Waiting Is The Hardest Thing To Do

Right now, I’m waiting, and I’ve been waiting for days. I’m waiting for the results to my Clozapine level blood work. The results to this test will tell my doctor whether or not he wants to increase the dosage of my Clozapine. I’m currently at 200 mg every night. I did the blood work on Friday. My normal weekly blood work was completed on Friday, but the Clozapine level takes longer to come back. I just don’t know how long; I even tried to figure out how long it would take by researching it online, but I came up empty-handed. I told my psychiatrist that I’m in a depression. I informed him that I’m sleeping too much, I’m overeating, I feel worthless and empty, and I’m easily irritable. He told me to hang in there; we are waiting for the results of the Clozapine level. Once we have the results, then we can figure out our next step.

So now I’m just waiting. I’m waiting for my blood test results, I’m waiting to find out what change my psychiatrist wants to make, and I’m waiting to start feeling better. When you’re waiting for something, every moment seems to drag on and on. I’m just trying to get through this, one moment at a time, but how much longer do I have to wait? Even if my psychiatrist decides to add a new anti-depressant, we all know that it takes 4 to 6 weeks for the medication to start working, if it’s going to work at all. So that’s more waiting. No one should have to wait this long to feel better.

I’m compliant with anything I’m told to do by my doctors. However, I am getting sick and tired of it all. I wouldn’t mind the waiting, if I knew that there were going to be positive results. I also wouldn’t mind the waiting if I knew that the positive results that I was going to get would be more than just temporary. We all know that no medication to treat bipolar disorder is permanent. Every time we try a medication, our bodies react differently; we almost never react the same way twice. How a medication works varies depending on our current mental state, the medications we’re currently taking, and any treatments we’re currently undergoing.

I just wish there was an easy answer to treating bipolar depression and mania. There should be an answer, an easy way to help us, where we don’t have to spend most of our time waiting. My bipolar disorder is very gray, nothing is absolute, and everything is questionable. I wish my bipolar disorder was more black and white, I wish it had easier, faster, and more accurate answers.

Think Before Reacting

It is vital, but not easy, in life to think before reacting. People tend to react to situations automatically, at least I know that I do. I usually react by being overly polite, I almost always say yes to whatever anyone asks me, and I let people walk all over me. I have a very hard time standing up for myself. Some others have the opposite problem. Both situations are difficult to handle. This is why people could benefit from thinking before reacting. I’ve been trying to do this in my daily life, but I struggle to do it on my own. Some of the techniques I use are:

Take a moment to respond. Don’t force yourself to react immediately.
Think about what you would tell someone else to do/say if they were in your position.
Practice your response with another person if possible, or just practice with yourself.

I usually respond immediately, telling people I will do what they want and I insist that it’s no problem, even though it is an issue. I almost always put other people before myself. It’s important to stand up for yourself; I guess that’s something I’ll have to continue to work on.

When you stand up for yourself, you don’t necessarily have to explain your response to anyone. Your answer to someone’s question is enough. If you can’t do something for another person, then that should be enough. We are not children, we don’t need to justify everything we say. Speak up and clearly when you are standing up for yourself, and remember it’s okay to say “no”. Being assertive is a good thing; it’s not being mean or rude. Practice standing up for yourself. I ask my husband and my mom for help all the time. There’s nothing wrong with asking for help. I think it actually makes you stronger.

Depression Triggers

This depressive episode has me dealing with some depression symptoms that are not normal for me. My symptoms include weight gain, hopelessness, inability to feel pleasure, lack of interest, sadness, extreme fatigue, sleeping more than normal, excessive hunger, restlessness, and suicidal ideations. I push myself to get through this every day. I make myself get out of the house because I know it’s good for me. Just because it’s good for me doesn’t mean it’s easy to do.

I’m trying to figure out why this depressive episode is even happening. Normally, I can pinpoint the reason or trigger for an episode, either depressive or manic. Some of the reasons are medication induced, situational, or emotional. The problem is that I can’t find the reason for this depressive episode. I’m wondering if it’s possible that my recent ECT treatment could have caused this depression. I had already started to feel slightly depressed when I had the treatment, but I have felt so much worse ever since I woke up from it. It feels like ECT was a jumpstart into depression.

Does it even really matter what the cause is for any episode? I suppose the reason to know what triggered an episode is to help for the future. If you know what caused a depressive episode, then you can avoid that trigger in the future. I’ve been doing ECT treatment for over a year, and this is the first time I’m having problems like this. It may not be a trigger for me, but it may have been the thing that pushed me over the edge. Other things I’ve been experiencing that can cause depression are poor sleep habits, poor diet, weight gain, other health problems, and feeling home sick. I wonder, with this such as weight gain and poor diet, which was first. Did they occur first as a symptom of bipolar depression or were they triggers for the bipolar depression?

My Wellness Toolbox

A wellness toolbox is a list of any and all of the tools that an individual has found to be helpful from their own personal life experience. Everyone’s wellness toolbox is different because they are based on personal experience. A wellness toolbox can be edited as you learn new helpful tools and/or cross of ones that no longer work for you. My wellness toolbox contains the following tools:

Blog
Clean the house
Talk to or meet up with a friend
Cook (organize ingredients and make a whole meal)
Listen to Jennifer’s Rabbit by Tom Paxton (a song from my childhood)
Take the dog for a walk
Call friends from support groups
Organize anything I can find
Play the piano
Workout and eat healthy
Go to therapy or a support group
Watch old family videos
Look through old photos
Avoid caffeine
Light candles that smell good
Stay away from crowds
Watch a funny video or movie
Color in my adult coloring books

I have done several of the things in my wellness toolbox, so at least I know I’m on the right track. I’m also planning on cooking tonight, so that’s another thing I’m doing for myself. There are some things I’ve tried, but wasn’t able to do, such as coloring. I tried but couldn’t do it for some reason. I guess I’ll try it again a little later.

This is the reason I completed the Wellness Recovery Action Plan (WRAP), to help me and my loved ones when I’m struggling with either mania or depression. I’ve already found it useful. I’ve even added something to my toolbox; the coloring is a new tool. I will keep my wellness toolbox handy so I can reference it whenever necessary.

Another Day of Depression

I went to bed last night hoping that today was going to be different. When I woke up, I knew that it was going to be another day dealing with depression. The first sign was that I slept until 10am. I don’t sleep that late when I’m feeling well. Then my mom called me, which normally makes me happy, but this time I couldn’t feel anything. I’m dealing with a loss of interest in things I normally enjoy. My energy level is extremely low, everything feels like a major tasks. Even writing has become a huge task, but I force myself to do it.

Yesterday, I forced myself to get out of the house and go to my mother-in-laws when she invited me. It was extremely difficult, but I did it, and I’m glad I did it. It helped me feel a little better. Maybe today I should do the same thing. There’s a friend’s house I could go to; she understands depression and doesn’t judge me at all. I’m going to try my hardest to go over there in little while. I actually just made plans with her, that way I have someone to stay accountable to.

I’m pushing myself so hard. Sometimes I feel like I should just give in to the depression. It would be easier to just let go, but I need to put up a fight. Although, I’m wondering what the reason is why I’m fighting the depression. Am I doing this for my family or my husband? Is it possible that I’m doing this for myself? I don’t even know if the reason why matters. The most important thing is that I am fighting the depression. I’m not simply giving up. There are a lot of things that I could do to help. One thing I could do is to look at my Wellness Recovery Action Plan (WRAP) and looking through my wellness toolbox for suggestions that I know are helpful when I’m in a depression.

Improvements

My day actually got better as it went on, which is rare. I ended up doing some cleaning because I just couldn’t stand the dog hair anymore. Then I received a call from my mother-in-law asking if I wanted to come over and play some cards. I was just about to say no, when I ended up saying yes. I told her that I was struggling with some depression, but getting out of the house was probably a good idea. I wasn’t able to smile or laugh while I was over there, but I was able to get through the day without wishing I was dead the entire time. Sometimes, it’s important to push through, and that’s what I did by getting out of the house. I pushed through the pain and it actually helped.

When I got home, there were flowers on the counter. My husband went out and got me my favorite flowers, tiger lilies, and left them there for me to see when I got home. He can be so sweet and thoughtful. I made sure to tell him how much it meant that he did that for me. For a day that started out really horrible, it is actually ending all right. I pushed through the pain, and today it paid off.

Inside My Depression

I’m in it, inside the depression; it has taken my energy, my thoughts, and my will. I’m not myself, but I can’t even remember who I normally am. I can’t seem to get things done. It has been weeks since I’ve cleaned my house. Normally I clean the whole house once a week. I keep putting it on my to-do list, but I never seem to be able to get it done. Anything and everything is close to impossible. Every moment is a fight against myself, and it feels as if I’m losing.

I’ve done this many times before. It’s not my first depression, or my second, or third, and so on. I was diagnosed with bipolar disorder when I was 14 years old. It’s been 17 years that I’ve been trying to manage my diagnosis. I just wish that I could find the peace and keep it just a little bit longer instead of going from one episode to another. I’ve lost track of how many times I’ve been depressed or manic. The most important part is that I get through it every time. No matter how deep the episode is, no matter how hopeless the depression gets, I’ve gotten through it before and I’ll get through it again.

I wish I could get through this quicker. I know this sounds weird, but a part of me wishes I was manic. Then I would at least have energy and be productive. I’m not thinking about the negative aspects of mania, I’m just thinking that I don’t want to feel the depression I’m in. Right now, I’m sleeping way to much (I keep falling asleep on the couch), I feel worthless, I feel empty, I’m overeating, I have a decreased interest in almost everything, and just about everything is irritating. I’m lucky that I haven’t started crying yet, hopefully it will stay that way; I hate it when I cry. When I say I want to be manic, it’s just because I don’t want to deal with this depression. I want what I currently don’t have. It would be best if I could just be even, not depressed or manic, but I don’t know if that’s reasonable.

I will get through today; I always do. I have a great support system. Everyone I know offers their help. My husband just asked me if he could do anything. I thanked him for offering, but there’s nothing he could do. I wish there was something that other people could do, but I can’t think of anything. Simply knowing that people close to me truly care is helpful. Just knowing that they are there to support me makes me feel a little better; right now, every little bit counts.

It’s All Too Much

I’ve completed a few things so far today that needed to get done. I went and got my weekly blood work, this week it included a Clozapine level. I also emailed my psychiatrist to let him know how I’m doing. I let him know that I think my weakness and exhaustion is from ECT, not from Clozapine. For every step I take, it feels like I’m taking a thousand steps. Every single task I work on, even when I don’t complete them, requires a major effort. And it seems to be never-ending. Once I finish one task, there are three new ones to finish. It keeps increasing. Can’t people tell I’m not up for this right now? I know that I normally fake being okay, but I’m not even trying to fake anything right now. To fake being okay requires energy, and that is not something that I have at this time. All I can do is be myself; tired, confused, and distraught.

My husband has decided to look for a new car. Actually, my mother-in-law wants to get my husband a new car and give his current car to his brother. His immediate family is pretty much computer illiterate. His brother once told me it was amazing how I was going back and forth between two windows. So any time they want to do something, they always ask me. “Why don’t you ask Jodi? She could easily do that for you.” My only problem with that is I struggle to say no to anyone. I especially struggle to say no when I’m asked in front of a group of people. This time, it felt as if it was assumed that I would do whatever I was told to do or whatever was “asked” of me. It’s hard enough to get something done when you have one person telling you what they want, but when the decision is between two different people who aren’t in the same room, it becomes a major challenge. It is not something I want to get myself in the middle of.

Maybe I would feel a little better if I could get a few more things done that need to be done for me. Tasks such as cleaning the house would help me feel good. I even break that task down into smaller tasks so I feel productive as I’m cleaning. I already cleaned the kitchen and the bathrooms a couple of days ago. All that’s left is to dust, vacuum, and mop. I wish I could get rid of my depression. It’s making life so difficult; every little task is a massive job. I just don’t want to do it anymore.

Feeling Tired and Useless

I still feel messed up today; as if something isn’t right. I’m dealing with physical pain and being emotional distraught. Normally, when I wake up, words flow from my fingertips. Today, when I woke up, I felt empty. I have felt empty since I woke up from my last ECT treatment; it happens after every treatment, but this one is lasting much longer. This past ECT was the hardest that I’ve ever done. My husband told me that I say that every time. I told him that every time it gets harder. I have been doing this for more than a year. I can’t keep this up. I can’t continue. I’ve said that so many times; however, I think I’m serious about it this time. The memory loss, emptiness, confusion, and the chaos are too much for me anymore. I’m tired and I don’t think I can keep doing this to myself.

I don’t have much to do today, but I’m still wondering if I can get it done. The only thing I must do is get my blood work done at 2pm today. Hopefully I don’t run into that rude phlebotomist. I also want to clean the house today. It has been on my to-do list for a while now, but I can’t seem to get it done. It’s the ECT that’s holding me back from getting things done. I’m so tired; I feel useless. I hope that will change today.

Out Of It and Perplexed

Yesterday was a rough day, but the interesting part is that I don’t remember most of it. I don’t even remember going to bed. It has to be from the ECT. I feel still pretty messed up today, and that’s not how it normally happens. Apparently, I need another day to rest after this past ECT treatment. That’s very abnormal; usually I’m back my normal self the next day, but not this time. I’m trying to continue on with my day, getting things done, but I’ve having a more difficult time than normal. I’ve crossed a couple of things off of my list, but I don’t know if I can keep going. I was going to change my weekly blood work to Thursdays instead of Fridays, but I’ll do that next week. I can’t handle having another thing to do today. I’m even struggling in my writing today. My brain just is not all there. I’m perplexed, confused, baffled, and puzzled today. Hopefully, I’ll get part of my brain back as my day goes on.

My Side of the Pole

Bipolar – Mental Health

Category: Bipolar