMS is coming up. On the other hand, since I now only rarely get depressed and irritable before I get my period, there’s still that element of surprise. If I’ve gone for many months without PMS, I’m not expecting it to happen.

Which is why last week, I spent a couple of days feeling like I wanted to go lie down in traffic, but was cheered up when I realized that I only felt that was because of PMS. Then I got a little too cheered up, because I had an insomnia thing going on, and I got hypomanic. I was so jumpy and hyper that I was seriously afraid that I was going to have to call in sick to work one day because of it. I had a cup of coffee the day before, like an idiot — I try not to drink coffee at all normally, and when I’m hypomanic, coffee is an incredibly bad idea. IT MAKES MY BRAIN FEEL LIKE IT IS JUMPING UP AND DOWN. AND IT MAKES ME FEEL LIKE EVERY NERVE IN MY BODY IS JUMPING UP AND DOWN INSIDE MY SKIN, TOO. And that’s actually a lot of fun, even if my pitiful, inaccurate attempts to describe it make it sound uncomfortable. The uncomfortable part comes because I. Can’t. Keep. Still. and any situation that would require me to stay still is horrible for me. If I’ve got free rein to climb on stuff and do whatever I want, then it’s tons of fun.

You see why this might be a problem when I’m at work, though.

I guess caffeine does this to a lot of people, but if you are not manic-depressive, I don’t think that ONE CUP OF COFFEE can make you feel like this for TWELVE HOURS STRAIGHT before you start to come down a little.

Anyway, I somehow started feeling a lot more subdued, and I was able to go to work, and it was all good.

Um, I have no idea where I was going with this. I’m still a wee bit on the hypomanic side, but not in a bad way. Oh, yeah. I wanted to mention that although I don’t eat as well as I should, for a long time now I’ve been doing really well at trying to make sure my sleep schedule is as regular as possible, because I know how important it is for me to sleep properly if I want to stay well.

Ha ha ha, I’m standing up at the computer again because I’m still not so awesome with the sitting still. Sit down, you.

Anyway, my sleep being messed up through no fault of my own and the subsequent consequences provided me with additional proof that I should definitely stick to a regular sleeping schedule. I’m so much more stable when I do. I know, duh, right? Although the insomnia wasn’t brought on by anything I did, for a few days I didn’t try hard enough to get my schedule back on track, and that only served to remind me that it is dumb not to try to get enough sleep. It is also dumb for me to oversleep, or to sleep at weird times, especially since I have a more-or-less nine-to-five kind of job.

I’m trying harder now, though. For really.

It had been a long time since I checked out the artwork at explodingdog, but I went there last night, and I’ve felt just like this little guy so many times in the past that when I saw him, I almost cried.

Yup, I’m still around; I’ve just been too tired to blog lately. It is several hours before my usual bedtime, but I am already seriously considering crawling under my covers. The good thing is that so far I still haven’t gotten the flu that everybody else has. Exhaustion is better than exhaustion plus vomiting plus headache, but it still kind of sucks. I tried to fight the tiredness for a few days by not taking my meds exactly as prescribed, which was a poor idea, because it didn’t bring me back to normal, it just propelled me into a Zoloft-induced state of wakefulness where I felt like jumping out of my skin but I didn’t actually accomplish anything. I’ll take sleep instead of that, thank you very much. I don’t usually get enough sleep, so I just have to keep reminding myself that a temporary surplus of it is A Good Thing.

“…how are things since the decision?” Gabriel asked in a comment on my last post, which I wrote over a month ago. I had decided that I didn’t want to ask my doctor to increase the dosage of my Epival. I figured I would ride it out and be all right on the current dosage.

This was indeed the way things were working out, but then I went off meds for a few weeks. On purpose, because I am stupid. Hypomania can be fun. It is not fun nearly as often as most people assume it is, though, or at least it isn’t for me. The times when I am sure I am connected to every other atom in the universe are few and far between compared to the times that all the overload is too much and everything in the universe annoys me. For every hypomanic episode where I am actually productive, I have tons where I go to bed and try to go to sleep but I can’t, so I wind up staring at the ceiling and around the room for six hours, because I am too awake to manage to close my eyes. I am not up at night writing the Great Canadian Novel or cleaning my room or even blogging, because I am too tired for that, but I am still. so. damn. AWAKE and my thoughts keep racing but there’s nothing I can do with them. Even though I’m exhausted, I still have so much energy that I can’t keep still while I lie there. Instead I kick and fidget so much that my muscles are sore for days afterwards, and I flap my hands and hit them off things until I worry that I actually might break a finger.

Anyway, that’s not even what’s been really bugging me lately, although of course I have been having some nights like that. I’m mainly just ashamed of myself. I know I shouldn’t go off meds without telling anybody, but I did it anyway, and I’m ashamed of that. When I am ashamed of myself, I don’t want to write any posts. I don’t want people to know that I’m being a dumbass. I’ve held things together quite well overall, but now I’m starting to scare myself a bit, so I’m going back on meds. My bank account can’t handle this hypomania, and it hasn’t done anything positive for me except make my life a little bit more interesting. It would be fun to have an I Love Everything and Everything Loves Me episode, but this isn’t one of those. You would think that by now I would have realized that I can’t make them happen.

Overall, I am fine, though. You likely wouldn’t notice that anything was out of the ordinary. But I do. It’s good that I can keep the slight trouble I’m having with things like anger and paranoia under control… but I’d really rather that I didn’t have to wrestle with these things. I’d really rather that they were non-issues. Hence, meds.

Speaking of keeping things under control, though… You know those statistics that tell you that (some large number)% of people who suffer from manic depression also have substance abuse problems? I’d thought for a long time that I’d dodged that particular bullet. In the past few months, though, I’ve realized that I have a problem with what Experimental Chimp wonderfully termed “binge drinking and consequent inappropriate-yet-impossible-to-remember-behaviour.” I don’t think I really want to say any more about that right now, though. I’ve already babbled enough.

I don’t like writing posts that are All About Me, by the way. Or at least not all about me as I am right now. I’d rather talk about something I read in the newspaper or on another website, or tell stories about stuff I did/that was done to me Back When I Was Crazy. Because, you know, for the most part, I am “well” now. Whenever I mention currently having any symptoms whatsoever of bipolar disorder, I feel that it smacks of failure. I guess if I was really 100% “well” and “recovered,” I would be so mentally healthy that such things wouldn’t faze me at all and I wouldn’t see them as failures. But I don’t think I’ll ever be that well.

New Year’s. A friend asked all of us what we hoped for in the year to come.

“I want to not fuck up,” I said. Felt tears pricking at the corners of my eyes, realized these people had never seen me cry, which feels so weird, because I have always been used to absolutely everyone who comes into contact with me at all seeing me cry at one point or another. But although the people present were close friends of mine, they have only been so for less than a year and a half. During most of that time, I have been the New, Improved Polly on medication that actually works for me.

Did not want them to see me cry now. Had to explain that I wasn’t really being upset and maudlin, that I was actually trying to be positive.

“It’s just that I went all through 2007 without fucking up,” I said. “I was sick for so long, and the past year was the first year that I’ve been well. I just want things to stay that way.”

I then almost immediately proceeded to come dangerously close to fucking up.

I spent the next few weeks hypomanic in a bad way. Yelled at people for no reason. Obsessed endlessly about certain things. You don’t even want to hear about my sex drive during those weeks (hint: really, really high). Drank way too much, alone. Spent too much money.

With little warning and absolutely no fanfare, I slipped into a mild depression and stayed there for a few more weeks. Believed I would never be happy again. Wondered what was the point of anything. Continued to occasionally drink too much, alone. Had to try very hard to keep from cutting myself. Sent disturbing emails to friends about wanting to cut myself. Only managed not to cut myself because I knew my two-year anniversary of not cutting would be coming up soon, and I really wanted to make it to two years without screwing up.

Then woke up one morning and felt better, just like that. Not caused by anything. Nothing had changed except for my mood. The weather was still utter wintery crap, but it suddenly wasn’t bringing me down anymore. (Seriously, if you are not in Canada right now, stay away from this country until at least May. I am not joking.) I still had the same slight personal problems I’d had for a while, but I was suddenly able to look at them rationally and not blow things out of proportion. It’s so weird when you wake up and all of a sudden you are well. It’s also weird when you wake up and all of a sudden you are unwell, but I don’t like that one quite as much. I can’t help but think of it as some cosmic dude or dudette mucking about with a remote that controls my emotions.

I had been seriously considering asking my doctor about increasing my medication when I saw her, but ultimately I didn’t, since I wasn’t having problems functioning and my mood swings were quite tame compared to the way they used to be a year and a half ago. I figured I could deal with it without more drugs, but afterward I worried that maybe it was stupid and pigheaded of me.

Now that I feel better, though, I’m pleased to see that this was indeed the best decision for me at this time. I’m glad I got through that rough patch while remaining on only a minimal amount of medication.

It was a shock to hear the other day that Heath Ledger had died, seemingly due to an accidental or intentional overdose of pills. He was a talented actor, appeared to be a genuinely nice person, according to what his friends and neighbours said about him, and he had a two-year-old daughter he loved very much. I am also crass enough to mention that he was hot, although his death wouldn’t have been any less upsetting if he hadn’t been attractive.

It’s strange that when someone dies and nobody knows whether it’s suicide or an accident, most people’s immediate response is, I sure hope it wasn’t suicide. I’m not sure it’s any less sad if someone who definitely doesn’t want to die suddenly winds up dead. It’s easy enough to think of reasons behind this knee-jerk reaction, though, and here are a few:

• Suicide is considered a major taboo.
• It’s very uncomfortable to think of someone who is suffering and unhappy before they die, and more pleasant to think of them as having had a pleasant and rosy life up until their death.
• People feel that it’s something someone should have seen coming and been able to stop, unlike a freak accident that might have been less easy to predict.
• In a case like this, where it’s somebody who Had It All, you know that this guy had talent, money, fame, good looks, and a child he cared about, and still might have been depressed enough to purposely end his life, and you wonder what the hell kind of chance any of the rest of us have of being okay.

Anyway, suicide or accident, it’s still a tragedy.

Surprisingly, nothing horrible happened over the holidays. A “Christmas miracle,” if you will. I’d been afraid that my brother would do something dumb, because he’d been saying all along that he was going to call his ex-girlfriend on Boxing Day and it never goes well when he calls her, but he didn’t call. Whew.

He’s on Seroquel. He’s gained forty pounds and he’s tired all the time.

“It can’t be making him tired all day, though,” my mother said to me. “His psychiatrist said that if he took the Seroquel around ten at night, he shouldn’t be tired anymore by the time he gets up in the morning.”

Maybe it was wrong of me to laugh at her, but I couldn’t help it. I have told her twelve million times that antipsychotics can make you very, very tired. This psychiatrist is someone who I kind of know (I know his family), so I’d thought he wouldn’t be dumb and he wouldn’t act like a jerk. But here he is, saying that the side effects that one of his patients is experiencing from a drug do not exist.

I had more faith in this guy than that. This is disappointing. It makes me want to scream. My brother is possibly the least motivated person in the world — I can’t see how antipsychotics are supposed to change that for the better.

Oh, yeah. They’re not.

Interesting post at Furious Seasons recently (heh, as if there were not an interesting post there nearly every day!) regarding manic depression as a dangerous gift, as a personality disorder, and as something from which one can completely recover.

I know I am going out on a limb here that someone will likely chop off for me, but I believe that much of what we call bipolar disorder is in fact a personality disorder or constellation of behavioral issues.

I’m not looking to chop off this limb. I view manic depression as a dangerous gift as well, and as something that maybe at least some people can completely recover from. I also understand that Philip is not saying all a person with bipolar disorder has to do to recover is pull themselves up by their bootstraps:

I think bipolar disorder can be a personality disorder–and, nitpickers be warned, I am using the term very broadly–more often than it is a mental illness.

Depression–and here I am not discussing major or clinical depression–is widely known as having a huge personality component.

Mania itself–and here I mean the bad old wild delusions, hallucinations and declarations of Godhead mania–is not a personality disorder. When it’s in full flower, mania is straight-up insanity.

Dysphoric mania is possibly the least fun thing in the world, but there is at least one good thing about it: once you’ve recovered from an episode of psychotic dysphoric mania, it’s really hard to convince yourself that it was a character flaw. You can easily convince yourself that you weren’t depressed, just stupid and lazy, and that you weren’t hypomanic, you were just being a silly, reckless whore… but after having auditory hallucinations for a few weeks straight, once I finally stopped, I realized that something had been really wrong and that this time it wasn’t my fault.

I was aware that most of the time, medication either made me a zombie or made my moods even worse. So sometimes I would stop taking medication, be fine for a few months, and then be much, much worse than before. I learned to do things that sometimes stopped mood episodes, but more often just allowed me to cope with the symptoms I experienced, so that I functioned very well as one of the walking wounded. For quite a long time, I honestly believed that there was no such thing as getting better, there was only becoming a better liar, so that you could hide your pain from others and even from yourself. Or at least I thought that was the only option for me, because I’d read about other people who were asymptomatic for long periods of time, who claimed to experience “growth” and “healing.” I didn’t disbelieve them, but I didn’t think that anything would work for me. I tried CBT, DBT skills, family therapy, couples therapy, group therapy, exercise, meditation, hospitalization, acupuncture, journalling, medication, medication, medication, and other stuff… but the hits just kept coming. I kept getting depressed, I kept getting hypomanic, and I kept getting manic.

Some of those things helped. Some didn’t. (Acupuncture, for instance, was supposed to make me less stressed, but instead it turned me into a stressed person with needles in her ears.) For nearly a decade, though, none of them prevented me from having mood episodes, which I dealt with using a combined method of actual coping skills plus being way, way too hard on myself. I have been essentially non-syndromal for the past year, though, and it seems to be solely because I’m finally on medication that’s working for me.

I am better, and I want this to be an accomplishment. I wish this were something I could take credit for. But it’s not.

The journey to get to this point was so long and arduous that I want the current solution to be complex. (I say “current solution” because although this has been the solution for the past year, I don’t assume it will be the solution that works best for me forever.) It’s not complex, though. It’s not intricate. I-take-two-pills-a-day-and-now-I-am-well. If I am experiencing any side effects, I am not aware of them. I still have emotions. I can cry when really bad things happen, I can take joy in something as simple as seeing furry gray squirrels race across tree branches, and I can write really bad fiction.

Despite how hard I tried to get better, I still can’t take any responsibility for it. It’s true that I learned plenty of things along the way, including just how vast the extent of my own ignorance is (and how ignorant many of my doctors were), but nothing I learned was instrumental in my actual recovery. I tried and tried and tried to save myself, yet I did not.

I wish I’d fixed it. I know I should be careful what I wish for. I’ll say that I wish I’d slain the dragon myself and the next thing you know, the meds will poop out and the dragon will pop back up, all scaly and fire-breathing, saying, “You called? Here I am, bitch. Come and get me.”

But still. I wish I’d fixed it.

I just spent over two fucking hours writing a post about Howard Hyde, a man diagnosed with paranoid schizophrenia who died in a jail in Dartmouth, Nova Scotia thirty hours after he was Tasered by police, when Wordpress ATE IT. Or my computer ate it, or something ate it. It just disappeared while I was working on, I swear, the last sentence of it. It should have been autosaved, of course, but somehow it’s still gone.

How about you read a couple of news articles while I curl up in the corner of the room and cuss at technology in general for a while?

• Police informed of tasered man’s psychiatric illness - widow
• N.S. orders Taser review after inmate’s death: Halifax police reluctant to link 45-year-old man’s death to weapon
• Man jolted with Taser needed help, widow says: ‘I really don’t want this to happen to anyone else’
• Panel urged to include mentally ill person: Taser review report will be examined by experts: province

My original post had actual opinions! And more links! And quotes from articles! But I’m not going to bother trying to reconstruct it, because that would just annoy me.

I’ve also been working on a more personal post on an entirely different subject, but it’s been difficult to write because it’s painful for me. Luckily, the draft of that one is still intact. Don’t expect it to be an insightful work of art when it’s finished just because it’s taking me so long. It’s hard enough for me to write it; it would be impossible for me to write it well.

The drugs are still working. It’s been over ten months, and I am still largely asymptomatic. This is not the day to pontificate about that, though.

I had a cold for about two months, or possibly several colds in rapid succession. Then it (they?) went away for a few weeks, but now I have a cold again. I’ve been tired lately, too. It’s easy for me to work insane hours in the spring and the summer. Not so much in the fall and the winter. Cyclical seasonal patterns and all that. I’m still going to be busy in the near future, but I shouldn’t be as busy. I’m about to make some changes in my life. They’ll be good changes, but that doesn’t mean they’ll be easy ones. Oh, and my relationship with my boyfriend is still great, just in case all my vagueness sounds like an illusion to “trouble in paradise.” It’s other circumstances that are going to change, one of them being that the working fifty-some hours a week thing is coming to an end. That change is necessary if I want to stay healthy. Yeah, I was totally wrong back in August when I said that I’d only be working extra hours for a few more weeks.